Why anti tetanus serum and tetanus toxoid given simultaneously to patient with dirty wounds?

You give the antitetanus serum because it contains passive antibodies that can immediately start attacking any antigens if present. While that is going on, the body reacts to the toxoids injected into it by producing its own antibodies, this process is slow thus we need the antitetanus serum for immediate protection.
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Side effects of anti-tetanus serum?

There are a few side effects from the anti-tetanus serum. They are  the following: nausea, joint pain, mild fever, tired, itching and  swelling, etc.
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