Tdap Booster Recommendation for Adults

Current Immunization Status

The Centers for Disease Control and Prevention recommends that subsequent tetanus and diphtheria protection should be maintained with Td boosters every 10 years after receiving Tdap 1
The recommended interval between tetanus-containing vaccines is 10 years for routine boosting, as stated by the Centers for Disease Control and Prevention 2, 3

The Centers for Disease Control and Prevention supports the use of Tdap in adults >65 years, and for adults ≥65 years, Boostrix (one Tdap product) is preferred, but either Tdap product is considered valid and immunogenic 2, 4
After receiving Tdap, subsequent doses should be Td for routine boosters every 10 years, according to the Centers for Disease Control and Prevention 1

The patient should receive their next tetanus-containing vaccine (Td) in 10 years after their last Tdap booster, as recommended by the Centers for Disease Control and Prevention 2, 1
Tdap is licensed for single-dose administration and is not recommended for routine repeat administration, as stated by the Centers for Disease Control and Prevention 5

Early administration of a tetanus-containing vaccine would only be indicated in certain situations, including wound management if it has been ≥5 years since the last tetanus-containing vaccine and the wound is contaminated, according to the Centers for Disease Control and Prevention 3, 6
The Centers for Disease Control and Prevention also recommends early administration during a pertussis outbreak situation, or for pregnant women during each pregnancy, regardless of prior vaccination history 1, 2