First time vaccinating 11 yr old, help?

[maisyLPN]

I graduated from LPN school in March and started my job in a peds office 3 weeks ago. I have an 11 yr old who is coming into the office tomorrow to get Tdap, Menactra, Hep A, and Gardasil. This will be my first time giving so many shots to an older child. The CMA who works there was going to handle this appointment because she didn't want to overwhelm me but she's out sick. So here's my question: where should I give the shots? I spent the afternoon researching if it would be ok to administer them all in the deltoids (2 in the left, 2 in the right). I read that Gardasil can be given in the upper anterolateral thigh. I am not good with locating the ventrogluteal and would like to avoid it because I'd rather give it at a landmark I'm more familiar with. I was thinking the Menactra could be given in the Left, and the Tdap and Hep A in the right, and the Gardasil in the thigh. Would this be a problem as far as receiving the optimal level of protection?

P.S We really weren't taught much about vaccines in school. They prepared us for working in the hospital and always skipped over anything related to office work so all of this is a bit new to me.

[wooh, BSN, RN]

My tips:

Label all syringes before hand, do your most uncomfortable vac last, tdap/dtap in non dominant arm.

I actually tend to go backwards, most painful first, that way I can truthfully say that the worst is over with. But at that age, I'll ask them what they want. "This is the order of hurts most to least. I would recommend this, but how do you want to do it?"

[klone, MSN, RN]

I'm guessing the rationale behind least painful first is due to endorphin production.