Bella had a dental done 2 years ago, she didn't have to have any teeth removed but our dentist did recommend having the vaccine. I followed his recommendation and had it administered. She had a very lethargic reaction that scared me! She wouldn't get out of her bed and barely lifted her head up...she wouldn't eat, drink you name it. It took about 24 hours to wear off but it made me very nervous...I told him she will definitely never get the shot again! Not worth it...