A 30-year-old female presents to her primary care provider complaining of nausea and vomiting. The

A 30-year-old female presents to her primary care provider complaining of nausea and vomiting. The patient has a history of engaging in unprotected sexual activities with multiple men. The patient has a body mass index of 33 kg/m² and was recently diagnosed with Hashimoto thyroiditis. Blood work reveals elevated beta-hCG and hypercholesterolemia. The patient asks to receive the human papillomavirus (HPV) vaccine that could help prevent cervical and anal cancer. Which of the following would be a contraindication to vaccine administration in this patient? A. Obesity B. Pregnancy C. Autoimmune status D. Aniline dye exposure

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