Increasing Adult Vaccination Rates What Works

Image of Dianne

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?

Hepatitis A Hepatitis B
Human Papillomavirus Influenza
Meningococcal Measles/Mumps/Rubella
Pneumococcal Tetanus/Diphtheria
Tetanus/Diphtheria/Pertussis Varicella