New patient to clinic. Record ahowed one Hep A dose given on 11/10/23. Dose given 1/14/25. Upon receipt of vaccine record, patient already had second Hep A on 5/24/24. Discussed case with employee at Health Dept and she emailed literature for mother to review. Patient doing well although she had a decresed appetite and complained that she had occasional abdominal pain for 2-3 days. This report is to document that patient had a third Hep A vaccine.