What Causes Dizziness And Nausea After Taking Rabivax?

Posted on Thu, 30 Oct 2014

Question: Hi Doctor,

This is in continuation to my yesterday's question. I took rabivax second dose and got some giddiness and nausea. Is that fine ?. Also noticed that temperature of the medicine stored was not that much cool. Is that fine ?
Please find the attached yesterday's conversation with Dr XXXXXXX

Thanks

Answered by Dr. Praveen G (3 hours later)

Brief Answer:
No need to worry

Detailed Answer:
Hello,
It is my pleasure to answer your query,

Rabivax is an excellent anti rabies vaccine and the symptoms are unrelated to side effects of vaccine and donot need to worry to much about these symptoms.

You have to complete full course of vaccination as per the schedule and these symptoms should not be barrier for completion of treatment.

The cold chain of anti rabies vaccine should maintained between 2-8 degree centigrade.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen G (14 hours later)

Hi Doctor,

I took bath yesterday night with warm water and got shivering after my bath. I rushed to clinic and the temperature was about 100 c. I had a tablet under neath my tongue and later the fever went down. Now after waking up in morning I am still feverish. Doctor took complete blood count and urine test to assure about infection. He said nothing to worry after reports.

Please let me know why this is happening and can I take paracetamol during rabies vaccination.

Thanks

Answered by Dr. Praveen G (48 minutes later)

Brief Answer:
? Viral infection

Detailed Answer:
Hello,
Welcome back,

The symptoms suggest that you may be having some flu like viral symptoms. As your lab investigations are normal nothing to worry.

Yes you can take paracetamol which helps to reduce your symptoms and it will not interfere the anti rabies vaccine action.
Thank you.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Praveen G (7 hours later)

Thanks doctor. I was little worried.

How one can say the vaccine has started working? Does giddiness and nausea after shots confirm that?

Any food items I need to avoid during vaccination?

My third dose is on sunday. Would I need to consult my physician before taking that?

Answered by Dr. Praveen G (52 minutes later)

Brief Answer:
No food restriction

Detailed Answer:
Hello,
Welcome back to Healthcare Magic,

Usually no symptoms after administration of vaccine. Anti rabies vaccine will stimulate the immune system to induce protective antibody titers.

There is no food restriction during the treatment. If you are alcoholic you need to avoid it as it may interfere with antibody production.

You need to consult your doctor to take third shot of anti rabies vaccine nothing else.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen G (22 hours later)

Doctor,

I am diagnosed with sore throat and fever. The doctor asked me to restart the third dose ARV from wednesday. He said this fever is happening in town.

Medicines given :

pantocid
wikoryl
piriton syrup
Moxclav.

Please advice

Answered by Dr. Praveen G (33 minutes later)

Brief Answer:
Take third shot as per the schedule

Detailed Answer:
Hello
It is my pleasure to answer your query

Take the medicines as prescribed by your doctor and the third shot of anti rabies vaccine should be taken as per the schedule.

These symptoms and medicines shoul6 be barrier for taking anti rabies vaccine. Go ahead with your third shot.

Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen G (24 hours later)

Thanks for the guidance doctor. I meet another doctor and the doctor has prescribed complete blood count and c reactive protein test.Once everything is fine I can go ahead with third shot by as early as monday. My fever has come down and feeling good. Please let me know if 10-15 hours delay is fine in taking third shot.

Answered by Dr. Praveen G (8 minutes later)

Brief Answer:
It is ok

Detailed Answer:
Hello,
Welcome back,

Third shot of anti rabies vaccine can be taken one day prior or one day after the scheduled days. Don't prolong beyond this, otherwise it may delay the achievement of protective antibody titre.

The symptoms which you had are of common viral infection.
Thank you

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Praveen G (21 hours later)

sure doctor. I would like to clarify one more point
Would the medicines mentioned above affect already taken doses?

Answered by Dr. Praveen G (8 minutes later)

Brief Answer:
No

Detailed Answer:
Hello,

The medicines prescribed by your doctor will not affect your antibody titre induction.Nothing to worry.

Hope you are satisfied, if your are having any other doubts it is may privilege to answer them.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen G (2 days later)

Doctor,

I took third shot yesterday and had same giddiness and leg pain after that.

Today my throat infection seems to have not cured completely and have fever.

I am getting frequent chills. Please let me know next steps on this.

I really appreciate your help.

Thanks

Answered by Dr. Praveen G (1 hour later)

Brief Answer:
Continue the medicines for few more days

Detailed Answer:
Hello,
Welcome to HCM,

I would suggest you to undergo once again lab investigations like CBC, peripheral smear and routine urine examination.

Mean while I would suggest you to continue the medicines prescribed by your doctor for few more days.

Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Praveen G (5 minutes later)

Doctor, Is this getting serious? Are these signs of rabies? My lab investigation was normal on Saturday. Please clarify

Answered by Dr. Praveen G (4 minutes later)

Brief Answer:
No, it is not a sign of rabies

Detailed Answer:
Hello,
Welcome back,

These symptoms are not the symptoms of rabies. I think you are having some bacterial infection secondary to viral infection which will take some time to relieve your symptoms.

Don't be panic, you have taken the vaccine by this time this would have induced antibody titres to protect you.

Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Praveen G (20 hours later)

Doctor,

I consulted my physician and they told like I have viral infection but no inflammation. This was diagnosed on Saturday test. Some Rbc cells in urine too. Today I am getting good appetite and no fever from morning. My antibiotic ends today night. Please let me know whether the same thing would happen on 4th dose. What precautions need to taken? My doctor went ahead with urine culture this time along with blood test as said above because of little irritation during urination. The results would be given on friday. My D0 was on sept 14. And D4 is on this sunday.Please let me know whether I need to change schedule because of D3.

Thanks much

Answered by Dr. Praveen G (1 hour later)

Brief Answer:
No, take as per the schedule

Detailed Answer:
Hello,
Welcome back to Healthcare Magic,

As your symptoms has improved and it seems to be viral infection, nothing to worry about this. The urine culture will helps us to know if you got any growth of microorganism in urine.

Stop taking the antibiotics as your symptoms has come down. I would suggest you to take the fourth shot of anti rabies vaccine as per the schedule nothing will happen.

Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen G (3 days later)

Hi doctor,

Thanks for your guidance.

Today I took forth shot and my oral temperature hovers between 99-99.5 F.

I was normal for past 2 days.

I smell something odd in my nose. Not sure whether there is infection in my nose and can feel like some shivering occurring inside my ears.

Is this a side affect of vaccine ?

Please let me know what can i do next as I am continuously battered with these events.

Thanks

Answered by Dr. Praveen G (1 hour later)

Brief Answer:
No

Detailed Answer:
Hello
Welcome to HCM,

These are not the side effects of anti rabies vaccine. As your having mild fever you can take Tab Paracetamol now.

For your odour do gargling with chlorhexidine mouth wash. If this symptom persists then we will think about other medicines.
Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Praveen G (22 minutes later)

Sure doctor. My under arm temperature shows only 97.5 and I sweat without fan. why is to so?

Answered by Dr. Praveen G (10 minutes later)

Brief Answer:
Normal following fever

Detailed Answer:
Hello
Welcome to HCM,

This temperature is normal one. These events are normal following fever episode.

These symptoms will subside with tab Paracetamol.
Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Praveen G (1 hour later)

Thanks doctor. Only thing which makes me worry is chills and fever after shots. I have one more left and little worried. Though you have assured it as not a side effect it seems a coincidence. I hope and pray everything goes well. I am feeling little traumatic after this. Please give your thoughts on how to cope up with this scary phase.

Answered by Dr. Praveen G (8 hours later)

Brief Answer:
Don't worry

Detailed Answer:
Hello
Welcome back to HCM

You are too much bothered about this. You need to take last shot of anti rabies vaccine after 14 days.

By this time all your symptoms will be subsided and you will be perfectly all right.

I hope you will be fine.
Thank you.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Praveen G (36 hours later)

Doctor,

I met an ent dr to check my status of throat. He said i have pharyngitis and gave below medicines.please let me know whether i can take this. I am scared to take one more antibiotic.

Azithromycin
Levocetrizine(xyzal)
Otrivin drops

My temperature comes in evening and goes by night since past 2 days.

My under arm temperature is 97.1 and oral is 99.5. Which one is considered for accuracy?

Thanks

Answered by Dr. Praveen G (13 hours later)

Brief Answer:
Take these medicines

Detailed Answer:
Hello,,
I can understand your concern,

As your ENT specialist has done physical examination and found out that there is a infection in the pharynx, you require these medicine to control the infections and your symptoms.

Arm pit temp is better indicator than the oral temperature. The aforementioned medicines will helps you to subside the symptoms.
Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Praveen G (8 hours later)

Doctor,Thank you. My crp is 9.4 mg/l. is this concerning? This was taken today. All others are normal.

Answered by Dr. Praveen G (3 hours later)

Brief Answer:
Normal CRP values

Detailed Answer:
Hello,
Welcome to Healthcare Magic,

C-Reactive Protein (CRP) is a marker of infection. As your values are in normal range nothing to worry.

I wish all your problems comes to normal as early as possible.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen G (24 hours later)

Thanks doctor and your guidance was excellent during all these days. I got confused and not sure what was happening.

I am scared for last shot and not sure whether it will come back to square one. Hoping for the best.

Do i need to take any test to check about the antibodies level? I have taken lot of medicines during all these shots.

Please advice.

Thank you once again!

Answered by Dr. Praveen G (1 hour later)

Brief Answer:
No

Detailed Answer:
Hello
Welcome to Healthcare Magic

You take your last shot of anti rabies vaccine. I can understand your concerns. No other test is required for you.

I hope you will be perfectly alright.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Praveen G (10 days later)

Hi Doctor,

I have completed my course on 0,3,8,14,28 days.

Just wanted to ensure that my vaccination would not fail.

1.Does taking vaccine on 8th day instead of 7th day would be a problem?
2.Do I need to take a test to check for antibody because of the medicines I took ?
(Azithral,Moxclav,Pantocid,wikoryl,Xyxal,Calpol)
3. I took the first dose (D0) on evening and others on morning.Is that an issue ?
4. Can I take normal food ? I was taking only vegetarian all these days.
5. Why D90 is considered as optional ?

Thank you

Answered by Dr. Praveen G (16 minutes later)

Brief Answer:
Nothing to worry

Detailed Answer:
Hello,
Welcome back, it is my privilege to answer your queries,

1. As you have completed the full course of anti rabies vaccine nothing to worry. The third dose was delayed by one day it will not affect protective antibody titres.

2. No, you don't need to check for Rabies virus neutralizing antibodies (RVnAb). The medications which you took will not interfere with antibody production.

3.As you have taken the anti rabies vaccine on the scheduled days, it will not matter whether you take in the morning or evening.

4. There is no food restriction while on anti rabies vaccination either vegetarian or Non vegetarian.you can have normal regular diet.

5.By day 28 protective antibody titres of >0.5 IU/ml will be achieved, there is no need of day 90 dose.

I hope you are satisfied with the answer, if you have any other clarification I will be very much happy to clarify them.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Praveen G (1 hour later)

Thank you doctor

My last set of questions :)

1.There is a conception that missing a schedule is like resetting the protection level to nil. Is that a misconception?

2.I developed fever during course and have 5 mon old daughter. Would it affect her or my family members in any way?

3.After my fifth shot I developed muscular pain like before. Does that mean vaccine is working?

4. During first shot i didn't feel anything like muscular pain. Why is it so?

Answered by Dr. Praveen G (8 hours later)

Brief Answer:
Yes it is a misconception

Detailed Answer:
Hello
Welcome to HCM

1. It is a misconception that missing the dose will resets the induction of antibody titre.

2. No the fever may be due to some other infection for which you have taken appropriate treatment. No way it affects your family members including your 5 month old daughter.

3.wether vaccine is working or not is not decided by getting any symptoms. It is a misconception. As you have not developed any symptoms of rabies itself guarantees that vaccines are able to induce protective antibody titres.

4.Nothing to worry about the symptoms you had and it is no where concerned with your antibody production.

Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Praveen G (12 hours later)

Thanks doctor!

I just came trough this with guidance from you and my physician. Checked my throat infection today with ent and he said it is completely gone but cautioned for next one month.

Once again thanks very much for your crucial guidance during my 3rd and 4th shot.

Just wanted to check with you. Any developments going on for single dose vaccine in near future for human fraternity?

Answered by Dr. Praveen G (1 hour later)

Brief Answer:
No

Detailed Answer:
Hello,
Welcome Back,

Regarding vaccination against rabies there is no single shot. In case of Cat III bite single shot of anti rabies serum (Rabies immunoglobulin) is given around the wound along with complete shots of anti rabies vaccine.

Thank you.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj