Does a tetanus shot hurt?

Written by Xu Jun Hui
General Surgery
Updated on April 23, 2025
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The tetanus shot causes slight pain. The injection site is in the muscle of the buttocks, where the pain is mild and tolerable. The purpose of the tetanus shot is to prevent infection by the tetanus bacillus, which tends to thrive in anaerobic conditions and in heavily contaminated wounds, such as those with soil and rust. Therefore, patients with deep wounds contaminated with soil or rust must receive anti-tetanus treatment. Additionally, it is important to promptly treat and dress wounds to prevent infection by the tetanus bacillus and to prevent wound infection. The pain from the tetanus shot is minor.

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Written by Zhang Peng
General Surgery
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How long does the tetanus shot last?

The duration of the effectiveness of a tetanus shot depends on whether tetanus antitoxin or tetanus immunoglobulin is administered following a suspected tetanus infection. Both types are forms of artificial passive immunity, providing immediate specific immunity after injection, mainly for treatment or emergency prevention. The metabolism and immune duration of these two injections vary: generally, tetanus antitoxin lasts about seven days, while tetanus immunoglobulin can last up to three weeks. Therefore, the specific duration of the effectiveness of a tetanus shot must be determined based on the individual injection circumstances. For suspected tetanus infections, it is generally advised to administer the injection as soon as possible. It's not that the injection will be ineffective if administered after a certain time, but rather that effective prevention before the onset of the disease can still be beneficial.

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Written by He Zong Quan
General Surgery
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Can a festering wound lead to tetanus?

Wound suppuration and contracting tetanus are two different concepts. Wound suppuration primarily occurs when there is an infection at the wound site, which spreads due to lack of significant control over the infection focus. We need to actively locate the infection source, perform thorough surgical debridement and drainage, use sensitive antibiotics as needed globally, and change dressings in a timely manner to manage the infection. Tetanus, on the other hand, is typically considered when the wound is too deep and visibly contaminated, often by rusty, sharp objects causing the infection. In such cases, thorough surgical cleansing of the wound is essential to prevent surface contamination, along with the systemic use of tetanus antitoxin to reduce or prevent a tetanus infection.

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Written by Gao Sen
General Surgery
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Does a tetanus shot hurt?

Tetanus shots are certainly painful, but why do they hurt? Firstly, because a skin test is needed for tetanus, which primarily involves injecting the drug under the skin of the forearm to form a small bump about 0.5cm in diameter. It is known that there are abundant nerve endings under the skin, so the injection of the drug can cause local swelling and compress the surrounding nerves, and the drug can also cause an irritation response in the surrounding nerves, which is why tetanus shots are painful.

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Written by Li Jin Quan
General Surgery
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Is tetanus easy to get?

Tetanus is typically caused by the entry of Clostridium tetani into the body through broken skin or mucous membranes, producing toxins that lead to a specific infection. In daily life, Clostridium tetani is ubiquitous, present in places like moist soil, rusty iron, and some bamboo sticks. When an injury occurs, if the wound is deep, it should be promptly cleaned with hydrogen peroxide and saline solution. Then, it is best to go to a hospital to receive a tetanus vaccine within 24 hours. A wound that has been vaccinated against tetanus generally does not get infected. Therefore, when there is a wound, as long as the wound is timely cleaned, contaminants or foreign objects removed, and then a tetanus vaccine administered at a formal medical institution, tetanus is not so easy to contract.

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Written by Zhang Peng
General Surgery
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Symptoms of Tetanus

What are the symptoms of tetanus? Generally, the prodromal symptoms include overall weakness, headache, difficulty swallowing, or limited movement of the head and neck. If the condition progresses further, there may be typical symptoms such as difficulty opening the mouth or tense jaw muscles, leading to muscle spasms in the limbs, possibly causing spasms of the larynx, which can lead to breathing difficulties or even suffocation. Hence, it is a particularly severe manifestation. Some individuals may experience generalized tonic muscle spasms throughout the body, a milder manifestation with a typically longer incubation period. Therefore, in the treatment of tetanus, proactive active immunization should be pursued.