Here's an example-- I was walking to Riften and on the way I hit stage 4 vampirism. The guard at the outside of the gate didn't mess with me and I even stood directly in front of him to be sure. Then when I entered, both guards proceeded to beat the crap out of me. Reloaded twice and got the same result every time. Is anyone else having this happen after installing Dawnguard? It says on TESWiki that after installing DG the only time NPCs should be hostile towards you is when you're in Vampire Lord form.
I had that problem once in Solitude, I got into Stage 4 as soon as I fast traveled there and the guards seemed to notice that. I took a blood potion and they stopped, but I noticed that if you enter the 4th stage in a place where no one can see it (in a dungeon or anywhere outside of a city), no one should attack you. I was in the 4th stage for about a week in-game and I wasn't attacked once.