Although the HPV vaccine has been recommended for teenage girls to help prevent the development of cervical cancer caused by infection with high risk serotypes of the Human Papilloma Virus (HPV), about 75% of teenage girls were not current with the HPV vaccination. More than 40% of parents reported that they had no intention of having their daughters complete the HPV immunization process. Parents' reasons for not completing this immunization schedule included beliefs that it was not needed or necessary (17%), safety concerns (16%), lack of sexual activity in the children (11%) and lack of knowledge (10%). This study was conducted between 2008 and 2010 and included a review of the tetanus diphtheria and acellular pertussis (Tdap), the quadrivalent meningococcal (MCV4) and the HPV immunization. About 20% of teens were not up-to-date for the Tdap immunizations and approximately 65% were not up-to-date for the MCV4 immunizations.