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•缺乏在青少年或成人时期接种破伤风和白喉类毒素以及无细胞百日咳疫苗(Tdap)的记录
•目前怀孕(最好怀孕27至36周)且目前怀孕期间未提供接种Tdap的证明文件
•缺少接受至少3剂含破伤风和白喉类毒素疫苗的文件
•完成了含破伤风和白喉类毒素的3剂初级系列疫苗接种,没有在过去10年中接受加强剂量的记录
•最近深且脏的伤口(例如,被污垢、粪便、唾液污染)以及缺乏在过去5年内接受过含破伤风类毒素疫苗的证据
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