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Have Dog Bite, Taken Rabipur Vaccine. Cold, Headache, Runny Nose, Fever, Muscle Pain. Can Overdose Of Vaccine Harm Me?

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Posted on Wed, 26 Sep 2012
Question: Hi doctors i had two dog bites one exactly 66 days ago and other one 24 days ago. When i was bitten 66 days ago, i took complete course of rabipur vaccine on 0, 3, 7, 14 and 28 days. All this while i experienced only little fever around 99f, headache muscle pain and little rash. All went by itself. But again after 14 days i finished my second vaccination i unfortunately got bitten again by a stray dog. As per schedule, i took rabipur again at 0 and 3rd day. During my first vaccine i experienced headache and little muscle pain and fever but it went next day. Both the dogs are still alive and doing well. It's been 22 days since my second vaccine after second exposure. I didn't experience any major illness during this time. Today i'm having cold, headache and runny nose, fever and muscle pain. Most of the people here in my office and roommate too got cold and i also shared cigaratte with my friend who was having cold and little fever. Now i have some questions. 1. Do the 2 vaccines what i took even after my finished my first course, create any health hazard to me. Like over dosage of rabipur cause any problems to me? Is it a over does? 2. I heard that rabies vaccines can cause encephalitis. If someone gets It, how soon and later they will develop it. Immediately after vaccination or somedays later. Whats the window period? 3. What are the realistic chance of getting it in my case. It's been 66 days from the day i received my first vaccine. And 22 days since i received my last. Can it cause encephalitis to me Now? 4. You doctor have ever encountered any such cases where person completed entire course 15 days back, received rabipur booster vaccine after 15 days, got encephalitis? 5. I also ate non veg almost everyday and drinks every alternate day all this while. I never had allergy to anythin before. I didn't have eggs. Can i get encephalitis because rabipur prepared in chick embryo and i ate chicken.
doctor
Answered by Dr. Dr. Chandra Shekhar Sharma (45 minutes later)
Hi,
Welcome to XXXXXXX
The answers to your queries are as following:-
(i) You have taken treatment as per schedule, thus there is no overdose. Vaccination with Rabipur twice as per schedule is not expected to cause any problem to you.
(ii) It can rarely cause encephalitis, and if it will cause, it will generally cause it during the course of vaccination.
(iii) It is not expected 22 days after finishing 2nd vaccination course, thus chances are almost nil.
(iv) I haven't encountered any such case.
(v) There is no relation between chances of encephalitis and eating chicken.
If dog is alive for 10 days after bite, further vaccines are not required. During vaccination course alcohol should be avoided.
Thanks for trusting XXXXXXX and posting your query.
Hope you found my response to your query informative and helpful.
If you have further concerns in this regard, I would be happy to discuss those with you as well.
With good wishes,
Dr.Chandra Shekhar Sharma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Chandra Shekhar Sharma (37 minutes later)
hi doctor,
thanks for your answer.

You said as per the schedule i finished twice the vaccination.
But it says once some one is vaccinated, they can have immunity
for more than a year and booster vaccine can be given
after checking the antibody level. But i didn't check anythin and
straight away went for vaccination. Total of 7 injection at a period
of 42 days. Do you see any problem in this?


Can huge amount of antibody more than a required level in blood create
any side effects any problem like encephalitis?

You said if appears encephalitis come during vaccination. Since i have already passed
20 days after my last vaccination can i completely rule out the chance of encephalitis.
What is the realistic chance of me getting it Now?

Is encephalitis cureable? What are early diagnosis? What are the odds of me
getting it. I'm completely worried and not able to concentrate on my work.
doctor
Answered by Dr. Dr. Chandra Shekhar Sharma (39 minutes later)
Hi,
Welcome again,
There is difference between booster dose and post exposure vaccination, and case is of post exposure vaccination. After completing primary course, the recommended vaccination dose of Rabipur for post exposure is on 0 & 3rd day. Booster vaccine is required for persons, who have risk of continuous or frequent exposure, and they will also require vaccination as per schedule for post exposure in case of bite by a dog.
More amount of antibodies to Rabies doesn't cause encephalitis.
Rarely anything can happen, but in routine, you are not at a risk of getting encephalitis at present, due to course vaccination, you have taken.
Though you are not expected to suffer with it, prognosis vary from case to case. You should now, please forget about the encephalitis.
Hope you found my response to your query informative and helpful.
With good wishes,
Dr.Chandra Shekhar Sharma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Chandra Shekhar Sharma (10 hours later)
Hi doctor,
thanks for the reply.

I just wanted to know few things and ease my mind.

1. Have you seen any post vaccination encephalitis in you experience.
If yes, do all them occurred during the vaccination period.

2. In my case if i was happened to catch it, it would have happened
during my first course of vaccination itself isn't it? So
can i consider the vaccine worked properly and reaction were normal?

3. What is the latest day after vaccination, you have seen person catching it?


4. Also heard that it was common with nerve tissu and current
cell cultured vaccines are not expected to cause it?

5. Now after 23 days with what % of certainty i can assume that i don't catch it?

Kindly answer the above thanks
doctor
Answered by Dr. Dr. Chandra Shekhar Sharma (44 minutes later)
Hi,
Welcome again,
(i) As I have already told you, that it is rare and I haven't came across such case in my life.
(ii) Yes in your case every thing seems to be normal.
(iii) I haven't seen.
(iv) Yes it was more common with nerve tissue derived virus vaccine, and it is rare with chick embryo cell derived vaccine.
(v) In my opinion, you can be 99.99% certain about not developing it now, due to anti rabies vaccination.

Hope you found my response to your query informative and helpful.

With good wishes,
Dr.Chandra Shekhar Sharma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Chandra Shekhar Sharma (3 hours later)
Hi doctors. Thanks for the answer. You said 99.99% i don't develop it now. How about in future. I meant to ask what's the window period for post vaccine encephalitis. I read in many posts says that it appeared during the vaccination. With people who had vaccinated, how long they need to wait to confirm that they will not develop?

How the symptoms will start and is there any definite cure for it?


If someone like who had previously vaccinated and came to after getting bitten again, what would be your take? Would you ask to follow the guidelines to have 2 booster vaccine or not? Thanks for the help sir.
doctor
Answered by Dr. Dr. Chandra Shekhar Sharma (3 hours later)
Hi XXXXXXX
Sorry, only 2 follow up questions are allowed, and I have already replied your 2 follow questions.
With good wishes,
Dr.Chandra Shekhar Sharma
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Chandra Shekhar Sharma

General & Family Physician

Practicing since :1979

Answered : 622 Questions

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Have Dog Bite, Taken Rabipur Vaccine. Cold, Headache, Runny Nose, Fever, Muscle Pain. Can Overdose Of Vaccine Harm Me?

Hi,
Welcome to XXXXXXX
The answers to your queries are as following:-
(i) You have taken treatment as per schedule, thus there is no overdose. Vaccination with Rabipur twice as per schedule is not expected to cause any problem to you.
(ii) It can rarely cause encephalitis, and if it will cause, it will generally cause it during the course of vaccination.
(iii) It is not expected 22 days after finishing 2nd vaccination course, thus chances are almost nil.
(iv) I haven't encountered any such case.
(v) There is no relation between chances of encephalitis and eating chicken.
If dog is alive for 10 days after bite, further vaccines are not required. During vaccination course alcohol should be avoided.
Thanks for trusting XXXXXXX and posting your query.
Hope you found my response to your query informative and helpful.
If you have further concerns in this regard, I would be happy to discuss those with you as well.
With good wishes,
Dr.Chandra Shekhar Sharma