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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.
The other reason that patient got tetanus was that he hadnât had a tetanus shot since he was a young child. In the United States, babies are immunized against tetanus through a series of four vaccinations. Children then receive two tetanus booster shots between the ages of 4 and 12. After age 12, a tetanus booster shot usually is recommended every 10 years. Why are booster shots necessary? Because the immunity provided by a tetanus booster shot begins to wane after five to 10 years.