The tree pollen count is the first major allergen of the year, starting as early as January in the South and running through June in northern states. Oak, birch, cedar, and alder are the biggest triggers.
Peak season: January through June, varying by region and tree type
Most affected regions: Southeast, South, Pacific Northwest, Northeast
Common symptoms: Sneezing, itchy watery eyes, runny nose, scratchy throat.
A tree pollen count above 90 grains per cubic meter is considered high. Oak trees alone can produce counts above 1,500 on peak spring days.
The most allergenic trees in the US are oak, mountain cedar (juniper), birch, alder, maple, and mulberry. Oak is the most widespread allergen due to its range across the eastern US.
Tree pollen season typically ends by late May or June in most US cities, though some overlap with the start of grass pollen season. In southern states, tree pollen can begin as early as January.