Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly logo
Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly Updated August 04, 2026

Regional Aeroallergen Panel by State: What’s Included and How Wyndly Maps It

Introduction

A regional aeroallergen panel groups the most clinically relevant airborne allergens for a given U.S. state or region so testing and immunotherapy target what patients actually breathe. Wyndly’s at‑home, CLIA‑certified blood test measures IgE to 40+ environmental allergens, then our physicians prioritize those allergens by local seasonality to build a precise sublingual immunotherapy plan. This page lists what’s in the panel and maps those allergens to U.S. regions, with links to Wyndly’s state guides and supporting sources. Allergen test overview, insurance-billed testing, SLIT program.

What is a regional aeroallergen panel?

A regional aeroallergen panel is the curated set of pollens and indoor aeroallergens most likely to trigger allergic rhinitis/conjunctivitis and allergic asthma in a specific geography. Panels are constructed from:

  • Baseline inclusions (ubiquitous U.S. aeroallergens)

  • State/region seasonality (trees in spring, grasses in summer, weeds in fall; indoor allergens year‑round)

  • Epidemiology and exposure (local vegetation, climate, and housing)

  • Patient history and cross‑reactivity (e.g., oral allergy syndrome foods)

Why it matters: focusing diagnostics and immunotherapy on regional drivers improves accuracy and reduces time to relief, while acknowledging climate‑driven shifts toward longer, earlier pollen seasons. CDC on pollen and climate.

Panel composition (Wyndly 40+ aeroallergens)

Wyndly’s standard panel covers the most common indoor and outdoor aeroallergens in the U.S. Final selections in a patient’s plan are weighted by local seasonality and history. Full list: Allergen list.

  • Pets: Cat dander, Dog dander, Horse dander. Cats, Dogs

  • Trees (examples): Oak, Birch, Maple/Box elder, Elm, Cottonwood/Poplar, Mountain cedar (Juniper), Alder, Pecan/Hickory, Walnut, White ash, Olive, Acacia, Australian pine/beefwood, Sycamore. Oak, Birch, Maple, Cedar fever

  • Grasses: Timothy, Bermuda, Johnson, Perennial ryegrass, Kentucky bluegrass, Bahia, Orchard, Fescue, Sweet vernal. Grass overview, Ryegrass, Timothy, Bahia, Kentucky bluegrass

  • Weeds: Ragweed, Mugwort, Pigweed/Rough pigweed, Russian thistle, Nettle, Sheep sorrel, Marsh elder. Ragweed, Weed pollen, Mugwort

  • Indoor aeroallergens: Dust mites (D. farinae, D. pteronyssinus, Blomia tropicalis), Cockroach, Mouse, Molds (Alternaria, Aspergillus, Cladosporium, Penicillium, Aureobasidium). Dust mite, Mold, Mouse

Clinical notes:

  • Typical seasonal peaks: Trees (March–April), Grasses (May–June), Weeds (August–September); indoor allergens persist year‑round and worsen with humidity or dampness. This pattern recurs across many state guides. Example: Ohio, Maryland, Wisconsin.

  • Ragweed is present almost everywhere in the U.S. except Alaska, with peak in September. Ragweed.

  • Climate change is lengthening and intensifying pollen seasons nationally. CDC climate and pollen.

Regional mapping: prioritizing the panel by state

Below are the most impactful outdoor aeroallergens by region, with links to Wyndly’s state guides. All panels also include indoor allergens.

West (coastal and inland)

  • California: Lower coastal pollen loads but long seasons; trees in spring, grasses in summer, weeds in fall. California guide

  • Oregon: Among the nation’s highest grass/tree pollen burdens; near year‑round exposure. Oregon guide

  • Colorado: Spring trees (elm, cottonwood, juniper/cedar, oak, maple), summer grasses, fall weeds (ragweed). Colorado guide

  • Utah: Spring trees (maple, birch, poplar, oak), summer Bermuda/Timothy/Orchard grasses, fall weeds (ragweed, sagebrush). Utah guide

  • Idaho: Spring cottonwood/juniper/maple, summer bluegrass/rye/Timothy, fall ragweed/sagebrush. Idaho guide

Southwest & Southern Plains

  • Texas: Winter cedar (mountain cedar “cedar fever”), spring oaks/elms/cottonwood, summer grasses, fall ragweed. Texas guide

  • Arizona: Year‑round potential; spring olive/juniper/mulberry; summer Bermuda/rye; fall ragweed/sagebrush; dust/mold contribute. Arizona guide

  • Oklahoma & Kansas: Spring oaks/maples/elm; summer Johnson/Timothy/Bermuda; fall ragweed dominant. Oklahoma guide, Kansas guide

Southeast & Gulf

  • Florida: Year‑round season; oak/pine/olive, long grass season, summer weeds and molds. Florida guide

  • Georgia, Alabama, South Carolina, Mississippi: Long seasons with spring trees (oak, hickory, maple), summer grasses (Bermuda, Bahia), fall ragweed; indoor mold/dust prominent in humidity. Georgia, Alabama, South Carolina, Mississippi

Mid‑Atlantic & Northeast

  • Virginia, Maryland: Spring trees (oak, hickory, ash, maple), summer Bermuda/rye/fescue, fall ragweed. Virginia, Maryland

  • New Jersey, New York, Pennsylvania: Spring oaks/maples/birch, summer grasses (Bermuda/timothy), fall ragweed. New Jersey, New York, Pennsylvania

Midwest & Upper Midwest

  • Illinois, Ohio, Wisconsin: Spring trees (oak, ash, maple, birch), early‑summer grasses (rye, timothy, fescue), late‑summer/fall ragweed; indoor allergens in winter. Illinois, Ohio, Wisconsin

  • South Dakota: Spring trees, summer grasses, September weeds (ragweed). South Dakota

Appalachians & Tennessee Valley

  • Tennessee: Severe seasons statewide; spring trees, June grasses, September ragweed. Tennessee guide

State guide index (selected examples)

State Typical outdoor peaks Examples to prioritize
California Trees Mar–Apr; Grasses May–Jun; Weeds Aug–Sep Oak, Birch, Bermuda, Ragweed (CA)
Oregon Nearly year‑round; worst Mar/Apr, Jun, Sep Alder/Birch, Orchard/Timothy, Ragweed (OR)
Colorado Trees late Feb–Apr; Grasses Jun; Weeds Sep Elm/Cottonwood/Juniper, Grasses, Ragweed (CO)
Texas Cedar Dec–Feb; Trees Mar–Apr; Weeds Sep Mountain cedar, Oaks, Ragweed (TX)
Florida Year‑round Oak/Pine, Bermuda/Bahia, Ragweed; Molds (FL)
Georgia Trees Apr; Grasses May/Jun; Weeds Sep Oak/Hickory, Bermuda, Ragweed (GA)
Virginia Trees Apr–May; Grasses Jun; Weeds Sep Oak/Maple/Ash, Bermuda, Ragweed (VA)
Maryland Trees Apr; Grasses Jun; Weeds Sep Oak/Hickory/Ash/Maple, Bermuda, Ragweed (MD)
New York Trees Mar–May; Grasses Jun; Weeds Sep Oak/Maple/Birch, Bermuda/Timothy, Ragweed (NY)
Pennsylvania Trees Feb–Apr; Grasses Jun; Weeds Sep Oak/Maple/Birch, Timothy, Ragweed (PA)
Illinois Trees Apr–May; Grasses May–Jun; Weeds Sep Hickory/Oak/Maple, Rye/Timothy, Ragweed (IL)
Wisconsin Trees Apr; Grasses May; Weeds late Aug Oak/Maple/Willow, Timothy/Fescue, Ragweed (WI)

Note: Indoor allergens (dust mites, molds, pet dander, cockroach, mouse) are region‑agnostic and included in all panels; prevalence varies with housing and humidity. Indoor allergens, Mold.

How Wyndly uses the panel for care

1) Identify: At‑home finger‑prick blood test (IgE) for 40+ allergens; board‑certified physician reviews results and history. Test, How testing works 2) Localize: Doctor prioritizes allergens by your state’s seasonality using guides like those above. 3) Treat: Personalized sublingual immunotherapy (drops or FDA‑approved tablets) shipped to your door; most notice improvement in 4–24 weeks; full course ≈3 years for durable, often lifelong relief. Immunotherapy guide, SLIT vs shots 4) Support: Unlimited access to doctors; HSA/FSA eligible; 90‑day Allergy‑Free Guarantee. Program details, FAQ

FAQs

  • What is a “regional aeroallergen panel”?

  • A curated set of the most relevant pollens and indoor aeroallergens for your geography, used to focus testing and tailor immunotherapy. See “What is a regional aeroallergen panel?” above.

  • Do indoor allergens vary by region?

  • Indoor allergens are ubiquitous, but exposure differs with building type, humidity, and pests (e.g., dust mites and molds increase with humidity). Mold, Dust mite

  • Is sublingual immunotherapy as effective as shots?

  • Large reviews and practice guidelines support comparable efficacy with a safer, at‑home profile. SLIT overview; see also Wyndly’s summary of Cochrane reviews in our FAQ.

  • When are tree/grass/weed peaks in most states?

  • Commonly Trees: March–April; Grasses: May–June; Weeds: August–September (varies by latitude and climate). See your state guide (table above).

  • How many Americans are affected?

  • ~25–32% report seasonal allergies in recent national surveys. CDC FastStats, ACAAI facts

Methodology and references