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Children (7-10 years): 1  For children aged 7 through 10 years who are not fully immunized with the childhood DTaP vaccine series, Tdap vaccine should be substituted for a single dose of Td vaccine in the catch-up series; if additional doses are needed, use Td vaccine.
Persons age 7 years and older who have never received tetanus-containing vaccines, or whose vaccination history is unknown, should receive 1 dose of Tdap in the primary 3-dose Td series. ACIP recommends using Tdap for dose #1, followed 4 weeks later by Td for dose #2, followed at least 6 months later by Td for dose #3.