I have a puncture wound from a rusty nail and can't remember when my last tetanus shot was. it has been very well cleaned. advice?

Tetanus shot: If you can't remember when you got your last tetanus shot, or if you know but it has not been within the last 5 years...Then you need another tetanus shot.

Be Immunized: A lot safer to get the shot early than to risk a serious disease.

Get treated: You may have been exposed to tetanus and need a booster , the least you have done is possibly inoculated yourself with bacteria and may need antibiotics.

Depends: Today it is common for OBGYNs to recommend the TdaP vaccine during pregnancy, but people remember it more for the pertussis part. If you had one with a pregnancy within the past 10 yrs you may be okay, if not the vaccine is a reasonable precaution and would give you protection now & for a while.

Tetanus Risk: The basic recommendation is to have your tetanus shot updated every 10 years. However, it is recommended that if you have a particularly dirty wound - that you insure you have had a tetanus shot within the last five years. Puncture wounds pose higher risks. If in doubt - get that tetanus shot updated.