CDC will monitor NNDSS and the Vaccine Adverse Event Reporting System (VAERS) for additional cases and will upload available data reported to those systems into the COVID-19 vaccine breakthrough REDCap database for your review and confirmation. 6. Ultimately, CDC will use the National Notifiable Diseases Surveillance System (NNDSS) to identify vaccine breakthrough cases. Once CDC has confirmed that a state can report vaccination history data to NNDSS, CDC will identify vaccine breakthrough cases through that system. At that time, the state health department will stop reporting cases directly into the national COVID-19 vaccine breakthrough REDCap database. CDC will upload the...