If asthma symptoms (cough/wheeze/chest tightness/shortness of breath) begin shortly after consuming the prescribed dose of peanut, this could be the manifestation of an allergic reaction to the peanut dose recently consumed. If the asthma symptoms are very minor, administration of the rescue asthma inhaler (albuterol/Xopenex) and a quick onset antihistamine such as Zyrtec or Benadryl may suffice. However, if symptoms are more than very minor, the epinephrine auto injector should be administered, in addition to administering the rescue inhaler.