It is likely that only a limited supply of H1N1 vaccine will be available in the initial shipment, so the first priority is to immunize the high risk groups.
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If the patient has fever, a distended firm abdomen, severe abdominal pain not gas cramps , bloody bowel movements greater than a half cup in volume, nausea or vomiting, they should call the endoscopist or the physician on call and may need to be evaluated.