Allergy Injection Reactions

Allergy injections, just like any medication or therapy, has the potential for adverse reactions. However, with other medication reactions you may be required to stop that medication, with allergy injections we expect some degree of reaction to occur, which isn’t to say we ignore reactions, just the opposite. We pay very, very close attention to reactions that occur from allergy injections, and we want/need you to do the same. These reactions occur in two forms: local and systemic. This is your body’s way of telling us we are progressing too fast. THIS IS NOT A RACE!

Local Reactions

Local reactions are reactions that occur at the injection site and consist of itching and bump. Depending on the size of the bump and degree of itching, your shot may be reduced slightly. After a reduction, you will resume advancing just as you did before the reaction occurred. In most instances you will progress right past this same dose without difficulty.

Occasionally, some patients may have difficulty progressing through a dilution, and if so, we will slow the progression and advance you slower by either repeating a dose or advancing in smaller amounts.

Local reactions of bumps bigger than a dime in size or an uncomfortable amount of itching are required to be reported to the injection personnel before you leave the office. If the reaction gets larger or itchier after leaving the office, please report the final size to the injection personnel before your next injection.

Systemic Reaction

This reaction is life threatening. Almost all systemic reactions occur within in the first 30-minutes of receiving an allergy injection, hence the reason for the mandatory 30-minute wait in our office or any medical facility after receiving an allergy injection.

A systemic reaction may occur at any time during your allergy treatment. Even with being on your maintenance dose for several years; it is still possible and in some instances it does occur.

A systemic reaction may have any or all of the following:

  • Sneezing
  • Runny and/or itchy nose
  • Nasal congestion
  • Itchy and/or watery eyes
  • Itchy ears or palate (roof of the mouth)
  • Coughing
  • Shortness of breath or wheezing
  • Fainting
  • Dizziness
  • Itchy throat
  • Throat tightness
  • Hives or itchy skin
  • Flushing of the skin

If these symptoms develop in our office please tell the injection personnel or nearest employee immediately. If these symptoms develop outside our office, you will require treatment at the nearest emergency facility immediately.

A systemic reaction will necessitate a reduction of one full dilution in your allergy injections.

Delayed Reactions

Not all reactions occur within the 30-minute waiting period. You may have a delayed reaction (local or systemic) where symptoms can develop up to 24 hours later. These reactions must be reported to us before your next injection. They are as important as reactions that occur in the office. Please make it a habit to recheck your injection site throughout the day and report any bumps that develop. (See Local and Systemic Reactions above).