(Boehringer Ingelheim) Pyramid 3 + Presponse SQ offers protection from bovine respiratory disease (BRD) in a single dose. IBR, BVD Types I and II, and Mannheimia haemolytica. Give 2 ml SQ. Can be used in pregnant cows or calves nursing pregnant cows provided the cows were vaccinated prior to breeding with Pyramid 5, Pyramid 10, Pyramid 3 + Presponse SQ or Pyramid 5 + Presponse SQ. Annual booster is recommended. Modified live, requires mixing.