Which vaccine is listed last in the 4-year vaccination set?

Which vaccine is listed last in the 4-year vaccination set?

• A. DTaP
• B. IPV
• C. MMR
• D. VAR

Answer: (D)

The main idea is recognizing the typical vaccines given at the 4-year well-visit and the order they’re listed in many practice charts. By about age 4–6, the four vaccines commonly documented are DTaP, IPV, MMR, and Varicella. Varicella is listed last because, in standard scheduling documentation, after the booster DTaP and IPV and the combined live vaccines MMR and Varicella, the varicella vaccine is placed at the end of the set. This ordering reflects common charting conventions rather than a safety requirement, and that’s why Varicella ends up being the last one listed.

The main idea is recognizing the typical vaccines given at the 4-year well-visit and the order they’re listed in many practice charts. By about age 4–6, the four vaccines commonly documented are DTaP, IPV, MMR, and Varicella. Varicella is listed last because, in standard scheduling documentation, after the booster DTaP and IPV and the combined live vaccines MMR and Varicella, the varicella vaccine is placed at the end of the set. This ordering reflects common charting conventions rather than a safety requirement, and that’s why Varicella ends up being the last one listed.