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Diphtheria Vaccine

(DTaP Vaccine-Diphtheria; Tdap Vaccine-Diphtheria)

What Is Diphtheria?

Diphtheria is an infection from certain bacteria. It usually affects the throat and nose. In serious cases, it may affect the nervous system and heart. It can be life-threatening.

The infection spreads from person to person contact. It is now rare in the United States. This is due to widespread vaccines.

What Is the Diphtheria Vaccine? TOP

The vaccine is an inactive toxin. There are different diphtheria vaccines. They include:

DTaP—given to children to protect against diphtheria, tetanus, and pertussis
DT—given to children who cannot have the pertussis part of the DTaP vaccine
Tdap—given to children, adolescents, and adults to protect against tetanus, diphtheria, and pertussis
Td—given to adolescents and adults to protect against tetanus and diphtheria

The vaccine is injected into the muscle.

Who Should Be Vaccinated and When? TOP

DTap

The DTaP vaccine is usually given before starting school. The vaccine is advised at:

2 months
4 months
6 months
15 to 18 months
4 to 6 years

Tdap

Tdap is advised for children aged 11 to 12 years who have had the DTaP series. Tdap can also be given to:

Children aged 7 to 10 years—who have not been fully vaccinated
Children and teens aged 13 to 18 years—who did not get the Tdap
Adults who have never had the Tdap
Pregnant women during each pregnancy (advised between the 27th and 36th week)
Adults who have not had the vaccine—and who are near babies aged 12 months or younger
Healthcare staff who have not had the Tdap

Td TOP

Td is given as a booster shot every 10 years.

Catch-Up Schedule TOP

Talk to a doctor if you or your child has not been fully vaccinated.

What Are the Risks Associated With the Diphtheria Vaccine? TOP

All vaccines have some risk. However, most people have no reactions or mild ones.

DTaP

Mild reactions may include:

Fever
Soreness, redness, or swelling at the injection site.
Fussiness in infants
Tiredness
Vomiting

More serious reactions are seizure, nonstop crying, fever over 105°F (40.6°C), or allergic reaction.

Very rare reactions may are long-term seizures, brain damage, and coma.

Tdap

Mild reactions may include:

Pain, redness, or swelling at the injection site.
Low-grade fever
Headache
Nausea, vomiting, or diarrhea
Fatigue

More serious reactions include fever over 102°F (38.9°C), a lot of swelling, severe pain, bleeding, and redness in the arm at the site.

Td TOP

Mild reactions may include:

Pain, redness, or swelling at the injection site.
Low-grade fever
Headache
Fatigue

More serious reactions include fever over 102°F (38.9°C), a lot of swelling, severe pain, bleeding, and redness in the arm at the site.

Acetaminophen may weaken the vaccine's effect. Do not use it without talking to the doctor first. It may be needed for some children.

Who Should Not Be Vaccinated? TOP

The vaccine is not advised for those who:

Have had a serious allergic reaction to a past dose of the vaccine
Have had certain conditions after a past dose of the vaccine, such as:
- Nervous system problems or Guillain Barre syndrome
- Very high fever or nonstop crying (in children)
Are moderately or severely ill

Talk to the doctor about current and past health before getting the vaccine.

What Other Ways Can Diphtheria Be Prevented Besides Vaccination? TOP

Prevention depends on getting the vaccine. This must be done quickly during an outbreak.

What Happens in the Event of an Outbreak? TOP

Suspected diphtheria needs to be reported right away to public health officials.

People are at risk if they have had close contact with an infected person. They need to:

Get a vaccine right away—if one is needed
Have lab tests, take antibiotics, and be checked by a doctor

WHERE CAN I GET MORE INFORMATION?

Immunizations
Healthy Children—American Academy of Pediatrics
http://www.healthychildren.org

Vaccines & Immunizations
Centers for Disease Control and Prevention
http://www.cdc.gov

REFERENCES:

Diphtheria antitoxin. Centers for Disease Control and Protection website. Available at: https://www.cdc.gov/diphtheria/dat.html Accessed August 24, 2021.

Diphtheria (DTaP, Tdap, Td). Immunization Action Coalition website. Available at: https://vaccineinformation.org/diphtheria/. Accessed August 24, 2021.

Diphtheria. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/diphtheria. Accessed August 24, 2021.

Diphtheria. Nemours Kids Health website. Available at: https://www.kidshealth.org/en/parents/diphtheria.html. Accessed August 24, 2021.

Diphtheria, tetanus, and pertussis VIS. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/vaccines/hcp/vis/vis-statements/dtap.html. Accessed August 24, 2021.

Mazzilli S, Tavoschi L, et al. Tdap vaccination during pregnancy to protect newborns from pertussis infection. Ann Ig. 2018;30(4):346-363.

Tdap vaccine: Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.html. Accessed August 24, 2021.

Last reviewed July 2021 by EBSCO Medical Review Board David L. Horn, MD
Last Updated: 8/24/2021

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