|
MD/DO ordered antihistamine
|
Peak Flow Target
|
|
Antigen
|
|
|
Start with dose marked "x"in bottle #
|
Give injections weekly until
|
|
After that continue giving injection every
|
|
|
Bottle #
|
Exp
|
|
.25
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.35
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
|
|
|
MD/DO ordered antihistamine
|
Peak Flow Target
|
|
Antigen
|
|
|
Start with dose marked "x"in bottle #
|
Give injections weekly until
|
|
After that continue giving injection every
|
|
|
Bottle #
|
Exp
|
|
.25
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.35
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
|
.50
|
|
|
Date
|
Peak Flow
|
|
Which Arm?
|
Shot Given
|
|
Time Given
|
Reaction
|
|
Initials
|
|
