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
MonthsYears
2345681011121315161819-202345678910111213141516171819242530455960616465≥ 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
TT
TT
TT
Cyprus
TT
TT
TT
TT
TT
TT
TT6
Czechia
TT9
TT
TT
TT
TT
TT10
TT
Denmark
TT
TT
TT
TT
Estonia
TT
TT
TT
TT
TT
TT
TT6
Finland
TT
TT
TT
TT
TT
TT11
TT
TT12
France
TT
TT
TT
TT
TT
TT13
TT
TT14
Germany
TT
TT
TT
TT
TT
TT
TT
TT15
Greece
TT
TT
TT
TT
TT
TT
TT
TT
TT
TT
TT16
Hungary
TT
TT
TT
TT
TT
TT17
Iceland
TT
TT
TT
TT
TT18
Ireland
TT
TT
TT
TT
TT
TT19
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
TT26
TT
TT
TT
TT27
Malta
TT
TT
TT
TT
TT
Netherlands
TT
TT
TT
TT
TT
TT
TT28
Norway
TT
TT
TT
TT
TT
TT29
Poland
TT
TT
TT
TT
TT
TT
TT30
Portugal
TT
TT
TT
TT
TT
TT
TT31
Romania
TT
TT
TT
TT
TT
Slovakia
TT
TT
TT
TT
TT
TT32
Slovenia
TT
TT
TT
TT
TT
TT33
Spain
TT
TT
TT
TT
TT
TT34
TT35
Sweden
TT
TT
TT
TT
TT36

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. DTaP or dTap.
  8. Given to students in grade 8
  9. 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
  10. Booster dose for person between 25th and 26th years of age; next booster dose every 10 - 15 years
  11. 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
  12. Then every 10 years.
  13. dTacp-IPV or dTT-IPV if last dTacp-IPV received in the previous 5 years
  14. dTT-IPV every 10 years from 65 years of age
  15. Booster doses every 10 years. catch-up for those unvaccinated
  16. Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV
  17. School-based vaccination in 6th grade (mandatory)
  18. 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.
  19. Tdap - Vaccination for pregnant women between 16-36 weeks gestation.
  20. Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
  21. 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.
  22. Subsequent Td boosters every 10 years. For some risk-groups boosters are more frequently recommended.
  23. 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.
  24. Booster at 25 years (dTap), 45 years (dT) and 65 years (dT), and then every 10 years (dT)
  25. Subsequent booster doses every 5-10 years
  26. For premature infants (born before 33 weeks) or with a birthweight <1500g, a 3+1 schedule is recommended
  27. Subsequent Tdacp-IPV booster every 10 years
  28. Recommended for pregnant women from 22 weeks gestation
  29. Revaccination every 10 years
  30. Should not be given earlier than 5 years after the previous dose
  31. 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
  32. Subsequent Td boosters every 15 years
  33. Td booster every 10 years
  34. Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28)
  35. 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
  36. 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)