Weekly Headache Tracker
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1Weekly Headache Tracker
Use this Tracker to record your headache / migraine related details to be used during your discussions with your physician or specialist.
(Enter the appropriate code into this table from the choices below.)
Day of the
Headache
Location of
Other
Intensity of the
Hours
Probable
Headache
Other Relief
Any Other
Mood before
Date
Hours Slept
week
Started (Time)
Pain
Symptoms
Pain
Lasted
Triggers
Medications
Measures
headache
Medication used
Mon
/
/
Tue
/
/
Wed
/
/
Thu
/
/
Fri
/
/
Sat
/
/
Sun
/
/
Location of pain
Intensity of the Pain
Other Symptoms
Probable Triggers
Other Relief measures
L1 Behind or between eyes
P1 None
S1 Nausea
T1 Alcohol
T11 Stress at home
R1 Medication (note type/dose)
L2 Forehead or temples
P2 Mild
S2 Vomiting
T2 Caffeine
T12 Medication/skipped dose
R2 Ice
L3 Top of head
P3 Moderate
S3 Light sensitivity
T3 Chocolate
T13 Eyestrain
R3 Heat (compress)
L4 Back of head
P4 Severe
S4 Sensitivity to sound
T4 MSG
T14 Weather/temperature
R4 Bed rest
L5 Neck
S5 Mood changes
T5 Artificial sweeteners
T15 Seasonal allergies
R5 Relaxation practices
L6 One side (L/R)
Mood before headache
S6 Muscle pain/aches
T6 Skipped a meal
T16 Allergies/sinus
R6 Massage
M1 Normal
T7 Other foods
T17 Overexertion
R7 Lower lights/dark room
M2 Indifferent
T8 Unpleasant odor
T18 Other (specify)
R8 Other (specify)
M3 Nervous/anxious
T9 Excess tiredness
M4 Sad/discouraged
T10 Stress at work
M5 Tired
M6 Happy
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