How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. German Your Own Question

Dr. German
Dr. German, Doctor (MD)
Category: Health
Satisfied Customers: 3801
Experience:  MD
Type Your Health Question Here...
Dr. German is online now
A new question is answered every 9 seconds

Rabies Pré- and post-exposure prophylaxis

Resolved Question:

Hello, I'm Tom from the Netherlands (Holland). January 2013 I had booked a vacation to Jordan and Dubai in the Middle East. At that time I read about the necessary vaccinations to go on a far journey. A optional vaccination seemed to be "Rabies". Since I read the vaccination-advise, I had become very very very scared to "Rabies". That's why I took Pre-exposure prophylaxis (3-shots) in march/april 2013. I went to Jordan and Dubai from 25th of april to the 9th of may 2013. In Jordan I became very scared because a stray cat had scratched me on my leg. Because the limited transportation possibilities I got my post-exposure prophylaxis of 2-shots in Dubai 4 days later. Now, I'm very scared of two things: First: is it possible that the vaccinations I took won't work, because these are not reliable? The vaccination I got in Dubai was: 1 Ml SII Rabivax (Liquid) form India (Based on Human Diploid cells). So, do I need to take another vaccination here in Holland? Second: Do you think I took the post-exposure prophylaxis of 2-shots too late? Because I took the vaccinations 4 days later. I would ask you to answer my questions. Could you please help me? I'm looking forward to your answer. Best regards, XXXXX XXXXX

Submitted: 1 year ago.
Category: Health
Expert:  Dr. German replied 1 year ago.
Welcome and thanks for your question , I am Dr. German and I look forward to helping you until you are satisfied , there is no need to worry , these vaccines are reliable and with the doses you received , you have full protection .

There is no need for you to take other dose in Holland .

However , You still need to contact your doctor when you are back in Holland , You should receive a tetanus booster shot if you have not received a tetanus shot during the last 5 years .

If you did not receive the tetanus vaccination when you were a kid , You will receive the 3 tetanus shots for full immunization.

The doctors will perform a blood test if they consider it necessary , even when you received these vaccine shots we do not know in what specific clinic you received those vaccines ( if that clinic is a good clinic or not ) , so it is always advisable when you get to your home country Holland in this case to contact your local clinic to be 100% sure everything is fine .



If you need any additional information I will be happy to continue further and assist you until you are completely satisfied . Good luck to you and have a good day !



When we finish our conversation if you like the answer ,please click accept so I can get credit for my work.

Customer: replied 1 year ago.

Dear Dr. German,

Thank you for your fast answer.

Before I went to Jordan I took a Tetanus-shot for 10 years protection. As a child I also received a Tetanus Vaccination, so I think I'm fully protected. But I'll ask my doctor.

Okay, so the Rabies vaccin I took in Dubai would be fine?

But I took the vaccinations 4 days after the (probably rabid) cat scratched me. So, "DAY 0" was 4 days later and "DAY 3" 7 days later. Like I said, prior to the journey I took 3 Pre-exposure Shots.

So do I have to worry that I will still get Rabies, despite the post-exposure vaccinations I took (too late)?

 

P.s. Hope you can understand my poor English (I'm Dutch)...

Expert:  Dr. German replied 1 year ago.
Yes , you are fully protected ,there is no need to have more shots .

However , like you were in contact with this stray cat ,it is always recommendable for you to contact your regular physician to have a full physical examination when you get back .





If you need any additional information I will be happy to continue further and assist you until you are completely satisfied . Good luck to you and have a good day !



When we finish our conversation if you like the answer ,please click accept so I can get credit for my work.
Dr. German, Doctor (MD)
Category: Health
Satisfied Customers: 3801
Experience: MD
Dr. German and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery