Tdap addendum 2025

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The document is a consent form from the Texas Department of State Health Services for the Tdap vaccine, outlining the responsibilities and rights of the individual receiving the vaccine or their guardian. It includes sections for personal information, acknowledgment of risks and benefits, and signatures for consent and administration. Additionally, it contains privacy notifications regarding personal data collection.

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Click ‘Get Form’ to open the tdap addendum in the editor.
Begin by filling in the name of the person receiving the vaccine. Ensure you include their last name, first name, and middle initial.
Next, provide the clinic or office address where the vaccine will be administered. This includes street, city, county, state, and zip code.
Enter the birthdate of the individual receiving the vaccine in mm/dd/yy format and select their sex by circling 'M' for male or 'F' for female.
Fill in the date when the vaccine is administered along with details such as the vaccine manufacturer and lot number.
Ensure that either the person receiving the vaccine or an authorized individual (like a parent or guardian) signs in the designated area.
Finally, have the vaccine administrator sign and date their section, including their title for verification purposes.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is the Tdap vaccine really necessary?

One of the most common reasons pregnant patients decline the TDAP is because theyve already had the vaccine within the past 10 years, or during a previous pregnancy. This logic makes sense for general adult care, since the TDAP booster is usually given every 10 years.

Why refuse the Tdap vaccine?

Adults and adolescents who have received Tdap, should be given Td or Tdap as their subsequent 10-year booster doses. Patients who are pregnant should receive Tdap during each pregnancy, preferably during the early part of gestational weeks 2736.

Do I really need a Tdap shot?

Preteens (ages 11 or 12) should get the Tdap vaccine to boost their immunity. Adults whove never received the Tdap vaccine should get a dose of Tdap. People ages 7 and older should receive a Tdap vaccine booster shot every 10 years.

What are the downsides of the Tdap vaccine?

What are the risks from Tdap vaccine? Pain, redness, or swelling where the shot was given, mild fever, headache, feeling tired, and nausea, vomiting, diarrhea, or stomachache sometimes happen after Tdap vaccination.

What happens if you dont take the Tdap vaccine?

Diphtheria and pertussis spread from person to person. Tetanus enters the body through cuts or wounds. TETANUS (T) causes painful stiffening of the muscles. Tetanus can lead to serious health problems, including being unable to open the mouth, having trouble swallowing and breathing, or death.

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Does Tdap need to be updated?

CDC recommends 1 dose of Tdap for all adolescents. The preferred age for Tdap administration in adolescents is 11 to 12 years. If adolescents (13 through 18 years) missed getting Tdap at 11 to 12 years of age, administer at the next patient encounter or sooner if adolescent will have close contact with infants.