“Normal/at-baseline” means there is no active reaction, anaphylaxis readiness is confirmed, and there is no infection sign in an immunosuppressed patient. Each line states the finding, the comparison to baseline, and the skilled reason a nurse was required — a bare “no reaction” does not qualify.
No active allergic reaction — no urticaria, angioedema, wheeze, gastrointestinal symptoms, or hypotension.
Allergy list reconciled and unchanged, with prior-reaction severity documented.
Epinephrine auto-injector present and not expired, with correct technique on demonstration and the action plan understood.
Immunosuppressant regimen adherent without signs of toxicity.
No fever or infection sign, including in an immunosuppressed patient at baseline.
Vaccine status current within the plan, and allergen-avoidance measures effective.
A stable immune status with the plan appropriate to continue.
