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If a child had one dose of varicella vaccine and develops breakthrough infection, is the second varicella vaccine doses necessary?

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If a child had one dose of varicella vaccine and develops breakthrough infection, is the second varicella vaccine doses necessary?

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No, not if the rash illness is definitely known to be wild-type varicella infection. However, if there is any doubt, take the conservative approach and administer the second dose.

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