There is no reaction against the Rh factor during the first blood transfusion because the recipient's immune system has not yet been sensitized to the Rh antigens. When Rh-positive blood is transfused into an Rh-negative individual for the first time, their body does not have pre-existing antibodies against the Rh factor, allowing the transfusion to occur without an immediate immune response. However, if an Rh-negative person is exposed to Rh-positive blood again, their immune system may recognize the Rh antigens and mount a reaction.
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