Rabies Vaccination: Do You Need to Complete Your D&T Shots?

Rabies vaccine for humans

Hello, doctor.
I would like to ask a question.
About six months ago, I was bitten by a stray dog in Thailand.
At that time, I went to the hospital for treatment, and the doctor administered HRIG and two types of vaccines: Verorab and diphtheria and tetanus vaccine, with five doses and three doses respectively.
However, I did not complete the final dose of the diphtheria and tetanus vaccine before returning to Taiwan.
I also found online that in Taiwan, only four doses of rabies vaccine are administered.
I am unsure if I need to go back to the hospital to complete the diphtheria and tetanus vaccine that was originally scheduled for August 31.

CC, 20~29 year old female. Ask Date: 2020/09/03

Dr. Liao Yaopan reply Family Medicine

Hello, the diphtheria and tetanus combination vaccine is generally recommended for adults as a preventive measure or booster shot, typically administered every ten years.
Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about your health.

Reply Date: 2020/09/03

More Info

When it comes to rabies vaccination and the completion of the diphtheria and tetanus (D&T) vaccine series, there are several important considerations to keep in mind, especially given your previous exposure to a potentially rabid animal in Thailand.

First, let’s clarify the rabies vaccination protocol. After being bitten by a potentially rabid animal, the standard post-exposure prophylaxis (PEP) includes the administration of rabies vaccine and rabies immune globulin (RIG). The rabies vaccination schedule typically consists of five doses administered on days 0, 3, 7, 14, and 28, although some guidelines have recently shifted to a four-dose schedule (days 0, 3, 7, and 14) for certain populations. Since you received HRIG (Human Rabies Immune Globulin) and the rabies vaccine (Verorab), it is crucial to ensure that you complete the vaccination series as recommended by your healthcare provider.

Now, regarding the D&T vaccine, it is generally recommended for adults to receive a booster dose every ten years. If you did not complete the last dose of the D&T vaccine, it is advisable to follow up with your healthcare provider to determine whether you should complete the series. In your case, since you were bitten by a dog in Thailand, it is prudent to ensure that your tetanus vaccination is up to date, especially if the wound was significant or if it has been more than ten years since your last booster.
In Taiwan, the D&T vaccination schedule typically involves three doses, but if you are unsure about your vaccination history or if it has been a while since your last booster, it is best to consult with a healthcare professional. They can assess your immunization records and advise you on whether you need to complete the D&T series.

Additionally, it is important to monitor for any signs of infection at the site of the bite, as well as any symptoms related to rabies, although rabies is preventable if the vaccination series is completed in a timely manner. If you have any concerns about your health or vaccination status, do not hesitate to reach out to a healthcare provider for personalized advice.

In summary, while you have received the necessary rabies vaccinations, it is essential to complete the D&T vaccine series if you have not done so, especially considering your recent exposure to a potentially rabid animal. Keeping your vaccinations up to date is crucial for your health and safety. Always consult with a healthcare professional for tailored advice based on your medical history and current health status.

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