Acute Careniche
A 63-year-old man presents 30 hours after a garden fork went through his boot into the sole of his foot while he was turning manure. The puncture is 2 cm deep and still contains soil, and there is no surrounding cellulitis. He arrived in Australia as an adult, has no record of childhood immunisation, and the only tetanus-containing vaccine he can recall was given after a dog bite eight years ago. He is otherwise well and takes no medications. Which one of the following, in addition to wound toilet, is the most appropriate tetanus prophylaxis?