Tdap

ED Tetanus Containing Vaccine Selection Guide

Age If No Pertussis Contraindications If Pertussis Contraindicated Comments
2M till 7Years DTaP DT DT available from pharmacy
7Years till 10Years Td Td
10Years Old Tdap(Adacel)^ Td ^Off label use but appears safe and immunogenic
11Years till 16Years Tdap(Adacel)< Td
16Years till 65 Tdap(Adacel)^^ Td ^^Use Td if patient is known to have received prior Tdap
Years + Td Consider TIG for tetanus prone wound plus Td(tetanus immune globulin)

Caveats

  • Adolescents who have already gotten a booster dose of Td are encouraged to get a dose of Tdap as well. Waiting 5 years after their last Td is encouraged but not required. A period of at least 2 years between Td and Tdap is recommended in these cases.
  • Pregnancy is not a contraindication to Tdap.
  • Stable neurologic disorders and family history of vaccine reactions are not contraindications to receiving these vaccines.
  • No vaccine has ever been shown to play any role in the development of autism or autism spectrum disorders.

See Also

ID: Tetanus (Prophylaxis)

ID: Tetanus (Acute)