Australian Government Department of Health and Ageing Immunisation HandbookAustralian Government Department of Health and Ageing crest. Link to the Immunise Australia Program homepage.

1.3 Pre-vaccination Procedures

1.3.1 Preparing an anaphylaxis response kit

Please note: due to continuous updates being made to the Immunisation Handbook, the page number on the electronic version will not always match the hard copy version.


The availability of protocols, equipment and drugs necessary for the management of anaphylaxis should be checked before each vaccination session.

An anaphylaxis response kit should be on hand at all times and should contain:

  • adrenaline 1:1000 (minimum of 3 ampoules – check expiry dates),
  • minimum of three 1 mL syringes and 25 mm length needles (for IM injection),
  • cotton wool swabs,
  • pen and paper to record time of administration of adrenaline, and
  • laminated copy of Recognition and treatment of anaphylaxis (back cover of this Handbook).

Section 1.5.2 provides details on recognition and treatment of adverse events following immunisation.