IntroductionPertussis ("whooping cough") is potentially fatal in infants. 1 Over the last 50 years, infant vaccination programs have significantly reduced the clinical incidence of pertussis in industrialized countries. 1 However, protection against the infectious agent-the bacterium Bordetella pertussis-is only effective for about ten years. An increase in the number of new cases has been observed in vaccinated adolescents and adults, who may contaminate infants who are not yet fully immunized. [2][3][4][5] Since 1998, the administration of a pertussis booster at age 11-13 years has been recommended in France and other countries in Europe and North America. Subsequent recommendations established in 2004 have promulgated the use of a second booster in adults who are in contact with infants, these include health professionals in contact with children who are too young to have received three pertussis vaccinations (medical and paramedical staff in maternity, neonatal and pediatric departments managing infants, and medical and paramedical students), adults who are liable to become parents in the near future, and members of the household of a pregnant woman (children whose vaccinations are not up-to-date or adults who have not been vaccinated within the last 10 years). 2,[6][7][8] The administration of the pertussis booster in adults is complicated by the lack of any non-combined acellular pertussis vaccine. All available pertussis-booster vaccines for use in adults associate diphtheria, tetanus and/or poliovirus antigens. In France, there are currently two such vaccines: REPEVAX ® [manufactured by Sanofi Pasteur and licensed by Sanofi Pasteur MSD in the European Union (EU) and as ADACEL Polio ® outside the EU] and BOOSTRIX-TETRA ® (GlaxoSmithKline). 9,10 Both are combined adsorbed tetanus, diphtheria (adult formulation), acellular pertussis, inactivated poliovirus vaccines (Tdap-IPV). Inactivated poliovirus vaccine (IPV) has been used since the beginning of polio vaccination in France, and is included in all booster formulations (administered every 10 years in adults). Results: The safety of Tdap-IPV was similar when Tdap-IPV vaccine was administered one month after either Td-IPV or placebo: at seven days, 85.1% versus 93.4% subjects reported at least one reaction at the injection site, mainly pain (82.6% versus 92.1%); 40.5% versus 45.0%, at least one systemic AE (mainly headache: 26.4% versus 26.0%); fever concerned 1.7% of both groups. No serious vaccine-related AEs were reported. Both safety profiles corresponded to documented product characteristics.Conclusions: Tdap-IPV may be administered to adults one month after Td-IPV without exacerbating post-vaccination sideeffects.