Bacterial toxins and toxoids are discussed. Endotoxins are part of the cell wall of gram-negative bacteria and are released upon cell lysis. Exotoxins are secreted by bacteria and can have potent toxicity. Toxoids are modified exotoxins that have had their toxicity destroyed but retain antigenicity, allowing them to be used safely in vaccines. The production of tetanus toxoid involves growing Clostridium tetani bacteria, lysing the cells, purifying and concentrating the exotoxins, inactivating them with formaldehyde to create a toxoid, and formulating the vaccine product.