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COMPETING INTERESTS: Dr Beard and Dr Wood work for the NCIRS, which receives most of its funding from the Australian Government Department of Health. The authors provided advice to the Department of Health on revisions to the Immunisation Medical Exemption form. Dr Wood has received NHMRC project grant and career development fellowship funding to conduct vaccinerelated research. Dr Wood also works for the Sydney Children's Hospital Network, which has received funding from GSK Biologicals to support investigator-initiated industry-supported vaccine trials.