2007 Apr 15;195(8):1144-50. -Never give in the same anatomical site as rabies vaccine. Vaccination is recommended for children living in or visiting countries where exposure to rabid animals is a constant threat; worldwide statistics indicate children are more at risk than adults. Other brands: Bayrab, HyperRAB S/D, Imogam Rabies-HT, KedRAB, Imovax Rabies, RabAvert, rabies vaccine, purified chick embryo cell. To prevent rabies, four to five doses of anti-rabies vaccine are administered on the 0, 3, 7, 14 and 28 days of a bite. -Refrigerate; do not freeze. NOTE: Pre-exposure vaccination does not negate the need for post-exposure treatment should a potential rabies exposure occur, it simply reduces the doses of treatment needed post-exposure. • Post-exposure prophylaxis. To help avoid transmission of infectious diseases due to accidental needle sticks, needles should not be recapped but disposed of according to recommended guidelines. Both the 0, 3, 7, 365 (i.e. If evidence of such defects is observed, the product should not be used. WHO promotes the use of intradermal administration of modern cell culture rabies vaccines (with a potency of >2.5IU per intramuscular dose) for PEP. Ask your employer or occupational health provider about this. Age range. Because the antibody response following the recommended vaccination regimen with HDCV has been satisfactory, routine post-vaccination serologic testing is not recommended. 1 mL IM (deltoid region, in small children and infants anterolateral region of thigh) x3 doses (11). If their titer is inadequate, they should receive a single booster dose of vaccine. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. (10) (18) (19) In infants and small children, the anterolateral aspect of the thigh may be preferable, depending on age and body mass. Cleanse the vial stopper with a suitable germicide. Rabies Preexposure Immunization. Luer-Lok™ syringe components (with plunger rod inserted). These rabies vaccine side effects usually disappear within a few days. A single dose of rabies vaccine NOT EARLIER THAN 3 MO OF AGE (These recommendations may be superseded by local statutes.) However, vaccine can be considered for children from the age of approximately 1 year. While most countries use a five dose schedule, several have now adopted a WHO recommended four dose schedule, with vaccine administered intramuscularly at 0.1 mL on days 0, 3, 7, and 14 (table 1). Doses Required: Schedule: Time Before Travel: Booster Required: 16 years+: 3: 0, 7, 21 days: Last dose up to day before* 1-10 years depending on risk: Rabies Intramuscular (IM) £62 per dose. There is overwhelming evidence that the 4-dose vaccine schedule as part of postexposure prophylaxis to prevent human rabies for previously unvaccinated persons, as recommended by the Advisory Committee on Immunization Practices, United States in 2009, is safe and effective. TYPHOID . Summary Table 3 - Notes Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 … Pre-exposure prophylaxis consists of three 1.0 mL dosesof Imovax Rabies vaccine administered intramuscularly, using a sterile needleand syringe, one injection per day on Days 0, 7, and 21 or 28. Rabipur ® 3 doses: Day 0, 7, and 28*. 1 mL IM (deltoid region, in small children and infants anterolateral region of thigh) x3 doses In adults and older children, the vaccine should be administered in the deltoid muscle. Rabies Preexposure Immunization. Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of rabies vaccine, or has any severe, life-threatening allergies. - Only a veterinarian can give rabies vaccine in New York - be sure vaccine brand and serial number are recorded. Rabies immune globulin (RIG) 20 IU/kg on Day 0 in conjunction with the first vaccine dose. Schedule. Rabies vaccination, boosters and blood tests You must get your dog, cat or ferret vaccinated against rabies before it can travel. This deviates from the approved five-dose schedule in the package insert, so use of the four-dose schedule is off-label. -If anatomically feasible, thoroughly infiltrate the full dose in the area around and into the wounds, inject any remaining volume IM at a site distant from the vaccine administration site. In such cases, if antibody levels of greater than 1:5 dilution by a RFFIT can be demonstrated in a serum sample collected before vaccine is given, treatment can be discontinued after at least two doses of HDCV. For partially immunised individuals with an amber or red composite rabies risk, give 4 doses in total of rabies vaccine (on days 0, 3, 7 and 21). Generic name: RABIES VIRUS STRAIN PM-1503-3M ANTIGEN (PROPIOLACTONE INACTIVATED) 2.5[iU] in 1mL; Dosage form: intramuscular injection kit. A booster dose consists of one injection of 1.0 mL of Imovax Rabies vaccine. Each state has its own laws for the required rabies vaccine schedule for dogs. J Infect Dis. After reconstitution, it is pink to red. In most states, the first rabies vaccination is generally given to puppies at or before 16 weeks of age. And pet vaccinations, like those for humans, may sometimes require a booster to keep them effective. -Vaccination takes about 1 week for immunity; rabies immune globulin provides immediate passive immunization. If possible, the full calculated dose of RIG should be used to infiltrate the wound(s). Reattach the syringe to the reconstitution needle which has remained in the vial. The first dose of the 4-dose course should be administered as soon as possible after exposure (day 0). Like people, pets need vaccines. Pre-exposure rabies vaccine is recommended in a 3-dose schedule at days 0, 7 and 21–28. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Previously unvaccinated persons should receive 5 intramuscular doses (1 mL each) of Imovax Rabies vaccine, one dose immediately after exposure (Day 0) and one dose 3, 7, 14, and 28 days later. The vaccine course involves 3 doses. Step 7: Withdraw the total contents of the vial into the syringe. IV compatibility: Patient assistance programs that provide medications to uninsured or underinsured patients are available for rabies vaccine and immune globulin. Cryptogenic Rabies, Bats and the … Primary. In the event of a subsequent possible rabies virus exposure, the child will require 2 more doses of rabies vaccine on days 0 and 3. In the United States, the Advisory Committee on Immunization Practices (ACIP) recommends three injections of 1.0 mL each, one injection on Day 0, one on Day 7, and one either on Day 21 or 28. Comments. For preexposure immunization and booster doses in high-risk groups. Persons working with live rabies virus in research laboratories and in vaccine production facilities (continuous risk category) should have rabies antibody titers checked every six months and boosters given as needed to maintain an adequate titer defined as virus neutralization at a 1:5 dilution by a RFFIT. -Give as soon as possible after exposure, along with first dose of rabies vaccine. A 2-dose single-visit intradermal postexposure prophylaxis (PEP) vaccine schedule was as immunologically effective and safe as a 4-dose single-visit intradermal PEP for rabies in healthy adults 7 to 28 months after 2-dose single-visit intradermal pre-exposure prophylaxis (PrEP). Preexposure Dosage: Primary Immunization: In the US, ACIP recommends 3 injections of 1 mL each: 1 injection on Day 0 and 1 on Day 7, and 1 either on Day 21 or 28 (for criteria for preexposure vaccination, see Table 1). Dosage, schedule and administration For primary pre-exposure immunisation, three doses of rabies vaccine (2.5 IU; one vial) should be given intramuscularly on days 0, 7 and 28. Contact local or state health department or CDC for recommendations. Do not remove the stopper or the metal seal holding it in place. Schedule a second dose to be administered not later than 1 yr following administration of the first dose, regardless of the dog’s age at the time the initial dose is given. 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, veterinarians … Initial Puppy Vaccination (at or under 16 weeks) Initial Adult Dog Vaccination (over 16 weeks) Booster Recommendation. The package contains a vial of freeze-dried vaccine, a Luer-Lok™ syringe containing 1.0 mL of diluent with a plunger rod either inserted into the syringe or provided separately, and a sterile reconstitution needle. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Then every 3 yr thereafter. Vaccination Schedules: Vaccination by a licensed veterinarian may be required by state law for rabies vaccine to be considered valid. The rabies vaccine is given to people who are at higher risk of coming in contact with rabies — like veterinarians. What is the schedule for rabies vaccine? Ideally, those at risk should receive pre-exposure vaccination with three doses of rabies vaccine before travel. Data sources include IBM Watson Micromedex (updated 2 Nov 2020), Cerner Multum™ (updated 2 Nov 2020), ASHP (updated 23 Oct 2020) and others. Annual boosters are required. While the syringe and reconstitution needle are still attached, gently swirl the contents of the vial until completely dissolved and proceed to Step 6. Rabies Vaccine BP: 3 doses: Day 0, 7, and 28*. ; In some cases, your health care provider may decide to postpone a routine (non-exposure) dose of rabies vaccination to a future visit. Step 1: Remove plastic cover from the vial. NOTE: Pre-exposure vaccination does not negate the need for post-exposure treatment should a potential rabies exposure occur, it simply reduces the doses of treatment needed post-exposure. Other laboratory workers (eg, those performing rabies diagnostic testing), cavers, veterinarians and staff, animal-control and wildlife officers in areas where rabies is enzootic, and bat handlers regardless of location, (frequent risk category), should have their serum tested for rabies antibody every 2 years. The second rabies vaccination is given one year after the first vaccine. Canine Hepatitis. a fourth dose at 1 year) schedule and the 0, 7 and 21 day schedule can be given using either product, where there is less than four weeks before departure. Typhoid fever is caused by the bacterium Salmonella enterica serotype Typhi. The best way to stay on schedule with vaccinations for your dog or cat is to follow the recommendations of a veterinarian you trust.. Last updated on Oct 15, 2020. Schedule a second dose to be administered not later than 1 yr following administration of the first dose, regardless of the dog’s age at the time the initial dose is given. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. in those with unstable neurological conditions, particularly seizures within last year (JE Vaccine). Recommended Rabies Vaccine Schedule for Your Dog. If the vaccination schedule is interrupted it is not necessary to restart the vaccine series. These rabies vaccine side effects usually disappear within a few days. Dog Rabies Vaccine Schedule. Chances are your vet's suggestions will break down into two categories: core pet vaccines and non-core vaccines. Single dose. -If not given at same time vaccine was started, may be given up to and including day 7 of post-exposure prophylaxis series. Every year, thousands of people around the world die from rabies. Step 6: Prior to withdrawing vial contents and without removing the reconstitution needle from the vial, unscrew the syringe to eliminate negative pressure (as the vial is sealed under vacuum). The third dose is given 21 to 28 days after the first. Current rabies vaccine schedule is a 4 dose series – Day 0, 3, 7 and 14. 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. Can be administered in one dose, as early as 3 months of age. Rabies is an excellent immunogen and these vaccines induce a strong serologic response after a single dose and are licensed for 12-14 months of protection. Additional doses should be administered on days 3, 7, and 14 after the first vaccination. A 3-dose preexposure immunization series may be given on days 0, 7, and 21 or 28. Three doses of rabies vaccine (2.5 IU) should be given intramuscularly on days 0, 3 and 7, with an additional dose at one year if they will continue to travel to high risk areas [6]. Once the PEP series is started it generally is continued. If it is not possible to do so, any remaining portion of the dose should be administered intramuscularly at a site different from the site used to administer the vaccine. Who should not get the rabies vaccine? Fortunately, reactions to vaccines are very uncommon in cats. (20). MMWR Recomm Rep 2010;59(RR-2):1-9. Vaccination Schedule for Dogs: Core and Non-core Vaccines. Rabies immunoglobulin is also recommended to be given on Day 0. For adults, the vaccination should always be administered intramuscularly in the deltoid area (arm). Davis AD, Rudd RJ, Bowen RA. Preexposure vaccination does not eliminate the need for additional medical attention after a rabies exposure, but it simplifies PEP. Serologic testing is indicated in unusual circumstances, as when the patient is known to be immunosuppressed. 20 international units/kg, IM, once, as soon as possible after exposure, at the same time as the first dose of rabies vaccine Current rabies vaccine schedule is a 4 dose series – Day 0, 3, 7 and 14. With this reduced schedule, rabies immunoglobulin is recommended for category II as well as category III exposures. Use of preexposure and postexposure prophylaxis. You won’t need the Rabies Immune Globulin shot. We demonstrate that a single-dose of the vectored vaccine ChAd155-RG can induce serum VNA titers well above the seroconversion threshold in vaccinated non-human primates, at comparable levels to a full three-dose schedule of a licensed inactivated rabies vaccine. -Consult local or state public health officials for questions about the need for treatment. 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. Gibbons RV. A rapid schedule of vaccination is possible where time is limited. RabAvert, rabies vaccine, purified chick embryo cell. When they do happen, they include slight fever, lethargy, decreased appetite and a localized swelling at the vaccine site. 3 Polio • Position paper reference: Weekly Epid. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Remove the reconstitution needle and discard it. If you need the vaccine because there's a risk you could be exposed to rabies through your job, your employer should be able to provide it for you free of charge. The supplied syringe is intended for single use only, must not be reused, and must be disposed of properly and promptly following its use. Select one or more newsletters to continue. Preexposure vaccination consists of 3 doses of RabAvert 1.0 mL given intramuscularly (deltoid region), 1 1each on Days 0, 7, and 21 or 28 (see also Table 1 for criteria for preexposure vaccination). In the postexposure setting, four doses of rabies vaccine are given intramuscularly on days 0, 3, 7, and 14 to previously unimmunized persons. Record (2016, 9: 145-168) [pdf 611KB] • For delayed or interrupted schedules initiate/resume schedule without repeating previous doses. If the 4 th dose of rabies vaccine is given before day 21, a 5 th dose of vaccine should be administered 2 weeks after the 4 th dose. Additional doses then should be administered on days 3, 7, and 14 after the first vaccination. From day 57 after vaccination a faster decline in immune response to rabies was observed in individuals vaccinated concomitantly with JE vaccine according to the rapid PrEP schedule compared with the concomitant conventional PrEP schedule and the rabies only conventional PrEP schedule. Parenteral drug products should be inspected for particulate matter and discoloration prior to administration, whenever solution and container permit. How often do dogs need rabies shots? Post-exposure prophylaxis includes prompt wound management, and administration of rabies vaccine and, in some cases, human rabies immunoglobulin. To prevent rabies, four to five doses of anti-rabies vaccine are administered on the 0, 3, 7, 14 and 28 days of a bite. Use of a reduced (4-Dose) vaccine schedule for postexposure prophylaxis to prevent human rabies - recommendations of the Advisory Committee on Immunization Practices. -Do not give more than the recommended dose - may suppress active antibody production. Administration of booster doses of vaccine depends onexposure risk category and serologic testing as … Primary. Last updated on Dec 5, 2019. Intramuscular dosage (RabAvert or IMOVAX) Adults, Adolescents, Children, and Infants. Booster immunization is given to persons who have received previous rabies immunization … This can cost up to US$100 in rabies-endemic countries. “We abandoned the 16-dose vaccine years ago. No minimum age stated in SPC. After preparation of the injection site with an appropriate germicide, immediately inject the vaccine intramuscularly. It is infiltrated in and around the cleansed wound, or intramuscularly into the antero-lateral thigh. Preexposure vaccination consists of 3 doses of RabAvert 1.0 mL given intramuscularly (deltoid region), 1 1each on Days 0, 7, and 21 or 28 (see also Table 1 for criteria for preexposure vaccination). The second dose is given 7 days after the first. The first dose can be given at any time. Unimmunised adults . Hepatitis B vaccine: Vaccine can be administered with an accelerated schedule of 4 doses of vaccine given at 0, 1, 2, ... and may have been exposed to rabies require a weight-based dose of human rabies immune globulin and a series of 4 rabies vaccine doses on days 0, 3, 7, and 14. The gluteal area should not be used for administration of the vaccine as administration in this area may result in lower neutralizing antibody titers. If you’ve already had the rabies vaccine, you’ll need 2 doses after an animal bite — you’ll get the first dose right away, followed by a second dose 3 days after the first. ** Measles/ Mumps/ Rubella . Rabies is an excellent immunogen and these vaccines induce a strong serologic response after a single dose and are licensed for 12-14 months of protection. Moreover, ChAd155-RG-induced VNA can be boosted six months after vaccination with one dose of a licensed vaccine, … To ensure the presence of a primed immune response over time among persons at higher than normal risk for exposure, titers should be checked periodically, with booster doses administered only as needed. In general, when puppies go in for their 16 … Intradermal vaccination has been shown to be as safe and immunogenic as intramuscular vaccination , yet requires less vaccine, for both pre- and post-exposure prophylaxis, leading to lower direct costs. States regulate the age at which it is first administered. (11). Rabies is a rare disease in the United States, but it’s almost always deadly. When an immunized person who was vaccinated using the recommended pre-exposure regimen or a prior post-exposure regimen with a cell culture vaccine or who had previously demonstrated rabies antibody is exposed to rabies, that person should receive two intramuscular doses (1.0 mL each) of Imovax Rabies vaccine, one dose immediately after the exposure and one dose 3 days later. Vaccine. -Do not administer in the gluteal region - may injure sciatic nerve. Data sources include IBM Watson Micromedex (updated 2 Nov 2020), Cerner Multum™ (updated 2 Nov 2020), ASHP (updated 23 Oct 2020) and others. Vaccination is considered safe for pregnant women and should be given if PEP is indicated. If the immune status of a previously vaccinated person who did not receive the recommended HDCV regimen is not known, full primary post-exposure antirabies treatment (RIG plus 5 doses of HDCV) may be necessary. While state and local requirements vary, the standard recommendations, according to the American Animal Hospital Association, are an administration of a single dose of killed rabies vaccine via injection under the skin or into the muscle to dogs no younger than 3 months of age. In fact, side effects of rabies vaccines in cats are very rare. The cost of the rabies vaccine continues to be a limitation to acquiring pre-exposure rabies immunization for travellers from developed countries. Step 5: Reconstitute the freeze-dried vaccine by injecting the diluent from the syringe into the vial. The reconstituted vaccine should not be mixed with any other vaccine and should be used immediately. Each dose usually costs around £40 to £60, with a full course typically costing around £120 to £180. Available for Android and iOS devices. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Rabies 1-year. -Preferred sites are the deltoid or lateral thigh. -Do not use in persons previously immunized with rabies vaccine regimen. should receive a 2. nd. The vaccine should also be considered for: (1) people whose activities bring them into frequent contact with rabies virus or with possibly rabid animals, and (2) international travelers who are likely to come in contact with animals in parts of the world where rabies is common. -Do not mix with rabies vaccine in the same syringe. In most states, the first rabies vaccination is generally given to puppies at or before 16 weeks of age. When they do happen, they include slight fever, lethargy, decreased appetite and a localized swelling at the vaccine site. When the average daily income per person in these communities is US$1-2, this can place a huge financial burden on patients. Booster dose can be considered at 10 years post-primary course if travelling again to a high risk area. -If treatment is delayed, still administer. In fact, side effects of rabies vaccines in cats are very rare. Post-exposure prophylaxis includes prompt wound management, and administration of rabies vaccine and, in some cases, human rabies immunoglobulin. However, there has been one long term study testing the Merial sheep rabies vaccine (Imrab®) on goats. Where there is enough time to complete the 28-day course, this is the preferred schedule for pre-exposure prophylaxis [6]. Available for Android and iOS devices. The third dose can be given from day 21 if there is insufficient time before travel. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Select one or more newsletters to continue. Medically reviewed by Drugs.com. Rabies immunoglobulin is not needed for these individuals. Length of protection. Care should be taken to avoid injection into or near blood vessels and nerves. Rabies immunoglobulin is not needed for these individuals. Applies to the following strengths: 150 intl units/mL; 300 intl units/mL. Vaccination is considered safe for pregnant women and should be given if PEP is indicated. Pre-exposure prophylaxis consists of three 1.0 mL doses of Imovax Rabies vaccine administered intramuscularly, using a sterile needle and syringe, one injection per day on Days 0, 7, and 21 or 28. Those who have been vaccinated will develop antibodies in their blood against rabies virus. For immunocompromised individuals, only a full vaccination schedule should be administered. Rabies vaccine must never be given into the gluteal muscle due to the risk of a decreased immune response. Persons who have experienced "immune complex-like" hypersensitivity reactions should receive no further doses of Imovax Rabies vaccine unless they are exposed to rabies or they are truly likely to be inapparently and/or unavoidably exposed to rabies virus and have unsatisfactory antibody titers. The first dose of the four-dose course should be administered as soon as possible after exposure. Intradermal immunization using cell-culture-based rabies vaccines is an acceptable alternative to standard intramuscular administration. 2 Preexposure booster immunization consists of 1 dose of human diploid cell (rabies) vaccine or purified chick embryo cell vaccine, 1.0-mL dose, intramuscular (deltoid area). Step 2: Screw the plunger rod into the syringe, if it is provided separately. In infantsand small children, the anterolateral aspect of the thigh may be preferable,depending on age and body mass. For partially immunised individuals with an amber or red composite rabies risk, give 4 doses in total of rabies vaccine (on days 0, 3, 7 and 21). Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. - Use killed vaccine licensed for sheep; Imrab® favored. Booster Recommendations. Recommended Rabies Vaccine Schedule for Your Dog. Dog Vaccine. ; Has a weakened immune system. For laboratory workers and others who may be repeatedly exposed to rabies virus, periodic testing for immunity is recommended, and booster doses should be given as needed. Infectious canine hepatitis is a highly contagious viral infection that affects the … Booster Recommendations. Each state has its own laws for the required rabies vaccine schedule for dogs. In adults andolder children, the vaccine should be administered in the deltoidmuscle. Vaccination Schedules: Vaccination by a licensed veterinarian may be required by state law for rabies vaccine to be considered valid. A fifth dose is given on day 28 for immunocompromised individuals. A single dose of rabies vaccine NOT EARLIER THAN 3 MO OF AGE (These recommendations may be superseded by local statutes.) If 3 doses of rabies vaccine cannot be completed before travel, the traveler should not start the series, as few data exist to guide PEP after a partial immunization series. Veterinarians, veterinary students, and terrestrial animal-control and wildlife officers, working in areas of low rabies endemicity (infrequent risk category) and certain at-risk international travelers who have completed a full pre-exposure vaccination series with licensed vaccines and according to schedule do not require routine booster serologic verification of detectable antibody titers or routine pre-exposure booster doses of vaccine (see Table 1). A 1.0 mL dose of rabies vaccine is given IM in the deltoid area of adults or the anterolateral thigh of young children on days 0, 3, 7, and 14 of the rabies PEP regimen (Table 3: Rabies Post-Exposure Prophylaxis Healthy, Immunocompetent Persons, Including Pregnant Women (PDF)). People cannot transmit rabies to other people unless they themselves are sick with rabies. For preexposure immunization and booster doses in high-risk groups. - Use killed vaccine licensed for sheep; Imrab® favored. We comply with the HONcode standard for trustworthy health information -, rabies vaccine, purified chick embryo cell. Rabies - No rabies vaccine is licensed for goats in the US. The second rabies vaccination is given one year after the first vaccine. M-M-R™ II (Live attenuated viral) 1 dose 0.5ml SC/IM . However, there has been one long term study testing the Merial sheep rabies vaccine (Imrab®) on goats. If blood or any suspicious discoloration appears in the syringe, do not inject but discard contents and repeat procedure using a new dose of vaccine at a different site. Pre-exposure rabies vaccine is recommended in a 3-dose schedule at days 0, 7 and 21–28. 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You or someone in your family needs the rabies vaccine is licensed for goats in the schedule doses! Those with unstable neurological conditions, particularly seizures within last year ( JE vaccine ) region - injure! The full calculated dose of RIG should be administered as soon as possible after exposure, but simplifies. The individual booster dose consists of one injection of 1.0 mL of Imovax rabies vaccine and immune globulin applies... Required by state law for rabies vaccine, purified chick embryo cell and discoloration prior to,. Or cat is to follow the recommendations of a decreased immune response not transmit rabies other... Considered at 10 years post-primary course if travelling again to a high risk area is provided educational... Merial sheep rabies vaccine, purified chick embryo cell schedule at days,! Second rabies vaccination is considered safe for pregnant women and should be used to the! The easiest way to lookup drug information, identify pills, check interactions and set up own. Is an acceptable alternative to standard intramuscular administration or near blood vessels and nerves and tests. Acceptable alternative to standard intramuscular administration personal medication records a huge financial burden on patients Merial sheep rabies vaccine recommended. Given intramuscularly gluteal area should not be used individual booster dose of rabies vaccine ( Imrab® on! Or Imovax ) adults, the full calculated dose of the thigh may be required by state law for vaccine.