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Tetanus question
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pleasehelpme87 posted:
Hi Dr. Moser, I have a question about tetanus and the tetanus shot called Adacel. On June 30, 2012, I have come into contact with a metal object that had some rust on it (noticed after I picked it up because it was on the bottom of the object that was painted black). The object did not cut me, but I did have some torn skin on my pinky finger (from pulling off a hangnail). It had been about nine to ten years since my last tetanus shot. I got the shot called Adacel the next day on July 1, 2012. I have had a sore hard feeling lump on my arm since I got the injection (this is decreasing as time goes on). [br>[br>1. I have also noticed my upper eyelid twitching on and off for about three days now (happened on the day of injection, after getting it), should this be very alarming, symptom of tetanus or vaccine reaction?

2.Some twitching today on my arm (where injected), bottom of foot, left pectoral, and right eyelid.
2. Some mild lower back (kidney area) pain yesterday, should this be alarming, symptom of tetanus or vaccine reaction?[br>[br>3. How long does it take the body to get back to normal after a tetanus shot (like how it takes the body seven to ten days to fight off a cold, antibody production time)?[br>[br>The twitching and lower back pain concern me if something could be going on? The vaccine has some pretty bad side effects listed like Gullain barre and seizures. Do you have any thoughts, ideas or recommendations? Thank you.
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pleasehelpme87 responded:
I am not sure why my above message turned out weird, but I will repost it here, dismiss the first message please.


Hi Dr. Borucki, I have a question about tetanus and the tetanus shot called Adacel. On June 30, 2012, I have come into contact with a metal object that had some rust on it (noticed after I picked it up because it was on the bottom of the object that was painted black). The object did not cut me, but I did have some torn skin on my pinky finger (from pulling off a hangnail). It had been about nine to ten years since my last tetanus shot. I got the shot called Adacel the next day on July 1, 2012. I have had a sore hard feeling lump on my arm since I got the injection. [br>

1. I have also noticed my upper eyelid twitching on and off for about three days now, should this be very alarming, symptom of tetanus or vaccine reaction?[br>

2. Some mild lower back (kidney area) pain today, should this be alarming, symptom of tetanus or vaccine reaction?[br>

3. How long does it take the body to get back to normal after a tetanus shot (fighting off the injected solution, immune system wise like fighting off a cold)?


4. Some twitching today on my arm (where injected), bottom of foot, left pectoral, and right eyelid.


The twitching and lower back pain concern me if something could be going on? The vaccine has some pretty bad side effects listed like Gullain barre and seizures. Do you have any thoughts, ideas or recommendations? Thank you.
 
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Rod Moser, PA, PhD replied to pleasehelpme87's response:
I am not Dr. Boruki.....

Adacel is a very safe vaccine....zillions are administered every year, and so far, I have no seen a vaccine-related event like you are describing in my clinical practice. The two vaccine components (tetanus and diphtheria) are killed vaccines and again, very safe. This is not to assume that you are not that very rare person who is having a reaction, I just can't make that call.

Tetanus shots have always had a reputation of causing a sore arm, which usually resolves in a few days. That "lump" may be a pocket of blood as the needle passed through a few minor blood vessels. This happens quite often. This hematoma should resolve in time.

Assuming the shot was given correctly, there should not be any local nerve reactions. The reactions your are describing, such as your eye twitching, your low back, and extremities will require a hands-on examination. I would not just assume that this is a vaccine reaction, or Guillian-Barre, but if your symptoms persist, you will need to have a hands-on examination. There is really no way for me to blindly make a patient-specific determination regarding the significance of your symptoms over the Internet. Those symptoms are unusual.
 
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pleasehelpme87 replied to Rod Moser, PA, PhD's response:
Hi Dr. Moser, thank you for your message. In my first message (the one that posted with errors), I had your name, I probably wrote another doctor's name in my confusion and worry.

I went to the doctor today, and had an examination (eyes, limb strength, knee relfex, walking), he said it looks like a minor reaction to the vaccine. I would not be too concerned about getting a vaccine, if it were not for the eye twitch that happened after the vaccine on the same day and has been happening on and off to today.

The doctor said this might take about two to three weeks to recover from. After further questioning the doctor, the doctor said if twitches get worse or if there is limb numbness, then got to the doctor or hospital, but that I should not stress too much into thinking it could or will happen. I am thinking I should not have even got the vaccine now (I have had in the past got the tetanus vaccine, hep a hep b vaccine, typhoid vaccine, oral travellers vaccine, baby vaccines before, so I thought this would be rational). Now I am worrying that I could get Guillain Barre Syndrome. Do you have any other thoughts or ideas? Thank you.
 
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Rod Moser, PA, PhD replied to pleasehelpme87's response:
I am sure you have read about Guillian-Barre. Your doctor would have made the diagnosis if this was case, and this is why he mentioned limb numbness. I have seen random eye twitching many times in my clinical years --- and, none have been Guillian-Barre.

I really do not have any further advice or comments, other than to just wait and see. Again, I have never seen this reaction from a tetanus, diphtheria, or a combination shot.


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