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Home > Migraine Attack Log (Records migraine frequency, duration, triggers, and severity.) for VA Claims

Migraine Attack Log (Records migraine frequency, duration, triggers, and severity.) for VA Claims

Full Name

Date of Birth

Social Security Number

Contact Information

Service Branch and Dates of Service

Record the date of each migraine attack

Note the time of onset for each attack

Indicate the total number of migraine days per month

Track any patterns observed regarding frequency (e.g., weekly, monthly)

Document the duration of each migraine attack (in hours)

Record any variations in duration (e.g., shorter or longer attacks)

Note if there are any recurring durations for specific triggers

List known triggers (e.g., stress, certain foods, lack of sleep)

Record any new or unexpected triggers encountered

Document the circumstances surrounding each attack to identify potential triggers

Rate the severity of each migraine on a scale of 1 to 10

Note associated symptoms (e.g., nausea, sensitivity to light/sound)

Document any changes in severity over time

Record any medications taken during each attack

Note the effectiveness of treatments (e.g., relief, side effects)

Document any non-medication treatments used (e.g., relaxation techniques, acupuncture)

Record any other relevant information (e.g., impact on daily life)

Note any medical appointments or evaluations related to migraines

Include observations from family members or caregivers about your migraines

Summarize the overall pattern of migraine attacks

Highlight any significant findings or changes in migraine history

Prepare to present this log as evidence for VA claims

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