Fluzone Administered: Does Baby Need More?

September 5, 2014
Terry Brenneman, MD

Your answer to the question in this case will hinge on what you know about the influenza strains in the 2014-2015 vaccine vs those in the 2013-2014 formulation. See what you think.

A 23-month-old child is in your office in early September for evaluation of diaper rash and you’ve taken the opportunity to catch up on his vaccinations. The child did receive a single dose of trivalent vaccine last February but did not come back for the recommended second dose last year since he had never had a flu vaccine previously. Per the 2014-2015 influenza vaccine recommendations from the ACIP, you’ve administered 0.25 cc of the preservative-free quadravalent formulation of Fluzone (IIV).

The mom asks when she should bring the child back; you tell her that she: