Age: 34.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Tremor
Clinical narrative: Received HRIG and 1st dose of RABAERT on 4/29/2016. A few hours after vaccine, became extremely sleepy for about and hour. Later the next day started to develop muscle twitches intermittently all over body. Started to subside by end of night. On 5/29/2016 received 2nd RABAVERT shot. Few hours later became extremely sleepy. Subsided after about an hour. Later in the evening felt a burning sensation on the back of head which lasted all night. By next day the tingling and burning had spread to the forehead, eyes, above upper lip and tongue. Talked to doctor the next morning and was told to take Benadryl. Thought this was some type of allergic reaction to vaccine. Benadryl did help with the burning sensation on forehead, eyes and lip, but tingling was still present on tongue. Later that day developed extreme weakness in both arms and they were very shaky. Started to develop numbness in fingertips of left hand and elbow and left foot and toes. For the next few days numbness would come and go in fingers and elbow of left arm and toes of left foot. Burning sensation was less in tongue. Burning and tingling on forehead, back of head and eyes had stopped. Resting helped. Called doctor again and was told to take Benadryl before next dose. On 05/06/2016 went to health department to receive 3rd dose of RABAVERT. Told them my reaction and took a Benadryl before receiving shot. Afterwards I was told by nurse to wait 15 minutes before leaving in case of reaction. Within minutes of shot, I became extremely sleepy but had no other reactions. Went home. By evening, burning and tingling sensation had returned to the back of head and it was extremely intense. Arms became very weak and tingling and numbness had become very strong in left hand and fingers and left foot. It then spread to left elbow. It was bothersome, but not serious. Took a Benadryl which did nothing. Next morning tingling and burning was still present on left arm, leg and tongue. Left leg felt asleep and couldn't get it to wake up. Went to doctors office and was told I was having a reaction to vaccine and was given a steroid shot. By afternoon numbness and tingling was still present but better.  During the night numbness and weakness had returned in legs and arms. They felt very cold and numb. Started to spread in both arms and left leg. Went to the ER and received another steroid shot. Told it was a reaction to vaccine and told to rest. Went home and within a few hours became extremely shakey and short of breath. Resided within about 30 minutes of event. By next day and for about a week I was extremely weak, had diarrhea, and lost all of my appetite. Tingling and numbness was present in left side of body and tongue. Within a few weeks of this event I was feeling better, but had tingling in both hands and feet. It comes and goes but is better. Called doctor and health department to tell them of side effects. This has not resolved completely, but is manageable right now. As of 10/15/2016, I still have weakness in hands and numbness in palms and soles of hands and feet. Nerves in extremities are very sensitive to pain. Sometimes have tingling and pain at the back of head, but very rarely.