Low risk of anaphylaxis to penicillin:

• nonspecific symptoms unlikely to be allergic: GI distress, headache, yeast vaginitis
• nonurticarial maculopapular (morbilliform) rash without involvement of mucous membranes, palms, or soles
• pruritis without rash
• family history of penicillin allergy but no personal history
• no recollection of allergic symptoms or treatment