Age: 39.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Influenza like illness, Injection site pain, Injection site pruritus, Malaise
Clinical narrative: Initial report received from consumer on 12 June 2012 and follow up information received on 26 June 2012. This case is linked to case number 2012-06120, 2012-06128 and 2012-06519. A 39-year-old female patient, whose medical history included Lymes disease at an age of 19 years, has no known allergies and concomitant medications were not reported, received a dose of IMOGAM vaccine (batch number, route and Site of vaccination not reported) and IMOVAX vaccine (batch number, route and Site of vaccination not reported) on 10 August 2011. The patient received subsequent doses of IMOVAX vaccines on 13 August 2011, 17 August 2011, 24 August 2011 and 7 September 2011; Batch number, route and Site of vaccination not reported). On 11 August 2011, the patient experienced pain and itching at the injection site. She also had fever, chills, body aches, headache and fatigue. The patient also had complained of top of her ankle hurting and generalized body itching. At some point of times she also complained of intensive dizziness and vertigo. In February 2012 she also developed eczema on her forearms which has spread to her neck. On 22 August 2011, the patient developed sore arm. Fever, chills, body aches, headache and fatigue lasted for approximately 2 days. Pain and itching at the injection site lasted for approximately 1 week. Soreness in the arm resolved after 2 weeks. As of 26 June 2012, outcome of the events top of ankle hurting, generalized body itching, dizziness, vertigo and eczema was not reported. Follow-up information was received from a consumer on 26 June 2012. Based upon the new information provided, this case has been upgraded to serious. The patient stated she was bitten by a bat in the right forefinger on 09 August 2011. She stated she received injections of Rabies Vaccines and Immunoglobulin at a hospital as post exposure immunization. She received a series of five injections: dose one on 10 August 2011, dose two on 13 August 2011, dose three on 17 August 2011, dose four on 24 August 2011 and dose five on 07 September 2011. Within a few hours after each vaccination, she experienced flu-like symptoms: nausea, headache, fever, fatigue and general malaise, which would resolve in two days. She stated these symptoms were the worst after the first vaccination on 10 August 2011, and she was in bed for two days, symptoms resolved in two days, 12 August 2011. She also reported after first vaccination on 10 August 2011 that an unspecified time later, she was itchy all over, dizzy and had muscle pain on an ongoing basis until two weeks after last dose which was received on 07 September 2011. Treatment included Cetirizine, generic ZYRTEC. She also stated that after an unspecified time after first dose, sporadically, through the course of treatment, she experienced pain across the top of her ankles, which resolved two weeks after last dose which was received on 07 September 2011. Then on a day on February 2012, she developed hives, itchy red dots on both forearms, which resolved in two months, sometime in April 2012. On a day in mid April 2012, the patient experienced eczema on the front of her neck, worse on the right than the left and behind both ears. On 11 June 2012, the patient sought treatment at a doctor's office, and she was diagnosed with Eczema. Treatment was not reported. One week ago, the hives and itchy red dots reoccurred on both forearms, right forearm was worse than left forearm. The patient's outcome was reported as not recovered. Documents held by sender: None.