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If a child did not receive the birth dose of Hepatitis B vaccine should you start Pediarix on the first office visit?

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If a child did not receive the birth dose of Hepatitis B vaccine should you start Pediarix on the first office visit?

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Yes, you can. We would prefer that the first dose be given as Hepatitis B vaccine in the hospital as a birth dose. However, if for some reason the did not get it – for instance, you documented that the mother was Hepatitis B surface antigen negative – it is appropriate to use Pediarix or Comvax for that matter. Remember, both of these vaccines (Pediarix and Comvax) should not be given before 6 weeks of age. These are not vaccines that you can give at one month of age. You wait until they are at least 6 weeks of age.

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