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If a 60-year-old patient presents for a Td booster without prior vaccine history, can you offer Tdap?

April 26, 2017booster History Offer patient presents prior TD tdap vaccine

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If a 60-year-old patient presents for a Td booster without prior vaccine history, can you offer Tdap?

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Yes, you can and should offer Tdap. This is an off-label recommendation by CDC (because the vaccine is licensed as a booster). Since this person has no documented history of tetanus and diphtheria vaccination, follow the Tdap one month later with a Td dose and 6 months later with another Td dose.