Objective - To assess vaccination coverage against tetanus, polio, and diphtheria among an elderly population in the Île-de-France region. Method - During influenza vaccination of 660 elderly individuals at the Pasteur Institute Vaccination Center in Paris, the dates of their last booster vaccination against tetanus, polio, and diphtheria were recorded. A vaccination was considered up to date if it was no more than 10 years old. A vaccination was considered not up to date if the individuals had been vaccinated more than 10 years ago or if the vaccination date was unknown. Results - Of 660 individuals aged 60 to 97 years (mean 76.6 years), 77% were up to date on tetanus vaccination, 42% on polio vaccination, and 28% on diphtheria vaccination. There was no significant difference between age groups or between genders in tetanus vaccination coverage. Polio and diphtheria vaccination coverage decreased significantly (p<0.0001) with age. For the 60–69, 70–79, and 80+ age groups, 58%, 48%, and 28%, respectively, were up to date on polio vaccination, and 44%, 32%, and 17% were up to date on diphtheria vaccination. Conclusion - The use of combination vaccines (DTP) during influenza vaccination would improve vaccination coverage. (R.A.)