Michael's mother, Mrs. Wilson, is busy watching Michael and his four-year old sister. Mrs. Wilson is visibly pregnant. Asking Mrs. Wilson this question should prompt her to produce any records she has or provide the names of clinical sites and doctors where Michael has been seen. Then, obtain the records with parental consent. It is very important to obtain or initiate original immunization documentation since it will be required for entry into child care and school.
Parents often assume that regular medical care assures appropriate immunization.
Unfortunately, this is not always the case. If no records are available, administer all vaccines due at this age at this visit.