For most children, immunizations are the most stressful part of an annual checkup. We have a policy in my office that helps reduce the anxiety associated with this necessary evil. Whenever a child needs two vaccinations, we administer the shots simultaneously. This works for a couple of reasons. First, having two nurses in the room helps to distract the child. Second, receiving both shots at once reduces the pain, possibly because the child perceives them as one injection instead of two.