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Td/IPV (3 in 1 teenage booster) vaccine - About the 3 in 1 vaccine

The Td/IPV vaccine, also known as the 3 in 1 teenage booster, is given to boost protection against 3 separate diseases: tetanus, diphtheria and polio.

It’s a single injection normally given into the muscle of the upper arm. The brand name of the 3 in 1 teenage booster vaccine given in the UK is Revaxis. 

Eligibility and appointments

The 3 in 1 teenage booster is free on the NHS for all teenagers as part of the national immunisation programme. It is routinely given at the same time as the MenACWY vaccine.

Tetanus prone wounds

Teenagers and young adults with a tetanus prone wound may be offered a dose of the 3 in 1 vaccine.

Contact a GP or visit the nearest minor injury or A&E department if you’re concerned about a wound, particularly if:

  • It’s a deep wound
  • There’s dirt or something inside the wound
  • Your child is not fully vaccinated for tetanus, or you’re not sure

A doctor will assess the wound and decide whether treatment is needed. If not fully vaccinated for tetanus, a dose of tetanus containing vaccine may be given.

If have any questions about the 3 in 1 vaccine, or you are unsure about when it should be given, you can contact your GP surgery for advice.

Safety and effectiveness

The 3 in 1 teenage booster is a very safe vaccine.

Vaccination is one of the most effective ways to prevent severe illness from tetanus, diphtheria and polio. No vaccine is 100% effective, so it is still important to know the signs and symptoms of these diseases, even if you or your child are vaccinated.  

For more information about tetanus, diphtheria and polio visit the NHS 111 Wales website:

Or learn more about the diseases on our pages, where a number of information resources are available to help:

Side effects of the vaccine

As with all vaccines, some people may have minor side effects such as:

  • Swelling
  • Redness
  • Tenderness at the site of injection.

Sometimes a small painless lump develops, but it usually disappears in a few weeks. Other reactions are rare. For more information on common and rare side effects, visit the NHS 111 Wales website (external site).

If you are concerned about symptoms call NHS 111 Wales. Calls to NHS 111 Wales are free from landlines and mobile phones.

You can report suspected side effects of vaccines and medicines through the Yellow Card scheme. You can do this online by visiting Yellow Card’s website (external site) or by calling the Yellow Card scheme hotline on 0800 731 6789 (Monday to Friday, 9am to 5pm).

Page last reviewed: 17th June 2025