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Anaphylactic shock - swelling inside the throat that occludes your breathing path... you die from lack of oxygen because you cannot suck in any air.
I'm only a first aid provider but if you have a known allergic reaction to bee stings, I WOULD NOT WAIT TO SEE IF YOU CAN KEEP BREATHING. The epipen is a shot of epinephrine, similar to adrenaline. I don't believe there is any danger to taking that injection even if the anaphylaxis never manifests. I highly recommend that if you get stung, you take the shot within the next couple of minutes.
Check with your doctor that prescribed the pen but I don't believe you should wait.
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