|Articles|January 14, 2019

FDA Approves Extended Use of Tdap Vaccine

The FDA has approved extended use of the Tdap vaccine for repeat vaccination 8 years or more after the first vaccination to help protect against tetanus, diphtheria and pertussis.

The U.S. Food and Drug Administration has approved the use Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed (Tdap) to include repeat vaccination to help protect against tetanus, diphtheria and pertussis. The vaccine is produced by Sanofi under the market name Adacel.

The approval was granted based on data from a study assessing the efficacy of the vaccine in a population of more than 1300 adults. Participants received either the Adacel vaccine or a tetanus-diptheria vaccine during a period 8-12 years following a dose of the Adacel vaccine. Results indicated that the second dose of Adacel vaccine in adults administered 8-12 years after a previous dose found no significant differences in reported adverse events between the 2 vaccine groups. In total 999 participants in the Tdap vaccine group (87.7%) and 328 participants in the Td vaccine group (88%) reported at least 1 injection-site reaction.

The approval has made the vaccine the first and only Tdap vaccine in the US approved for a repeat dose in individuals between the ages of 10 through 64 years, following 8 years or more after the first vaccination. The vaccine is also unique in that it is the only Tdap vaccine available in a syringe made without rubber latex, which may reduce the risk of the vaccine to individuals with allergies to latex.

"While strong vaccination programs are in place for young adolescents, a single Tdap immunization does not offer lifetime protection against pertussis due to waning immunity," David P. Greenberg, MD, Regional Medical Head North America at Sanofi Pasteur, said in a statement. "The licensure of Adacel as the first Tdap vaccine in the U.S. for repeat vaccination is an important step for eligible patients and offers flexibility for health care providers to help manage their immunization schedules."

Current recommendations of the US Centers for Disease Control and Prevention (CDC) include a single dose of Tdap vaccine for adolescents and adults, and for pregnant women a vaccination during every pregnancy. Tdap helps protect adolescents and adults and may prevent the spread of the infection to babies and young children who are still building immunity. Despite the CDC-recommendation, approximately 75% of adults have not received the Tdap vaccine.

Sanofi Pasteur has provided the results of the study to the CDC's Advisory Committee on Immunization Practices for their consideration in future recommendations.


Related to this article

How The Food Safety Surveillance Infrastructure Works in the US
In the first episode of our news series looking at the food safety network, Lynette Johnston, PhD, offers insights into how the federal government surveillance infrastructure operates, and how epidemiologists serve as food detectives in determining bacterial pathogens and potential foodborne outbreaks.
Ebola and the Ongoing Tale of US Failures
In mid-May, as the world was still grappling with an unexpected hantavirus outbreak aboard a tourism vessel, news broke of an Ebola outbreak in the Ituri Province of the Democratic Republic of the Congo spanning at least 3 health zones, including Bunia, Rwampara, and Mongbwalu.
This Week's Top 5 Infectious Disease News Stories: September 12-September 18, 2026
In this week's top infectious disease stories, a Pennsylvania teen became the state's fourth measles death in weeks, the CDC reported a 17% summer surge in rabies exposure calls, new research revisited whether cefepime raises mortality risk, a multihospital review examined ceftriaxone's safety after state alerts, and examining Legionella pneumonia diagnostics.
Measles Update: September 18, 2026
The latest CDC numbers show a 5.37% increase of measles cases from week-to-week. In Pennsylvania, the fourth measles-related death was reported in 2026. Additionally, the CDC has made a change in the way it will report deaths.
CDC Responds to Surge in Rabies Exposures
A "Clinician Outreach" from the Centers for Disease Control and Prevention (CDC) in April anticipated an increase in rabies exposures, and the striking surge in case reports this summer prompted a recent health advisory alert from the federal agency.
New Diagnositics for Legionella Pneumonia May Streamline Care Continuum
Reported cases of Legionnaires’ disease have been on the rise for the past decade, and identifying Legionella bacteria requires specialized testing in the microbiology lab. Here is a clinical overview of Legionella bacteria, including required testing, treatment, and reporting to public health officials.
Ceftriaxone Safety: Separating Signal From Risk
A retrospective multihospital study found that severe adverse events occurred at similarly low rates with ceftriaxone and other IV cephalosporins suggesting there is no evidence to support avoiding ceftriaxone despite recent health department safety alerts.