...anaphylaxis and other manifestations of hypersensitivity can be considered as very rare adverse events. Although current recommendations include avoiding a second dose in those with first-dose anaphylaxis, the underlying mechanisms are unknown; therefore, the risk of a future reaction cannot be predicted...
Okaaaay...
There is no such thing as first dose anaphylaxis. Anaphylaxis only occurs on subsequent exposures to allergens. There can be analphylactoid reaction but is an entirely different mechanism.