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If a parent reports that his/her child has had breakthrough disease, should the child receive a second dose of vaccine?

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If a parent reports that his/her child has had breakthrough disease, should the child receive a second dose of vaccine?

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Self-reported history of natural or breakthrough varicella (by adults or by parents for their children) is not a valid criterion for evidence of immunity to varicella. To limit the number of false-positive reports, ACIP recommends that evidence of immunity should be either a diagnosis of varicella by a health-care provider or a health-care provider verification of a history of disease rather than parental or self-reporting. For persons reporting a history of breakthrough disease or presenting with atypical and/or mild disease, assessment by a physician or the physician’s designee is recommended and one of the following should be sought: a) an epidemiologic link to a typical varicella case or to a laboratory confirmed case; or b) evidence of laboratory confirmation, if testing was performed at the time of acute disease. When such documentation is lacking, persons should not be considered as having a valid history of disease because other diseases may mimic mild atypical varicella. For t

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