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3 For the 2020-21 flu season, the World Health Organization and FDA's Vaccines and Related Biological Products Advisory Committee recommended including the A/Guangdong-Maonan/SWL1536/2019 (H1N1) pdm09-like virus, A/HongKong/2671/2019 (H3N2)-like virus, B/Washington/02/2019- like virus (B/Victoria lineage), with the addition of B/Phuket/3073/2013-like (B/Yamagata lineage) virus for the quadrivalent vaccine

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In addition to this many Doctors may be using the standard lab value reference range instead of the optimal reference range