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I haven't seen this at the practice I go to. (in Rhode Island)We delay/selective vax. Our pedi actually asked me what my thoughts were on vaxes at the first visit and agrees that there are too many given all at once and possibly too many in general. When we go to a wbv, (haven't been to many due to the delayed vaxing), he lets me know which are "due", his opinion on it and asks if I want them. If I say no, than that's it. No more talk. They are very open to making our own vax schedule, splitting up combined vaxes (such as mmr), or simply skipping them altogether. I may have just lucked out on a good doc.