A 1-year-old was inadvertently given a 0.25 mL dose of FluLaval Quadrivalent rather than the recommended 0.5 mL dose. What should we do?

If the error is discovered on the same clinic day you can administer the other “half” of the FluLaval Quadrivalent dose. If the error is discovered the next day or later, the dose should not be counted. The child should be recalled to the office as soon as possible and given a full age-appropriate repeat dose, either a 0.5 mL dose of FluLaval Quadrivalent, a 0.5 mL dose of Fluarix Quadrivalent, a 0.25 or 0.5 mL dose of Fluzone Quadrivalent, a 0.25 mL dose of Afluria Quadrivalent, or a 0.5 mL dose of Flucelvax Quadrivalent.