January 26, 2015

Mostly cloudy

Tdap Vaccine for Preteens and Teens

by Lisa Strebler, RN, MSN, Director of Public Health Nursing,  Medina County Health Department


Why does my child need Tdap vaccine?

TeenFemale Babies and little kids get shots called DTaP to protect them from diphtheria, tetanus and pertussis (whooping cough). But as kids get older, the protection from the DTaP shots starts to wear off. This can put your preteen or teen at risk for serious illness. The tetanus-diphtheria-acelluar pertussis (Tdap) vaccine is a booster shot that protects your preteen or teen from the same diseases that DTaP shots protect little kids from.

  • Tetanus is caused by a toxin (poison) made by bacteria found in soil. The bacteria enter the body through cuts or puncture wounds in the skin. Tetanus can cause spasms which are painful muscle cramps, in the jaw muscle (lockjaw) and throughout the body. The spasms can cause breathing problems and paralysis. A preteen or teen with tetanus could spend weeks in the hospital in intensive care. As many as 1 out of 5 people who get tetanus dies.
  • Diphtheria is not as common as tetanus, but can be very dangerous. It spreads from person to person through coughing or sneezing. It causes a thick coating on the back of the nose or throat that can make it hard to breathe or swallow. It can also cause paralysis and heart failure. About 1 out of 10 people who gets diphtheria will die from it.
  • Pertussis (whooping cough) spreads very easily through coughing and sneezing. It can cause a bad cough that lasts for many weeks, which can make preteens and teens miss lots of school and other activities. Whooping cough can be deadly for babies who are too young to have protection from their own vaccines. Often babies get whooping cough from their older brothers or sisters, like preteens or teens, or other people in the family.

When should my child be vaccinated?

All preteens should get one Tdap shot when they are 11 or 12 years old. If your teen is 13 years old up through 18 years old who hasn’t gotten the shot yet, talk to their doctor about getting it for them right away. Parents should also know that in Ohio, the Tdap booster shot is required for entry into seventh grade.

What else should I know about the vaccine?

TeenMaleThe Tdap shot has been studied very carefully and is safe and effective. It is recommended by the Centers for Disease Control and Prevention (CDC), the AmericanAcademy of Family Physicians, the AmericanAcademy of Pediatrics, and the Society for Adolescent Health and Medicine.

The Tdap shot can cause mild side effects, like redness and soreness in the arm where the shot was given, headache, fever, or tiredness. Some preteens and teens might faint after getting the Tdap vaccine or any other shot. To help avoid fainting, preteens and teens should sit or lie down when they get a shot and then for about 15 minutes after getting the shot. Serious side effects from reactions to the Tdap shot are rare.

For more information about the Tdap vaccine, or to schedule an appointment to have your teen immunized, contact the Medina County Health Department at 330-723-9688 or 1-888-723-9688, option 1 for Health Services. You can also find more information about our programs and services at www.medinahealth.org.


The Medina County Health Department has protected your health since 1918 and is a trusted source of health guidance for creating a healthy environment, healthy people, and a healthy community. Services are partially supported by your property tax health levy. Equal opportunity provider.