Table 3.

Case studies outlining 3 participants, each reporting minimal, moderate or severe impact from APPEAL-2

	Minimal impact	Moderate impact	Severe impact
Demographics	Male, age 15	Male, age 23	Male, age 9 (child report)
Severity	Moderate	Severe	Moderate
AAI?	Yes	Yes	No
Confidencea	Confident	Quite confident	Confidentb
Controla	Good	Good	None or very littleb
Reaction history	Had two mild reactions when 8 years old (before diagnosis)	Very rarely has reactions, last one was 6 months ago. He went to hospital, received an infusion and adrenaline injection	One reaction aged 4 or 5 years (before diagnosis), experienced breathing difficulties and went to hospital
Main impacts	He avoids foods that he knows contain peanuts, but it has minimal impact	He is very cautious, always carries emergency medication He doesn’t eat food in a restaurant if there is doubt about whether it contains peanuts; generally has good control PA does not affect his daily activities; he is just careful	Not allowed to go to birthday parties He is not allowed to eat at restaurants Tells others not to come near him after eating peanuts or to wash their hands Parents keep him away from peanuts; he has to go upstairs when people are eating peanuts at home Children at school laughed at him because of his PA

PA peanut allergy

^aHow confident do you feel in managing reactions to peanut; how much control do you have over your peanut allergy?

^bCaregiver report of how confident and how much control they believe the child feels