Which immunizations should be given at a 4-year-old preschool physical if DTaP, IPV, and MMR are due?

Which immunizations should be given at a 4-year-old preschool physical if DTaP, IPV, and MMR are due?

• A. Only MMR
• B. DTaP, IPV, and MMR
• C. None (immunizations should be given at the school physical examination next year)
• D. DTaP and IPV (the parent should schedule an appointment in 2 months for the MMR)

Answer: (B)

At about 4 years old, the immunization plan calls for boosters of DTaP and IPV and the second dose of MMR. When multiple vaccines are due at the same visit, they are all given during that one well-child appointment. It’s safe to administer these vaccines together in separate syringes, and there’s no required waiting between them. Catching up on all due vaccines at this visit protects the child promptly and reduces the need for additional visits. If the child is acutely ill with a moderate or severe illness, vaccination can be deferred, but otherwise giving all due vaccines now is the recommended approach.

At about 4 years old, the immunization plan calls for boosters of DTaP and IPV and the second dose of MMR. When multiple vaccines are due at the same visit, they are all given during that one well-child appointment. It’s safe to administer these vaccines together in separate syringes, and there’s no required waiting between them. Catching up on all due vaccines at this visit protects the child promptly and reduces the need for additional visits. If the child is acutely ill with a moderate or severe illness, vaccination can be deferred, but otherwise giving all due vaccines now is the recommended approach.