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Tetanus Toxoid Vaccine, Inactivated

Published: July 26, 2026Updated: August 24, 2026

Tetanus Toxoid Vaccine is an inactivated vaccine used to prevent tetanus (lockjaw), a serious bacterial infection causing painful muscle stiffness and spasms. It is administered for primary childhood immunization and periodic booster doses in adults, typically every 10 years or after certain high-risk wounds.

Quick summary

A vaccine that protects against tetanus infection by stimulating antibody production against the tetanus toxin.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
J07AM01
RxNorm
798306
Generic
Tetanus Toxoid Vaccine, Inactivated
Class
atc-j07
Brands
Tenivac, Quadracel, Tdvax, Vaxelis, Infanrix, Daptacel, PEDIARIX, Boostrix, Adacel, Pentacel, Kinrix
Availability
rx
Lactation
unknown
Routes
—
Forms
prefilled syringe, injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)intramuscular injection
Usual dose
0.5 mL
Maximum
consult physician
Frequency
every 10 years (booster)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)intramuscular injection
Usual dose
0.5 mL
Maximum
consult physician
Frequency
5-dose series at 2, 4, 6, 15-18 months, and 4-6 years
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)intramuscular injection
Usual dose
0.5 mL
Maximum
consult physician
Frequency
every 10 years (booster)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Vaccines do not have a traditional toxic dose; overdose refers to receiving doses more frequently than recommended or excessive dosing that may cause heightened immune response
Chronic overdose: Repeated doses administered too frequently (e.g., booster intervals less than recommended) may lead to excessive immune activation and increased risk of adverse reactions
Immediate actions
Monitor vital signs, provide supportive care, apply cold compress to injection site, administer antipyretics for fever
Antidote
N/A(No specific antidote exists; treatment is supportive and symptomatic)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
B
Dose Adjustment

standard dose

Key Recommendations

vaccinate if indicated regardless of trimester; benefits outweigh risks

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

✓

pregnancy

second trimester
safe
FDA Category
B
Dose Adjustment

standard dose

Key Recommendations

recommended if due for booster or at high risk

Monitor

standard prenatal care

✓

pregnancy

third trimester
safe
FDA Category
B
Dose Adjustment

standard dose

Key Recommendations

recommended if due for booster; Tdap also recommended between 27-36 weeks

Monitor

standard prenatal care

✓

pediatric_age

infants 2 months to 6 years
safe
FDA Category
N
Dose Adjustment

standard pediatric dose

Key Recommendations

part of routine DTaP immunization schedule at 2,4,6,15-18 months and 4-6 years

Monitor

standard pediatric vaccination monitoring

✓

pediatric_age

adolescents 11 to 18 years
safe
FDA Category
N
Dose Adjustment

standard adolescent dose

Key Recommendations

Tdap booster recommended at 11-12 years; Td or Tdap booster every 10 years thereafter

Monitor

standard vaccination monitoring

✓

geriatric

65 years and older
safe
FDA Category
N
Dose Adjustment

standard dose

Key Recommendations

routine Td or Tdap booster recommended; one dose of Tdap if not previously received

Monitor

standard vaccination monitoring; assess for immunosenescence

✓

renal_impairment

all stages
safe
FDA Category
N
Dose Adjustment

standard dose

Key Recommendations

no dose adjustment needed; vaccinate according to standard schedule

Monitor

standard vaccination monitoring

✓

hepatic_impairment

all stages
safe
FDA Category
N
Dose Adjustment

standard dose

Key Recommendations

no dose adjustment needed; vaccinate according to standard schedule

Monitor

standard vaccination monitoring

✓

lactation

breastfeeding mothers
safe
FDA Category
N
Dose Adjustment

standard dose

Key Recommendations

vaccination safe while breastfeeding; can receive Tdap or Td booster if indicated

Monitor

standard vaccination monitoring

Statistics and clinical data

prescribingCDC
2023

Commonly prescribed since

Value:1940s

General prescribing information for tetanus toxoid vaccine

drug_classWHO
2023

Drug class

Value:Vaccine - Toxoid

Drug class information for tetanus toxoid vaccine

usageCDC
2023

Common uses

Value:Tetanus prevention, wound prophylaxis, routine immunization

Common therapeutic uses for tetanus toxoid vaccine

administrationFDA
2023

Primary administration route

Value:Intramuscular injection

Standard route of administration for tetanus toxoid vaccine

Prevention of tetanus infection in children (as part of combination vaccines) and adults requiring primary immunization or booster doses. Indicated after clean minor wounds if more than 10 years since last dose, or for all wounds if more than 5 years since last dose.

Contains inactivated tetanus toxoid that stimulates the immune system to produce protective antibodies against Clostridium tetani toxin, providing active immunization against tetanus.

Should not be administered to individuals with known hypersensitivity to vaccine components. May cause local injection site reactions, fever, or mild systemic symptoms. Not effective once symptoms of tetanus have developed. Must be stored at 2-8°C and administered via intramuscular injection.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy