IM Deltoid muscle in women & older childn; anterolateral upper thigh in younger childn.
Primary immunization 2 dose of 0.5 mL at least 4 wk apart, followed by 3rd dose 6-12 mth later. Booster dose of 0.5 mL is recommended at every feasible interval (5-10 yr for adult.
Prevention of neonatal tetanus Previously unimmunized women of childbearing age 5-dose schedule: After basic course w/ 3 dose, 2 additional booster dose at least 1 yr after previous dose or during subsequent pregnancy.
Infection w/ injury or other cause >5 yr elapsed after primary or booster dose: 0.5 mL. Inadequate immunization history: 1,500 IU tetanus antiserum + 0.5 mL toxoid in separate syringe administered to different body site. 2nd 0.5 mL dose of toxoid after 2 wk & 3rd dose after further 1 mth is recommended.