Risk factors for adverse events following rabies vaccination: a multivariate analysis of real-world data

This study is the first to identify bilateral deltoid vaccination as an independent risk factor for adverse reactions to rabies vaccine. The constructed nomogram model demonstrates high accuracy in identifying high-risk individuals. Clinically, it is recommended that high-risk exposure patients receive single-site vaccination combined with a 4-dose regimen, with wound management completed within 24 h. Enhanced monitoring is advised for hypertensive patients to mitigate potential risks.