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Combined vaccine (dTaP/Tdap)

Diphtheria with tetanus and pertussis vaccine

Brand names: Boostrix-IPV (without polio), various dTaP/Tdap

Adult dose

Dose: 0.5mL IM per UK schedule (3-in-1 booster age 14)
Route: IM
Frequency: Per schedule

Clinical pearls

  • UKHSA Green Book chapters 14, 24, 30
  • UK national immunisation schedule — pertussis-containing vaccine in pregnancy (Boostrix-IPV) at 16+ weeks for neonatal protection

Contraindications

  • Severe hypersensitivity to vaccine components
  • Encephalopathy within 7 days of prior pertussis-containing vaccine

Side effects

  • Local injection-site reaction
  • Fever
  • Irritability
  • Drowsiness
  • Anaphylaxis (rare)

Interactions

  • Immunosuppressives (reduced response)

Monitoring

  • Post-vaccination observation 15 min
  • Yellow Card AE reporting

Reference: BNF; UKHSA Green Book; NHS England immunisation schedule; https://bnf.nice.org.uk/drugs/diphtheria-with-tetanus-and-pertussis-vaccine/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.