HomeAnswersInfectious Diseasesrabies vaccineMy eight-year-old son got his rabies vaccine for a cat scratch on his butt. Is it normally given in the butt or the arm?

Can we give rabies vaccine on the butt?

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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.

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Published At July 28, 2022
Reviewed AtJanuary 29, 2024

Patient's Query

Hi doctor,

After a cat scratch, my 8-year-old son got his rabies first shot on his buttocks. But we are worried after the shot we saw on the internet that it should be on his arms. Should we repeat the vaccination now for effectiveness? Why did they put it in the buttocks? Kindly help me.

Hello,

Welcome to icliniq.com.

Yes, the rabies vaccination should be on the deltoid muscle area in the arm. Injection in the outer thigh is given if the arm is not fit for injection and in children. The efficacy is lesser if injected in the buttocks. Injection on the deltoid area of the arm in adults and anterolateral thigh in children have better absorption and availability when compared to the gluteal region. But this does not mean the injection is ineffective when given in the buttocks. Therefore, I suggest you not be overly worried about this aspect. I also suggest you complete the rabies vaccination on days 0, 3, 7, 14 (as per the centers for disease control and prevention), days 0, 3, 7, 28 (as per the world health organization schedule), and days 0, 3, 7, 14, 28 (as per Indian guidelines), in case your child is previously unvaccinated, I suggest selecting the vaccination schedule as per the guidelines in your area.

I suggest you take additional immunoglobulins if the dog bite is a category 3 type. I also suggest you visit the hospital where you have taken the vaccine. I am not sure why the injection was injected intramuscularly in the buttocks. Please check with your physician who prescribed the same or the nurse who might have injected the vaccine.

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

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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