Initially, I was just going to say that everyone should have a booster every 10 years. So if it has been longer than that, you should follow up and get one, right away, because any puncture wound (except for probably from a sterilized item--and then only if you disinfect the area first, like with a shot) can introduce tetanus. (And think about what could be on that toothpick! It was produced in a factory where? Where has your daughter had it since she made her art project? How clean were her hands when she was making her project? and on and on)...
BUT, then a few ladies commented about Tdap after giving birth. And I am totally confused. Is that something they do? I didn't have anything. Is it only if you have a C-section? I didn't get it with either of my deliveries. Why do that do that?