Vaccine Scheduler

Tetanus: 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

	Months													Years
	2	3	4	5	6	10	11	12	13	15	16	18	19	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	24	25	30	45	59	60	61	64	65	≥ 66
Austria		TT	TT				TT¹												TT									TT²										TT³

Belgium	TT	TT	TT							TT							TT									TT				TT⁴

Bulgaria	TT	TT	TT								TT⁵							TT						TT					TT				TT⁶

Croatia	TT		TT		TT					TT								TT⁷	TT⁸							TT⁹					TT	TT					TT

Cyprus	TT		TT		TT					TT						TT										TT							TT⁶

Czech Republic		TT¹⁰		TT			TT										TT					TT								TT¹¹							TT

Denmark		TT		TT				TT									TT

Estonia		TT	TT		TT									TT				TT									TT						TT⁶

Finland		TT		TT				TT								TT										TT							TT¹²		TT					TT¹³

France	TT		TT				TT											TT					TT										TT¹⁴		TT					TT¹⁵

Germany	TT	TT	TT				TT	TT									TT				TT									TT¹⁶

Greece	TT		TT		TT			TT		TT			TT			TT			TT				TT		TT						TT¹⁷

Hungary	TT	TT	TT									TT						TT					TT¹⁸

Iceland		TT		TT				TT								TT										TT¹⁹

Ireland	TT		TT		TT											TT								TT			TT

Italy		TT		TT			TT											TT						TT							TT²⁰

Latvia	TT		TT		TT			TT											TT²¹							TT							TT²²

Liechtenstein	TT		TT					TT								TT²³				TT			TT										TT²⁴		TT²⁴					TT²⁴

Lithuania	TT		TT		TT							TT						TT									TT²⁵

Luxembourg	TT	TT	TT						TT								TT										TT²⁶

Malta	TT	TT	TT									TT														TT

Netherlands	TT²⁷	TT		TT			TT									TT					TT						TT²⁸

Norway		TT		TT				TT											TT								TT

Poland	TT	TT		TT							TT							TT								TT					TT²⁹

Portugal	TT		TT		TT							TT					TT					TT											TT³⁰

Romania	TT		TT				TT											TT								TT

Slovakia	TT		TT			TT											TT							TT										TT³¹

Slovenia		TT		TT			TT													TT								TT					TT³²

Spain	TT		TT				TT											TT								TT	TT³³													TT³⁴

Sweden		TT		TT				TT									TT									TT³⁵

Footnotes:

Minimum interval of 6 month after second dose
dTaP-IPV every 10 years
dTaP every 5 years
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
Not earlier than 12 months after the 3rd dose
Subsequent Td booster every 10 years
DTaP or dTap.
DTaP or dTap. Catch-up at grade 1.
Td or dTap. Given to students in grade 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
Booster dose for person between 25th and 26th years of age; next booster dose every 10 - 15 years
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
Then every 10 years.
dTacp-IPV or dTT-IPV if last dTacp-IPV received in the previous 5 years
dTT-IPV every 10 years from 65 years of age
Booster doses every 10 years. catch-up for those unvaccinated
Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV
School-based vaccination in 6th grade
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.
Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
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.
Subsequent Td boosters every 10 years. For some risk-groups boosters are more frequently recommended.
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.
Booster at 25 years (dTap), 45 years (dT) and 65 years (dT), and then every 10 years (dT)
Subsequent booster doses every 5-10 years
Subsequent Tdacp-IPV booster every 10 years
Recommended only in specific circumstances, for example: infants born to a mother not vaccinated against pertussis during pregnancy or infants born to a mother infected with Hepatitis B
Recommended for pregnant women from 22 weeks gestation
Should not be given earlier than 5 years after the previous dose
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
Subsequent Td boosters every 15 years
Td booster every 10 years
Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28)
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
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)