Recommendations per MMWR, December, 2006: Tdap is intended for adults aged 19-64 years who have not already received a dose of Tdap. Tdap is licensed for a single use only. After receipt of a single one -time dose of Tdap, subsequent doses of tetanus and diphtheria toxoid-containing vaccines should follow guidance from previously published recommendations for the use of Td and TT. Adults should receive a decennial booster with Td beginning 10 years after receipt of Tdap. Patients over the age of ten years of age should receive only a single one-time dose of Adacel or Boostrix. There is currently no recommendation to repeat the dose in the future. Subsequent Td boosters are recommended every ten years.

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