| 
      
        | Grade 0 | Strong    local reaction, diameter larger than 10 cm, longer than 24 h |  
        | Grade I | Generalized    urticaria, pruritus, nausea |  
        | Grade II | Vomiting,    angioedema, dizziness, sensation of tightness |  
        | Grade III | Dyspnea,    stridor, wheezing, fear of dying, weakness, drowsiness |  
        | Grade IV | Drop in    blood pressure, cyanosis, respiratory arrest, circulatory arrest |  |