How to get a tetanus shot if you are not allergic

Written by Xu Jun Hui
General Surgery
Updated on April 25, 2025
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Tetanus allergy refers to the body not being allergic to tetanus antitoxin, which can be directly diluted with saline and then administered intramuscularly into the buttocks or upper arm. Alternatively, tetanus immunoglobulin, which does not require a skin test, can also be administered intramuscularly. The purpose of the tetanus shot is to prevent infection by the tetanus bacillus, an anaerobic bacterium. In deep wounds in an anaerobic environment, or in heavily contaminated wounds with dirt or rust, there is a high risk of colonization by tetanus bacilli in the human body, requiring tetanus vaccination treatment.

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Written by Zhang Da Wei
General Surgery
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How long does a tetanus shot last?

The duration of effectiveness for a tetanus shot depends on the specific type of injection used, as different injections vary in their duration of protection. Generally, the protection lasts about two to three days. In cases of infection, it is usually necessary to administer the vaccine within 24 hours. Under these circumstances, a period of about two to three days can be used to clean the wound, thereby achieving the best preventive effect. Additionally, there are other vaccines that are ten to twenty times more effective than this type of vaccine, with a typical prevention time ranging up to 15 days or even about a month. Of course, after receiving the tetanus vaccine, it is important to monitor for any allergic reactions, as different injections may vary in their degree of allergenicity, and individual reactions can differ based on personal health conditions.

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Written by Li Jin Quan
General Surgery
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Can tetanus be fatal?

Firstly, severe tetanus, if not treated in time, can be fatal. When infected with tetanus, the early symptoms mainly include dizziness, headache, fatigue, decreased appetite, weak chewing, soreness or cramping of the jaw muscles, or muscle tension. Of course, when tetanus is severe, it can manifest as difficulty opening the mouth, risus sardonicus, opisthotonos, and stiff neck. In severe cases, there may be difficulty breathing, respiratory arrest, and even cardiac arrest. If in this situation, we do not promptly carry out emergency treatment, the tetanus patient can die.

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Written by Ai Bing Quan
General Surgery
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Is tetanus painful?

Tetanus is a specific infectious disease in surgery, caused by the exotoxin of Clostridium tetani. Tetanus infection can lead to rigid muscle spasms, which is a disease with a high mortality rate. Although its treatment is difficult, the prevention is effective, so tetanus infections can be avoided by vaccinating with the tetanus vaccine. The tetanus shot includes human tetanus immunoglobulin and tetanus antitoxin serum. The injection of human tetanus immunoglobulin is administered via muscle and is not very painful, generally tolerable. The injection of tetanus antitoxin serum, being a foreign protein to the body, requires an initial sensitivity test. The pain is evident, as the sensitivity test involves a skin prick.

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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 Liu Huan Huan
General Surgery
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How to rescue from tetanus allergy

In clinical settings, when administering tetanus injections, it is very easy for allergic reactions to occur, even severe complications like anaphylactic shock. In such cases, the following emergency measures can be taken: First, establish an intravenous access immediately, then start the patient on infusion therapy; Second, if the patient experiences a drop in blood pressure, vasopressor agents can be used for pressor therapy; Third, it's essential to provide the patient with cardiac monitoring, oxygenation, and other supportive treatments. In addition, it's crucial to use anti-allergy medications. There are many anti-allergic drugs available clinically, and the specific medication to be used should be decided based on the patient's specific condition. (Please administer medications under the guidance of a professional physician, and do not self-medicate.)