Nope, fully vaccinated is fully vaccinated. There's no requirement to be up to date (CDC speak of get all the boosters we highly recommend yet that no one is taking and they're now wasted as folks have wisened up and no longer fall for what we're telling them). Tetanus one is every 10 years - mind you, if you can get tetanus only do that vs 3-in-1 combo. If you get it before your medical exam make sure you have a receipt/paperwork from your doctor.