Vacancies in semiconducting 2D transition metal dichalcogenides enable studies of quantum phenomena at the nanoscale, such as single photon emission or Jahn-Teller distortions. Here, the authors show that a scanning tunneling microscope can enable local creation of single vacancies as well as vacancy dimers in single-layer MoS${}_{2}$. Charging the vacancy through local gating leads to two distinct types of Jahn-Teller distortions, in quantitative agreement with $a\phantom{\rule{0}{0ex}}b$ $i\phantom{\rule{0}{0ex}}n\phantom{\rule{0}{0ex}}i\phantom{\rule{0}{0ex}}t\phantom{\rule{0}{0ex}}i\phantom{\rule{0}{0ex}}o$ calculations. Strong hybridization within vacancy dimers illustrates the potential for artificial defect lattices with tailored electronic band structures.