Diphtheria: Recommended vaccinations
  General recommendation
  Recommendation for specific groups only
  Catch-up (e.g. if previous doses missed)
 
Vaccination not funded by the National Health system
 
Mandatory vaccination
MonthsYears
2345681011121315161819-20234567891011121314151617181925304560616465≥ 66
Austria
D
D
D1
d
d2
d3
Belgium
D
D
D
D
D
d
d4
Bulgaria
D
D
D
D5
D
d
d
d6
Croatia
D
D
D
D
D
d7
Cyprus
D
D
D
D
D
d
d6
Czechia
D8
D
D
d
d
Denmark
D
D
D
D
Estonia
D
D
D
D
D
d
d6
Finland
D
D
D
D
d
d9
d
d10
France
D
D
D
D
d
d11
d
d12
Germany
D
D
D
D
D
d
d
d13
Greece
D
D
D
D
D
D
D
d
d
d
d14
Hungary
D
D
D
D
D
d15
Iceland
D
D
D
d
d16
Ireland
D
D
D
D
d17
d18
Italy
D
D
D
D
d
d19
Latvia
D
D
D
D
D20
d
d21
Liechtenstein
D
D
D
D22
d
d
d23
d23
d23
Lithuania
D
D
D
D
D
d24
Luxembourg
D
D25
D
D
D
d26
Malta
D
D
D
D
d
Netherlands
D
D
D
D
D
D
d27
Norway
D
D
D
D
d
d28
Poland
D
D
D
D
D
d
d29
Portugal
D
D
D
D
D
d
d30
Romania
D
D
D
D
d
Slovakia
D
D
D
D
d
d31
Slovenia
D
D
D
d
d32
Spain
D
D
D
D
d
d33
d34
Sweden
D
D
D
D
d35

Footnotes:

  1. Minimum interval of 6 month after second dose
  2. dTaP-IPV every 10 years
  3. dTaP every 5 years
  4. One dose of dTTaP every 10 years for adults after receiving the childhood immunisation schedule. Vaccination of expectant mothers during every pregnancy with a pertussis-containing vaccine in week 24 to week 32 of pregnancy. dTTaP boosters are funded for all pregnant women nationally. However, these booster doses are only offered for free in other adults in Flanders region.
  5. Not earlier than 12 months after the 3rd dose
  6. Subsequent Td booster every 10 years
  7. Given to students in grade 8
  8. The first dose of hexavalent vaccine is given from the end of the 2nd month of life, at intervals of two months between the first and the second dose, and the third dose given between the eleventh and thirteenth months of the child's age
  9. Thereafter Td booster every 10 years with or without vaccination against poliomyelitis (IPV) in case of travel to endemic areas and when previous IPV dose was given more than 5 years before
  10. Then every 10 years.
  11. dTacp-IPV or dTT-IPV if last dTacp-IPV received in the previous 5 years
  12. dTT-IPV every 10 years from 65 years of age
  13. Booster doses every 10 years. catch-up for those unvaccinated
  14. Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV
  15. School-based vaccination in 6th grade (mandatory)
  16. Td vaccine to be repeated every 10 years in case of wound injury or travel to diphtheria endemic countries. The use of a dTap vaccine is recommended to increase immunity against pertussis in the community.
  17. Booster dose
  18. Tdap - Vaccination for pregnant women between 16-36 weeks gestation.
  19. Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
  20. Six-year-old children may be vaccinated with vaccinations for 7-year-old children, if the child is beginning to study in an educational institution.
  21. Subsequent Td boosters every 10 years. For some risk-groups boosters are more frequently recommended.
  22. A lower dose of diphtheria toxoid (d) and whooping cough (ap) can also be used (dTap) The pertussis booster provided between the ages of 4 and 7 years should be administered no later than school entry.
  23. Booster at 25 years (dTap), 45 years (dT) and 65 years (dT), and then every 10 years (dT)
  24. Subsequent booster doses every 5-10 years
  25. For premature infants (born before 33 weeks) or with a birthweight <1500g, a 3+1 schedule is recommended
  26. Subsequent Tdacp-IPV booster every 10 years
  27. Recommended for pregnant women from 22 weeks gestation
  28. Revaccination every 10 years
  29. Should not be given earlier than 5 years after the previous dose
  30. Adult Td booster at ages 25, 45 and 65, thereafter every 10 years. Tdap vaccination recommended during pregnancy between 20 to 36 weeks of gestation
  31. Subsequent Td boosters every 15 years
  32. Td booster every 10 years
  33. Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28)
  34. One dose at around 65 years of age if primary course completed. For additional information on catch-up vaccinations prior to 65 years of age, refer to specific recommendations available at https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/comoTrabajamos/difteria-tetanos-tosferina.htm
  35. Given to 8-9 grade students. For adults above 18 years, dT Booster doses are recommended every 20 years (not funded by the National Health system)