Sex: F
Vaccine: RAB
Symptoms: Crying, Product dose omission issue
Clinical narrative: The patient went through only half of the vaccine shots after the bite and was crying as the patient cannot afford the vaccine; The patient went through only half of the vaccine shots after the bite and was crying as the patient cannot afford the vaccine; Case reference number US-BN-2022-001532 is a spontaneous case report initially received on 12-Jul-2022 from other health care professionals (reference number: USBAV22-0534) and concerns a young female patient of unknown age.  The patient's medical history and concomitant medication details were not provided. However, it was reported that the patient could not afford the vaccine.  On an unspecified date, the patient went through only half of the doses of RabAvert (Rabies Virus (Inactivated, Strain Flury LEP; batch number unknown), at an unknown dose, site or route of administration, as a post-exposure after being bitten by animal (explicitly coded as 'missed dose').  On an unspecified date, the patient was crying as she was not able to afford the vaccine, which was found out after receiving half of the doses, as reported. The reporter asked if it was possible to obtain the vaccines for free.  At the time of the initial report, the outcome for the event 'crying' was unknown.  The reporter did not provide seriousness or causality assessment for the event of 'crying'.  Additional information received from Bavarian Nordic on 12-Jul-2022 included local case ID.; Reporter's Comments: A young female patient of unknown age went through only half of the doses of RabAvert as a post-exposure after being bitten by animal, which is considered as product dose omission issue. Reportedly, on an unspecified date, the patient was crying as she was not able to afford the vaccine, which was found out after receiving half of the doses. Crying is not listed for RabAvert according to the insert and Datasheet, whilst product dose omission issue is considered as listed per company convention. The patient's medical history and concomitant medication details were not provided. However, it was reported that the patient could not afford the vaccine. The outcome for the event was unknown. The event of crying has been considered as not related to the suspect vaccine, but more likely related to fact that the patient could not afford the vaccine. Product dose omission issue has been considered as not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.; Sender's Comments: A young female patient of unknown age went through only half of the doses of RabAvert as a post-exposure after being bitten by animal, which is considered as product dose omission issue. Reportedly, on an unspecified date, the patient was crying as she was not able to afford the vaccine, which was found out after receiving half of the doses. Crying is not listed for RabAvert according to the insert and Datasheet, whilst product dose omission issue is considered as listed per company convention. The patient's medical history and concomitant medication details were not provided. However, it was reported that the patient could not afford the vaccine. The outcome for the event was unknown. The event of crying has been considered as not related to the suspect vaccine, but more likely related to fact that the patient could not afford the vaccine. Product dose omission issue has been considered as not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.