Diphtheria and tetanus vaccination: how countries compare
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General information only. Not medical advice and not a substitute for a doctor.
Elsewhere, call your local emergency number.
Each country bases its guidelines on its own evidence reviews and health system. Age Flags lists them side by side and does not judge between them.
United States
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Tetanus and diphtheria booster (Td or Tdap) Diphtheria and tetanus vaccination |
age 19 and over | every 10 years · Adults who did not get Tdap at age 10 or older get one dose of Tdap first. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Vaccines to Protect Your Health (Adults Ages 19 to 49 Years) MyHealthfinder: Get Vaccines to Protect Your Health (Adults Age 50 Years or Older) Pertussis Vaccination Recommendations (for healthcare providers) Adult Immunization Schedule by Age (Table 1) |
England, UK
No national guideline item on this topic could be verified automatically for this country. Combined vaccines that also cover this may be listed in the country's full schedule: England, UK
China
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| DT vaccine (diphtheria-tetanus) Diphtheria and tetanus vaccination |
ages 7 to 11; Missed one or more of the DTaP doses due earlier (catch-up only) | 7–11 years · Catch-up only. A child with fewer than 3 DTaP doses is brought up to 3 doses in total with DT (second dose 1-2 months after the first, third dose 6-12 months after the second); a child with 3 or more doses who missed the dose at age 6 gets one DT dose. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 《国家免疫规划疫苗儿童免疫程序及说明(2026年版)》解读问答 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
Japan
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| DT vaccine (diphtheria-tetanus) Diphtheria and tetanus vaccination |
from age 11 until your 13th birthday | 11 years · Second-stage dose for diphtheria and tetanus. The dose age shown is the standard age; routine (publicly funded) vaccination covers the whole age range shown. | Cabinet of Japan · 予防接種法施行令 · Set by law 定期接種実施要領（厚生労働省健康・生活衛生局長通知別添） DTワクチン（厚生労働省） |
Spain
Brazil
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| dT vaccine (adult-type tetanus and diphtheria) Diphtheria and tetanus vaccination |
age 14 and over | every 10 years · The first booster is at age 14, after the childhood DTP doses; the interval is shortened to 5 years if there is a risk of tetanus or diphtheria exposure. Anyone from age 7 without 3 previous doses starts or completes the course first. | Ministério da Saúde (Brazil) · Instrução Normativa do Calendário Nacional de Vacinação 2026 · National programme Calendário Nacional de Vacinação (Ministério da Saúde) |
Emergency and crisis lines
United States
Emergency 911 Emergency services (United States) · Source
Crisis line 988 Suicide & Crisis Lifeline (United States) · Available 24 hours a day, every day of the year. · Source
United Kingdom
Emergency 999 NHS England · Source
Health advice 111 NHS England · Source
Crisis line 116 123 Samaritans · Open 24 hours a day. · Source
China
Emergency 120 National Health Commission (China) · Source
Crisis line 12356 National Health Commission (China) · Each line provides at least 18 hours of service a day under the national notice; hours vary by city. · Source
Japan
Emergency 119 Fire and Disaster Management Agency (Japan) · Source
Crisis line 0120‑061‑338 #いのちSOS (Lifelink) · Open 24 hours a day, every day (free call). · Source
Crisis line 0120‑279‑338 Yorisoi Hotline · Open 24 hours a day (free call). · Source
Spain
Emergency 112 Emergency services (Spain) · Source
Crisis line 024 Ministerio de Sanidad (Spain) · Free and confidential, 24 hours a day, every day of the year. · Source
Brazil
Emergency 192 Ministério da Saúde (Brazil) · Source
Crisis line 188 CVV — Centro de Valorização da Vida · Free, 24 hours a day, anywhere in Brazil. · Source
Elsewhere, call your local emergency number.