Age: 61.0
Sex: F
Vaccine: DTAP, RAB
Symptoms: Injection site reaction, Intensive care, Laboratory test normal, Limb discomfort, Loss of personal independence in daily activities
Clinical narrative: She was in her hard and got bit by a bat.  Went to the ER and was given a tetanus vaccine, and got her first rabies vaccine.  She had four immunoglobulins on the top of her head and one in each leg.  Within 20 minutes of the vaccine, and while she was doing the other shots her head was on fire, hurting and in pain like somebody hit her with a 2x4.  She had to wiggle the vaccine into her head and to get it in, which was all four of the vaccines.  She had to make sure to get it where it needed to go with the antibodies.  That was on the 14th.  She was throwing up, headache, and had to go to the PCP due to her problems she was having.  She started having body aches and pains as well.  She was having problems with swallowing.  He gave her some Zofran 4 mg, and told her to take it as needed for the vomiting,  Meclizine 25 mg for dizziness, he told her to take Clonidine for her BP as it was all over the place, to continue with her HCTZ once a day and to take Benadryl three times a day, Sumatriptan for the migraines once a day.  If she had breakthrough pain to alternate between Naproxen and aspirin.  Then on the third day 6/17/22, she had to go back to the ER, reported to the ER doctor what was going on, said that it was OK, she was breathing fine and that her BP was not high enough to give her a heart attack or stroke.  She was given a 2nd rabies vaccine on the left arm that day, had to wait 6-8 hours to get shot as this was not an emergency just a vaccine. That was really, really sore and made a red circle about the size of a half dollar where the injection site was.  She called them back and they told her to take Benadryl and put the cream on it.  She then went to see her PCP the next day as she was having more problems, pins and needles in her arms and legs, worsening headaches, was having problems concentrating, which they did not know if it was due to her previous diagnoses, and kept getting COVID tests which were all negative.  On day #7, she had to get another rabies shot which she did not want to get, she was calling people to see what an AE was to a rabies shot but nobody knew what the reaction was, the ER was not giving her any info, was supposed to get an OK from insurance to get preapproval for the vaccine.  They were perturbed with her as she was asking other people if they had gotten preapproval from their insurance companies, which they had not done and their costs.  She was told that they were an ER and that they did not have to get preapproval.     On 6/21/22, that's when she went in got the third shot in the right arm, her left arm was still hurting her from the other shots.  They were supposed to have drawn titers and they did not until she started questioning it.  She kept getting worse and on 6/26/22 she was extremely dizzy, had continued her plans before getting bit by the bat. She was not doing well, was having many problems and reactions with her arms and legs not feeling normal, feeling heavy.  She was having some jerking in her arms and legs and weakness, was hard to stand up and down.  She had not been driving due to her symptoms/dizziness.    They took their grandchildren to the lake as they had planned before the bat bite.  She went into the water, was not feeling well, had tingling in her feet, and then she was in the water and then she was not able to move her arms or legs, felt like they were gone, and felt extremely nauseous.  She could not move her arms or her legs and helped her out of the  water and drug her feet and did not feel it.  She was not able to get up and was upset.  The next day she called her doctors office and they told her to go to the ER.  She was able to start to use her hands that morning as they were getting her dressed, and started feeling her arms and hands.  By the time the neighbors and step-daughter helped her to get to the car she was able to help using her arms.  Her left leg started to get some feeling in it.  She had a 5 hour wait in the ER.  Her BP was high and they ordered an EKG and other tests.  All the tests were OK, and when the ER doctor came in he was not happy that she was there for a reaction to a vaccine, and could not find anything wrong with her.  She feels that they felt that she was a hypochondriac due to her other conditions of fibromyalgia, Crohn's and lupus.  The ER doctor told her that she needed to see an allergy doctor that he was an ER doctor and that he did not treat allergic reactions, and was not trained for that.  She was in a wheelchair and told the staff to take her to her doctors office.  They were extremely rude to her and they refused to treat her and told her not to come back to the ER.    She PCP tried for over 3 days to see her again and they would not see her, she was still not able to walk and did not know what to do and how to treat her.  She had taken a lot of Benadryl by this time.  She was having all kinds of problems.  On 6/30/22 the health Dept who was working with the CDC, and every agency that she could find for help, and nobody has followed through with anything, and nobody reported this to VAERS or any other agency.  After the 3rd shot they were supposed to have done a titer, blood work.  She had to go to her PCP to get a titer drawn and the next day she had to take the blood herself to the HD.  They finally got hold of the facility.    She was sent to the ER on 6/30/22.  They are waiting for her, and they felt that she had rabies instead of an AE to the vaccine as she was having so many problems, which the reactions mimic rabies itself.   Her vision was blurry, her BP was fluctuating, having problems with speaking and having difficulty swallowing.  This also caused her Chron's to act up.  They started IV's, ran blood tests, ordered an MRI and tried to get her a bed on infectious disease/ICU and was admitted on 7/1/22.  Had a lot of neurological testing trying to find out what was going on and why she had loss of use of her body.  The MRI did not show any abnormalities, checked her for MS as some of them could be that, which was ruled out.  She was there from 7/1/22 to 7/7/22.  Every day she started improving and all this was still related to the rabies vaccine.  She only saw the infectious disease doctor once on 7/2/22 and he went on vacation on on 7/5/22 they discussed that the health care professional and himself that she needed to continue with the 4th rabies shot.  She agreed if they would keep her in the hospital for 7 days after the next vaccine as it took that long for her to have the reaction of not able to walk then she would have it and they agreed and to have the titer drawn to see if she needed to have it done.  She was finally able to do everything for herself and feed herself, which the first day she was not given anything, and nobody helped her to give her water or anything, and did not give her the necessary things she needed like a bedside commode or walker.  She was constipated and not able to get anybody to come for assistance.   Dr. was in the infectious disease provider.    At 10:30 that night and gave her the 4th rabies vaccine.  The doctor came in the next morning and said that he was going to discharge her, and she refused to go as he did not do what he agreed to do.  He told her she needed her out of the hospital so that he could go on vacation.  She was still not walking, did not have a walker, holding onto things to get to the bathroom.  They sent PT in her room to get a walker ordered to get her discharged at 7:00 PM.    She went to her relatives house that was 30 minutes away from the hospital.  She started having the numbness come back in her arms and legs, having to take all the different medications she was taking in the hospital.  Her BP would fluctuate from 230/180, would go to normal, would go lower than normal and then spike back up.    She has not gone back to the hospital since that time.   She is still having lots of problems, she has days of where her legs don't want to work.  She has times/days where she cannot function.  She has headaches, and her legs and arms feel like there is lead in them.  Routine things like getting herself dressed takes her hours to do, and some days she cannot even do that.  She has narrowed it down to doing research herself, and feels that she had GBS and pericarditis symptoms, which are the 2 things she has read which sounds like her symptoms.  She had a doctors appointment on Tuesday, her PCP is trying to send her to another facility.  They tried to send her to an allergist but she cannot be seen until January.   They wanted to give her another rabies vaccine on 7/19/22 which they had made arrangements with one of his colleagues as he was not back from his vacation, the infectious disease doctor.   She called the  HD staff, and told her that she was refusing to take the 5th shot, no titers were being drawn but felt that nobody was caring about her.   She had the titer drawn and then had a delay and did not find out her results and that she would not need the 5th shot.  She was released back to her PCP and told her to go to facility.  Did not know where else she could go to get help.   They are also trying to get her into an IM, immunologist and an infectious disease doctor and waiting to see where she can go to neck.  She is keeping track of her BP's and having to take normally 2 pills and sometimes has to take up to 7 pills due to it going all over the place.