Individuals who require this vaccine as per Malaysia National Immunization Schedule or as advised by medical professionals. Tetanus is a disease caused by neurotoxin producing bacteria called Clostridium tetani. These bacteria are found everywhere in the environment, particularly in the soil of warm and moist areas. The bacteria can get into the body through broken skin, usually through injuries from contaminated objects such as nails and needles. Tetanus is different from other vaccine-preventable diseases because it does not spread from person to person.When introduced into the body, the bacteria will produce neurotoxin which attacks the human nervous system and causing the following symptoms:HeadacheJaw crampingSudden, involuntary muscle tightening (sometimes the spasms affect muscles that help with breathing, which can lead to breathing problems)Painful muscle stiffness all over the bodySwallowing difficultyFever and sweatingHigh blood pressure and fast heart rateSeizuresTetanus could be fatal due to breathing difficulty if the treatment is delayed. The treatment of tetanus includes administration of human tetanus immunoglobulin (antitoxin), wound care and drugs such as antibiotics and drugs to control muscle spasms. Depending on how severe the infection is, a machine to help you breathe may be required. A tetanus vaccine should be given once recovered as recovery from clinical tetanus does not result in protection against the disease in the future. Preventive measures should be taken to prevent tetanus infection. Being fully immunized is the best tool to prevent tetanus.