For babies who do get whooping cough, 9 in 10 are protected from infections serious enough to need treatment in a hospital if their mother received Tdap during pregnancy. Learn more about DTaP waning immunity and whooping cough outbreaks. Most people who get a vaccine that helps protect against diphtheria, tetanus, and whooping cough do not have any serious problems with it. With any medicine, including vaccines, there is a chance of side effects. These are usually mild and go away on their own within a few days, but serious reactions are possible.
Reactions where the healthcare professional gave the shot and fever occur more often after the fourth and fifth doses of the DTaP series than after earlier doses. Sometimes the entire arm or leg that the shot was given in swells after the fourth or fifth dose. If this happens, the swelling lasts between 1 and 7 days. These vaccines are part of the routine childhood immunization schedule.
Therefore, they are regularly available for children at:. Locate one near you. You can also contact your state health department to learn more about where to get vaccines in your community. When receiving any vaccine, ask the provider to record the vaccine in the state or local registry, if available. This helps healthcare professionals at future encounters know what vaccines you or your child have already received.
Medicare Part D plans cover Tdap vaccine, but there may be costs to you depending on your specific plan. Most private health insurance plans cover these vaccines. Check with your insurance provider for details on whether there is any cost to you and for a list of in-network vaccine providers.
Most health insurance plans cover routine vaccinations. Skip directly to site content Skip directly to page options Skip directly to A-Z link. Vaccines and Preventable Diseases. Section Navigation. Facebook Twitter LinkedIn Syndicate. Minus Related Pages. On This Page. How many doses of pediatric diphtheria-tetanus-acellular pertussis DTaP vaccine does an infant need before she or he is protected from pertussis?
Efficacy data following just 1 or 2 doses are lacking but are likely lower. Therefore, it is especially important that you advise parents of infants and all people who live with the infant or who provide care to him or her be protected against pertussis.
My year-old patient received a dose of Tdap when he was 7 years old. He also received a dose of Td 6 months later in order to finish a primary series of tetanus-toxoid. Can I give him a dose of Tdap now? A year-old refugee's record indicates 2 doses of Td separated by 1 month and 1 dose of Tdap given 4 months after the second Td. Is he up to date? The first two doses of Td are valid because they are separated by at least 4 weeks.
However, the minimum interval between the second and third doses of tetanus- containing vaccine is 6 calendar months. So, the Td component of the Tdap dose is not valid because it was given only 4 months after the second dose. The pertussis component can be counted as valid. The patient should receive another dose of Td or Tdap 6 months after the invalid Tdap dose. My 7-year-old patient has had only 1 dose of tetanus toxoid-containing vaccine at 11 months of age a dose of DTaP.
The catch-up schedule says he needs 3 additional doses of tetanus toxoid-containing vaccine 4 total. Why 4? If he were completely unvaccinated on the seventh birthday, he would only need a total of 3 doses. If the first dose of a tetanus toxoid-containing vaccine is administered before the first birthday, 4 doses are necessary before beginning the year cycle of booster doses.
If the first dose is administered after the first birthday, 3 doses are necessary. The final dose should be spaced 6 months from the previous dose. Someone who received a dose of Tdap at age 11 or 12 years should receive a booster dose of Td or Tdap vaccine ten years later, unless tetanus prophylaxis is required sooner due to an injury or if Tdap vaccination is needed during pregnancy.
Aren't the ACIP recommendations for use of Tdap vaccine in children ages 7 through 9 years and in adults age 65 years and older different from what is on the package inserts? We have a year-old patient who states she had tetanus as a child.
She does not know whether she ever had any tetanus-containing vaccines in her lifetime. Should Tdap be given to this patient, and is it safe? A history of tetanus disease is not a reason to avoid tetanus-containing vaccines. Tetanus disease does not produce immunity because of the very small amount of toxin required to produce illness.
As long as your patient has no other contraindications she should receive Tdap now. My year-old patient inadvertently received a dose of Td instead of Tdap. He received a 5-dose series of DTaP in childhood. Do I need to wait a specific interval before giving him Tdap? Tdap should be administered as soon as possible. Should we give her another dose of Tdap when she reaches 27 weeks gestation? The Advisory Committee on Immunization Practices does not recommend Tdap more than once during a pregnancy.
The Tdap she received earlier in pregnancy may not provide optimal protection from pertussis for the infant, but some protection is expected. More information can be found at www. Vaccine Products Back to top I'm confused about the various vaccines that contain tetanus, diphtheria, and pertussis.
Can you explain? There are two basic products that can be used in children younger than age 7 years DTaP and DT and two that can be used in older children and adults Td and Tdap. Here's a hint to help you remember. This is indicated by an upper-case "D" for the pediatric formulation i. The amount of tetanus toxoid in each of the products is equivalent, so it remains an upper-case "T. There are two different DTaP products currently used in the U.
ACIP has recommended that, whenever feasible, healthcare providers should use the same brand of DTaP vaccine for all doses in the vaccination series. If vaccination providers do not know or have available the type of DTaP vaccine previously administered to a child, any DTaP vaccine may be used to continue or complete the series.
For vaccines in general, vaccination should not be deferred because the brand used for previous doses is not available or is unknown see the ACIP's General Best Practices Guidance for Immunization at www. What should we do if we don't know which brand of DTaP a child had previously?
If the DTaP brand used for previous doses is not known or not in stock, use whatever DTaP vaccine you have available for all subsequent doses. Someone gave Tdap to an infant instead of DTaP. Now what should be done? If Tdap was inadvertently administered to a child under age 7 years, it should not be counted as either the first, second, or third dose of DTaP. The dose should be repeated with DTaP. Continue vaccinating on schedule. If the dose of Tdap was administered for the fourth or fifth DTaP dose, the Tdap dose can be counted as valid.
Please remind your staff to always check the vaccine vial at least 3 times before administering any vaccine. In this situation, a second dose of Tdap should be administered at the recommended age of 11 or 12 years.
We would like to avoid stocking both Tdap and Td vaccines. The updated ACIP recommendations for the use of Tdap vaccine state that Tdap or Td may be used in any situation where Td only was previously recommended. The updated guidelines are available at www. I have a patient who received single-antigen tetanus TT in the emergency room rather than Td or Tdap.
Should he be revaccinated? ACIP recommends that patients needing prophylaxis against tetanus always be given either Td or Tdap rather than TT, as long as there is no contraindication to the other vaccine components. If it's already been given and the person had not yet received Tdap as an adolescent or adult, you should make certain that he gets Tdap as soon as feasible. If he had received Tdap previously, he can wait until the next scheduled booster dose is due to get his routine Td or Tdap booster.
When should a person receive tetanus toxoid TT alone? Single antigen tetanus toxoid should only be used in rare instances, for example when a person has had a documented severe allergic response to diphtheria toxoid.
In what year did tetanus toxoid first become available? At what age might most patients never have received a primary series? Tetanus toxoid became commercially available in , but was not widely used until the military began routine vaccination in Routine administration of tetanus toxoid was recommended by the AAP in Most World War II military personnel received at least one dose of tetanus toxoid, but civilian use, particularly for adults, did not increase until after the war.
You should not assume the tetanus vaccination status for any person based on their age alone. Only a written record is acceptable proof of immunization. People without documentation should be assumed to be unimmunized. If a dose of DTaP or Tdap is inadvertently given to a patient for whom the product is not indicated e.
Repeat with DTaP as soon as feasible. Note that DTaP is neither approved nor recommended for person older than 6 years except hematopoietic stem cell transplant recipients in some situations; see www.
Does the dose of DTaP count? The DTaP in the Pentacel can be counted. Although Pentacel is licensed as a 4-dose series and this may represent a fifth dose of Pentacel in which case it would be off-label use , the dose of DTaP counts as the fifth dose of DTaP.
Both of these vaccines provide protection against diphtheria, tetanus, and pertussis. Boostrix GSK is licensed for people ages 10 years and older, and Adacel Sanofi Pasteur is licensed for people ages 10 through 64 years.
The two vaccines also contain a different number of pertussis antigens and different concentrations of pertussis antigen and diphtheria toxoid. I am confused about which adults to vaccinate with Tdap vaccine and which product to use. Please help! ACIP recommends that all adults age 19 years and older who have not yet received a dose of Tdap receive a single dose.
Tdap should be administered regardless of interval since the last tetanus or diphtheria toxoid-containing vaccine e. After receiving Tdap, people should receive Td or Tdap every 10 years for routine booster immunization against tetanus and diphtheria, according to previously published guidelines. Pregnant women should receive Tdap during each pregnancy, preferably early in the 27 through 36 week gestation time period. Providers should not miss an opportunity to vaccinate adults age 65 and older with Tdap.
Providers may administer any Tdap vaccine they have available. When feasible, providers should administer Boostrix GSK to adults age 65 and older as it is licensed for this age group. Adacel Sanofi is licensed for use in people age 10 through However, ACIP concluded that either vaccine administered to a person age 65 or older is immunogenic and will provide protection.
A dose of either vaccine is considered valid. When a tetanus toxoid-containing vaccine is needed for wound management in a person who has not previously received Tdap, the use of Tdap is preferred over Td.
We see many year-olds for middle school entry immunization. Is one brand of Tdap preferred for this age group? What about a child who is 10 years old? We have a year-old patient who was given DT pediatric as a preschooler after she had experienced excessive crying following a dose of DTP.
Now, we are wondering if we can give her Tdap since we know she may not be protected against pertussis. Yes, you can. Many of the conditions previously considered to be precautions to DTaP e. These conditions are also no longer considered to be precautions to DTaP. This issue is addressed in the current ACIP statement, available at www.
All adolescents should receive one dose of Tdap vaccine to protect them from pertussis, even if they have already received Td. It is important to do this right away no minimal interval is required , especially if they are in contact with an infant younger than age 12 months, work in a healthcare setting where they have direct contact with patients, or live in a community where pertussis is occurring. We have a year-old patient who received tetanus-diphtheria Td vaccine in the emergency room after a nail puncture a year ago.
He has never had a tetanus-diphtheria-acellular pertussis Tdap vaccine. Can we give him a Tdap vaccine now? There is no need to observe any minimum interval between doses of Td and Tdap except when administered as part of a catch-up primary series of tetanus vaccine.
Some children in my practice are not up to date on their immunizations, and pertussis is circulating in our community. Can you guide me in determining how to make the decision about which vaccine to choose? You should use DTaP in children younger than age 7 years. Although this is an off-label use of the vaccines, it's important that you vaccinate these vulnerable children with Tdap as well as any other adolescent or adult who hasn't received Tdap previously.
I need to know how to catch-up a child who is 12 years old and received 1 dose of DTaP vaccine at age 2 years and a dose of Tdap at age 11 years. This child needs to complete the primary series with 1 dose of Td or Tdap, administered no earlier than 6 months after the Tdap dose given at age 11 years. After that, the child needs a booster dose of Td or Tdap every 10 years. It includes a catch-up schedule for children who have fallen behind see www.
A year-old has a written record of receiving two doses of DTaP at 2 and 5 months of age and one dose of Tdap at 15 years of age. Since she has had three doses of pertussis-containing vaccine, would she still need two additional doses of Td? Since the first DTaP was received before 12 months of age and one Tdap dose has been given, this person needs one dose of Td or Tdap 6 calendar months after the Tdap dose.
The more people who are vaccinated, the fewer cases there are of these diseases. Only people who have an allergy to the vaccine or any of its ingredients should avoid these vaccines.
If you or your child is sick at the scheduled time, the vaccination may be delayed. Vaccines are a safe and effective way to protect against a disease. Both DTaP and Tdap protect against diphtheria, tetanus, and whooping cough. Babies and children under age 7 get DTaP. Adults and children over age 7 get Tdap. If you have any questions or concerns, make sure to discuss them with your doctor. What may seem like a normal cold to you could actually be whooping cough.
Learn why you can still get this contagious disease, even if you were…. Learn more about the Tdap vaccine. Health Conditions Discover Plan Connect. Medically reviewed by Dr.
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