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- AAT -> ACA fast track will take 4 years, only one year longer than doing the ACA directly but you'll be time qualified within the same period. - It would be a risky strategy to reject the offer and re-apply next year when there's no guarentee you'll secure another offer.
However, in most instances, a difference of a few days is unlikely to have a negative effect on immune response. With the exception of rabies vaccine, ACIP allows a grace period of 4 days (i.e., vaccine doses administered up to 4 days before the recommended minimum interval or age can be counted as valid).