Registry immunization was down, Pt signed up to receive RSV vaccine on 1-18-25. Thoroughly went over the updated CDC guidelines and she was concerned with protection from RSV because she leaving to another country for 3 weeks and she has HX of asthma. Also, a friend of hers got RSV and was impacted and she did not want it. I was l led by her to believe she hasn’t received any prior doses. Later that day, I reverified the database to discover she had already received a dose on 11-22-23 RSv Arexvy. Spoke with Pt day after 1-19-25 to inform her of the second dose above CDC guidelines and she said she was fine, felt normal with just a sore arm as she has had in the past with other vaccines.