Breastfeeding May Pass Some Protective Antibodies Onto Your Baby
You can pass some whooping cough antibodies to your baby by breastfeeding. By getting a Tdap vaccine during your pregnancy, you will have these antibodies in your breast milk as soon as your milk comes in. However, your baby will not get protective antibodies immediately if you wait until your baby is born to get the vaccine. This is because it takes about 2 weeks for your body to create antibodies. Learn more about the health benefits of breastfeeding.
When Should Pregnant People Get The Tdap Vaccine
Pregnant people should get the Tdap vaccine between 27 and 36 weeks of each pregnancy, preferably during the earlier part of this period. If youre in an area where an outbreak of whooping cough is currently going on or if you have a deep cut in your skin and its time for a tetanus booster, you can get the vaccine even earlier.
Adults and kids 11 years and older should also make sure they are up to date with the Tdap vaccine to create a cocoon of protection against whooping cough when your baby is the most vulnerable. Since cocooning does not completely protect babies from whooping cough on its own, though, it is even more important that you get the vaccine while you are pregnant.
Cocooning, in combination with getting the Tdap vaccine during your pregnancy and making sure your little one gets all the necessary vaccines on time, provides the best protection possible to your baby.
Who Should Get Vaccinated
The CDC recommends:
- Birth through 6 years: DTaP at 2, 3, and 6 months, again at 15-18 months, and between 4 and 6 years. Total of 5 doses.
- 7 through 10 years: If not fully vaccinated against pertussis, should receive a single dose of Tdap OR, in some cases, should be vaccinated according to the catch-up schedule with Tdap as the preferred first dose.
- 11 through 18 years: Tdap as a single dose preferably between 11 and 12 years. If not fully vaccinated, check catch-up schedule. Adolescents 13â18 who missed getting Tdap at 11â12, administer at soonest opportunity.
- 19 years and older: Anyone who did not receive a dose of Tdap should get one as soon as possible.
- Pregnant Women: Should get a dose of Tdap preferably at 27 through 36 weeks gestation.
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How Often Do You Need A Tdap
All adults who have not yet received a dose of Tdap, as an adolescent or adult, need to get Tdap vaccine . Pregnant women need a dose in every pregnancy. After that, you will need a Td booster dose every 10 years.
Regarding this, how long is the Tdap vaccine good for?
Tdap is typically given once during a lifetime . However, you may need routine booster shots of the Td vaccine every 10 years to adequately protect you against tetanus and diphtheria.
Furthermore, is it OK to get Tdap twice? The Tdap vaccine combines protection against tetanus and diphtheria, in addition to whooping cough. Studies looked at the safety of giving multiple Tdap doses because there is a theoretical risk for severe local reactions if the tetanus component of the vaccine is given too often.
Accordingly, how often do you need a Tdap booster?
ALL adults who did not get Tdap vaccine as an adolescent should get one dose of this vaccine. Once they have had this dose, a Td booster should be given every 10 years. Pregnant women should get a dose of Tdap vaccine between 27 and 36 weeks of each pregnancy, preferably during the earlier part of this time period.
Do I need to get Tdap again?
Adults 19 years old or older should get only one dose of the whooping cough vaccine for adolescents and adults . If an adult will be around your baby and has already had Tdap vaccine, CDC does not recommend vaccination for them again.
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What Are The Dangers Of Whooping Cough For Babies
Whooping cough can be serious for anyone, but for your newborn, it can be life-threatening. Up to 20 infants die each year from whooping cough in the United States. About half of babies younger than 1 year who get whooping cough need treatment in the hospital. The younger the baby is when they contract whooping cough the more dangerous it is.
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What Are Diphtheria Tetanus And Pertussis
The diphtheria, tetanus, and pertussis vaccine protects against:
- Diphtheria: a serious infection of the throat that can block the airway and cause severe breathing problems
- Tetanus : a nerve disease that can happen at any age, caused by toxin-producing bacteria contaminating a wound
- Pertussis : a respiratory illness with cold-like symptoms that lead to severe coughing . Serious complications can affect children under 1 year old, and those younger than 6 months old are especially at risk. Teens and adults with a lasting cough might have pertussis and not realize it, and could pass it to vulnerable infants.
Questions To Ask Your Vaccine Provider
- Should I get a Tdap vaccine today?
- Are there any side effects to a Tdap vaccine that I should be aware of?
- What is the appropriate vaccination schedule for me based on my age and history?
- Is there anything I should do to prepare for the vaccine?
- Who else in my family should be vaccinated?
- Where can I access a copy of my vaccination records?
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Tetanus Diphtheria Pertussis Vaccine
- This vaccine is offered to all students in Grade 9. This is a booster dose for children immunized against these diseases at a younger age.
- The Tdap vaccine can also be given to children 7 years of age and older who have not been fully immunized, and to adults or immigrants who have not been immunized or whose immunization history is unknown.
- People born in 1989 or later who missed their adolescent dose of Tdap are eligible for one free dose of this vaccine.
- A booster dose of the Tdap vaccine is recommended for adults who were immunized in childhood but is not provided for free in B.C.
- Canada’s National Advisory Committee on Immunization recommends that all pregnant people get the pertussis vaccine in every pregnancy to help protect the baby after birth. Learn more about the Tdap vaccine and pregnancy in our pregnancy section.
The Manufacturer’s Leaflet Says There’s No Information On The Use Of Boostrix Ipv In Pregnancy Should It Be Used In Pregnancy
The licence for Boostrix IPV allows for its use in pregnancy when clearly needed, and when the possible benefits outweigh the possible risks.
It is standard practice with most medicines not to test them on pregnant women. This is why the manufacturer’s information leaflet includes this statement, and not because of any specific safety concerns or evidence of harm in pregnancy.
Whooping cough-containing vaccine has been used routinely in pregnant women in the UK since October 2012, and the Medicines and Healthcare products Regulatory Agency is carefully monitoring its safety. The MHRA’s study of around 20,000 women vaccinated with Repevax, the whooping cough vaccine previously offered to pregnant women, found no evidence of risks to pregnancy or pregnancy outcome.
Boostrix is one of the vaccines routinely recommended in the US for immunisation of pregnant women. There have been no reported safety concerns in the US with the use of the vaccine in pregnancy.
There is no evidence of risk to the pregnant woman or unborn child with inactivated vaccines like Boostrix IPV. An inactivated vaccine is one that does not contain “live” vaccine.
Read more about why vaccines are safe and important.
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Cost Of A Tdap Vaccine
The cost of the vaccine is covered under most private insurance plans. Be sure to check with your insurance provider for details. You can also check with your state health departments or local health centers for low-cost or free vaccinations.
Tdap vaccines are also covered under Medicare part D plans. There may be a cost associated with your specific plan, though, so check with your Medicare representative.
depending on your age and vaccination history:
- Ages 11 to 12 years: 1 dose Tdap
- Pregnancy: 1 dose Tdap during each pregnancy, preferably anytime between 27 to 36 weeks
Is Tdap Vaccine Safe
Yes, Tdap vaccine is safe for pregnant women. There are several studies that have examined the safety of Tdap in pregnancy and have found that getting the vaccine does not increase the risk for complications during your pregnancy. Tdap is also safe to get if you are breastfeeding. Even after health officials determine a vaccine is safe, systems are in place to continuously monitor vaccines for safety.
The most common side effects of the Tdap vaccine are mild. They include redness, pain, or swelling at the injection site. These side effects usually go away within a few days if they occur.
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Should Babies Be Vaccinated Against Whooping Cough
The first protection against whooping cough that your baby will receive is from the Tdap vaccine you get during pregnancy. Because this protection wanes quickly, they will need to be protected with their own vaccines beginning at 2 months of age. Your baby will need a series of three diphtheria, tetanus, pertussis vaccines at 2, 4, and 6 months to build up initial immunity. After that, additional doses are given in childhood and throughout life.
Efficacy Effectiveness And Immunogenicity
Efficacy and effectiveness
Protective antitoxin concentrations occur in virtually all healthy infants and children who receive primary tetanus immunization. Efficacy in standard pre-exposure and post-wound booster immunization regimens in adults has not been assessed in randomized trials but has been demonstrated in observational studies. Cases of tetanus occurring in fully immunized persons whose last dose was within the last 10 years are extremely rare.
It has been consistently demonstrated in clinical trials that one month after completion of a three dose primary series at least 99% of vaccinees have protective antibody titre.
Can Adults Have Allergic Reactions To Tdap Or Td Vaccines
Although it’s rare, someone may have a severe allergic reaction to an ingredient in the Tdap or Td vaccine. This generally happens in less than one in a million doses. Most of the time, such reactions occur within a few minutes of receiving the vaccine. The following can be signs of a severe allergic reaction, called anaphylaxis:
- Behavior changes
Delay Vaccination If You Have:
- an acute febrile illness more serious than a cold
- an unstable neurologic disorder
- a history of Guillain-Barré Syndrome, with no other identified cause, within 6 weeks of receipt of a previous tetanus-toxoid containing vaccine
- a serious reaction at the injection site following a previous dose of a vaccine containing tetanus and/or diphtheria toxoid-containing vaccine
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What Are The Side Effects Of The Whooping Cough Vaccine
You may have some mild side effects such as swelling, redness or tenderness where the vaccine is injected in your upper arm, just as you would with any vaccine. These only last a few days. Other side effects can include fever, irritation at the injection site, swelling of the vaccinated arm, loss of appetite, irritability and headache. Serious side effects are extremely rare.
When Should Adults Be Vaccinated With Tdap
The CDC recommends the Tdap vaccine for all adults ages 19 and older who have never received the vaccine, especially:
- Health care workers who have direct contact with patients
- Caregivers of infants under 1 year old, including parents, grandparents, and babysitters
- Pregnant women in their third trimester , even if they have previously received Tdap vaccine this can protect a newborn from whooping cough in the first months of life.
- New mothers who have never received the Tdap
- People who travel to countries where pertussis is common
You may be given the Tdap vaccine if you have a severe cut or burn and have never received a dose before. Severe cuts or burns raise your risk for tetanus.
The Tdap vaccine can be given any time of the year. Only one shot is needed. It may be given with other vaccinations. Tdap can be given regardless of the interval since the last Td vaccine was given.
The Tdap vaccine can be used safely for those ages 65 and over, according to 2013 CDC recommendations.
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What Are The Side Effects
Vaccines are very safe. It is much safer to get the vaccine than it is to get tetanus.
Many people have no side effects from these vaccines. For those that do, side effects are usually mild and last 1 to 2 days . Serious side effects are very rare.
It is important to stay in the clinic for 15 minutes after getting any vaccine because there is a very rare chance, between one in 100,000 and one in a million, of a life-threatening allergic reaction called anaphylaxis. This may include hives, difficulty breathing, or swelling of the throat, tongue or lips. Should this reaction occur, your health care provider is prepared to treat it. Emergency treatment includes injection of epinephrine and transfer by ambulance to the nearest emergency department. If symptoms develop after you leave the clinic, call 9-1-1 or the local emergency number.
It is important to always report serious or unexpected reactions to your immunizing health care provider.
How Can I Get The Whooping Cough Vaccination
The vaccine is available from your GP, though some antenatal clinics also offer it. You may be offered the vaccination at a routine antenatal appointment from around 16 weeks of your pregnancy.
If you are more than 16 weeks pregnant and have not been offered the vaccine, talk to your midwife or GP and make an appointment to get vaccinated.
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Where Can I Learn More
- Talk to your immunizing health care provider.
- Pertussis, also known as whooping cough, is a serious infection of the airways caused by pertussis bacteria.
- The bacteria are easily spread by coughing, sneezing, or close face-to-face contact.
- Pertussis starts like a common cold with symptoms such as sneezing, runny nose, mild fever, and a mild cough. Over the next two weeks, the cough gets worse, leading to severe, repeated, and forceful coughing spells that often end with a whooping sound before the next breath.
- The cough of pertussis can last several months and occurs more often at night.
- The cough can make a person gag or spit out mucus and make it hard to take a breath.
- In babies, pertussis can cause periods of apnea in which their breathing is interrupted.
- Pertussis can cause pneumonia, seizures, brain damage, or death. These complications are seen most often in infants.
- About 1 in 170 infants who get pertussis may die.
Who Should Avoid Getting The Tdap Vaccine
Although the risk of having a severe allergic reaction to a Tdap vaccine is very low, certain people should avoid getting the Tdap vaccine, including:
- people who have had a previous life threatening allergic reaction to any vaccine containing tetanus, diphtheria, or pertussis
- people who were in a coma or had seizures within 7 days of a childhood dose of DTP or DTaP, or a previous dose of Tdap
- anyone under the age of 7 years old
Talk with your doctor if you have seizures or another condition that affects the nervous system.
Also, let your doctor know if youve ever had Guillain-Barré syndrome or if youve ever experienced severe pain or swelling after any previous vaccine containing diphtheria, tetanus, or pertussis.
A healthcare professionals office such as a pediatrician, family practitioner, or community health clinic is usually the best place to receive a Tdap vaccine.
These vaccines may also be available for adults at:
- health departments
- other community locations, such as schools and religious centers
You can also reach out to federally funded health centers as well as your state health department to learn where to get a vaccine near you.
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So How Can I Protect My Baby
The only way you can help protect your baby from getting whooping cough in their first few weeks after birth is by having the whooping cough vaccination yourself while you are pregnant.
After vaccination, your body produces antibodies to protect against whooping cough. You will then pass some immunity to your unborn baby.
Why The Recommendations Changed
Both the CDC and AAP say safety data and a need to catch up children and teens on missed vaccinations played a role.
“The AAP supports giving other childhood and adolescent immunizations at the same time as COVID-19 vaccines, particularly for children and teens who are behind on their immunizations, the AAPs statement reads. Between the substantial data collected on the safety of COVID-19 vaccines, and the extensive experience with non-COVID-19 vaccines which shows the immune response and side effects are generally similar when vaccines are given together as when they are administered alone, the benefits of co-administration and timely catch up on vaccinations outweigh any theoretical risk.
Woodworth also said that updated co-administration recommendations may facilitate catch up vaccination of adolescents. She cited data that showed the administration of many other vaccines has declined during the pandemic.
Specifically, vaccine orders from providers were down 11.7 million doses as of May 2, 2021 when compared with 2019. The gap was largest in vaccines usually given to teens, including:
- The Tdap vaccine
- HPV vaccine
- Meningococcal conjugate vaccine
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What If You’ve Already Received The Tdap Vaccine Before You Were Pregnant Do You Still Need It
Yes, even if you received the vaccine before you got pregnant, you should get it again in the third trimester of every pregnancy.
From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You’re Expecting. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy.