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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.
In 2005, a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap; Adacel) was approved in the United States for use in adults and adolescents. The Advisory Committee on Immunization Practices (ACIP) now recommends the routine use of Tdap among adults 19 to 64 years of age who have not already received a dose of Tdap.