Novel Biomarkers of Non-IgE Immediate Hypersensitivity Drug Reactions

Inclusion Criteria: * Male or female age ≥ 18 years. * Adequate kidney function as defined by creatinine level within normal institutional limits at the participant's first visit. * Women of child bearing potential must agree to a reliable form of highly effective contraception (hormonal, device, or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 7 days following completion of vancomycin therapy. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform the Principal Investigator and her treating physician immediately. * Ability to understand and the willingness to sign a written informed consent. * Ability to clearly understand and speak English at an 8th grade reading level. For safety reasons, participants must speak English due to the anticipated need for clear and timely communication with investigators and the study team in emergency situations, since the investigators and study team are English speaking. Exclusion Criteria: * Participants who have previously received vancomycin in any formulation, including oral or intravenous. * History of allergic reactions to study drug or reactions attributed to compounds of similar chemical or biologic composition to vancomycin, including active product or excipients. * Concurrent use of medications thought to cause non-specific mast cell activation (e.g. opioids) * Baseline serum tryptase over 8.0 ng/mL and/…