Deborah is a 25-year-old woman in her third trimester of pregnancy; she presents in October for a regular prenatal visit.  She is healthy with no complaints, and her pregnancy has been uneventful. 

• Her physical examination is unremarkable.
• She is a nonsmoker.
• She receives an annual influenza vaccine.
• Your records indicate she received a tetanus and diphtheria vaccine (Td) 2 years ago following treatment of a deep laceration.

Listen to the community physicians’ discussion on adult vaccinations for Deborah.
Eugene Cullen, MD; Christopher Flores, MD; Jessica Irvine, DO 

Listen to Dr. File's final recommendations for adult vaccinations for Deborah.
Thomas M. File, Jr, MD, MSc, MACP, FIDSA, FCCP 

Transcript of all audio for Case 3: Deborah 5325_Deborah Case Transcript.pdf