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---
title: My Family is a COVID-19 Vaccine Hesitancy Case Study
description: I always reminded my aunt that the tiny jab could prevent serious illness or death. I wish I had pushed harder for her to get vaccinated
canonical: https://time.com/6096505/covid-19-vaccine-hesitancy-family/
author: Ross Dellenger
article:opinion: true
article:content_tier: free
article:published_time: 2021-09-12T11:00:51.000Z
article:modified_time: 2026-10-14T09:14:56.473Z
article:section: Ideas
og:title: I Didn't Want to Push My Aunt to Get the Vaccine. Now I Live With Regrets
og:description: "It can’t be real. How can she be gone?"
og:url: https://time.com/6096505/covid-19-vaccine-hesitancy-family/
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og:image:width: 2400
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og:image:alt: icu-covid-ross-dellenger-aunt-vaccination
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twitter:title: I Didn't Want to Push My Aunt to Get the Vaccine. Now I Live With Regrets
twitter:description: "It can’t be real. How can she be gone?"
twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltc2fa9ea8f445b28d/698a1cd6d07533f68de6bf36/icu-covid-ross-dellenger-aunt-vaccination.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9
---

![](https://static.time.com/v3/assets/bltea6093859af6183b/bltc2fa9ea8f445b28d/698a1cd6d07533f68de6bf36/icu-covid-ross-dellenger-aunt-vaccination.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# I Didn't Want to Push My Aunt to Get the Vaccine. Now I Live With Regrets

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<!-- video src="https://cdn.jwplayer.com/manifests/BTNvQC2o.m3u8" -->
## Video: The Miracle Workers: The Scientists Behind The COVID-19 Vaccine

[Watch (HLS stream): The Miracle Workers: The Scientists Behind The COVID-19 Vaccine](https://cdn.jwplayer.com/manifests/BTNvQC2o.m3u8) (5:16)

![The Miracle Workers: The Scientists Behind The COVID-19 Vaccine](https://cdn.jwplayer.com/v2/media/BTNvQC2o/poster.jpg?width=720)

_Published 2021-12-13. For those of us lucky enough to live in wealthy countries with access to these top-shelf vaccines, it has made all the difference. The miracle workers behind the COVID-19 vaccines are the TIME Heroes of the Year not only because they gave the world a defense against a pathogen, but also because the manner of that astonishing achievement guards more than our health: they channeled their ambitions to the common good, talked to one another and trusted in facts._


by 

[Ross Dellenger](https://time.com/author/ross-dellenger/)


## Ross Dellenger


Sep 12, 2021 11:00 AM UTC

by 

[Ross Dellenger](https://time.com/author/ross-dellenger/)


## Ross Dellenger


Sep 12, 2021 11:00 AM UTC

In normal times, the ICU is a dreadful place.

Sickness lingers like a fog. You can feel it, sense it, even hear it—the machinery pumping, the alarms ringing, the nurses scrambling.

In pandemic times, the ICU is chilling. Death lives here.

Medical staff members wear green biohazard suits, face shields, latex gloves and shoe coverings. Strips of red tape—“ISOLATION,” they read—mark the windows and doors of individual rooms.

Behind each is a patient who cannot breathe on their own, kept alive by a ventilation machine that is connected to an invasive tube running down their windpipe and into the lungs. Each room is almost identical: a person, some on their stomachs and others on their backs, sedated and paralyzed, roughly a dozen patches and pipes protruding from them, blankets hiding their naked bodies.


Most of them will not make it out of here, the nurse tells me. In fact, at this particular ICU on the Southern Gulf Coast, COVID-19 patients needing a ventilator have a fatality rate approaching 100%. Over the last year, hundreds of them spent time here. Seven of them survived.

“I wish people could walk in my shoes for a day,” the nurse muffles through a mask.

The nurse is nice, but blunt. She’s frustrated like so many in the medical community, she says. In this ICU, there are 25 patients battling COVID-19\. She pauses before finishing the thought: 24 of them are unvaccinated.

That includes the patient before her, the one with braided red curls, pale skin, the one with rosaries draped over her bedside, lying flat on her stomach, her left ear and cheek exposed, a tube inserted in her mouth filling her lungs with oxygen.

She is in her 40s, a mother to a teenager. A wife to a husband. A daughter to an 81-year old mom. A sister to three older siblings. A friend to hundreds.


And an aunt, a godmother and a kindred spirit to one lucky nephew.

Me.

## ‘A small, painless shot in the arm’

Normally, I write about college football for Sports Illustrated. As the son of a longtime high school football coach, I’ve always been passionate about sports. My stories usually include words like _touchdown_, _field goal_ and _kickoff—_not _ICU_, _illness_ and _death_.

This isn’t a story about a vaccine. It isn’t a story about a virus. And it isn’t a story about one single person. It is a story about them all.

It’s a sad story, like so many in this Godforsaken world today. We are surrounded by sadness. We are surrounded by sickness. These stories are playing out across our stubborn country, throughout our ailing world. There are thousands of them and this is but one.

It ends in suffering. It ends in the most awful, debilitating pain a human can stand.

Some people believe they know what happens when we die. Heaven, hell, purgatory. The truth is, no one really knows. What we do know about death is what it does to those living. It is crushing. We know that. And this, this is crushing.

No one was quite like my aunt. And I do mean no one.

How do you describe someone who could make you both laugh and cry in the same sentence? A woman who devoted her life to helping underprivileged young people with special needs?

Do you know the famous [Jim Valvano speech](https://www.youtube.com/watch?v=HuoVM9nm42E)? At the 1993 ESPY Awards, the former college basketball coach, then sick and dying of cancer, told millions the secret to life: If you laugh, think and cry every single day, you’ve lived, he said.

My aunt embodied that. A laugher, a thinker, a cryer—truly the life of every party. She gave and she gave. No one showered me with more adoration than her.

![The author with his aunt, who he lost earlier this year to COVID-19.](https://static.time.com/v3/assets/bltea6093859af6183b/blt1bbbf10a962249e0/698a1cd6b3fce309bc0c84e0/icu-covid-ross-dellenger-aunt-vaccination-2.jpg?branch=production&width=1200&quality=75&auto=webp)

The author with his aunt Courtesy Ross Dellenger


We were only separated by 11 years. When she was 18, I was 7, and she introduced me to animated Disney movies. _Aladdin_, _The Little Mermaid_, _The Lion King_. We’d slide the old VHS tapes into the VCR and settle in for a fun 90 minutes.

When she was 25, I was 14, and she’d assure me that the bullies at school were nothing but big dummies.

And when she was 48, I was 37, and I assured her that a small, painless shot in the arm would protect her.

I never wanted to be too pushy about it—and now, boy, do I regret that—but each time I saw her over the last six months, I reminded her that the tiny jab could prevent serious illness or death.

She refused. They don’t know the long-term effects, she said. You’re right, I told her, but we do know the effects of COVID-19: sickness, hospitalization, death.

Her brother pleaded with her, too. Always a jokester, he poked at her about it. “If you ever get hospitalized with the virus,” he told her, “I hope you make it out so I can tell you, ‘Told you so.’”


## Saying goodbye in the ICU

Across the U.S., health agencies are reporting some 150,000 new COVID-19[ cases a day](https://time.com/5800901/coronavirus-map/), the highest rate since last winter, according to Johns Hopkins University numbers. Hospitalizations are likewise [approaching the previous high point of the pandemic](https://covid.cdc.gov/covid-data-tracker/#new-hospital-admissions), with many facilities across the nation again running out of beds and on the cusp of [rationing care](https://time.com/6096517/covid-19-health-care-rationing/). As of writing, the seven-day average of daily COVID-19-related deaths is approaching 1,550.

There is, of course, protection for those over 12: the authorized vaccines. The latest data from the U.S. Centers for Disease Control and Prevention, published Sept. 10, found that unvaccinated people were over 10 times more likely to be hospitalized than vaccinated people, and about five times more likely to be infected. Despite that data, some [37.5% of people](https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html) in this country currently eligible for the COVID-19 vaccines are not vaccinated.


My family is a true case study to help understand this trend. During a family vacation to the beach in late July, nine adults stayed in a condominium. Seven were vaccinated. Three of the nine later tested positive for COVID-19\. Two, both vaccinated, felt mild cold symptoms. A week later, the unvaccinated third was hospitalized.

Fourteen days passed from the time of my aunt’s positive test to the day they wheeled her into ICU, sedated her and intubated her by inserting a tube into her lungs. In the days leading up to that point, she was perfectly alert, laboring to breathe but with the ability to text from her hospital bed.

Along the way we exchanged messages. I asked her if she needed me to travel to the hospital with a bike pump and fill those lungs of hers with air. “I think that would help,” she jokingly wrote back. I sent flowers, a card and chocolates a day before they moved her into ICU. While eating the chocolates, she texted me a thank you note. She really got a kick out of the card, which I wrote with inspiration from a TV show we both loved: Seinfeld.


A music lover, she complained that there were no “good vibes” in the ICU (eventually, we set up a transistor radio for her, and it played and played while she lay sedated).

A few days later, hours before intubation, I sent her another text, this one more serious. There’s no room for it all here. And I’m not sure I’ll ever reveal its full contents. But I told her that she means more to me than just about anyone on this Earth and that I am the man I am today partly because of who she is. It rubbed off on me, I texted.

In that note, I briefly mentioned that tiny little shot. I was experiencing conflicting emotions, I wrote to her. I was sad and I was also angry – “and you know why,” I texted.

Finally, I told her to fight. Fight hard. And when you get out of there, I wrote, your family will be waiting.

She never responded to that text. I’d like to believe she read it and that she went into sedation knowing what she meant to me.


In reality, I’ll never know.

Exactly two weeks later, I walked into the ICU to say goodbye.

For a fleeting moment, it was just me and her, and that transistor radio, which sent tunes dancing across the room: _Let’s dance in style. Let’s dance for a while. Heaven can wait. We’re only watching the skies._

She had been positioned on her back so family members could sob over her lifeless body. She was attached to a dozen machines, on the precipice of death, completely sedated and paralyzed. Her chest rose and fell with the ventilator’s hum.

It was the last time I saw her alive.


## Transcript

Kind: captions Language: en I think vaccines are misunderstood, and maybe it's because it seems like magic. That simplicity and the mystery of it is something that ends up creating a lot of skepticism. People are fooled by the speed. Everything that we knew when it was time to design a vaccine for COVID-19, we knew for so long, but the public had just become aware of it. If this would happen two years ago, we would not be ready. Saying that it happened overnight, it took two, three decades, at least. 2021 was the year when so many praised the miracle of vaccine development. In science, there is hardly ever a simple, quick fix.

But this was truly a moment of the right fix - a brand new kind of vaccine technology - at exactly the right time. I started out in math, and I moved to biology. And after medical school, I saw one of the first cases of HIV in Tennessee back in 1982. And so the first part of my career was trying to understand the immunology of vaccine-enhanced disease and trying to make vaccines safer. I got interested in science when I was 16 years old. I was hooked on the idea that you could go to work and discover something that no one else in the world knows on any given day. It seems at 16, I thought that maybe I will be a scientist.

I was always working with mRNA, I mean for 30 years at least. And I never wanted to develop a vaccine. I wanted to develop it for therapy. When I first came to Penn from the NIH, pure luck hit where I met Kati Karikó over a Xerox machine. And she told me she worked on RNA, and she could help us with our vaccine. Every experiment doesn't work, every hypothesis isn't good. It was a continuous flow of negative feedback. But we saw the potential of the RNA and neither of us would give up. Although mRNA can teach our cells to fight infection, it took doctors Karikó and Weissman 16 years to figure out how to use it safely in a vaccine.

First when I made this RNA, actually I did not tell Drew Weissman, my colleague, because I thought that maybe I mixed up something. So I repeated the experiment and we could see that there was no inflammation in human cells. We're both scientists. We're not baseball players who cheer when we hit a homerun. We knew that it had great potential. But what we thought about is what are we going to do with it? Meanwhile, doctors Corbett and Graham spent years unlocking the structural secrets of viruses. One of the really important problems in coronaviruses that had not been solved is really simple. What does the coronavirus really look like to the immune system?

And to figure that out, you have to be able to take a really high definition picture of the proteins that are on the surface of the coronavirus. And then do some protein engineering to stabilize the structure. At that moment, you realize that you have almost what is a universal strategy for creating a vaccine for coronaviruses. A mysterious respiratory illness with similarities to SARS has healthcare workers around the world on alert. What we said to each other, all's we need is a sequence and we're ready to go. We can make a vaccine in weeks and get it into people very quickly. The fact that we made a vaccine in 10 months, and has the potential to end this pandemic, will certainly stand out.

"Do it mama!" (laughter) Most scientists never get to see a product actually used. And to watch the evening news and see the relief on healthcare providers getting immunized, those were special moments. I also get emotional when I got a letter from an elderly home, and they reported that they received the vaccine. There were like 200 elderly in that home. And nobody died. On social media, when children were going back to visiting their grandparents again. Seeing people reunited in that way, it was a very surreal moment. A surreal moment, and definitely worth celebrating, if only briefly before a return to work.

These scientists are now trying to apply their game-changing discoveries to other diseases. Influenza, even cancer. A brand new way to make a healthier, more equitable world.

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