In normal situations, the HPV vaccine series is recommended to be started at age 11. However, if the child is a victim of sexual abuse, the series can start as early as 9 years of age. If the patient has been sexually assaulted, it must be determined if the child is pregnant. If the child is not pregnant, then the patient can be given the HPV vaccine. Immunocompromised patients do not require a different schedule than immunocompetent patients. Asking why the parent feels the child needs the vaccine isn’t appropriate because the vaccine is recommended for all children starting at age 11.