Problem: Are working in an adolescent clinic. Rebecca, a 13-year-old girl, comes in with her mother because her allergies have been acting up. You take the opportunity at this sick visit to verify your patient's immunization status. You note that she is up to date to date except for HPV vaccine. When interviewed alone, the teenager states that she has never been sexually active. You bring the mother back into the examination room to discuss medical treatment for Rebecca's allergies and also highlight the importance of vaccination against HPV. The mother states, "I know vaccines are important, but I don't want Becky to get that sex vaccine."
1. What can you tell the mother to reassure her vaccination against HPV does not promote promiscuity?
2. You manage to reassure Becky's mother. You ask Becky if she has any questions. She seems nervous and asks what side effects are expected with this vaccine. What are common adverse events associated with HPV vaccine?
3. While you are speaking with Becky, the mother is searching the internet on her phone and blurts out "Wait a minute, it looks like this vaccine causes deep vein thrombosis and may cause some autoimmune diseases!" How would you respond?