Pinnacle I.N. to help protect horses against strangles, look to PINNACLE I.N. ?the only two-dose, modified-live bacterial vaccine developed to help prevent strangles caused by Streptococcus equi (S. equi). Strangles is a highly contagious upper respiratory infection most common in young horses. Strangles symptoms can include fever, difficulty swallowing, abnormal breathing, nasal discharge, swelling and/or abscesses of the lymph nodes.1 The disease can spread quickly and is easily transmitted through direct animal-to-animal contact or by objects ? buckets, bridles or human hands ? that have come in contact with infected horses. Your horse may be at risk for strangles if he travels to events or shows or is exposed to unfamiliar horses, such as within a boarding barn. The only two-dose modified-live vaccine developed to help prevent strangles caused by S. equi. Intranasal administration helps provide a more natural immune response, stimulating innate andmucosal immunity at the site of natural infection. PINNACLE I.N. utilizes a specially designed cannula that helps deliver the vaccine to the pharyngeal (throat) area. Because it is given intranasally, PINNACLE I.N. avoids local injection-site reactions that can occur with parenteral S. equi vaccines.2 All vaccines are shipped Express 1-2 Days. A $29.95 flat rate fee is charged for all orders containing vaccines. Someone should be present to sign for and receive the vaccine order when it ships to you. For more shipping info click here. NOTE: This item cannot be shipped to Minnesota, Canada and P.O. Boxes. Use must be approved by your veterinarian.