Diphtheria, Tetanus & Pertussis (DTP)

Why get vaccinated?

Diphtheria, Tetanus, & Pertussis are a serious disease.

Diphtheria

bulletDiphtheria causes a thick covering in the back of the throat.
bulletI can lead to breathing problems, paralysis, heart failure, and even death.

Tetanus

bulletTetanus causes painful tightening of the muscles, usually all over the body.
bulletIt can lead to "locking" of the jaw so the person cannot open his mouth or swallow.  Tetanus can lead to death.

Pertussis (Whooping Cough)

bulletPertussis causes coughing spells so bad that it is hard for infants to eat, drink, or breathe.  These can last for weeks.
bulletIt can lead to pneumonia seizures (jerking and staring spells), brain damage, and death.

Diphtheria, Tetanus, and Pertussis vaccines prevent these diseases.  Most children who get all their shots will be protected during childhood.  Many more children would get these diseases if we stopped vaccinating.

Diphtheria, Tetanus & Pertussis vaccines

DTP vaccine

bulletProtects against Diphtheria, Tetanus & Pertussis.
bulletUsed for many years.

DTaP vaccine

bulletProtects against Diphtheria, Tetanus & Pertussis
bulletNewer than DTP

The Center for Disease Control and Prevention (CDC) recommends DTaP over DTP.  This is because DTaP is less likely to cause reactions than DTP. 

Related Vaccines

bulletCombinations:  To reduce the number of shots a child must get, DTP or DTaP may be available in combinations with other vaccines.
bulletDT protects against Diphtheria and Tetanus, but NOT  
bulletPertussis.  It only is recommended for children who should not get Pertussis vaccine.

What are the risks from these vaccines?

 
bullet such as severe allergic reaction or even death.
bulletIf there are reactions, they usually start within 3 days and don't last long.
bulletMost people have no serious reactions from these vaccines.

Possible reactions to these vaccines:

Mild reactions (Common)

bulletSore arm or leg
bulletFussy
bulletTired
bulletFever
bulletLess appetite
bulletVomiting

Mild reactions are much less likely after DTaP than after DTP.

Moderate to Serious Reactions (uncommon)

bulletNon-stop crying (3 hours or more)............... 100 of every 10,000 doses
bulletFever of 105 or higher ...............................
bullet30 of every 10,000 doses
bulletSeizure (jerking or staring) ........................ 6 of every 10,000 doses
bulletChild becomes limp, pale, less alert.............. 6 of every 10,000 doses

With DTaP vaccine, these reactions are much less likely to happen.

Severe Reactions (very rare)

There are 2 kinds of serious reactions:

  1. Severe allergic reaction (breathing difficulty, shock)
  2. Severe brain reaction (long seizure, coma or lower consciousness)

Is there lasting damage?

bulletExperts disagree on whether pertussis vaccines causes lasting brain damage.
bulletIf they do, it is very rare.

Most experts believe serious reactions will be more rare after DTaP than after DTP.

When should my child get vaccinated?

 
bullet2 months
bullet4 months
bullet6 months
bullet12-18 months
bullet4-6 years
bulletAt 11-12 years of age and every 10 years.  After that you should get a booster to prevent diphtheria and tetanus.

What can be done to reduce possible fever and pain after this vaccine?

Tell your doctor or nurse if your child:

bulletEver had a moderate or serious reaction after getting vaccinated
bulletEver had a seizure
bulletHas a parent, brother, or sister who has had a seizure
bulletHas a brain problem that is getting worse
bulletNow has a moderate or severe illness

Your doctor or nurse has information on what to do in this case (for example, give one of these vaccines, wait, give medicine to prevent fever).

What if there is a moderate to severe reaction?

What should I look for?

bulletAn unusual condition, such as sore arm or leg, fussy, tired, fever, less appetite, vomiting, non-stop crying and seizures.

What should I do?

bulletCall your doctor or get the child to a doctor right away.
bulletTell your doctor what happened, the date and time it happened, and when the vaccination was given.
bulletAsk your doctor, nurse, or health department to file a Vaccine Adverse Event Report (VAERS) form, or call VAERS yourself at 1-800-822-7967.

How can I learn more?

Ask your doctor or nurse.  They can give you the vaccine package insert or suggest other sources of information.

bulletCall your local or state health department
bulletContact the Centers of Disease Control and Prevention (CDC) 1-800-232-2522 (English) or 1-800-232-0233 (Spanish)
bulletVisit the CDC website at http://www.cdc.gov/nip/default.htm