Report #2841980

Received May 21, 2025

HospitalizedER / ED visitOffice visit

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Overview

Sex: Female
Age: 12 yrs
State: PA
Recovered: Unknown
Vaccinated: Mar 19, 2025
Onset: Mar 31, 2025
Days to onset: 12
Hospital days: 4

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
RAB	RABIES (RABAVERT)	NOVARTIS VACCINES AND DIAGNOSTICS	UNK	FDP00595	RA

Symptoms (22)

Antinuclear antibody negativeBalance disorderBlood creatine phosphokinase normalC-reactive protein normalDecreased vibratory senseDifferential white blood cell count normalExercise tolerance decreasedFull blood count normalGait disturbanceGenetic testingGlycosylated haemoglobin normalLimb discomfortLoss of personal independence in daily activitiesMagnetic resonance imaging head normalMagnetic resonance imaging spinal normalMetabolic function test normalMuscular weaknessPain in extremityRed blood cell sedimentation rate normalReflex test normalThyroid function test normalUrine analysis normal

Symptom narrative

Patient was revaccinated on 3/20 with RIG due to not receiving RIG on 3/19 at R calf (site of scratch from fox's tooth). Received 2nd dose of Rabies vaccine on 3/22, and 3rd rabies vaccine on 3/26/25. 4th shot on 4/2/25. On 3/31 started with bilateral leg weakness and reported inability to run. Legs felt achy and off blance. On 4/17 unable to participate in a fire drill due to leg pain and weakness. Due to ongoing symptoms was seen in the ED on 4/25 where she was noted to have more of an antalgic gait rather than weakness and intact/full strength bilaterally that became limited due to discomfort. Reflexes were intact and symmetric. Mild vibration sense deficiet distally noted in toe compared to ankle. MRI of entire spine and brain was unremarkable. Admitted to the hospital from 4/25-4/28 and during this time retained full strength. Genetic testing was obtained due to concerns for possible CMT. Abnormal gait not sugestive of weakness or cerebellar abnormalities but appeared to be more functional as she showed improvement on repetition.

Current illness

none

Medical history

palpitations, PFO

Other medications

Rabies immune globulin

Allergies

benadryl

Lab data

MRI of entire spine and brain- normal; ANA- normal, CRP and ESR- normal, CK- normal, CMP- normal, hemoglobin A1C- NORMAL, thyroid- normal, CBC/diff- normal, UA- normal