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A patient who was recently vaccinated with tetanus toxoid (TT) is planning to travel to Russia and needs diphtheria protection. What should we do?

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A patient who was recently vaccinated with tetanus toxoid (TT) is planning to travel to Russia and needs diphtheria protection. What should we do?

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We advise that you vaccinate the person with Td so that they will have protection against diphtheria. You should tell this person that their arm may be more sore than usual. If this person were going to stay in the U.S., we would recommend that you just wait until their next routine booster to give Td.

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