Tass, hmm, congenital isn't really heart disease?! Crazy. I've had the attitudes that Gabe's has been fixed so he's ok. He'll have to have it fixed again several times though. He'll never be "done". Heck, even people who likely won't need anything else done for their CHDs sometimes have things pop up later on. Weird that people in a medical setting have that attitude. FWIW we always do the injection, not the nasal. Partially b/c of very mild asthma, but also because his PC said to only do the injection. In the CHD world I have come across others though whose ped. cardiologists WANT them to have the nasal vaccine, as they say that is less risky. All a matter of opinion I guess?