Intramuscular Epinephrine in Pediatrics — Case | Allergy & Immunology | SMLE Q#678

SMLE Question #678

Pediatrics Allergy & Immunology
Last updated: February 2026
A 15-month-old boy presents for routine immunisations. At 12 months, 10 minutes after vaccination, he developed generalized urticaria, wheeze, and respiratory distress and was treated with intramuscular epinephrine in the emergency department with full recovery. He has been well since. His mother is anxious about further vaccines. What is the most appropriate next step in management?

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