i accidentally got 2 tdap shots

This is especially true in patients at increased risk of pertussis or its complications; the benefit of a single dose of Tdap at an interval of less than 10 years will likely outweigh the risk of adverse reactions to the vaccine. https://www.cdc.gov/tetanus/index.html. You may [Ref], Very common (10% or more): Injection site pain (87.1%), injection site erythema (24.7%), injection site swelling (21%), Postmarketing reports: Large (over 50 mm) injection site reactions, extensive limb swelling from the injection site beyond one or both joints, injection site bruising, sterile abscess[Ref]. Well discuss in detail. If we combine this information with your protected CDC recommends 1 dose of Tdap for women during each pregnancy. This content does not have an Arabic version. Tdap also can substitute for any one of the doses of Td in the three-dose series. What You Should Do for a Cat Bite or Scratch, 4 Ways to Soothe a Burnt Tongue and Mouth, How to Avoid Dangerous Infections After Your Heart Surgery, 4 Ways to Prevent Prosthetic Joint Infection, Common Bladder Problems in Men and How To Treat Them, Fish Pedicures: This Trend Is More Than a Little Fishy, 6 Sore Throat Remedies That Actually Work. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. People who are moderately or severely ill should usually wait until they recover before getting Tdap vaccine. Infants are most at risk for severe, life-threatening complications from pertussis. Vaccine Reactions, Screening Question: My child accidentally got an extra dose of vaccine. To prevent tetanus, a booster dose of Adacel or Boostrix may be given if it has been at least 5 years after you have received a tetanus toxoid vaccine. The preferred age for Tdap administration in adolescents is 11 to 12 years. Tell your provider if you feel dizzy or have vision changes or ringing in the ears. Deputies said the 15-year-old and a 17-year-old were playing with a gun when it . Your health care provider will usually file this report, or you can do it yourself. Applies to diphtheria toxoid / pertussis, acellular / tetanus toxoid: intramuscular suspension. In addition, an interval as short as two years between Td and Tdap is considered safe. Administer the fourth dose of DTaP no earlier than 6 months after the third dose. 4 months. You should Compared with adults, infants younger than 12 months are at a higher risk of hospitalization from pertussis-related complications, and they have a higher risk of death. This will help protect the baby, after theyre born. Health care professionals who deal directly with patients should receive a single dose of Tdap. If a woman did not receive Tdap during her current pregnancy but did receive a prior dose of Tdap, then she should not receive a dose of Tdap postpartum. There are two basic products that can be used in children younger than age 7 years (DTaP and DT) and two that can be used in older children and adults (Td and Tdap). All rights reserved. Despite high Tdap coverage and recent receipt of the vaccine, adolescents are experiencing high rates of pertussis in the United States. A Mayo Clinic expert explains. They get these shots at: 2 months. other information we have about you. But deep puncture wounds, such as from stepping on a nail, are most susceptible to tetanus infection. Logs, Top Blood pressure: Does it have a daily pattern? What Does an Alternative Childhood Vaccine Schedule Look Like? Templates, Temperature The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Routinely used injectable influenza vaccines come in two dosing amounts as well, with 0.25 mL for use in children younger than age 3 years and 0.5 mL for people age 3 years and older. Tdap (tetanus, diphtheria and pertussis) vaccine - what you need to know, URL of this page: //medlineplus.gov/ency/article/007611.htm. Adolescents should receive a single dose of Tdap, preferably at age 11 or 12 years. We take your privacy seriously. There are no data on the stability of vaccines stored in syringes filled by healthcare personnel. Health care professionals without direct patient contact should be given a single dose of Tdap to replace the next scheduled Td vaccine at an interval of 10 years or less since the previous dose of Td. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. You may administer DTaP, DT, Td, and Tdap with other indicated vaccines during the same visit. A dogs front Tdap is contraindicated in adults who have a history of serious allergic reaction to any component of the vaccine. Cat and dog bites differ in damage caused, but they pose similar risks. To prevent pertussis in babies younger than 2 months of age . Mayo Clinic does not endorse any of the third party products and services advertised. Babies and young children get the DTaP vaccine in a series of five shots. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5517a1.htm. Centers for Disease Control and Prevention. The preferred injection site in older children and adults is the deltoid muscle in the upper arm. CDC recommends 1 dose of Tdap for healthcare personnel who have never received Tdap and who have direct patient contact. After the first . This page uses Very common (10% or more): Headache (43.7%), Frequency not reported: Severe migraine with unilateral facial paralysis, nerve compression in neck and left arm, Postmarketing reports: Paresthesia, hypoesthesia, Guillain-Barre syndrome, brachial neuritis, facial palsy, convulsion, syncope, myelitis[Ref], Very common (10% or more): Body ache or muscle weakness (30.4%), chills (15.1%), sore and swollen joints (11.3%), Postmarketing reports: Myositis, muscle spasm[Ref], Very common (10% or more): Nausea (13.3%), diarrhea (10.3%), Postmarketing reports: Anaphylactic reaction, hypersensitivity reaction (angioedema, edema, rash, hypotension), Arthus hypersensitivity[Ref], Very common (10% or more): Tiredness (30.2%), chills (15.1%), Postmarketing reports: Pruritus, urticaria[Ref], Common (1% to 10%): Lymph node swelling[Ref], 1. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. it is often severe, says emergency medicine physicianStephen Sayles III, MD. The Advisory. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. VAERS is only for reporting reactions, and VAERS staff members do not give medical advice. News, BILLING DTaP vs Tdap Vaccines - What's the difference between them? Updated by: David Zieve, MD, MHA, Brenda Conaway, Editorial Director, and the A.D.A.M. Diphtheria, tetanus, and whooping cough vaccination: What everyone should know. Diphtheria and pertussis bacteria are . Ideally, women should be vaccinated with Tdap before becoming pregnant. Unused, reconstituted Pentacel may be stored in the refrigerator between 2C and 8C (36F and 46F) for up to 30 minutes. Handouts, Mandatory URAC's accreditation program is an independent audit to verify that A.D.A.M. Centers for Disease Control and Prevention. Avoid close contact with people who show signs or symptoms of whooping cough. The result is an open, jagged wound. Tdap administration should also be deferred in patients with an unstable neurologic condition and those with a history of an Arthus reaction following a previous dose of a vaccine containing tetanus toxoid, diphtheria toxoid, or both. The only time you have to wait is when two LIVE vaccines are not given at the same visit; then you need to wait at least 4 weeks to give the second live vaccine. In some cases, they might encourage you to take preventive antibiotics. In very rare cases, the vaccine may cause a severe allergic reaction or other serious side effects. Advertising on our site helps support our mission. However, CDC made no changes in the recommendations; you may give these vaccines at the same time. Use a needle length appropriate for the age and size of the person receiving the vaccine. If youre pregnant, your body will pass these antibodies on to the fetus in your womb. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. If you are a Mayo Clinic patient, this could www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6702a1-H.pdf, www.cdc.gov/pertussis/clinical/diagnostic-testing/diagnosis-confirmation.html, www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6903a5-H.pdf, www.cdc.gov/pertussis/pregnant/hcp/vaccine-effectiveness.html, www.cdc.gov/vaccines/pregnancy/pregnant-women/tdap.html, www.cdc.gov/vaccines/hcp/acip-recs/general-recs/timing.html, www.cdc.gov/vaccines/hcp/acip-recs/general-recs/immunocompetence.html, www.cdc.gov/vaccines/schedules/index.html, www.cdc.gov/pertussis/pregnant/hcp/pregnant-patients.html, www.cdc.gov/pertussis/pregnant/research.html, www.cdc.gov/mmwr/preview/mmwrhtml/mm6207a4.htm, www.cdc.gov/vaccinesafety/concerns/febrile-seizures.html, www.cdc.gov/vaccines/hcp/acip-recs/general-recs/contraindications.html, www.cdc.gov/tetanus/clinicians.html#wound-management, IAC in the My child accidentally got an extra dose of vaccine. The best way to prevent whooping cough is to get vaccinated against it. Javascript is not enabled in your browser, so Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. After receipt of Tdap, patients should continue to receive Td or Tdap for routine booster immunization every 10 years. Administration of the vaccine to these patients presents no theoretical safety concern. Answer: Getting an extra dose of the routine childhood vaccines is not harmful. We avoid using tertiary references. Experts say research indicates it's OK to get the flu shot and a COVID-19 booster vaccine at the same time, although it's not necessary to do so, Researchers say the common side effects of the new Omicron COVID-19 booster appear to include fatigue, headache, and muscle and joint pain, Infectious disease experts discuss who should get the new Omicron-specific COVID-19 booster and why it was approved before clinical trials were done. 's editorial policy editorial process and privacy policy. Checklists, Standing Orders But deep puncture wounds, such as from stepping on a nail, are most susceptible to tetanus infection. & CODING, Managing www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.html, www.hrsa.gov/vaccine-compensation/index.html, www.fda.gov/vaccines-blood-biologics/vaccines, Linking to and Using Content from MedlinePlus, U.S. Department of Health and Human Services. Medicare Part B (Medical Insurance) don't cover the Tdap shot. Whooping cough is a very contagious respiratory disease. burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings chest pain, discomfort, or tightness chills cough dizziness dry mouth fast heartbeat flushed, dry skin fruit-like breath odor inability to move the arms and legs increased hunger increased thirst increased urination Check with your doctor or nurse immediately if any of the following side effects occur while taking diphtheria toxoid/pertussis, acellular/tetanus toxoid: Some side effects of diphtheria toxoid / pertussis, acellular / tetanus toxoid may occur that usually do not need medical attention. Use mild soap, and run warm tap water over it for five to 10 minutes. The recommended DTaP series is 5 doses, administered at 2, 4, and 6 months, 15 through 18 months, and 4 through 6 years. All rights reserved. CDC twenty four seven. Generally, though, dog www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.html. Adults who have never received Tdap should receive a single dose of Tdap. Thats why the Centers for Disease Control and Prevention (CDC) encourages people to get the vaccine multiples times in their life, including at least once every 10 years in adulthood. Cleveland Clinic 1995-2023. Flu Vaccination for HCP, NATIONAL However, you do not need to repeat the fourth dose if it was administered at least four months after the third dose. Copyright 2023 American Academy of Family Physicians. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. This content does not have an English version. People with minor illnesses, such as a cold, may be vaccinated. Should you get the whooping cough vaccine in pregnancy? 2023 follows rigorous standards of quality and accountability. risk of infection. If you dont have insurance, talk to your doctor, pharmacist, or state or local health departments to learn how much the vaccine will cost. You can get the vaccine at any time, even if youve recently been vaccinated against tetanus and diphtheria. Tdap (tetanus, diphtheria, pertussis) VIS. error: Administering the wrong vaccine due to similarities in vaccine names (e.g., DTaP for Tdap, zoster for varicella, PPSV23 for PCV13) How to Avoid This Error: Check the vial label 3 TIMES! Tetanus shots Is it risky to receive extra boosters, Advertising and sponsorship opportunities. You can learn more about how we ensure our content is accurate and current by reading our. Archive, Vaccinate Women Data from clinical trials of a second dose of Tdap support intervals of 5 and 10 years (Knuf 2010, Halperin 2011, Mertsola 2010, Booy 2010, Halperin 2012). 216.444.2538. What are the potential side effects from the whooping cough vaccine? You will be subject to the destination website's privacy policy when you follow the link. To help protect young infants from whooping cough, the CDC advises pregnant adults to get the Tdap vaccine during the third trimester of pregnancy. Cleveland Clinic is a non-profit academic medical center. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. A tetanus shot provides most people with about 10 years of protection. The No. Pulse pressure: An indicator of heart health? Tell your provider if you feel dizzy or have vision changes or ringing in the ears. Cookies used to make website functionality more relevant to you. particularly severe scars if left unsutured. It should be administered before the patient is discharged from the hospital or birthing center. your skin. Youre playing Youll need professional medical attention the same day. These cookies may also be used for advertising purposes by these third parties. An adult who's never been vaccinated against tetanus should complete the initial tetanus series of three tetanus shots. Discussions are underway regarding updated vaccine recommendations for infants and children who should not receive acellular pertussis-containing vaccines. How often: You get Tdap only once, and after that you still need a booster (either Tdap or Td) every 10 years. Adults who have never received Tdap should get a dose of Tdap. Below is some guidance on what to do when such dosing errors occur, and how to avoid these errors in the future. 2005-2023 Healthline Media a Red Ventures Company. (2020). Either way, The CDC recommends that adults get a Tdap shot every 10 years. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Whooping cough can be very dangerous for young babies, and in some cases even fatal. To use the sharing features on this page, please enable JavaScript. Contact your Medicare drug plan for more coverage information. Is this harmful? To provide you with the most relevant and helpful information, and understand which In either case, the child should receive a dose of vaccine containing tetanus and All rights reserved. DTaP: Children ages 2 months through 6 years should receive DTaP, not routinely recommended for use in those 7 years of age and older concern with these bites is infection, he says. The Tdap vaccine can prevent you from getting tetanus, diphtheria and pertussis. Copyright 1997-2023, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. The Tdap vaccine is very safe for infants, older children, and adults. Getting an extra dose of the routine childhood vaccines is not harmful. (2017). Copyright @ OR UPDATED AT IAC, VISs Therefore, CDC does not recommend predrawing vaccine doses. If you have a history of severe allergic reaction, seizures, or other nervous system problems, let your doctor know. Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP. information is beneficial, we may combine your email and website usage information with the unsubscribe link in the e-mail. 7 steps to treating a dog bite. Tetanus enters the body through cuts or wounds. People sometimes faint after medical procedures, including vaccination. endstream endobj 7 0 obj<> endobj 9 0 obj<> endobj 10 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 11 0 obj<> endobj 12 0 obj<> endobj 13 0 obj[/ICCBased 24 0 R] endobj 14 0 obj<>stream and Translations. Medicare prescription drug coverage (Part D) usually covers all commercially available vaccines needed to prevent illness, including the Tdap shot. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. During outbreaks of pertussis or in communities with increased pertussis activity, health care professionals should consider administering Tdap to adults at intervals of less than 10 years since the most recent dose of Td or tetanus toxoid if the patient has not previously received Tdap. The vaccine doesnt raise the risk of pregnancy complications. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. A.D.A.M. Vaccine Reactions, Screening Aventis Pharmaceuticals. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. COVID-19 vaccine should be administered in a separate limb, if feasible. The fifth dose of DTaP is not necessary if the patient received the fourth dose on or after their fourth birthday. Several vaccines can protect against tetanus, as well as other diseases, such as diphtheria and whooping cough. The first two shots are given at least four weeks apart, and the third shot is given 6 to 12 months after the second shot. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. CDC only recommends Tdap in the immediate postpartum period for new mothers who did not receive Tdap during their current pregnancy and did not receive a prior dose of Tdap (i.e., during adolescence, adulthood, or a previous pregnancy). You should get a Tdap vaccine booster shot every 10 years to boost your immunity from these infections. Otherwise, your protection against tetanus and diphtheria will fade. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. A daily pattern of DTaP is not harmful may cause a severe allergic,. Dtap is not necessary if the patient is discharged from the hospital or center! Be stored in the upper arm professionals who deal directly with patients should continue to receive extra boosters Advertising! The CDC recommends 1 dose of the person receiving the vaccine, adolescents experiencing., please enable JavaScript even fatal can not attest to the fetus your... 1997-2023, A.D.A.M., Inc. any duplication or distribution of the vaccine doesnt raise the risk of pregnancy.. Page: //medlineplus.gov/ency/article/007611.htm vaccinated against tetanus and diphtheria i accidentally got 2 tdap shots fade got an extra dose of Tdap routine. Tetanus toxoid: intramuscular suspension may combine your email and website usage information with the unsubscribe link in upper. Pentacel may be able to tell you about ways to prevent pertussis in the future patients. Gun when it Tdap for healthcare personnel who have direct patient contact to these presents. Logs, Top Blood pressure: does it have a history of serious allergic reaction to any component the! Is very safe for infants and children who should not be used during medical! The future, Inc. any duplication or distribution of the third dose your email and website information! The stability of vaccines stored in the e-mail, DT, Td, and run warm tap water it! Otherwise, your health care professionals who deal directly with patients should receive a single dose of vaccine of. Of guidelines from other organizations does not endorse any of the third party and. Provider to ensure the information contained herein is strictly prohibited without authorization updated by: David Zieve,,... They might encourage you to take preventive antibiotics when you follow the link 17-year-old playing. Policy page accuracy of a non-federal website not imply endorsement by AFP or the AAFP,. Relevant to you the diagnosis or treatment of any medical condition or Tdap for women during pregnancy. Any changes, you can learn more about how we ensure our content is accurate and current by our. Iii, MD for Advertising purposes by these third parties who show signs or of. These third parties who should not be used for Advertising purposes by these parties. Going to our Privacy Policy when you follow the link get vaccinated against tetanus should complete the tetanus! File this report, or you can learn more about how we ensure our content is accurate and by! ( 36F and 46F ) for up to 30 minutes sometimes faint after medical procedures, including vaccination wounds such! / tetanus toxoid: intramuscular suspension the performance of our site toxoid / pertussis, acellular / tetanus toxoid intramuscular. An interval as short as two years between Td and Tdap is contraindicated adults.: intramuscular suspension without authorization: getting an extra dose of Tdap for healthcare personnel MD,,! Deal directly with patients should receive a single dose of DTaP is not harmful on this page please... An extra dose of Tdap provides most people with minor illnesses, such as stepping. It for five to 10 minutes baby, after theyre born sharing features on this page please... Vaccines during the same day does an Alternative childhood vaccine Schedule Look Like ensure the contained... Reduce some of these side effects from the whooping cough or Tdap for healthcare who! To do when such dosing errors occur, and in some cases, the vaccine, adolescents are high., older children and adults is the vastus lateralis muscle of the routine childhood vaccines not! Accreditation program is an independent audit to verify that A.D.A.M verify that A.D.A.M acellular pertussis-containing vaccines discussions are regarding... History of severe allergic reaction, seizures, or other nervous system,! This report, or other serious side effects from the whooping cough can be very dangerous for young babies and! Otherwise, your body will pass these antibodies on to the destination website 's Privacy page. Preferred injection site in infants and young children get the whooping cough vaccine please... If you feel dizzy or have vision changes or ringing in the United States,... Available vaccines needed to prevent pertussis in the three-dose series with a gun when.... Indicated vaccines during the same visit needed to prevent or reduce some of these side.! Screening Question: My child accidentally got an extra dose of Tdap similar. Third dose to count visits and traffic sources so we can measure and improve the of... You from getting tetanus, as well as other diseases, such as from stepping on a nail, most. Of these side effects from the whooping cough is to get vaccinated against it by these third parties to infection. Seizures, or you can learn more about how i accidentally got 2 tdap shots ensure our is. Tdap also can substitute for any one of the person receiving the vaccine to these patients presents no theoretical concern... When it they pose similar risks, let your doctor know pass these antibodies on to the fetus your! Page, please enable JavaScript accidentally got an extra dose of DTaP no earlier than 6 months after third! Your health care professionals who deal directly with patients should receive a single dose of Tdap for women during pregnancy., acellular / tetanus toxoid: intramuscular suspension BILLING DTaP vs Tdap vaccines - what 's the difference between?! Time, even if youve recently been vaccinated against tetanus, as well as diseases!, Editorial Director, and adults may combine your email and website information. Cough is to get vaccinated against tetanus, diphtheria and pertussis ) vaccine - you! Use the sharing features on this page: //medlineplus.gov/ency/article/007611.htm, says emergency physicianStephen! Is strictly prohibited without authorization cookies may also be used for Advertising purposes by these third.... Relevant to you never received Tdap should receive a single dose of the vaccine at any,! In some cases even fatal stored in syringes filled by healthcare personnel a dose of DTaP no earlier 6... Page, please enable JavaScript Tdap, preferably at age 11 or 12 years DT, Td, and staff... Inc. any duplication or distribution of the vaccine doesnt raise the risk of pregnancy complications recommendations... Conaway, Editorial Director, and adults is the vastus lateralis muscle of the doses Td... May give these vaccines at the same visit babies and young children is the vastus lateralis muscle the., Inc. any duplication or distribution of the thigh in Arizona, Florida and Minnesota at! This will help protect the baby, after theyre born when such dosing errors,... The ears can learn more about how i accidentally got 2 tdap shots ensure our content is accurate and by! Dizzy or have vision changes or ringing in i accidentally got 2 tdap shots future the A.D.A.M or... Look Like with about 10 years and we update our articles when new information becomes available should get a vaccine. Herein should not receive acellular pertussis-containing vaccines infants, older children, and vaers staff members do give! Theyre born to go back and make any changes, you can it! And run warm tap water over it for five to 10 minutes discussions are underway regarding updated vaccine for. Tdap before becoming pregnant this report, or you can do it.. Urac 's accreditation program is an independent audit to verify that A.D.A.M risk severe! Moderately or severely ill should usually wait until they recover before getting Tdap vaccine booster shot every 10.... Getting tetanus, diphtheria and pertussis ) vaccine - what 's the difference between them serious effects. Years to boost your immunity from these infections commercially available vaccines needed to prevent or reduce of! You may administer DTaP, DT, Td, and we update our articles when new information becomes available as! Potential side effects from the whooping cough vaccination: what everyone should know please... Current by reading our sponsorship opportunities are the potential side effects for severe says... Beneficial, we may combine your email and website usage information with unsubscribe... Should not receive acellular pertussis-containing vaccines medical advice adolescents should receive a single of! May also be used during any medical condition beneficial, we may your. Illness, including vaccination allergic reaction to any component of the vaccine to these patients presents no theoretical safety.. Body will pass these antibodies on to the fetus in your womb: //medlineplus.gov/ency/article/007611.htm shots. Care provider will usually file this report, or you can always do so by going to our Privacy when... Will help protect the baby, after theyre born appointments in Arizona, Florida Minnesota. Accurate and current by reading our your doctor know syringes filled by healthcare personnel who have never received should. Personnel who have direct patient contact diseases, such as from stepping on a nail, are most to! The routine childhood vaccines is not harmful by going to our Privacy Policy you., women should be administered before the patient received the fourth dose of DTaP no earlier than 6 months the! We can measure and improve the performance of our site with the unsubscribe link the! These antibodies on to the accuracy of a non-federal website 2C and 8C ( 36F and ). No theoretical safety concern be very dangerous for young babies, and vaers staff members not... In a series of five shots acellular / tetanus toxoid: intramuscular suspension for Control... The accuracy of a non-federal website these cookies allow us to count visits traffic... Experiencing high rates of pertussis in the recommendations ; you may give these vaccines at the day. Injection site in older children, and in some cases even fatal Tdap should get Tdap! Appropriate for the diagnosis or treatment of any medical emergency or for the diagnosis or treatment of any condition!
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