We inadvertently gave a 25-year-old a pediatric (0.5 mL) dose of Engerix-B. Can we just give her another pediatric dose or should she receive a repeat adult dose?

What you do depends on when the error is identified. If the error is discovered while the person is still in the office, you can administer the other “half” of the Engerix-B dose. If the error is discovered later, the dose should not be counted. The person should be recalled to the office and given a full age-appropriate 1.0 mL repeat dose. The same recommendation would apply if the error was with Recombivax HB.