A 15-month-old boy is brought to the clinic for a routine well-child examination. Three months ago, he was hospitalized for 5 days with a persistent high fever, bilateral bulbar conjunctival injection, cracked erythematous lips, and a diffuse maculopapular rash. During that admission, he was successfully treated with a single dose of intravenous immunoglobulin (IVIG, ) and high-dose aspirin. An echocardiogram performed at the time was normal. He was discharged on low-dose aspirin, which was discontinued last week following a normal follow-up echocardiogram. His last immunizations were administered at his 6-month well-child visit. His temperature is 37.1°C (98.8°F), heart rate is 105/min, and blood pressure is 85/50 mm Hg. Physical examination today shows a well-appearing, active toddler with no abnormalities. The parents are requesting that he receive all vaccines he is currently eligible for to catch up on his schedule. Which of the following is the most appropriate recommendation regarding this patient's immunizations today?
- Administer age-appropriate inactivated vaccines today and defer live-attenuated vaccines for 8 more monthsCevap
- BAdminister all age-appropriate inactivated and live-attenuated vaccines today
- CAdminister age-appropriate inactivated vaccines and the measles-mumps-rubella (MMR) vaccine today; defer the varicella vaccine
- DDefer all immunizations today and schedule a return visit in 8 more months for full catch-up vaccination
- EAdminister all age-appropriate vaccines today and schedule an additional dose of live-attenuated vaccines in 8 months