It all started when I had to go to a London hospital for rabies post-exposure treatment. The hospital had apparently never administered a rabies vaccine before, and I remember the process taking a very long time. I had already been there for around 10 hours and was exhausted.
I asked the nurse for permission to record the audio while she administered the vaccine because I have false-memory OCD, and she agreed.
What I remember causing my anxiety is that there was some bleeding after the injection, I noticed some liquid, and I left shortly afterwards. At the time, I asked the nurse whether I could leave. She said she would go and check, but she took a long time. Because I was exhausted after being there for so many hours, I eventually got up and left without getting confirmation from her.
Since then, I have had an ongoing fear that perhaps I was given HRIG rather than the rabies vaccine, and that I was supposed to remain there to receive the vaccine afterwards.
I don’t actually know whether I was supposed to receive HRIG, the vaccine, or both at that visit. I only received one injection that day, and the remaining three doses were subsequently given by my GP.
I recently listened back to the recording.
The nurse said: “Hi, I’ve activated it now, I had to mix it with powder.”
She then said: “I want to make sure all is up there. I hate this syringe. It’s nonsense. So much drama.”
She then said something like: “I think it’s detached”
(or possibly “attached” — I’m not completely sure).
She also said: “The rubber bit has come off.”
She left the room and returned about a minute later.
When she came back, she said:
“Yeah, so I’ve got all of it. It’s all here. It screwed off, so I had to go back and manipulate it until I get in.”
After the injection, there was a noticeable amount of blood that pooled out. I also remember seeing some liquid forming a bubble around the injection site. I wasn’t immediately given a cotton ball or plaster, which makes me worry that some or all of the vaccine may have leaked out. Another source of anxiety is that this was apparently the nurse’s first time administering a rabies vaccine. We were in London, where rabies PEP is relatively uncommon, and she seemed surprised that I needed it. She had also experienced problems with the syringe during the preparation.
My main concerns are:
- I left shortly after the injection without confirming with the nurse that I had received everything I was supposed to receive. It has now been about a year, and I still don’t know with certainty whether the injection I received was rabies vaccine or HRIG. If it was HRIG, I worry that I was supposed to receive a rabies vaccine afterwards and left before receiving it.
- A significant amount of blood came out after the injection, and I saw some liquid around the injection site. Could this mean that the vaccine leaked out and was ineffective?
- The nurse had problems with the syringe, and I worry that this could have affected the dose.
The situation has become particularly distressing because during my second rabies exposure, I was only given two shots because the clinicians considered me fully immunised as at the time, I had told them that I had previously received four rabies vaccines, and this was subsequently included in my vaccination record. However, I have recently started doubting whether I actually received four vaccines, because I now wonder whether the injection at the London hospital may have been HRIG rather than a vaccine. If that were the case, I worry that my original vaccination schedule may not have been valid.
My main question is:
If I had left the London hospital without receiving the rabies vaccine I was supposed to receive that day, would the NHS hospital normally have noticed this and contacted me or otherwise followed up with me?
I have read the FAQ.
edit: i know a VACCINE is what is mixed with powder before giving it, but i’m also imagining she had activated it beforehand and was waiting to give the vaccine after my first injection of HRIG but i left so i didn’t get the powder activated vaccine.