Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Blood pressure increased, Expired product administered, Serology test, Wrong technique in product usage process
Clinical narrative: blood pressure over 100; Expired vaccine used; Wrong technique in drug usage process; This case was reported by a consumer and described the occurrence of increased blood pressure in a female patient who received Rabies NVS (RabAvert) for prophylaxis.   Co-suspect products included Rabies NVS (RabAvert) for prophylaxis, Rabies NVS (RabAvert) for prophylaxis and Rabies NVS (RabAvert) for prophylaxis.   On 1st June 2020, the patient received RabAvert. On an unknown date, the patient received the 2nd dose of RabAvert, the 3rd dose of RabAvert and the 4th dose of RabAvert. On an unknown date, less than 2 months after receiving RabAvert, RabAvert, RabAvert and RabAvert, the patient experienced increased blood pressure, expired vaccine used and wrong technique in drug usage process. On an unknown date, the outcome of the increased blood pressure, expired vaccine used and wrong technique in drug usage process were unknown.   It was unknown if the reporter considered the increased blood pressure to be related to RabAvert, RabAvert, RabAvert and RabAvert.  Additional details were provided as follows: Age at vaccination was not reported The patient was not really happy with any of her rabies vaccines. She believed they screwed up on all of them. In the ER (Emergency room) they didn't think she had a problem because there was no broken skin but she saw that there were tiny blood holes and then she found where the racoon put his front teeth and the back teeth because the animal came in on the side. She was throwing the trash out, saw the racoon that had brown little eyes and then forgot. Then she swung the bag and didnot make it in the garbage. She planted her foot and then the bite felt like pin cushions. Her dad warned her about the racoons. A couple weeks ago she saw a racoon and it was almost like it was possessed. She believed she needs a webcam outside. The patient had not been very happy with the shots that she received as her blood pressure has been over a 100 a lot. Regarding the first dose, the first time she started to do it was kind of a dark brown. She went upstairs and she had a big huge needle. Regarding the Second dose, then she waited a couple of days and she pulled it from a bottle and put it in. Regarding the third dose, then for the third shot her brother was there, and she (the person administering the vaccine) didn't bend it, and she was pretty sure you have to bend it, she didn't. She also used the wrong size needle, she used a 1.5 to put it in, a reconstitution needle. Regarding fourth dose, the last time, you are supposed to do it at a 45 degree angle to put it into the bottle and take it out and she instead turned it upside down 3 times and when she was mixing it she went around like a basketball and it looked like persons fingernail as you know white. She had her titres taken before all this started and it was 2.7 and she had been miserable. She was better now so some of it went in. She did not like her blood pressure that high. She got new shoes today because the other ones she did not want to wear them. It went through some dark jeans, so some of the saliva maybe didnot go in. She also said that they also say that the isopropyl iodide, takes the place of the rabies vaccine. The rabies vaccine doesnot work with it but it said that when you get injured you need to put that in your wounds, so this was weird (as stated by caller). After you are done with the doses you wait 2 weeks to get the titres taken. She also talked to a girl that said the vaccine was pinkish and she never saw the pink it was always off white (except for the first dose). Her brother witnessed twice that they were doing it wrong and then said they were doing it right.  The patient was also referred that an expired dose might have been administered. The reporter did not consent to follow up.; Sender's Comments:  US-GLAXOSMITHKLINE-CA2020119919:same reporter (case deleted)