When This Medicine Should Not Be Used:
You should not receive this medicine if you have had an allergic reaction to any tetanus vaccine or to thimerosal, or if you have a fever or any type of active infection.

How to Use This Medicine:
Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot into one of your muscles.
• A nurse or other trained health professional will give you this medicine.
• This medicine is given as a series of 3 to 4 shots. The first 2 or 3 shots are given 4 to 8 weeks apart, and the remaining shot is given 6 to 12 months later. A booster shot may then be given every 10 years.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are also using a steroid taken by mouth (such as cortisone, prednisone), or if you have received chemotherapy or radiation treatments.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have HIV or AIDS, or any unusual bleeding or bruising.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing
• Fever, chills, muscle or joint pain
• Hard lump or skin changes where the shot is given
• Seizures
• Sudden weakness in the legs, spreading to the upper body and arms

If you notice these less serious side effects, talk with your doctor:

• Headache
• Pain, redness, warmth, or tenderness where the shot is given

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088