Yes. You are able to respec and change your appearance as you leave the vault for the first time.

Yeah, you can change anything you want just right before exiting the vault.

Thank you to all who replied immediately. :)

Awesome.

So many people go right ahead and ask without using search...thanks for giving it a go, even though it's rubbish. 

Kinda wondering if it's the same as FONV and FO3 (Even Elder Scrolls) with letting you redo your look and stuff before you leave the starting area to explore.

EDIT: The answer is yes, you can.  Thank you folks.

Sorry, quick Q, search failed me cause I suck. Does the game let you change your appearance/name/SPECIAL right before exiting Vault 111 into the wasteland?