Children’s headache diary
One episode per sheet • Updated September 5, 2026
Do not delay medical care to complete a diary. Sudden severe headache, difficulty waking, new weakness, or headache with fever and a stiff neck needs emergency assessment. Other concerning changes need prompt medical advice. See the linked guide for further warning signs.
Date and approximate start/end times
Did it wake the child or occur on waking?
Child’s own words and pain location
Other symptoms observed
Effect on school, play, sleep, or activities
Sleep, meals, illness, or other context
Medicine name, strength, exact amount, and time (if given)
Other actions tried and what happened afterward
Optional drawing and the child’s explanation
Questions or changes to discuss with the clinician
Record observations, not a diagnosis. Write “not known” rather than guess. Follow prescribed medicine instructions; this sheet provides no dosing advice. Store completed records privately. This page has no form submission or data collection.
Use your browser’s Print command for a blank sheet. Return to the children’s headache guide · Download spreadsheet columns
Guide: yenra.com/medical-symptoms-diagnosis/