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Migraine Aura Cycle Notes

A cautious notes sheet for migraine aura and cycle timing, with prompts for visual changes, one-eye symptoms, weakness, speech changes, timing, headache link, period dates, and when to seek care.

Use this sheet to write down aura like symptoms.

It does not tell you what the symptom is. It does not tell you if it is safe.

If symptoms are sudden, new, one eye, one sided, changed, or include trouble speaking, seek urgent care or prompt medical help.

When to seek care

Get urgent care now for sudden weakness, numbness, trouble speaking, confusion, seizure, double vision, or a sudden, very bad headache.

Seek prompt medical help for symptoms that are new, changed, or not checked before, such as:

Visual changes in only one eye. New visual changes. Visual changes without a headache. A headache pattern that changes or feels different.

These signs can have causes other than migraine. A care team needs to check.

What changed

Fill in what you can. Leave blanks if you are not sure.

Question Your note Date Time it started Time it ended Did it build slowly? Did it start all at once? One eye or both eyes Headache before or after Pain score, 0 to 10 Nausea or vomiting Light or sound sensitivity

Do not use this table to decide the cause.

Visual notes

Write what you saw in plain words.

Symptom Your note Flashes of light Zigzag lines Spots or stars Blind spots Blurry vision Vision loss One eye change Both eye change Could you read? Could you drive safely?

Do not drive during vision changes.

Body and speech notes

Tell a clinician about any nerve symptoms.

Symptom Your note Tingling Numbness Weakness Face symptoms Arm symptoms Leg symptoms Trouble speaking Slurred speech Trouble understanding words Confusion

If these are new or sudden, seek care now.

Cycle notes

Cycle timing can help a clinician see patterns.

Question Your note Last period start date Cycle day Days before bleeding Days after bleeding began Usual cycle length Birth control or hormone use Pregnancy possible Sleep change Stress change Missed meals or caffeine change

Cycle notes do not prove the cause. Bring them to your visit.

Medicine notes

Write down what you used. Do not change medicine here.

Question Your note Medicine used Amount from label or plan, if known Time used Did it help? Side effects Vomited after taking it? Other medicines Vitamins or supplements

Ask your clinician what is safe for you.

Short script

"I had vision or nerve symptoms on . They lasted about . They affected eye or eyes. I also had . This is new, changed, or linked to my cycle. Can you help me decide what needs review?"

Privacy note

Aura notes may include period dates, hormone use, pregnancy concern, and daily habits.

Bring a short summary first. Ask what must go in your chart.

Floriva can keep notes on your device. Paper works too. Share only what helps care.

If you are making a visit packet, use the menstrual migraine appointment prep checklist. For privacy planning, use the menstrual migraine data privacy checklist.