Quoted: For a minor injury a new shot is recommended if your last one was over 10 years ago.
For a complicated or contaminated wound (including puncture wounds) a new shot is recommended if your last shot was over 5 years ago.
That would have been a comlicated, contaminated and serious puncture wound.
I say clean it up and turn it a BBQ spit.
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I'm not sure I've ever had a tetanus shot before. If I did, it was courtesy of the US Navy.... they were awfully fond of giving immunizations...
If you're building a BBQ, she's all yours.... including the shoe.... which may leak now.
Quoted: Is it cast like a nail? Is it just some kind of mini spud/pry bar?
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Dunno.... it looks to have been forged, since the point is hammered square, and the head appears to be peened.... Only thing I can think is that it may have been for a heavy timber railroad trestle. There are a few of the old ones still standing, (barely), deep in the LCR woods, which were constructed using cedar.