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March 12, 2026

Ms. Lee presents with her 12-month-old daughter because she has had a runny nose

Case Scenario 4: Ms. Lee presents with her 12-month-old daughter because she has had a runny nose for 2 days and has a “fever” of 99° F. After reviewing her immunization records, you note that she has not received any immunizations since her 4-month well-infant exam. Are there contraindications for vaccinating this toddler today? What vaccinations should the APRN order for this toddler today per CDC guidelines? What type of anticipatory guidance should the APRN provide for Ms. Lee regarding vaccine schedule? What are some strategies the APRN can use to overcome vaccine hesitancy?

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