GENERAL
[X] Fatigue, made worse by physical exertion or stress
[X] Activity level decreased to less than 50% of pre-illness activity level
[X] Recurrent flu-like illness
[X] Sore throat
[N] Hoarseness
[X] Tender or swollen lymph nodes (glands), especially in neck and underarms
[X] Shortness of breath (air hunger) with little or no exertion
[X] Frequent sighing
[X] Tremor or trembling
[X] Severe nasal allergies (new allergies or worsening of previous allergies)
[N] Cough
[Y] Night sweats
[Y] Low-grade fevers
[Y] Feeling cold often (Cold Chills)
[Y] Feeling hot often
[Y] Cold extremities (hands and feet)
[Y] Low body temperature (below 97.6)
[N] Low blood pressure (below 110/70)
[Y] Heart palpitations
[Y] Dryness of eyes and/or mouth
[Y] Increased thirst
[Y] Symptoms worsened by temperature changes
[N] Symptoms worsened by air travel
[Y] Symptoms worsened by stress
PAIN
[Y] Headache
[Y] Tender points or trigger points
[Y] Muscle pain
[Y] Muscle twitching
[Y] Muscle weakness
[Y] Paralysis or severe weakness of an arm or leg
[Y] Joint pain
[N] TMJ syndrome
[Y] Chest pain
GENERAL NEUROLOGICAL
[X] Lightheadedness; feeling "spaced out"
[X] Inability to think clearly ("brain fog")
[N] Seizures
[N] Seizure-like episodes
[N] Syncope (fainting) or blackouts
[Y] Sensation that you might faint
[Y] Vertigo or dizziness
[Y] Numbness or tingling sensations
[Y] Tinnitus (ringing in one or both ears)
[Y] Photophobia (sensitivity to light)
[N] Noise intolerance
EQUILIBRIUM/PERCEPTION
[Y] Feeling spatially disoriented
[Y] Dysequilibrium (balance difficulty)
[Y] Staggering gait (clumsy walking; bumping into things)
[Y] Dropping things frequently
[N] Difficulty judging distances (e.g. when driving; placing objects on surfaces)
[Y] "Not quite seeing" what you are looking at
SLEEP
[Y] Hypersomnia (excessive sleeping)
[Y] Sleep disturbance: unrefreshing or non-restorative sleep
[Y] Sleep disturbance: difficulty falling asleep
[Y] Sleep disturbance: difficulty staying asleep (frequent awakenings)
[Y] Sleep disturbance: vivid or disturbing dreams or nightmares
[Y] Altered sleep/wake schedule (alertness/energy best late at night)
MOOD/EMOTIONS
[Y] Depressed mood
[N] Suicidal thoughts
[N] Suicide attempts
[Y] Feeling worthless
[Y] Feeling helpless and/or hopeless
[Y] Frequent crying
[Y] Inability to enjoy previously enjoyed activities
[N] Increased appetite
[Y] Decreased appetite
[Y] Anxiety or fear when there is no obvious cause
[Y] Panic attacks
[Y] Irritability; overreaction
[N] Rage attacks: anger outbursts with little or no cause
[Y] Abrupt, unpredictable mood swings
[N] Phobias (irrational fears)
[Y] Personality changes
EYES AND VISION
[Y] Changes in visual acuity (frequent changes in ability to see well)
[Y] Difficulty with accommodation (switching focus from one thing to another)
[Y] Blind spots in vision
[N] Eye pain
SENSITIVITIES
[N] Sensitivities to medications (unable to tolerate "normal" dosage)
[Y] Sensitivities to odors (e.g., cleaning products, exhaust fumes, colognes, hair sprays)
[Y] Sensitivities to foods
[Y] Alcohol intolerance
[Y] Alteration of taste, smell, and/or hearing
UROGENITAL
[Y] Frequent urination
[Y] Painful urination or bladder pain
[N] Prostate pain
[N] Impotence
[N] Endometriosis
[Y] Worsening of premenstrual syndrome (PMS)
[N] Decreased libido (sex drive)
GASTROINTESTINAL
[Y] Stomach ache; abdominal cramps
[Y] Nausea
[N] Vomiting
[N] Esophageal reflux (heartburn)
[Y] Frequent diarrhea
[Y] Frequent constipation
[Y] Bloating; intestinal gas
[Y] Decreased appetite
[Y] Food cravings
[N] Increased appetite
[Y] Weight gain
SKIN
[Y] Rashes or sores
[N] Eczema or psoriasis
OTHER
[N] Hair loss
[N] Mitral valve prolapse
[N] Cancer
[N] Dental problems
[N] Periodontal (gum) disease
[Y] Aphthous ulcers (canker sores)
COGNITIVE
[Y] Difficulty with simple calculations (e.g., balancing checkbook)
[Y] Word-finding difficulty
[Y] Using the wrong word
[Y] Difficulty expressing ideas in words
[Y] Difficulty moving your mouth to speak
[N] Slowed speech
[Y]Stuttering; stammering
[Y] Impaired ability to concentrate
[Y] Easily distracted during a task
[Y] Difficulty paying attention
[Y] Difficulty following a conversation when background noise is present
[Y] Losing your train of thought in the middle of a sentence
[Y] Difficulty putting tasks or things in proper sequence
[Y] Losing track in the middle of a task (remembering what to do next)
[Y] Difficulty with short-term memory
[Y] Difficulty with long-term memory
[Y] Forgetting how to do routine things
[Y] Difficulty understanding what you read
[Y] Switching left and right
[Y] Transposition (reversal) of numbers, words and/or letters when you speak
[Y] Transposition (reversal) of numbers, words and/or letters when you write
[Y] Difficulty remembering names of objects
[Y] Difficulty remembering names of people
[Y] Difficulty recognizing faces
[Y] Difficulty following simple written instructions
[Y] Difficulty following complicated written instructions
[Y] Difficulty following simple oral (spoken) instructions
[Y] Difficulty following complicated oral (spoken) instructions
[Y] Difficulty making decisions
[N] Poor judgment
[Y] Difficulty integrating information (putting ideas together to form a complete picture or concept)
[Y] Difficulty following directions while driving
[Y] Becoming lost in familiar locations when driving
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