James,
Mike in Seattle made a good point on tetanus vaccine. Another consideration is that most emergency departments give Diphtheria/Tetanus if you come in with broken skin and you are ‘out of date’ on your Tetanus.
If you go to your regular doctor, though, you should be able to get Diphtheria/Tetanus/Adult Pertussis (Whooping Cough). Most adults who were only vaccinated against Pertussis as children have little or no immunity.
Pertussis is not as likely to kill you as an adult (unless you have underlying respiratory disease!), but it can sure take you out of action for a few weeks, and the vaccine is worth getting. – Simple Country Doctor
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