ALLERGY TRIGGER AND SYMPTOM TABLE
My allergy triggers and responses
SYMPTOMS Check all that apply
Runny Nose Shellfish Peanuts Eggs Wheat Soy Beer Alcohol Dyes Milk Antibiotics Scratchy Throat Hives Itching Rash Facial Swelling Facial Color Cramping Constipation Diarrhea Difficulty Breathing
TRIGGERS
Pain Meds Anesthetics Dust Mold Cleaning Agents Pollen Grasses Trees Cats Dogs Insects Other