Practical tool

Track what changes.

A simple record can help you describe symptoms and side effects more clearly. Your care team should tell you what to report and when.

Nothing is uploaded: entries stay only in this open page. They disappear when the page is cleared or closed unless your browser restores form fields.

This worksheet cannot assess urgency.

Follow your care team’s instructions about symptoms and side effects. Do not wait for a future appointment if they have told you to call sooner.

About this record
Date/time Symptom or change Severity
0–10
Pattern or possible trigger What I did / result
Questions for my care team

What can be useful to record

  • When the symptom began, how long it lasted, and whether it changed.
  • A severity number that is meaningful and consistent for you.
  • Medicines, meals, activity, sleep, or treatment timing that may provide context.
  • What you tried and whether it helped.
  • What your care team told you to monitor or report.

Source