These are only needed if your dog parks or boarding or live in tick prone areas. Some have suggest that risk of over Vaccination can lead to Autoimmune issues, Allergic reactions, Chronic inflammation so I tell people the best thing you can do for your beloved pet is do the Titer Testing first before giving more shots, it is a simple blood test that checks the immunity levels. Bottom line again, in my opinion: Vaccines are vital, but more isn’t always better.