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Dianne, a 35 year old African American woman with diabetes mellitus, comes to your office in October. She has just secured a job working at a pre-school. Her medical records show that she received MMR once and a complete series of diphtheria-tetanus-pertussis and polio vaccines as a child. The only vaccine she received since she was 5 was a Td booster at age 18. She could not remember whether she had chickenpox as a child, so you tested her sera for varicella antibodies: the results were negative. Although not pregnant now, she and her husband are planning on having a second child in a year. |
What vaccine(s), if any, should Dianne receive? |
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