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Should I administer MMR and varicella vaccines or the MMRV vaccine for the second dose?

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Should I administer MMR and varicella vaccines or the MMRV vaccine for the second dose?

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For the second dose at any age (15 months-12 years), use of MMRV vaccine generally is preferred over separate injections of MMR and varicella vaccines). [See the ACIP Recommendations.] Considerations should include provider assessment (including the number of injections, vaccine availability, likelihood of improved coverage, likelihood of patient return, storage and cost), patient preference, and the potential for adverse events.

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