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Score acute allergy and hypersensitivity symptoms across skin, airway, GI, and cardiovascular domains with transparent points. An optional emergency pattern flag supports anaphylaxis recognition teaching — not a diagnosis, not UAS7 or SCORAD, and not a substitute for epinephrine or calling emergency services. See more tools on our medical calculators hub.
Last updated: June 4, 2026
Mild symptom burden (educational)
3
Mucosa / limited skin
3
Widespread hives
0
Angioedema
0
Throat / swallow
0
Wheeze / cough spasm
0
Severe breathing
0
GI
0
Dizziness / neuro
0
Lower educational burden: mostly mild mucosal or limited skin findings. Mild symptoms can still progress—monitor closely after new exposures and follow your clinician’s action plan if you have known allergies.
Biphasic reactions can occur hours later. If you have been told you have severe allergy, carry and know how to use epinephrine autoinjectors. This tool cannot tell you whether to take medication.
Itchy eyes/nose + small localized hives
3 pts
mild band
Emergency pattern: no
Angioedema + throat tightness + nausea
17 pts
severe band
Emergency pattern: yes
| Symptom | Points | Domain |
|---|---|---|
| Mild rhinitis or conjunctivitis | +1 | Mucosa / limited skin |
| Localized pruritus or small hives | +2 | Mucosa / limited skin |
| Widespread hives (urticaria) | +5 | Skin |
| Facial or oral angioedema | +8 | Skin / mucosa |
| Throat tightness or trouble swallowing | +6 | Upper airway |
| Wheeze or bronchospasm | +5 | Lower airway |
| Severe respiratory distress | +12 | Lower airway |
| Nausea, vomiting, or crampy abdominal pain | +3 | GI |
| Presyncope, dizziness, or marked weakness | +5 | Cardiovascular / neuro |
| Altered consciousness or collapse | +12 | Cardiovascular / neuro |
| Band | Meaning | Educational next step |
|---|---|---|
| Mild (0–4 points) | Mostly mild mucosal or limited skin findings | Monitor; follow known allergy plan. Re-check if symptoms spread or worsen. |
| Moderate (5–14, no emergency pattern) | Several symptoms or more intense local findings without the teaching emergency flag | Same-day clinician or urgent care for new/worsening reactions — especially food, sting, or new drug |
| Severe (15+ or emergency pattern) | High point total and/or combinations taught as anaphylaxis-type patterns | Emergency care and epinephrine per action plan — not antihistamine alone for airway or shock symptoms |
The flag can force a severe band even when points are still rising — designed for teaching, not EMS protocols.
| Instrument | Purpose | Validated? |
|---|---|---|
| This calculator | Acute hypersensitivity / reaction teaching checklist | No — transparent points for education |
| UAS7 (urticaria activity score) | Chronic urticaria — wheal count + itch over 7 days | Yes — specialty chronic urticaria |
| SCORAD | Atopic dermatitis (eczema) extent and severity | Yes — eczema research and clinics |
| Clinical anaphylaxis diagnosis | Exposure + exam ± tryptase; epinephrine when indicated | Yes — clinician judgment, not a web score |
For diagnosed or strongly suspected anaphylaxis, guidelines emphasize intramuscular epinephrine in the mid-outer thigh as first-line treatment, then calling emergency services, positioning the patient, and observation for recurrence. Second epinephrine doses may be needed per action plan. Antihistamines and inhaled bronchodilators are adjuncts when appropriate — they do not replace epinephrine for shock or airway compromise.
Carry two auto-injectors if prescribed; train family and school staff. Avoid eating trigger foods until your allergist clears a plan — this calculator does not identify allergens.
Similar symptom-checklist format: COVID symptom severity calculator.
Medical emergency: If you think you are having anaphylaxis, use epinephrine as directed and call emergency services. This educational calculator cannot examine you or recommend treatment.
For allergy awareness, school nurses, and reaction-education workshops
Suggested hashtags: #Allergy #Anaphylaxis #Urticaria #Health #Calculator