All of the following are biotic factors of a pond except
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The vaccine that may be administered to him at 14 years old is a dose of tetanus toxoid as this can present as pain from injection site. Since there is nothing said about the number of doses that he received, the patient should receive Tdap (tetanus, diphteria, and acellular pertussis) as stated from the Center of Disease Control and Prevention guideline for tetanus.
