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Do most adults know they need a tetanus booster shot every 10 years? Immunization recommendations can vary according to age, disease and other factors and should be discussed with one\u2018s primary care provider, says Upstate\u2018s family medicine department chair, Do most adults know they need a tetanus booster shot every 10 years? Immunization recommendations can vary according to age, disease and other factors and should be discussed with one\u2018s primary care provider, says Upstate\u2018s family medicine department chair, John Epling, MD John Epling, MD, who is among the experts helping to shape those recommendations at the national level. Epling explains changes in this year\u2018s schedule for adults and also the process of reviewing and updating that schedule., who is among the experts helping to shape those recommendations at the national level. Epling explains changes in this year\u2018s schedule for adults and also the process of reviewing and updating that schedule.