A health inspector dismayed to discover that a mother thinks her child has been vaccinated because he has been butted by a cow. Wood engraving by C. Keane, 1877.

Caption reads: 'Local Inspector. "Oh, he has been vaccinated, you say! Then show me the marks on his arm! He has the marks, I suppose!" Mother. "Oh, that he hev, sir! But not" - (driven into a corner) - "It was this way, you see, sir! Farmer Aker's cow she runned after the children, an' ketches my little boy, and she tossed him right over the hidge! But the marks - " [Local Inspector loses his temper.'