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This document is designed to collect comprehensive information about a patient's allergy history, including symptoms, family history, medical conditions, and previous allergy treatments.
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How to fill out allergy history

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How to fill out Allergy History

01
Gather necessary personal information such as name, age, and contact details.
02
List all known allergies, including food, medication, insect stings, and environmental factors.
03
Note the severity of each allergy and any reactions experienced.
04
Include any family history of allergies if applicable.
05
Indicate any previous allergy testing or treatments received.
06
Review the information for accuracy and completeness before submission.

Who needs Allergy History?

01
Patients with known allergies seeking medical treatment.
02
Individuals undergoing procedures that may involve allergic reactions.
03
Parents filling out forms for children with potential allergies.
04
Health professionals assessing a patient's allergy history for safe treatment.
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People Also Ask about

Common allergy triggers include: Airborne allergens, such as pollen, animal dander, dust mites and mold. Certain foods, especially peanuts, tree nuts, wheat, soy, fish, shellfish, eggs and milk. Insect stings, such as from a bee or wasp.
In 1906, Clemens von Pirquet coined the word allergy and put forward his theory on the mechanism of allergies. From his observations of what happened after vaccinations and during infectious diseases, he suggested that the immune system was responsible for allergic reactions.
Allergy‑focused clinical history age when symptoms first started. speed of onset of symptoms after contact with the food. duration of symptoms. severity of reaction. frequency of occurrence. setting of reaction (for example, at school or home)
Coming from his clinical research in the field of infectiology and immunology the Viennese pediatrician Clemens von Pirquet (1874-1929) introduced the term "allergy" in 1906. With it he wanted to describe in general a change in reactivity of the organism, namely in time, quality and quantity.
Occasional descriptions of allergic disease occurred in antiquity such as the suggestion that one of the Pharaoh's died of anaphylaxis after a bee sting1. The first convincing description of hay fever was by John Bostock who described his own symptoms in 1828.
The concept of "allergy" was originally introduced in 1906 by the Viennese pediatrician Clemens von Pirquet, after he noticed that patients who had received injections of horse serum or smallpox vaccine usually had quicker, more severe reactions to second injections.
Pirquet optimized the clinical practice in the children's hospital and showed great social engagement. He has his place in the history of medicine as an esteemed physician, researcher and "father of allergy".
Coming from his clinical research in the field of infectiology and immunology the Viennese pediatrician Clemens von Pirquet (1874-1929) introduced the term "allergy" in 1906. With it he wanted to describe in general a change in reactivity of the organism, namely in time, quality and quantity.

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Allergy History is a record of an individual's past and current allergic reactions to substances such as foods, medications, environmental factors, and other allergens.
Individuals seeking medical treatment, especially those with known allergies, are required to file Allergy History. This includes patients visiting healthcare providers, hospitals, or clinics.
To fill out Allergy History, individuals should provide detailed information about known allergies, including specific allergens, types of reactions experienced, severity, and any past treatments or medications used.
The purpose of Allergy History is to help healthcare providers understand a patient's allergic sensitivities to ensure safe and effective treatment, prevent allergic reactions, and guide medical decision-making.
The information that must be reported includes personal identification details, specific allergens, nature and severity of past allergic reactions, date of reactions if possible, and any relevant medical treatments or medications.
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