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After getting the Tdap vaccine as a preteen or teen, adults need to get a Td (tetanus and diphtheria) booster shot every 10 years to stay protected. For adults who didn't get Tdap as a preteen or teen, the easiest thing to do is to get Tdap instead of their next regular Td booster.
Another shot is usually administered between the ages of 15 and 18 months, and again between the ages of 4 and 6. But these tetanus shots guard against disease only for so long, requiring adults to have repeated booster shots at least every 10 years.