
Tdap is a combination vaccine that protects against tetanus, diphtheria, and pertussis (whooping cough) in a single injection. The diphtheria component of the Tdap vaccine is a manufactured diphtheria toxoid of about 15 to 25 levels of flocculation units. The Tdap vaccine is routinely administered as a single lifetime dose to children at the age of 11 or 12 years and to people aged 13 and above who have never received the Tdap vaccine.
| Characteristics | Values |
|---|---|
| What is it? | A combination vaccine that protects against three bacterial infections in a single injection. |
| Who is it for? | Adolescents and adults. |
| What does it protect against? | Tetanus (T), diphtheria (d), and acellular pertussis (ap). |
| How often should it be administered? | Once in a lifetime, followed by a Td booster every 10 years. |
| When should it be administered to pregnant women? | Between 27 and 36 weeks of gestation. |
| What are the side effects? | Mild to moderate, lasting from 1 to 3 days. Serious adverse effects are rare. |
| What are the common ingredients? | Diphtheria toxoid, tetanus toxoid, acellular pertussis antigens, polioviruses, etc. |
| How many types of Tdap vaccines are available in the US? | Two: Adacel® and Boostrix®. |
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What You'll Learn

Tdap is a combination vaccine
Tdap is routinely administered as a single lifetime dose to children at the age of 11 or 12 years. It is also administered to people aged 13 and above who have never received Tdap or whose vaccine status is unknown. This dose is followed by a Td booster every 10 years to ensure continued protection against tetanus and diphtheria. The Td booster recommendation includes a single dose of Tdap for adults aged 65 and above.
In the United States, Tdap is licensed for use in adults and adolescents. It is recommended that adolescents and adults receive a booster dose of tetanus and diphtheria toxoids (Td) vaccine every 10 years or when indicated for wound management. Tdap is also recommended for pregnant women, preferably during the second half of pregnancy, to protect newborns against pertussis.
Tdap is one of several combination vaccines that include protection against diphtheria. Other combination vaccines available in the United States include DTaP-IPV-HepB, DTaP-IPV, DTaP-IPV-Hib, and DTaP-IPV-Hib-HepB. DTaP is another combination vaccine that protects against diphtheria, tetanus, and pertussis, but it is recommended for children under the age of 7.
Tdap is generally considered safe, but some mild to moderate adverse effects may occur, such as pain, swelling, fever, headache, tiredness, nausea, vomiting, diarrhoea, and stomach ache. Serious adverse effects are rare and are mostly associated with the pertussis component of the vaccine. It is important to consult a healthcare provider to discuss any concerns or contraindications before receiving the Tdap vaccine.
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It protects against three bacterial infections
The Tdap vaccine protects against three bacterial infections: tetanus, diphtheria, and pertussis (whooping cough). The uppercase letter 'T' refers to a standard dose of tetanus antigen, while the lowercase letters 'd' and 'p' indicate reduced doses of diphtheria and pertussis antigens, respectively. This combination vaccine is designed to protect against these three bacterial infections in a single injection.
Tetanus, also known as lockjaw, is a serious and potentially fatal disease caused by a bacterial toxin that affects the nervous system. It can lead to painful muscle contractions and stiffness, particularly in the jaw and neck, making it difficult to breathe and swallow. Diphtheria, on the other hand, is a contagious bacterial infection that affects the throat and upper airways. It can cause a thick coating to form in the throat, making it hard to breathe and swallow. In severe cases, it can lead to heart and nerve damage, and even death.
Pertussis, commonly known as whooping cough, is a highly contagious respiratory tract infection. It is characterised by violent coughing fits that can make it difficult to breathe. Pertussis can last for several weeks or even months and can be life-threatening, especially in young infants. The Tdap vaccine helps to protect against these three serious bacterial infections, offering a comprehensive defence mechanism in a convenient single dose.
The Tdap vaccine is recommended for adolescents, adults, and pregnant women. It is often administered as a single lifetime dose to individuals aged 11 or 12, and to those over 13 who have not previously received the vaccine. Pregnant women are advised to receive a dose during each pregnancy, preferably between 27 and 36 weeks of gestation, to protect both themselves and their newborn infants. This recommendation is based on studies showing that maternal antibodies generated during pregnancy can provide protection for newborns during their first few months of life.
In addition to the standard Tdap vaccine, there are combination vaccines available that offer protection against additional diseases. These include DTaP-IPV-HepB, DTaP-IPV, DTaP-IPV-Hib, and DTaP-IPV-Hib-HepB. These combination vaccines provide comprehensive protection against not only tetanus, diphtheria, and pertussis but also hepatitis B, inactivated poliovirus, and Haemophilus influenzae type b. These vaccines are designed to offer broad protection against multiple diseases with a single injection.
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Tdap is administered as a single lifetime dose
Tdap is a combination vaccine that protects against tetanus, diphtheria, and pertussis (whooping cough). It is a booster shot that is typically administered as a single lifetime dose to children at the age of 11 or 12 years. This booster shot is given after the primary immunisation series during childhood, which consists of five doses of the DTaP vaccine (diphtheria-tetanus-acellular pertussis) administered at 2, 4, 6 months, 15-18 months, and 4-6 years of age.
The Tdap vaccine is important for protecting against serious diseases. For example, diphtheria toxin can kill healthy tissues and cause severe health problems. Additionally, pertussis (whooping cough) can be life-threatening for unprotected infants, especially in the first few months of life. Tdap helps to reduce this risk by providing protection against pertussis in infants born to vaccinated mothers.
While Tdap is typically given as a single lifetime dose, there are certain circumstances in which additional doses may be recommended. For instance, pregnant individuals are advised to receive a dose of Tdap during each pregnancy, preferably between 27 and 36 weeks of gestation. This helps to prevent pertussis in newborn infants, as the vaccine has been shown to prevent about 78% of pertussis cases in infants younger than two months old.
Furthermore, individuals who missed their Tdap booster at age 11 or 12 should receive it as soon as possible. Additionally, adults who sustain a bad burn or deep cut may require a Tdap booster if they have not received one in the last ten years. This is because tetanus bacteria can enter the body through cuts and wounds, and vaccination helps to protect against this.
It is important to note that Tdap should not be administered to children under the age of seven. Additionally, individuals who have had a severe allergic reaction to any of the vaccine ingredients or a history of seizures within a week of receiving a previous dose of a pertussis vaccine should not receive Tdap. In such cases, alternative vaccines like Td (tetanus and diphtheria) or DT (diphtheria-tetanus) may be recommended.
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Tdap is safe for pregnant women
Tdap is a combination vaccine that protects against tetanus, diphtheria, and pertussis (whooping cough). It is recommended that pregnant women receive a dose of the Tdap vaccine during every pregnancy to protect their babies from whooping cough, which can be deadly for young infants.
The optimal time to administer Tdap during pregnancy is between 27 and 36 weeks of gestation. This is because the maternal immune response to the vaccine peaks approximately two weeks after administration, optimizing antibody transfer to the baby and providing the best protection at birth. Early evidence shows that infants whose mothers are vaccinated with Tdap during pregnancy are less likely to develop pertussis during the first few months of life.
Studies have shown that Tdap vaccination during pregnancy can prevent about 78% of pertussis cases in infants younger than two months old and about 90% of hospitalizations for infants in this age group with pertussis. Tdap vaccination during pregnancy also helps protect the mother and provides her with antibodies that can be passed to her baby through breastfeeding.
While Tdap is generally safe for pregnant women, there have been reports of an increased risk of chorioamnionitis, a placental infection, following vaccination. However, there has been no observed increase in the incidence of preterm birth associated with this. It is important for pregnant women to discuss the benefits and risks of any vaccine with their healthcare provider before receiving it.
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Tdap has mild to moderate side effects
Tdap is a vaccine that protects against tetanus, diphtheria, and pertussis (whooping cough). It is recommended for older children and adults, including pregnant people, and should be administered as a booster shot every 10 years.
Tdap has been shown to be safe during pregnancy, and getting the vaccine does not cause any risks to the baby, including premature birth or low birth weight. The side effects of the Tdap vaccine during pregnancy are the same as for those who are not pregnant. It is recommended that pregnant women receive a dose of Tdap during each pregnancy, optimally between 27 and 36 weeks of gestation.
Side effects of the Tdap vaccine are typically mild to moderate and include pain, redness, and swelling at the injection site. A mild fever of up to 100.4°F (38°C) may occur following vaccination. These side effects are common and usually indicate that the body is building immunity against the disease. They should subside within a few days, and over-the-counter pain medication can be taken to manage any discomfort.
Less commonly, Tdap can cause nausea, vomiting, diarrhoea, and stomach ache. In rare cases, it may trigger a severe allergic reaction, which typically occurs within a few minutes to a few hours after vaccination. Signs of a severe allergic reaction include hives, swelling of the face and throat, difficulty breathing, and a rapid heartbeat. If any of these symptoms occur, immediate medical attention should be sought.
It is important to note that Tdap is not recommended for individuals who have previously experienced a severe allergic reaction to the vaccine or any of its components. Additionally, individuals who have had severe adverse reactions to other vaccines, such as severe pain, swelling, coma, reduced consciousness, seizures, or Guillain-Barré syndrome, should consult a healthcare provider before receiving Tdap.
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Frequently asked questions
Tdap is a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, primarily for adolescents and adults. DTaP is a combination of the same vaccines but is meant for children under 7 years of age.
The diphtheria component is a manufactured diphtheria toxoid of about 15 to 25 levels of flocculation units. It helps protect against diphtheria, which can cause many serious health problems by killing healthy tissues.
Most side effects are mild to moderate and can last from 1 to 3 days. These may include pain or swelling where the shot was given, mild fever, headache, tiredness, nausea, vomiting, diarrhea, and stomach ache.




















