Which tetanus toxoid-containing vaccine is appropriate for Linda, a 67-year-old with no Tdap record?

In the case of Linda, a 67-year-old adult with no record of receiving the Tdap vaccine, the appropriate choice is Tdap. The Tdap vaccine is designed specifically for adults and adolescents to protect against tetanus, diphtheria, and pertussis (whooping cough).

For adults who have never received Tdap or whose vaccination history is not clear, it is important to administer the Tdap vaccine, as it provides a booster for tetanus and diphtheria while also offering critical protection against pertussis, which can be particularly serious in older adults.

The DTaP vaccine, on the other hand, is intended for children under the age of 7 and is not suitable for adults. The DT vaccine is a variant that protects against only diphtheria and tetanus and is also not recommended for adults. Td is another booster vaccine that offers protection against tetanus and diphtheria but does not include pertussis; however, it would not be the first choice in a situation where the patient has not received any previous Tdap vaccine, as Tdap is recommended for its broadest coverage.

Therefore, administering the Tdap vaccine is the most appropriate choice for Linda, ensuring she receives