Anaphylaxis signs and symptoms

Allergy versus anaphylaxis

An allergic reaction occurs when our immune system reacts to something that is usually considered harmless to most people, such as a certain food, pollen, dust mites, insect bites or latex.1

Anaphylaxis is the most severe form of allergic reaction and can be life-threatening, because it affects the respiratory system (our ability to breathe) and the cardiovascular system (heart and blood pressure), so it should always be treated as an emergency.1,2

Warning signs

Sometimes, before an anaphylactic reaction occurs, a person experiences one or more of the mild to moderate symptoms mentioned below. These early symptoms can be a useful warning that exposure to a trigger has occurred, and that treatment may be needed.4 Speak to your doctor about the signs and symptoms of anaphylaxis (severe allergic reaction) and learn the warning signs for you or your child.

If you're unsure if anaphylaxis is occurring, it's better to use an EpiPen® Auto-Injector than not to use it.6,7

Mild to moderate allergic reaction

A mild to moderate reaction may include one or more of the following symptoms:7

Swelling of lips,
face and eyes

Hives or welts

Tingling mouth

Abdominal pain,
vomiting

(these are signs of
anaphylaxis, or severe
allergic reaction for
insect allergy)

Anaphylaxis (Severe Allergic Reaction)

Anaphylaxis or a severe allergic reaction may involve the symptoms above but the reaction involves
the respiratory and/or cardiovascular system.2

The following symptoms below indicate anaphylaxis:2,3

Difficulty/noisy
breathing

Swelling of
tongue

Swelling/tightness
in the throat

Difficulty talking
and/or hoarse voice

Wheeze or
persistent cough

Persistent dizziness
or collapse

Loss of consciousness and/or collapse or becoming pale and floppy (in young children)

Abdominal pain,
vomiting

(these are signs of
anaphylaxis, or severe
allergic reaction for
insect allergy)

These are just some of the symptoms that may be caused by an allergy or during an anaphylactic reaction.
A person may have one, some, or all of these symptoms.

Use an EpiPen® Auto-Injector if you're experiencing any of the signs and symptoms and call 111 for an ambulance. EpiPen is not a substitute for emergency medical/hospital care.

March 2025. NZ-EPI-2025-00022.