The US and Europe haven't vaccinated for smallpox since the early '70s and routine vaccination wrapped up globally in the mid-'80s, so, for many... absolutely nothing.
I used to be amused when period pieces would show actresses (particularly European) in sleeveless attire with their smallpox vaccine scar, three feet tall in the closeup shots.
Turns out smallpox vaccines are a lot older than I thought. They might have not looked exactly like that in Victorian England, but an iteration of it did already exist. Guess that's why they cover up tattoos but not smallpox scars.