Dtap, Tdap, And Td Catch-Up Vaccination Recommendations By Prior Vaccine History And Age printable pdf download

DTaP, Tdap, and Td Catch-up Vaccination Recommendations

by Prior Vaccine History and Age

This table summarizes the recommendations of CDC’s

For use in

DTaP = Diphtheria and

For use in

Tdap = Tetanus and

infants and

tetanus toxoids with

children age

diphtheria toxoids with

Advisory Committee on Immunization Practices for the

children

acellular pertussis vaccine

7 years and

acellular pertussis vaccine

use of DTaP, Tdap, and Td in children, adolescents, and

through age

older and

DT (pediatric) = Diphtheria

Td (adult) = Tetanus and

6 years

adults

and tetanus toxoids (no

diphtheria toxoids

adults who are unvaccinated or who have fallen behind.

pertussis)

Minimum Interval Between Doses of DTaP, Tdap, or Td

Current

No. of Prior

Starting from the Most Recent Dose Given

Age of Child

Documented

or Adult

Doses

dose 1 to dose 2

dose 2 to dose 3

dose 3 to dose 4

dose 4 to dose 5

Unknown

4 weeks

6 months

4 months

through

4 weeks

6 months

6 years

4 weeks

6 months

4 weeks

6 months

Unknown

4 weeks

6 months

7 through

18 years

4 weeks

6 months

4 weeks, if dose 1 given at

6 months, if dose 1

younger than age 12 mos;

4 weeks

given at younger

Adults age

6 months if dose 1 given

than age 12 mos

at age 12 mos or older

19 years

and older

4 weeks, if dose 1 given at

6 months, if dose 1

younger than age 12 mos;

given at younger

6 months if dose 1 given

than age 12 mos

at age 12 mos or older

6 months, if dose 1

given at younger

than age 12 mos

• Children ages 2 months through 6 years should

• All adults should receive 1 dose of Tdap, if they

footnotes

receive DTaP; the pediatric product, DT, should

haven’t previously received Tdap.

1 Infants should be no younger than age

only be used in children with a valid contraindica-

• Pregnant women should receive Tdap during each

12 months when receiving dose #4.

tion to the pertussis component.

pregnancy, preferably between during the early

2 Dose 5 should be given no younger

• The routine schedule for administering DTaP to

part of gestational weeks 27–36. Women who have

than age 4 years. Dose 5 is not neces-

children is a 3-dose series at age 2, 4, and 6 months,

sary if dose 4 was given after age 4

never received Tdap and fail to receive it during

followed by boosters at age 15 – 18 months and

years.

their pregnancy should receive it immediately post-

4 – 6 years. The first booster may be given at age

partum.

3 Children age 7 years or older with an

12 – 15 months as long as there is an interval of at

incomplete history of DTaP should

• Tdap can be given with no minimum interval since

be given Tdap as the first dose in the

least 6 months from the preceding dose.

the previous tetanus toxoid-containing product

catch-up series. For these children,

• Adults who have not completed a 3-dose primary

(e.g., DTaP, Td).

an additional adolescent Tdap may be

series with Td-containing vaccine, including any

• Patients with a history of pertussis should receive

given for the routinely recommended

doses received as children, should begin or complete

DTaP or Tdap according to routine recommendations.

adolescent dose at age 11–12 years.

a series with Tdap as the first dose administered.

• Patients needing prophylaxis against tetanus

4 Adults of all ages who have never

• For children and adults who fall behind in comple-

received Tdap as an adolescent or

should be given DTaP, Tdap, or Td, as appropriate,

tion of their vaccine series, there is no need to restart

adult, or for whom vaccine status is

unless there is a contraindication to the other vac-

unknown, should receive Tdap as their

the series. Simply resume where they’ve left off.

cine components.

first dose, followed by Td to either

• Products manufactured by different companies are

• Adults and adolescents who have received Tdap,

complete their primary series or as

interchangeable.

should be given Td as their subsequent 10-year

their 10-year boosters.

booster doses.

Technical content reviewed by the Centers for Disease Control and Prevention

651 - 647 - 9009

Saint Paul, Minnesota

•

/catg.d/p2055.pdf

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Dtap, Tdap, And Td Catch-Up Vaccination Recommendations By Prior Vaccine History And Age

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