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how long is rabies vaccine good for in humans

Save my name, email, and website in this browser for the next time I comment. Anti-Rabies Serum is given to those with high-risk wounds, for example, patients with multiple wounds. Skipping the doses or quitting after the second or third one means putting yourself at significant risk. The vaccine is prepared from cell-culture-grown, chemically-inactivated rabies virus. The standard schedule is three vaccine doses over the period of 21 to 28 days. Recommendations of the Advisory Committee on Immunization Practices (ACIP). https://www.vaccines.gov/basics/safety/side_effects/index.html We can now extend to other conditions that may be part of your everyday lives and help you on a broad level if that is what you need. Rabies is a disease that is transmitted from animals to humans caused by the rabies virus. Here’s what the standard pre-exposure schedule looks like: In case you’ve been bitten, you will have to get the rabies vaccine without delay. Human diploid-cell rabies vaccine: efficacy of four doses [letter]. Vaccine 2001;19:4635-43. Vaccines of this type are inactivated, meaning they contain killed rabies cells. All rights reserved, Elon Musk Questions Reliability of COVID-19 Tests After Receiving Confusing Results, Tesla Releases Winter Tire and Wheel Package for Model Y, NASA Certifies Crew Dragon for Crew-1 Flight. If a dog, after having received only 1 dose of rabies vaccine, is subsequently exposed to virulent rabies virus, exposure to the virulent virus then serves as … Although rabies in humans is very rare in the United States today, up to 40,000 people each year receive preventive treatment following an exposure. Therefore, SAR is not necessary for patients who have already been given the Anti-Rabies Vaccine up to 7 days prior to exposure. Rabies in humans is fatal almost 100% of the time. People who spend a lot of times near the virus or have contact with possibly rabid animals. Pre-exposure immunization: three 1.0 mL intramuscular (IM) or 0.1 mL intradermal (ID) doses of rabies vaccine given on days 0, 7 and any time between days 21 to 28. The second dose is given 7 days after the first dose, followed by a third dose 21 or 28 days after the first. It's not found in the UK, except in a small number of wild bats. Those administered through a gluteus injection are not considered valid and should be repeated. Q 19: Is there a single-dose human rabies vaccine which will provide life-long immunity? The longevity of rabies vaccine ranges between 3 to 10 years depending on the booster dose that is given. Labeling is a legal matter of testing and proof, and the difference between the two vaccines is the testing done by the manufacturer. The rabies virus is mainly transmitted through an animal’s saliva when the infected animals bite or scratch someone. This disease causes brain inflammation. Taking a rabies vaccine is the only way to prevent this. The vaccine is given in 3 doses. They are administered only through a deltoid injection. You won’t need to receive human rabies immunoglobulin (HRIG). .u3dcb21540d4eadebed441240fa7512a8,.u3dcb21540d4eadebed441240fa7512a8 .postImageUrl,.u3dcb21540d4eadebed441240fa7512a8 .centered-text-area{min-height:80px;position:relative}.u3dcb21540d4eadebed441240fa7512a8,.u3dcb21540d4eadebed441240fa7512a8:hover,.u3dcb21540d4eadebed441240fa7512a8:visited,.u3dcb21540d4eadebed441240fa7512a8:active{border:0!important}.u3dcb21540d4eadebed441240fa7512a8 .clearfix:after{content:"";display:table;clear:both}.u3dcb21540d4eadebed441240fa7512a8{display:block;transition:background-color 250ms;webkit-transition:background-color 250ms;width:100%;opacity:1;transition:opacity 250ms;webkit-transition:opacity 250ms;background-color:#fff;box-shadow:0 1px 2px rgba(0,0,0,.17);-moz-box-shadow:0 1px 2px rgba(0,0,0,.17);-o-box-shadow:0 1px 2px rgba(0,0,0,.17);-webkit-box-shadow:0 1px 2px rgba(0,0,0,.17)}.u3dcb21540d4eadebed441240fa7512a8:active,.u3dcb21540d4eadebed441240fa7512a8:hover{opacity:1;transition:opacity 250ms;webkit-transition:opacity 250ms;background-color:#eaeaea}.u3dcb21540d4eadebed441240fa7512a8 .centered-text-area{width:100%;position:relative}.u3dcb21540d4eadebed441240fa7512a8 .ctaText{border-bottom:0 solid #fff;color:#000;font-size:16px;font-weight:bold;margin:0;padding:0;text-decoration:underline}.u3dcb21540d4eadebed441240fa7512a8 .postTitle{color:#c0392b;font-size:16px;font-weight:600;margin:0;padding:0;width:100%}.u3dcb21540d4eadebed441240fa7512a8 .ctaButton{background-color:#eaeaea!important;color:#000;border:none;border-radius:3px;box-shadow:none;font-size:14px;font-weight:bold;line-height:26px;moz-border-radius:3px;text-align:center;text-decoration:none;text-shadow:none;width:80px;min-height:80px;background:url(https://medi-call.id/blog/en/wp-content/plugins/intelly-related-posts/assets/images/xsimple-arrow.png.pagespeed.ic.GO4LyFXLtx.webp) no-repeat;position:absolute;right:0;top:0}.u3dcb21540d4eadebed441240fa7512a8:hover .ctaButton{background-color:#fff!important}.u3dcb21540d4eadebed441240fa7512a8 .centered-text{display:table;height:80px;padding-left:18px;top:0}.u3dcb21540d4eadebed441240fa7512a8 .u3dcb21540d4eadebed441240fa7512a8-content{display:table-cell;margin:0;padding:0;padding-right:108px;position:relative;vertical-align:middle;width:100%}.u3dcb21540d4eadebed441240fa7512a8:after{content:"";display:block;clear:both}READ  Rabies Vaccine for Humans: Learn How It's Important to Get Vaccinated. And certainly, thank you on your On the other hand, for post-exposure vaccination, 4 to 5 injections will be given if the person has not been vaccinated. The second dose is administered 7 days later. Nausea, muscle aches, abdominal pain, dizziness, and headaches form another group of mild side effects. The first shot is administered as appropriate. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/rabies.html Human rabies is rare in the United States. In addition, dogs must also be licensed. However, everyone has to receive the vaccine after getting bitten by a wild animal. Consult your doctor to learn more. People belonging to at-risk groups should get the vaccine regularly as long as they’re exposed. Like other inactivated vaccines, the initial dose of a rabies vaccine serves as the “priming” dose. Regarding how long does rabies vaccine work in humans, the result can be different depending on each condition. The incubation period typically lasts between 1 and 3 months, but it can be much shorter or much longer than that. The exact procedure depends on whether you’ve been vaccinated in the past or not. If the vaccination has been done enough, the next shot will be given 2 times each year. For people who have previously been vaccinated, only a single dose of the rabies vaccine is required. Whereas for those who are not at high risk of rabies exposure but want to get a vaccination, vaccination is recommended every 10 years. Most vaccines are licensed for 3 months of age and older. Additional doses are usually not needed except for those at very high risk. Rabies vaccine side effects As with any medicine, there’s a very small chance that the rabies vaccine can cause a side reaction. A special immune globulin can also be helpful in some cases. This is the only way to prevent a lethal outcome. The vaccine was completed in the Phase III clinical trial from August 2008 to February 2009 in Lianshui County, Jiangsu Province (Approval of Drug Clinical Trial No. I’m sending it to several pals ans They can’t cause rabies. The longevity of rabies vaccine. effort! You'll need 3 doses of the vaccine, usually over a period of 28 days. Treatment of Bali Belly: Learn the Symptoms and How to Cure it, The Longevity of Rabies Vaccine After Receiving Vaccination, Beware of Mosquito Bites in Bali, These are Dengue Fever Symptoms, Why You Should Boost Immune System with IV Vitamin in Bali, Learn How to Prevent Surfer Ear When Surfing in Bali, Do This to Avoid Infection Corona Virus While Travelling in Bali, Best Hangover Cure Food Travelers Should Know in Bali, Get Dengue Fever Vaccine Available in Indonesia During Rainy Season. Fortunately, rabies vaccinations are easy to obtain, relatively inexpensive and safe for your dog. The vaccine may provide some degree of protection for 10 to 20 years after the administration. Three types of rabies vaccines are currently available in the United States – HDCV, PCECV, and Vero cell vaccines. Because rabies is a human health concern, a rabies vaccine must be administered by a veterinarian after she or he has done a physical exam on your dog. Connecticut state law requires vaccination of cats and dogs. When this disease develops, it is almost always lethal. For those who have a … Anti-Rabies Serum (SAR) is a passive immunization composed of Rabies Immunoglobulin, this vaccine has a function to neutralize the rabies virus caused by an animal bite. Rabies Vaccine for Humans: Learn How It's Important to Get Vaccinated. Thanks, quite nice article. So, how long does rabies vaccine last? Vaccination after an animal bite If you’re bitten by an animal that could have rabies, you can get the rabies vaccine to keep you from developing the disease. The PCECV (purified chicken embryo cell vaccine) and purified Vero cell rabies vaccines are the newer versions. Pre-exposure prophylaxis against rabies infection is recommended for travelers to countries where rabies is endemic, and also for those … Rabies pre-exposure prophylaxis elicits long-lasting immunity in humans Vaccine. Generally, the rabies vaccine is administered as needed. This disease is considered very dangerous and people might be wondering how long does rabies vaccine work in humans. If you’ve been vaccinated, you will get two shots. Whereas for those who are not at high risk of rabies exposure but want to get a vaccination, vaccination is recommended every 10 years. Use of a Reduced (4-Dose) Vaccine Schedule for Postexposure Prophylaxis to Prevent Human Rabies. Recommendations of the Advisory Committee on Immunization Practices. You should inform your doctor before getting the vaccine if you have or have had any of the following: People taking medications that might compromise their immune system should not get the rabies vaccine as a preventive measure. How long does rabies vaccine work in humans is probably one of the questions that people with a high-risk exposure of rabies might wonder. Rabies may be difficult to identify initially because it shares symptoms with a wide variety of ailments. Despite the availability of safe and effective human vaccines, rabies remains a global threat, with an estimated 60,000 human deaths annually attributed to rabies. A tiny percentage of patients might also experience serious or potentially life-threatening side effects. A doctor will perform the vaccination directly at your location. Usually I don’t read post on blogs, but I wish to say that Wild animals like bats, raccoons, skunks, and foxes are the most common source of human rabies infection in the United States. Symptoms include uncontrolled excitement, violent movements, confusion, a fear of water, loss of consciousness, and the inability to move certain body parts. also sharing in delicious. You have to take prophylactic vaccine for rabies on day 0, 7, 28 and 90 or on day 0, 28 and then on day 90. Therefore, about how long does rabies vaccine work in humans, immunity following a series of doses is usually long-lasting. For individuals who have been potentially exposed to the virus, four doses over two weeks are recommended, as well as an injection of rabies immunoglobulin with the first dose. Regarding how long does rabies vaccine work in humans, the immunity acquired from the vaccine can last a long time. The second dose is given 7 days after the first dose, followed by a third dose 21 or 28 days after the first. Moreover, regarding how long does rabies vaccine work in humans, it can give protection for 7 to 10 days before the induced antibodies are formed. These happen in 30 to 74% of cases. Rabies is found throughout the world, particularly in Asia, Africa, and Central and South America. The Lancet 1996;347:976-7. Anyone who has contact with a rabid animal should contact their doctor or public health immediately. Rabies is a disease of the nervous system caused by a virus and can occur in humans and animals. There has never been a documented case of rabies transmitted to humans from an inanimate object. Because rabies can be spread to humans through the saliva of an infected animal, rabies is a threat to health and public safety. After the booster dose, a study found that 97% of immuno-competent individuals showed a level of protection at 10 years. We now have access to an enormous amount of additional research information vaccination has been done enough, the next shot will be given 2 times each year. Before you administer a rabies vaccination, wash your hands and put on sterile gloves. Lots of useful information here. The inactivated virus is formulated with a highly purified adjuvant and is packaged in liquid form. Severe allergic reactions happen once or twice in a million patients. We are excited to announce that FibromyalgiaTreating.com is now part of RedOrbit.com. 11 Q 20: Is it possible to develop rabies from the vaccination?11 Q 21: What can be done for rabies prevention and control?11 Q 22: What is the rabies vaccination schedule for pet dogs?12 . The seed virus is a highly immunogenic, fixed strain of rabies virus which originated from Louis Pasteur’s original isolate in 1882. https://www.vaccines.gov/diseases/rabies/index.html RIG is … Vaccination of domestic animals is an important component of rabies prevention programs. The virus is killed by most disinfectants. HDCV (human diploid cell rabies vaccine) made its debut in 1967. Note that this doesn’t replace post-bite vaccinations. The Imovax ® Rabies Vaccine produced by Sanofi Pasteur SA is a sterile, stable, freeze-dried suspension of rabies virus prepared from strain PM-1503-3M obtained from the Wistar Institute, Philadelphia, PA.. Rabies can be prevented if treated promptly before symptoms develop. Symptoms can take weeks or months to start showing. This includes rabies laboratory workers, veterinarians, spelunkers, animal handlers, and rabies biologists. Immunogenicity, safety and lot consistency in adults of a chromatographically purified Vero-cell rabies vaccine: a randomized, double-blind trial with human diploid cell rabies vaccine. Current vaccines are relatively painless and given in the arm similar to other common vaccines. Even if you recently received a preventive vaccine, you need to take it again after getting bitten. The longevity of rabies vaccine ranges between 3 to 10 years depending on the booster dose that is given. how could we be in contact? You’ll get the first one on the same day and the second three days later. Excellent site. Therefore, SAR is not necessary for patients who have already been given the Anti-Rabies Vaccine up to 7 days prior to exposure. This is known as post-exposure vaccination. If you have been bitten by an animal seek immediate medical attention. A course of rabies vaccines (given into the shoulder muscle) works to develop long term immunity, but this may take seven days to begin providing protection. People who are at a heightened risk of contracting the disease receive the vaccine as a preventive measure. Rabies is a viral infection caused by lyssaviruses. Therefore, about how long does rabies vaccine work in humans, immunity following a series of doses is usually long-lasting. On the other hand, if you haven’t been vaccinated in the past, you will have to receive one dose of HRIG and four doses of the vaccine. The virus infects the central nervous system and, once individuals show signs of disease, is almost always fatal. Anti-Rabies Serum (SAR) is a passive immunization composed of Rabies Immunoglobulin, this vaccine has a function to neutralize the rabies virus caused by an animal bite. This vaccine is injected into the skin or muscles. So, how long does rabies vaccine last? from doctors and scientists. The protection lasts between 10 and 20 years, but it’s crucial to get re-vaccinated in case you get bitten. A rabies vaccine (human diploid cell) for human use, Freeze-dried produced by Chengdu Kanghua Biological Products Co.,Ltd is used to prevent human rabies. It is worth noting that different brands of vaccines can cause different side effects. People who travel to countries with known rabies issues. This vaccine can be given prior to exposure (pre-exposure prophylaxis) or after an exposure (post-exposure prophylaxis). The virus is spread to people from the saliva of infected animals; usually through a bite. Rabies (Lyssa) ICD-9 071; ICD-10 A82 Related Topics: Oral Rabies Vaccine Programs: Texas laws pertaining to rabies vaccinations for animals: Texas Health and Safety Code, Chapter 826, Rabies Control Act; Texas Administrative Code, Ch. Moreover, regarding how long does rabies vaccine work in humans, it can give protection for 7 to 10 days before the induced antibodies are formed. DESCRIPTION. A medical professional can help you determine if rabies immune globulin is appropriate for your case. If someone is bitten by an infected animal, further treatment should be taken and the patient should be vaccinated immediately to stop the virus from spreading. Doctors will give patients an indicated Anti-Rabies Vaccine (VAR) or Anti-Rabies Serum (SAR) as a further treatment for rabies. the new Fibromyalgia Treating by RedOrbit! The first group of mild side effects includes swelling, redness, soreness, or itching at the injection site. But, some developing countries see rabies spread by strays and even domestic animals. Sunlight will kill the virus, while freezing and moisture can help preserve it. Please consult an expert before taking any action. this write-up very pressured me to check out and do it! Dog Rabies Vaccine Cost. The rabies virus is mainly transmitted through an animal’s saliva when the infected animals bite or scratch someone. Anti-Rabies Vaccine (VAR) is a vaccine or active immunization made of a non-active rabies virus. Rabies vaccine can prevent rabies. For example, to prevent rabies, rabies vaccinations are given three times, on the day of the first injection and on day 7 and day 21 after the first injection. This disease is considered very dangerous and people might be wondering how long does rabies vaccine work in humans. Nobivac®1-Rabies vaccine is for vaccination of healthy dogs, cats and ferrets as an aid in preventing rabies. If you work around live rabies virus, such as in a laboratory or a vaccine production area, you may need a booster vaccine every 6 months. All of the same great people, writers and editors but now with more firepower. People with compromised health will typically be protected for a shorter period of time. After the booster dose, a study found that 97% of immuno-competent individuals showed a level of protection at 10 years. Get rabies vaccine through rabies vaccination service on Medi-Call Application or simply contact Medi-Call Hotline at +62 81210783387. Wild animals, such as raccoons, skunks, bats, and foxes, account for the majority of animal rabies cases reported annually in the US. Here are some of the most important facts about this vaccination. Additional doses are usually not needed except for those at very high risk. For example, to prevent rabies, rabies vaccinations are given three times, on the day of the first injection and on day 7 and day 21 after the first injection. Rabies is a viral illness that can affect humans and other mammals. On the other hand, for post-exposure vaccination, 4 to 5 injections will be given if the person has not been vaccinated. Previously vaccinated persons are those who have received one of the recommended preexposure or postexposure regimens of HDCV, RVA, or PCECV, or those who received another vaccine and had a documented rabies antibody titer. However, if you’ve been bitten by a rabid animal, you will have to get the vaccine right away, regardless of any of the above mentioned conditions. Rabies virus vaccine is an exception. ranges between 3 to 10 years depending on the booster dose that is given. The virus is harvested from infected human diploid cells, MRC-5 strain, concentrated by ultrafiltration and is inactivated by beta-propiolactone. Regarding how long does rabies vaccine work in humans, the immunity acquired from the vaccine can last a long time. It is specific to mammals and is most commonly spread through bites from wild animals. If you're planning to travel to an area where rabies is found, you should complete the full course of 3 doses before you leave. A rabies vaccine has been licensed by the United States Department of Agriculture (USDA) for cats, dogs, ferrets, cattle, horses, and sheep. The answer to that question varies greatly from person to person. For those who have a high exposure of rabies, it is suggested to receive 1 booster dose once a year and every 3 to 5 years. The third dose is administered 21 to 28 after the first dose. If exposed to rabies, previously vaccinated persons should receive two IM doses (1.0 mL each) of vaccine, one immediately and one three days later. Then, fill a clean, 25-gauge needle syringe with 1 dose of the vaccine per the package instructions. Jones RL, Froeschle JE, Atmar RL, et al. Human Rabies Prevention - United States, 2008. When it is useful; starting early is important. Glance advanced to far introduced agreeable from you! If the condition is chronic and serious, it might be good to skip the vaccination altogether. For example, to prevent rabies, rabies vaccinations are given three times, on the day of the first injection and on day 7 and day 21 after the first injection. The rabies vaccine is made from killed rabies virus. While some rabies vaccinations are licensed for one year, others are labeled for three years, but some states require annual vaccination regardless of labeling. How long does rabies vaccine last? Regarding how long does rabies vaccine work in humans, the immunity acquired from the vaccine can last a long time. We are here for you and now, better than ever so sit back and enjoy © 2002-2018 redOrbit.com. If you have a continued risk of exposure to rabies, you may need to receive the preventive vaccine series every 2 years. How Long Does Rabies Vaccine Work in Humans? Beware of Rabies, Learn the First Aid for Animal Bites, Traveling in Bali? Regarding how long does rabies vaccine work in humans, the result can be different depending on each condition. The vaccine cannot cause rabies. Also, travelers likely to come into contact with rabid animals, such as wildlife researchers. Left untreated, rabies is nearly always fatal. 2008L03156). Once you've prepared the syringe, wipe the patient's deltoid muscle, which is the rounded muscle on the upper arm, with a cotton ball soaked in rubbing alcohol to sterilize the injection site. Rabies Vaccine: How Long Does It Work in Humans? When a person gets bitten by a wild animal, or suspects that a bite might have occurred, the vaccine needs to be taken immediately. Rabies Causes Fear of Water (Hydrophobia), How Comes? There's also a vaccine for people at risk of being infected. If someone is bitten by an infected animal, further treatment should be taken and the patient should be vaccinated immediately to stop the virus from spreading. Regarding how long does rabies vaccine work in humans, the immunity acquired from the vaccine can last a long time. Thanks for the good writeup. Humans get rabies when they are bitten or scratched by infected animals. The rabies vaccine is given as injections into your upper arm. Taking a rabies vaccine is the only way to prevent this. Serious side effects are extremely rare. It largely depends on the person’s health status. If given after exposure, the vaccine is usually given along with Rabies Immunoglobulin (SAR). However, persons running a high risk of contracting the disease might need an additional booster dose 6 to 24 months after the standard three shots. The virus is almost always fatal once symptoms are present. Anti-Rabies Vaccine (VAR) is a vaccine or active immunization made of a non-active rabies virus. All are considered equally safe and effective in preventing the onset of the disease. Your writing taste has been amazed me. Get Rabies Vaccine After Infected by an Animal, Rabies in Wild Animals: Learn the Signs of an Infected Animal, Rabies Virus in Humans: What to Do if You Got Bitten by a Dog in Bali. Some people might even need regular booster doses every 6 to 24 months. Laboratory workers should periodically get tested for immunity, and booster doses should be administered as needed. For those who have a high exposure of rabies, it is suggested to receive 1 booster dose once a year and every 3 to 5 years. Thus far, over 1.5 million people have received this vaccine. Bats are a cause of human rabies cases in the United States. Rabies vaccines are safe for adults and children alike. By the way, Rabies vaccine must never be given into the gluteal muscle due to the risk of a decreased immune response. When this disease develops, it is almost always lethal. A booster dose as often as every 6 months to 2 years may be required for person at highest risk for exposure to rabies virus, such as persons who work with rabies virus in research laboratories or vaccine production facilities, … The rabies virus can survive on inanimate objects for as long as it takes the saliva to completely dry. Getting bitten by a rabid animal is no walk in the park, and vaccination is the only way to prevent the being affected by this deadly disease. Rabies is a disease that is transmitted from animals to humans caused by the rabies virus. At what age can an animal receive the rabies vaccine? There are several groups of people who should receive the vaccine even if they haven’t been bitten. Rabies is almost always fatal once symptoms appear, but treatment before this is very effective. iv FREQUENTLY ASKED QUESTIONS ON RABIES Section 2: For health providers 12 Q 1: How does one treat an animal bite? This vaccine can be given prior to exposure (pre-exposure prophylaxis) or after an exposure (post-exposure prophylaxis). Rabies is mainly a disease of animals. The different types of the vaccine can be used interchangeably. These occur in 5 to 40% of cases. Rabies is a deadly virus that is transmitted by bites from an infected animal. The rabies vaccine causes mild and harmless side effects in some cases. For this reason, HRIG is usually given into the wound or site of injury to provide immediate short term protection while the … If given after exposure, the vaccine is usually given along with Rabies Immunoglobulin (SAR). It actually was a enjoyment account it. People with compromised health should wait for their immune system to recuperate before getting the preventive vaccine. If you haven’t received a rabies vaccine before and you got bitten, this is the schedule you can expect: It is crucial to receive all four doses of the vaccine within this time frame. There are rabies vaccines that are labeled as being effective for either one year or three years, though the actual contents of the vaccine may be the same. Rabies vaccine is unique in that it is most often used after exposure to the disease.The only people who typically get vaccinated as a preventive measure (before exposure) are those who are at high risk for exposure, such as laboratory workers, veterinarians, animal handlers, spelunkers (someone who explores caves), and travelers going to parts of the world where exposure to rabies is likely. https://www.cdc.gov/vaccines/vpd/rabies/index.html, The information provided is no substitite for an informed medical professional. Consult with a doctor and get rabies vaccination service through Medi-Call Application. This vaccine is injected into the skin or muscles. Rabies vaccination Your veterinarian will know your state’s laws and keep your pet on the appropriate vaccination schedule. The longevity of rabies vaccine ranges between 3 to 10 years depending on the booster dose that is given. How long does effect of rabies vaccination last in humans? The rabies vaccination is given in three doses. Hives, fever, and joint pains affect around 6% of patients. Doctors will give patients an indicated Anti-Rabies Vaccine (VAR) or Anti-Rabies Serum (SAR) as a further treatment for rabies. Any mammal can contract the rabies virus. Anti-Rabies Serum is given to those with high-risk wounds, for example, patients with multiple wounds. Primary vaccination with either type of rabies vaccine consists of 3 intramuscular doses (deltoid injection only), one injection per day on days 0, 7, and 21 or 28.

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