Where it may be relevant
- Travellers with possible contact with dogs, monkeys, bats or other mammals
- Long-stay, remote, cycling, running, caving, veterinary or animal-work itineraries
- Children and travellers where prompt reliable post-exposure treatment may be difficult
Dose schedules.
The clinician will select the appropriate licensed schedule after reviewing age, health, previous doses and departure date.
Two-dose pre-exposure course
Suitable immunocompetent travellers
Three-dose pre-exposure course
When clinically required
Rapid Rabipur course
Eligible adults aged 18–65
Product-specific and followed by exposure advice as usual.
Who may be eligible
- Adults and children whose exposure risk justifies pre-travel vaccination
- Previously vaccinated people needing specialist occupational or continuing-risk review
Who may not be eligible
- Anyone with a confirmed severe allergic reaction to a previous dose or a vaccine ingredient
- People who are acutely unwell with a significant fever may need vaccination deferred
- Pregnancy, breastfeeding, immune suppression and current medicines must be reviewed individually
Potential side effects
- Pain, redness or swelling where the injection is given
- Headache, tiredness, muscle aches or a mild fever
- Feeling faint around the time of vaccination
Important risks and precautions
- A severe allergic reaction is very rare and requires urgent treatment
- Protection is not absolute, so relevant food, water, bite or exposure precautions remain important
- The exact product and schedule must be confirmed during a clinical assessment
- Every bite, scratch or saliva exposure still requires immediate washing and urgent medical assessment
Clinical references
Further information.
- UKHSA Green Book
- TravelHealthPro country guidance
- https://www.gov.uk/government/publications/rabies-the-green-book-chapter-27
Information is general and does not replace a personal assessment, prescribing decision or the latest destination-specific advice.
