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Allergy log - My allergy triggers and responses
TRIGGERSALLERGIC RESPONSES - CHECK ALL THAT APPLY
FOODSRunny noseScratchy throatHivesItchingRashFacial/neck swellingFlushingAbdominal pain or crampingConstipationDiarrheaDifficulty breathingOther
Shellfish
Peanuts
Eggs
Wheat
Soy
Other
BEVERAGESRunny noseScratchy throatHivesItchingRashFacial/neck swellingFlushingAbdominal pain or crampingConstipationDiarrheaDifficulty breathingOther
Beer
Other alcohol
Fruit juices with dyes
Milk products
Other
MEDICATIONSRunny noseScratchy throatHivesItchingRashFacial/neck swellingFlushingAbdominal pain or crampingConstipationDiarrheaDifficulty breathingOther
Antibiotics (name)
Pain medications (name)
Anesthetics (name)
Other
INSIDE ENVIRONMENTRunny noseScratchy throatHivesItchingRashFacial/neck swellingFlushingAbdominal pain or crampingConstipationDiarrheaDifficulty breathingOther
Dust
Mold
Cleaning products
Other
OUTSIDE ENVIRONMENTRunny noseScratchy throatHivesItchingRashFacial/neck swellingFlushingAbdominal pain or crampingConstipationDiarrheaDifficulty breathingOther
Pollen
Grasses
Trees
Other
ANIMALSRunny noseScratchy throatHivesItchingRashFacial/neck swellingFlushingAbdominal pain or crampingConstipationDiarrheaDifficulty breathingOther
Cats
Dogs
Insects
Other
 
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Name:  Skyler's Allergy Log by  laketrout30 laketrout30 
Description:  Allergy log - My allergy triggers and responses
Tags:  allergy log tracking  
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