Editor's note: this is an updated version of the original article which appeared in August 2016.
At the routine well child visit at age 11-12 years I routinely recommend 3 vaccines: Tdap, Gardasil, and a quadravalent meningococcal vaccine. As often as not, the parent doesn't question the need for Tdap and the meningococcal vaccine, but wants “to wait” or outright refuses the HPV vaccine, Gardasil. When I ask the parent, “What is your concern with Gardasil,” I often get the comment, “Oh, it's a new vaccine.” I inform mom the vaccine was approved in 2006, so it isn't really a new vaccine and millions of doses have been given all over the world.
To emphasize a point, you might ask the parent in your office in what year they think the conjugate meningococcal vaccine was licensed, because you know it was in:
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