Vaccines help your body make chemicals
antibodies to fight off the viruses and bacteria.
These vaccines are given as shots (injections).
The two combined
vaccines DTaP (for children) and Tdap (for teens and adults) protect against
pertussis (whooping cough), and
tetanus (lockjaw). For children, these vaccines may be
combined with the vaccines for
polio alone (known as the 4-in-1), or with polio and
Haemophilus influenzae type b
(known as the 5-in-1), or with polio, Haemophilus influenzae type b, and hepatitis B (known as the 6-in-1).
The Td booster shot is for teens and adults. It protects against tetanus
and diphtheria only.
Before vaccines were available, many
people became seriously ill or died from these diseases.
A total of five shots of DTaP are
given at 2 months, 4 months, 6 months, 18 months, and between 4 to 6 years of
age. If the 6-in-1 or 5-in-1 shot is used, the last dose given will be the
4-in-1 (it will not contain Hib).
For children older than 7 who
did not have the DTaP vaccine series, three shots of Tdap will be given.
A booster shot of Tdap is
given to teens between 14 to 16 years of age.
You can keep track
of when your child received vaccines using the
National Childhood Immunization Record(What is a PDF document?).
The National Advisory Committee on
Immunizations (NACI) recommends that adults get the Tdap booster shot once if
they did not get it as a teen. The Td vaccine is usually given to adults as a
booster shot. You should continue to get a Td booster every 10 years throughout
life, unless you have been injured. You should receive a booster as soon as
possible if your wound is dirty and it has been 5 years or longer since your
last Td booster.
The protection against diphtheria and
tetanus lessens over time, which is why Td booster shots are
In recent years, there
have been more people diagnosed with pertussis. Experts think this may be
because a vaccine used in the 1980s and 1990s didn't work as well as the one
used today, teens and adults may lose protection over time, and more health
professionals now recognize and report the disease. For these reasons, one
booster shot of Tdap is recommended for teens and adults.footnote 2
Mild reactions 1 to 3 days after the DTaP
shots are common, especially after the 4th and 5th doses. Your child
Mild to moderate reactions to Tdap are also common and may
serious allergic reactions are rare with these
vaccines, call your doctor or local health unit right away if you or your child
has trouble breathing, a high fever, or anything unusual after having the
A person who has had a severe allergic reaction to a
previous dose of the vaccine should not get another dose. Tell your doctor or
nurse if you or your child has had a severe reaction to any vaccine or has
See Drug Reference for a full list of side
effects. (Drug Reference is not available in all systems.)
Children with a mild illness, such
as a cold, can get the DTaP vaccine. But if they are more ill, they should wait
until they are better.
If you or your child developed
Guillain-Barré syndrome (GBS) within 6 weeks of
getting the tetanus vaccine, do not get any more.footnote 2 The
tetanus vaccine may be linked to GBS. Talk to your doctor before having another
dose of the tetanus vaccine if you or your child developed GBS within 6 weeks
of having the shot.
Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
National Advisory Committee on Immunization (NACI) (2006). Diphtheria toxoid. In Canadian Immunization Guide, 7th ed., pp. 166–171. Ottawa: Public Health Agency of Canada. Also available online: http://publications.gc.ca.
National Advisory Committee on Immunization (NACI) (2006). Pertussis vaccine. In Canadian Immunization Guide, 7th ed., pp. 257–266. Ottawa: Public Health Agency of Canada. Also available online: http://www.phac-aspc.gc.ca/publicat/cig-gci/p04-pert-coqu-eng.php.
Centers for Disease Control and Prevention (2001). Tetanus, diphtheria, and pertussis (DTaP) vaccine: What you need to know. Vaccine Information Statement. Department of Health and Human Services, National Immunization Program (7/30/01). Available online: http://www.cdc.gov/nip/publications/VIS/vis-dtp.pdf.
ByHealthwise StaffPrimary Medical ReviewerJohn Pope, MD - PediatricsBrian D. O'Brien, MD - Internal MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerWilliam Atkinson, MD, MPH - Thomas Emmett Francoeur, MD, MDCM, CSPQ, FRCPC - Pediatrics
Current as ofMay 23, 2016
Current as of:
May 23, 2016
John Pope, MD - Pediatrics
& Brian D. O'Brien, MD - Internal Medicine & Adam Husney, MD - Family Medicine & William Atkinson, MD, MPH - & Thomas Emmett Francoeur, MD, MDCM, CSPQ, FRCPC - Pediatrics
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