Toxoids are vaccines created from bacterial toxins that have been inactivated through chemical or heat treatment. This process removes the toxins' ability to cause disease but maintains their ability to provoke an immune response. To make a toxoid vaccine, the toxin is first isolated from the pathogen's culture and then inactivated using formaldehyde and heat. This inactivated toxin can then trigger antibody production without causing illness. Common commercially available toxoids include those protecting against tetanus, diphtheria, and pertussis. Different combinations of these toxoids in vaccines like Tdap, DTaP, Td, and DT provide protection against the corresponding diseases at different stages of life.