HomeAnswersGeneral MedicinerabiesHow many shots do you need after a dog scratches you?

I got vaccinated after a stray dog scratched me. Should I do anything else?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At September 3, 2020
Reviewed AtDecember 12, 2023

Patient's Query

Hi doctor,

I was scratched by a stray dog as he got excited while I fed him, and his nail scratched my knee. The dog was calm and had no unusual behavior. I washed the scratch and went to the emergency room for an injection. The doctor gave Rabivax and said immunoglobulin was not required as the scratch was not so deep. My description of the scratch would be a simple scratch with little redness. No blood came out. However, red dots are seen after ten hours. I went back to the hospital and also got immunoglobulin (Rabishield) for my peace of mind. Now the scratch is a bit swollen. My question is, apart from the other four shots, should I do anything extra? Was I late in getting immunoglobulin? I took it within 12 hours. Should I even monitor the dog or relax? Kindly advise.

Answered by Dr. Sugreev Singh

Hi,

Welcome to icliniq.com.

I understand your concern.

You should not be worried much because you have been vaccinated, even with immunoglobulin. Please observe the dog, and if nothing changes, you can be chill. And if you are very curious, you can get follow-up vaccines on days 3, 7, 14, and 28. And if you get any symptoms, please let me know or go to a nearby doctor.

If you need anything, please let me know.

Thank you.

Patient's Query

Hi doctor,

Thanks for your reply.

I just wanted to know the answers to the following questions:

1. Is my scratch serious enough (I have attached the image)?

2. I have got both immunoglobulin and anti-rabies vaccines. Should that keep me 100 % safe?

3. If the dog was not aggressive, just playful, should I still follow the dog's behavior?

4. I am an anxious person, and if I monitor my symptoms, I get more symptoms. What to do?

5. Are the vaccines and immunoglobin effective brands?

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

Your scratches are not that deep (attachment removed to protect patient identity). It is mild. Yes, the vaccines are effective enough. If you follow the dog for 10 to 14 days, it will be good. Even if you cannot monitor the dog, no need to worry much, as you have been vaccinated already. They will protect you. And you are going to get all the vaccines, so there should be no worries at all. No need to panic at all. You have handled it correctly. You got a vaccine and immunoglobulin immediately. So, you can be assured and relax.

Thank you for your feedback.

If anything else, I am here to reply.

Regards.

Patient's Query

Hi doctor,

Thanks again.

My doctor said immunoglobin was not required. I still took it. And, there might be chances that the dog is not rabid.

Answered by Dr. Sugreev Singh

Hi,

Welcome back to icliniq.com.

I understand your concern.

You took the vaccine, so there are no such chances that immunoglobulin will decrease its efficacy. And it has been almost two days now. If the dog is near you and you are observing the dog, and if he is completely stable, with no change in behavior, then there are no chances that you will have rabies. So, nothing to worry about at all. And your bite was grade (category) 1, which means very small, so there were already no such chances. After all, even if there was a 1 % chance, then you have to take the vaccine. So, nothing to worry about at all. You can relax completely. Let me know if you have any symptoms.

Hope this helps.

Kind regards.

Patient's Query

Hello doctor,

Thanks.

It has been ten days since the scratch. The dog is normal. In fact, we took him to the doctor for maggots, and he was given antibiotics. He is normal now and active and friendly to humans. The only apprehension that I have right now is that the place where immunoglobulin was given is paining. It was right near the knee and a little above the scratch. It has sharp and dull pain and a little itchy. I went to the ER, where I showed them my knee. They examined it with their hands, said nothing to worry about, and asked me to take Flexon. My question is, is it normal for the immunoglobulin injection site to have pain after six days? I have read it could be the initial symptoms of rabies, and I am really anxious. Please help.

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

That is great. If the dog is behaving normally, then no need to worry at all. The pain you have is due to the vaccine only. Yes, we do get pain because it is a strong medication. And sometimes it stays there. Maybe after taking the shot, you did not rub it properly. You can apply ice for some time at the side of the injection and rub. It will help in dissolving the vaccine and in pain as well. You can do this two to three times a day. And do not assume that it is pain due to rabies only. Definitely, you do not have any rabies. That is what I can say. So do not worry or panic at all.

If anything else, please do inform me.

Thank you.

Patient's Query

Hello doctor,

Thanks for the reply.

You are right. The nurse asked me to apply an ice pack, but I did not because it was not hurting. But after the seventh day, it started paining. I forgot to pay attention to this area, and the muscle twitched only a few times. Is it possible for the immunoglobulin pain to stay for so long? It has been ten days for the dog to be normal. Some say observe it for 7 days, some say 10 days, and some say 14 days. What is the correct number of days?

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

I am going to answer all the following questions you have asked. Yes, mild pain stays for quite some time, and you did not apply ice after vaccination, which is why it is paining now. You can apply now, and it will resolve. I told you to follow up as a precautionary measure because in emergency situations, we are able to access and there is a need for fluid transformation, etc., then we cannot give them online. In such a case, we mention that. Usually, ten days are enough for observation, but if the dog is not flexible and people are not able to find it or some people do not observe properly, we say 14 days. Otherwise, ten days is sufficient. I assure you on the same day when I saw the bite category, you mentioned the vaccine. I told you nothing to worry about. Again, I can assure you it has been ten days, and everything went smoothly. No symptoms or changes in the dog's behavior were seen. So you can sit back and relax. Is there anything else you would like to ask?

Revert in case of queries.

Kind regards.

Patient's Query

Hi doctor,

Thanks for the detailed answer.

I thought the symptoms you asked for were related to rabies. I was observing the dog on a daily basis since it had maggots. He was treated, and the veterinarian said he did not look rabid. I was paranoid, even if it was a bit dull. I almost panicked. Anyway, as you mentioned, whether or not the dog is rabid. I am safe, and I think I need to take anxiety medications.

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

No, for such things fear is good, and that is why immediately you took vaccines and all. Otherwise, if you would have thought that nothing would happen, that is wrong. But now you can leave that fear. Everything is fine. So, you can relax.

I wish you a very happy and healthy life.

Thank you.

Patient's Query

Hi doctor,

Thanks.

It has been more than 24 days, and the stray dog that scratched me has been healthy. Even though I discovered a minor scratch on my biceps, that would most probably be my dog. Now, I have another paranoia. I saw some bats flying from my balcony. They usually do not come near my balcony. I was sleeping, and I could feel something stung me. My door was most probably closed. I woke up and did not see any bat on my bed as I was sleeping. I am now getting worried what if it was a bat? I am sharing the pictures of the bite. It was swollen initially, but now it is like this, and even if it is a bat bite, should I do anything special? I have got four vaccines, and waiting for the fifth one.

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

These are most probably mosquito bites or house bee bites, and you should not worry at all. Bat does not bite humans generally, and you have taken vaccines recently. So, nothing to worry about at all. These bites will disappear in four to five days, and it is completely normal. No treatment is required. But if they are more itching, I suggest you take the following:

1. Tablet Cetirizine 10 mg once a day. It is an antihistamine, which will decrease swelling, and itching and cure allergic reactions.

2. Another thing is, that you can apply Odomos cream (N.N-Diemyibenzanide, aloe vera, and Citronella) on your hands or leg before you sleep so you will be safe from mosquitoes and other small insects.

So, did you observe the behavior of the dog biting you? Is his behavior normal? If yes, then everything is fine. Do not worry.

If anything else, please let me know.

Thank you.

Patient's Query

Hello doctor,

Thank you.

I observed the dog for 24 days. He was excited about food and scratched me playfully. He is normal. We took him to a veterinarian on the ninth day for maggot wounds, he was a bit dull between for the tenth and eleventh day, but now he is normal. Should I continue observing him?

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

No, everything is fine. You do not have to observe anymore. You can relax.

If anything else, let me know.

Regards.

Patient's Query

Hi doctor,

Thanks for the reply.

I took my last injection on the 20th day. Today, my dog, while playing, scratched my elbow with a little bloodpots. I washed it thoroughly. My dog took anti-rabies two years back. He does not go out of the flat and does not interact with any strays. Do I need to do anything?

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

No, now everything is fine. You do not have to do anything. Everything seems perfect. Do not worry at all and relax. If you have any symptoms, please let me know. If not, everything is fine.

Thank you.

Have a nice day.

Patient's Query

Hello doctor,

Thanks again.

What kind of symptoms should I look for related to rabies? And, even if I get scratched by strays whom I feed, am I safe? For how many months do I need not worry without taking any booster shots?

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your query and concern.

You will not have any symptoms. Rabies symptoms are excessive saliva drooling from the mouth, muscle pain, spasms, and stiffness. Yes, you are safe. You do not have to worry at all. You are completely free from rabies. It provides immunity for ten years at least. People who are at very high risk then they might need vaccines in between. Otherwise, no need.

Hope this helps.

Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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