|Age||If No Pertussis Contraindications||If Pertussis Contraindicated||Comments|
|2mo - 7yrs||DTaP||DT||DT available from pharmacy|
|7yrs - 10yrs||Td||Td|
|10yrs||Tdap(Adacel)^||Td||^Off label use, but appears safe and immunogenic|
|11yrs - 16yrs||Tdap(Adacel)||Td|
|16yrs - 65||Tdap(Adacel)^^||Td||^^Use Td if patient is known to have received prior Tdap|
||Consider TIG for tetanus prone wound plus Td(tetanus immune globulin)|
- 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. The only true contraindication to tetanus immunization is a history of neurologic or severe hypersensitivity to a previous dose.
- 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.