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Immunity against tetanus decreases with time and further booster shots may be needed. A course of tetanus-containing vaccine is recommended for anyone who has never been vaccinated. Immunisation may not be free of charge. Three doses are given at monthly intervals and two further booster doses are given 10 years apart.
All adults who have not been previously been immunized with at least three doses of tetanus and diphtheria vaccine. Anyone who has an injury or wound that could possibly cause tetanus who has not had a vaccine in the past 5 years. All adults should have a Td booster every 10 years.