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Had Dog Bite. Taking Vaccine. Feeling Dizzy, Headache And Muscle Pain. Is It Contagious Between Humans?
Question: Hi Doctors,
I hope somebody will help me on this.
I actually had a dog bite on July 2nd @ 11:00 PM. Later in the evening i
conulted a doctor and he asked me to take rabipur vaccine (0,3,7,14 and 28)
days.
I took on 0th day and 3rd day. but on 6th day i had one incident which
i consider as an exposure. I was travelling in a bus and one guy wo was
sitting next to me was behaving wierdly. He was all spitting in the bus
shouting and laughing himself.
At one time, he spitted and that spit fall on my eyse. very tiny amount of
salive a must say. almost a small drop of water. then i changed my seat
but wiped my eyes with a cloth and after almost 4 hours, i washed my eyes.
then i took my 3rd injection which was suppoded to take on 7th day.
Now my question are,
1. can transfer between humans? I actually noticed his saliva on my eyes.
2. Can saliva transfer rabies between humans if it falls on mucous membrane?
3. If at all its a risk, should i have started another schdule of vaccination
or the current vaccination will take care of this exposure as well? i actually
had 2 vaccines and after that incident, next day i took my 3rd vaccine.
4. Now after 11 days, (5th day after my second exposure and 11th day of first)
I am experiencing little lightheadnes, dizziness, headache, muscle pain,
pain behind my eyes. are these side effects of vaccine?
5. I got to know that the first dog was not rabid dog? should i stop
my vaccination if my second one is not exposure?
I hope somebody will help me on this.
I actually had a dog bite on July 2nd @ 11:00 PM. Later in the evening i
conulted a doctor and he asked me to take rabipur vaccine (0,3,7,14 and 28)
days.
I took on 0th day and 3rd day. but on 6th day i had one incident which
i consider as an exposure. I was travelling in a bus and one guy wo was
sitting next to me was behaving wierdly. He was all spitting in the bus
shouting and laughing himself.
At one time, he spitted and that spit fall on my eyse. very tiny amount of
salive a must say. almost a small drop of water. then i changed my seat
but wiped my eyes with a cloth and after almost 4 hours, i washed my eyes.
then i took my 3rd injection which was suppoded to take on 7th day.
Now my question are,
1. can transfer between humans? I actually noticed his saliva on my eyes.
2. Can saliva transfer rabies between humans if it falls on mucous membrane?
3. If at all its a risk, should i have started another schdule of vaccination
or the current vaccination will take care of this exposure as well? i actually
had 2 vaccines and after that incident, next day i took my 3rd vaccine.
4. Now after 11 days, (5th day after my second exposure and 11th day of first)
I am experiencing little lightheadnes, dizziness, headache, muscle pain,
pain behind my eyes. are these side effects of vaccine?
5. I got to know that the first dog was not rabid dog? should i stop
my vaccination if my second one is not exposure?
Hi,
If the dog which harmed you in the first instance was not rabid then you need not be stressed. A rabid dog typically bites and attacks even if not provoked. Usually the infected dog dies within less than 10 days after attacking and going bisarck if he is rabid.
It is always safe to undergo the entire course of vaccination when you do not have any idea about the vaccination status of the dog. If the dog was a domesticated but immunised one then there was no need for immunisation.
The second exposure cannot be related to rabies.The said individual in the public transport facility would have been on his death bed if he had rabies and would not be wondering around. So the chance of acquiring rabies from the second incidence is nil.The symptoms are side effects of the vaccine which will subside in due course.
Finally I would suggest you to complete the complete course of vaccination as per the protocol.
I hope this allays your anxiety and answers your querry.
With regards
If the dog which harmed you in the first instance was not rabid then you need not be stressed. A rabid dog typically bites and attacks even if not provoked. Usually the infected dog dies within less than 10 days after attacking and going bisarck if he is rabid.
It is always safe to undergo the entire course of vaccination when you do not have any idea about the vaccination status of the dog. If the dog was a domesticated but immunised one then there was no need for immunisation.
The second exposure cannot be related to rabies.The said individual in the public transport facility would have been on his death bed if he had rabies and would not be wondering around. So the chance of acquiring rabies from the second incidence is nil.The symptoms are side effects of the vaccine which will subside in due course.
Finally I would suggest you to complete the complete course of vaccination as per the protocol.
I hope this allays your anxiety and answers your querry.
With regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
Thanks for the help. I need to know few facts.
1. If at all the person is infected, in worst case, cant take risk because no cure to rabies apart from vaccine, since his saliva fallen on my eyes, did i put myself in to risk?
2. yes second dog is all fine and i spoke to the dog owner also and he assured me its not rabid. so i was not in risk itself in the first place. but still
i took vaccines (2 on 0 and 3rd day) and this incident happened on 6th day
(one day before 3rd vaccine), so if at all i was exposed again, will these
3 vaccines which i have taken already (0, 3 and 7th) day and future vaccines will take care of this exposure and kill virus and make me immune to rabies (atleast for 2nd exposure)?
3. Is human saliva infectious? it was a small amount that fallen approx 1 ml.?
4. also i got to know that rabipur made up of inactive virus? can they become active once come in to human blood stream? has it ever happened?
Thanks for the help. I need to know few facts.
1. If at all the person is infected, in worst case, cant take risk because no cure to rabies apart from vaccine, since his saliva fallen on my eyes, did i put myself in to risk?
2. yes second dog is all fine and i spoke to the dog owner also and he assured me its not rabid. so i was not in risk itself in the first place. but still
i took vaccines (2 on 0 and 3rd day) and this incident happened on 6th day
(one day before 3rd vaccine), so if at all i was exposed again, will these
3 vaccines which i have taken already (0, 3 and 7th) day and future vaccines will take care of this exposure and kill virus and make me immune to rabies (atleast for 2nd exposure)?
3. Is human saliva infectious? it was a small amount that fallen approx 1 ml.?
4. also i got to know that rabipur made up of inactive virus? can they become active once come in to human blood stream? has it ever happened?
Hi,
Thanks for writing in.
1. If the infected saliva of an established case enters the circulation then only can one have the chance of developing rabies infection.
2. Every dose of vaccine will stimulate antibody production . It is these antibodies which will protect you from rabies infection.Therefore in order to achieve a adequate protective concentration of antibodies it is essential to complete the complete course of vaccination.
3. The time frame is variable and varies from person to person. Therefore if the risk of infection is very high then ready made antibodies in the form of immunoglobins should be given.
4. Human saliva of an established case can only be intectious .Not otherwise.
If it falls on intact skin then you need not worry at all.
5. the chance of reactivation of an attenuated virus is very less.
I hope this answers all your querries.
With regards
Thanks for writing in.
1. If the infected saliva of an established case enters the circulation then only can one have the chance of developing rabies infection.
2. Every dose of vaccine will stimulate antibody production . It is these antibodies which will protect you from rabies infection.Therefore in order to achieve a adequate protective concentration of antibodies it is essential to complete the complete course of vaccination.
3. The time frame is variable and varies from person to person. Therefore if the risk of infection is very high then ready made antibodies in the form of immunoglobins should be given.
4. Human saliva of an established case can only be intectious .Not otherwise.
If it falls on intact skin then you need not worry at all.
5. the chance of reactivation of an attenuated virus is very less.
I hope this answers all your querries.
With regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir,
1. it had actually fallen on my eyes i mean saliva actually had fallen into my eyes inside? So did i put myself into risk?
2. So you are saying that there are there were few cases where the rabipur vaccine itself causedrabies to people who has taken tat? Do you aware of any such cases? How can virus in the powder form can transfer virus. I need detailed explanation if you don't mind.
3. Now after all these things happened, tat i got bitten by non rabid dog, my eyes came in contact with infectious saliva (worst case ) talking 3 rabipur vaccine, considering the fact that about the reactivation of the virus n all, what are the chances of Me getting infected? In terms of percentage wise
1. it had actually fallen on my eyes i mean saliva actually had fallen into my eyes inside? So did i put myself into risk?
2. So you are saying that there are there were few cases where the rabipur vaccine itself causedrabies to people who has taken tat? Do you aware of any such cases? How can virus in the powder form can transfer virus. I need detailed explanation if you don't mind.
3. Now after all these things happened, tat i got bitten by non rabid dog, my eyes came in contact with infectious saliva (worst case ) talking 3 rabipur vaccine, considering the fact that about the reactivation of the virus n all, what are the chances of Me getting infected? In terms of percentage wise
Hi,
Thanks for writing in.
1. The risk arises if the person whose saliva is in question was an established case of rabies. As per your description he was behaving in an insane manner. That does not mean that he had rabies.He could be suffering from some psychiatric problem.
2. This happens in those rare cases where the host or the patient is immunocompromised. It never happens in healthy patients. Therefore it is a standard practice not give vaccines to immunologically weak individuals.
The virus present in the vaccine is attenuated type taht is it has very low pathogenecity but good immunogenecity. So in individuals who have weak immunity ,even attenuated virus can cause disease.
3. It is not possible to quantify the risk of developing rabies in your case as none of the incidents involve an established case of rabies.
The best treatment for you would be
a. Complete the course of vaccination.
b. Single shot of immunoglobulin specific for rabies.
I hope this answers your querry.
With regards
Thanks for writing in.
1. The risk arises if the person whose saliva is in question was an established case of rabies. As per your description he was behaving in an insane manner. That does not mean that he had rabies.He could be suffering from some psychiatric problem.
2. This happens in those rare cases where the host or the patient is immunocompromised. It never happens in healthy patients. Therefore it is a standard practice not give vaccines to immunologically weak individuals.
The virus present in the vaccine is attenuated type taht is it has very low pathogenecity but good immunogenecity. So in individuals who have weak immunity ,even attenuated virus can cause disease.
3. It is not possible to quantify the risk of developing rabies in your case as none of the incidents involve an established case of rabies.
The best treatment for you would be
a. Complete the course of vaccination.
b. Single shot of immunoglobulin specific for rabies.
I hope this answers your querry.
With regards
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
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