Age: 62.0
Sex: M
Vaccine: RAB
Symptoms: Aphonia, Dysphagia, Incomplete course of vaccination, Oropharyngeal pain, Paraesthesia
Clinical narrative: sore throat/throat start to get sore/has been more painful lately/throat feels tense; it is hard to swallow; reports that he is losing his voice; received 4 doses of IMOVAX RABIES for post-exposure rabies prophylaxis; tingling at the ends of his fingers; Initial information received on 12-Jul-2023 regarding an unsolicited valid non-serious case received from a consumer.  This case is linked to cases 2023SA214718 and 2023SA214711.  This case involves a 62 years old male patient who had sore throat/ throat start to get sore/ has been more painful lately/ throat feels tense, it is hard to swallow, reports that he is losing his voice, tingling at the ends of his fingers and received 4 doses of imovax rabies for post-exposure rabies prophylaxis after receiving vaccine rabies (HDC) vaccine [Imovax Rabies].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included Immunoglobulin Human Anti-Rabies (Imogam); and Tetanus Vaccine for Immunisation.  On 18-Jun-2023, the patient received 1 mL dose 1 of suspect rabies (HDC) vaccine, powder and solvent for suspension for injection (batch number: V1B861M; expiry date: 31-May-2024) via intramuscular route in the arm nos for Immunization/post-exposure rabies prophylaxis (Rabies immunisation).  On 21-Jun-2023 he also received 1 mL dose 2 of the same vaccine (batch number: V1B591M; expiry date: 10-May-2024) via intramuscular route in the arm nos (not otherwise specified) and On 25-Jun-2023 he also received 1 mL dose 3 of the same vaccine (batch number: V1B861M; expiry date: 31-May-2024) via intramuscular route in the arm nos for Immunization/post-exposure rabies prophylaxis (Rabies immunisation).  On an unknown date in Jun-2023 the patient had sore throat/ throat start to get sore/ has been more painful lately/ throat feels tense (oropharyngeal pain), it is hard to swallow (dysphagia) and reports that he is losing his voice (aphonia) (unknown latency) following the administration of Rabies (HDC) vaccine.  On 02-Jul-2023, the patient received 1 mL dose 4 of suspect rabies (HDC) vaccine, powder and solvent for suspension for injection (batch number: V1B591M; expiry date: 10-May-2024) via intramuscular route in the arm nos for Immunization/post-exposure rabies prophylaxis (Rabies immunisation).  On an unknown date in Jul-2023 the patient had tingling at the ends of his fingers (paraesthesia) (unknown latency) following the administration of rabies (HDC) vaccine.  On an unknown date the patient had received 4 doses of imovax rabies for post-exposure rabies prophylaxis (incomplete course of vaccination) (unknown latency) following the administration of rabies (HDC) vaccine.  Action taken: not applicable.  The patient was treated with Acetaminophen for Oropharyngeal pain.  At time of reporting, the outcome was Not Recovered / Not Resolved for the event sore throat/throat start to get sore/has been more painful lately/throat feels tense, tingling at the ends of his fingers, it is hard to swallow, reports that he is losing his voice and was Unknown for the event received 4 doses of imovax rabies for post-exposure rabies prophylaxis.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.