In extreme rare cases in which subjects have reacted with clinical symptoms such as urticaria (nettle rash), lip and epiglottis oedema, laryngo- or bronchospasm, a fall in blood pressure, or shock after eating chicken protein, the immunisation should be conducted only under close clinical monitoring, and with the appropriate facilities for emergency treatment available.
ChiroRab contains polygeline and may contain residual amounts of the antibiotics amphotericin B, chlortetracycline, neomycin and this could potentially cause allergic reactions.
In patients with known hypersensitivity to constituents of the vaccine receiving post-exposure treatment, appropriate medical treatment addressing anaphylactic shock should always be on-hand during vaccination, or alternatively another equivalent modern cell culture rabies vaccine should be used.
Do not administer by intravascular injection. If the vaccine is inadvertently administered intravascularly (in a blood vessel), there is a risk of adverse reactions, with shock potentially occurring in extreme cases.
Do not mix vaccine with rabies immunoglobulin in the same syringe.
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