In a pediatric patient who has already received two doses of hepatitis B and is presenting for immunizations at 2 months, which vaccine should be prepared?

• A. Pneumococcal
• B. Hepatitis A
• C. Varicella
• D. Meningococcal

Answer: (A)

The main idea here is understanding which vaccines are due at the 2-month well-child visit. At this age, the pneumococcal conjugate vaccine is routinely started and given in a series at 2, 4, and 6 months. Since this patient has already received two doses of hepatitis B, the vaccine that should be prepared at this visit among the options is the pneumococcal vaccine (PCV13).

The other vaccines listed are not given at 2 months: hepatitis A is first given around 12 months, varicella is also given around 12 months or later, and meningococcal vaccines are not part of routine infancy and are typically started later in childhood or based on risk.