Date and time of migraine headache pain start
Item
Enter the date and time your migraine headache pain started
datetime
C0149931 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
C0332189 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,4])
C0149931 (UMLS CUI [2,1])
C0018681 (UMLS CUI [2,2])
C0332189 (UMLS CUI [2,3])
C1301880 (UMLS CUI [2,4])
Item
Did you wake up with your migraine headache pain?
text
C0442696 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
C0018681 (UMLS CUI [1,3])
Code List
Did you wake up with your migraine headache pain?
Item
From the time your migraine started until you took study drug, did you have any of the following symptoms? Aura
text
C0154723 (UMLS CUI [1])
Code List
From the time your migraine started until you took study drug, did you have any of the following symptoms? Aura
Item
From the time your migraine started until you took study drug, did you have any of the following symptoms? Pain worsened by routine physical activity
text
C0018681 (UMLS CUI [1,1])
C4054844 (UMLS CUI [1,2])
C0149931 (UMLS CUI [1,3])
Code List
From the time your migraine started until you took study drug, did you have any of the following symptoms? Pain worsened by routine physical activity
Item
Which best describes the quality of your migraine headache pain? Tick only one:
text
C0149931 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
C1148406 (UMLS CUI [1,3])
Code List
Which best describes the quality of your migraine headache pain? Tick only one:
CL Item
Pulsating, throbbing, or pounding headache pain (1)
CL Item
Pressure/tightening (2)
Item
Which best describes the location of your migraine headache pain? Tick only one:
text
C0149931 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C0450429 (UMLS CUI [1,4])
Code List
Which best describes the location of your migraine headache pain? Tick only one:
CL Item
Only on one side of head (1)
CL Item
On both sides of head (2)
Date study medication taken
Item
Date study medication taken
date
C0011008 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Time study medication taken :
Item
Time study medication taken :
time
C0040223 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item
Planned Timepoint
text
C0013227 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
C1301732 (UMLS CUI [1,3])
Code List
Planned Timepoint
CL Item
At time of dosing (At time of dosing)
CL Item
30 minutes after dose (30 minutes after dose)
CL Item
1 hour after dose (1 hour after dose)
CL Item
2 hours after dose (2 hours after dose)
CL Item
4 hours after dose (4 hours after dose)
Item
How severe is your migraine headache pain? Tick one at each timepoint:
integer
C0149931 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
C0439793 (UMLS CUI [1,3])
Code List
How severe is your migraine headache pain? Tick one at each timepoint:
Item
Do you have any of the following symptoms? Tick Yes or No for each symptom at each timepoint: Nausea
text
C0027497 (UMLS CUI [1])
Code List
Do you have any of the following symptoms? Tick Yes or No for each symptom at each timepoint: Nausea
Item
Do you have any of the following symptoms? Tick Yes or No for each symptom at each timepoint: Vomiting
text
C0042963 (UMLS CUI [1])
Code List
Do you have any of the following symptoms? Tick Yes or No for each symptom at each timepoint: Vomiting
Item
Do you have any of the following symptoms? Tick Yes or No for each symptom at each timepoint: Light Sensitivity
text
C0149931 (UMLS CUI [1,1])
C0085636 (UMLS CUI [1,2])
Code List
Do you have any of the following symptoms? Tick Yes or No for each symptom at each timepoint: Light Sensitivity
Item
Do you have any of the following symptoms? Sound Sensitivity
text
C2938899 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
Code List
Do you have any of the following symptoms? Sound Sensitivity
Item
Do you have any of the following symptoms? Neck Pain/Discomfort
text
C0863104 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
C0007859 (UMLS CUI [2,1])
C0149931 (UMLS CUI [2,2])
Code List
Do you have any of the following symptoms? Neck Pain/Discomfort
Item
Do you have any of the following symptoms? Sinus (facial) Pain/Pressure
text
C0015468 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
C0522251 (UMLS CUI [2,1])
C0149931 (UMLS CUI [2,2])
Code List
Do you have any of the following symptoms? Sinus (facial) Pain/Pressure
Allodynia Questionnaire Result
Item
Allodynia questionnaire result
text
C0458247 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
Item
Planned Relative Time
text
C0439564 (UMLS CUI [1])
Code List
Planned Relative Time
CL Item
At time of dosing (At time of dosing)
CL Item
2 hours after dose (2 hours after dose)
CL Item
4 hours after dose (4 hours after dose)
Item
How do you rate your ability to work or perform your normal/usual activities?
integer
C0441655 (UMLS CUI [1,1])
C0085732 (UMLS CUI [1,2])
C0149931 (UMLS CUI [1,3])
C4274891 (UMLS CUI [2,1])
C0149931 (UMLS CUI [2,2])
Code List
How do you rate your ability to work or perform your normal/usual activities?
CL Item
Mildly Impaired (1)
CL Item
Moderately Impaired (2)
CL Item
Severely Impaired (3)
CL Item
Required Bedrest (4)
Allodynia Questionnaire Result
Item
Allodynia questionnaire result
text
C0458247 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
Item
If your migraine headache pain was NONE at 2 hours, did any pain return between 2 and 24 hours after first treating?
text
C0030193 (UMLS CUI [1,1])
C0034897 (UMLS CUI [1,2])
C1882428 (UMLS CUI [1,3])
C0149931 (UMLS CUI [1,4])
Code List
If your migraine headache pain was NONE at 2 hours, did any pain return between 2 and 24 hours after first treating?
Date and Time of Migraine Headache Pain Recurrence
Item
If Yes was ticked (any pain returned after migraine headache pain had been none at 2 hours), complete the following: Date and time your pain first returned
datetime
C0807712 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0149931 (UMLS CUI [1,3])
C0034897 (UMLS CUI [2,1])
C0040223 (UMLS CUI [2,2])
C0030193 (UMLS CUI [2,3])
C0149931 (UMLS CUI [2,4])
Item
If Yes was ticked (any pain returned after migraine headache pain had been none at 2 hours), complete the following: How severe was your migraine headache pain at the time your pain first returned?
integer
C0034897 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C1507013 (UMLS CUI [1,3])
C0149931 (UMLS CUI [1,4])
Code List
If Yes was ticked (any pain returned after migraine headache pain had been none at 2 hours), complete the following: How severe was your migraine headache pain at the time your pain first returned?
Item
If your migraine headache pain was MILD or NONE at 2 hours, did MODERATE or SEVERE pain return up to 24 hours after treating?
text
C2957106 (UMLS CUI [1,1])
C0034897 (UMLS CUI [1,2])
C1882428 (UMLS CUI [1,3])
C0149931 (UMLS CUI [1,4])
C0278139 (UMLS CUI [2,1])
C0018681 (UMLS CUI [2,2])
C0034897 (UMLS CUI [2,3])
C1882428 (UMLS CUI [2,4])
C0149931 (UMLS CUI [2,5])
Code List
If your migraine headache pain was MILD or NONE at 2 hours, did MODERATE or SEVERE pain return up to 24 hours after treating?
Date of Moderate or Severe Migraine Headache Pain Recurrence
Item
If Yes was ticked (moderate or severe headache pain returned after the migraine headache pain had been none or mild 2 hours), complete the following: Date your pain became MODERATE or SEVERE
date
C0807712 (UMLS CUI [1,1])
C2957106 (UMLS CUI [1,2])
C0149931 (UMLS CUI [1,3])
C0807712 (UMLS CUI [2,1])
C0278139 (UMLS CUI [2,2])
C0018681 (UMLS CUI [2,3])
C0149931 (UMLS CUI [2,4])
Item
If Yes was ticked (moderate or severe headache pain returned after the migraine headache pain had been none or mild 2 hours), complete the following: How severe was your migraine headache pain at the time it became moderate or severe?
integer
C0034897 (UMLS CUI [1,1])
C1507013 (UMLS CUI [1,2])
C0149931 (UMLS CUI [1,3])
Code List
If Yes was ticked (moderate or severe headache pain returned after the migraine headache pain had been none or mild 2 hours), complete the following: How severe was your migraine headache pain at the time it became moderate or severe?
Drug Name
Item
Drug Name Record one medication per row:
text
C2360065 (UMLS CUI [1])
Date Medication Taken
Item
Date Taken
date
C0011008 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Time Medication Taken
Item
Time Taken
time
C0040223 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item
Primary Reason Medication Taken: Migraine Headache Pain
text
C0149931 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
C1507013 (UMLS CUI [1,3])
Code List
Primary Reason Medication Taken: Migraine Headache Pain
CL Item
Mild Migraine Headache Pain (1)
CL Item
Moderate Migraine Headache Pain (2)
CL Item
Severe Migraine Headache Pain (3)
Other Reason for Medication
Item
Primary Reason Medication Taken: Other Reason
text
C0013227 (UMLS CUI [1,1])
C3840932 (UMLS CUI [1,2])
Item
Were you scheduled to do paid work during this migraine attack?
text
C0149931 (UMLS CUI [1,1])
C3846711 (UMLS CUI [1,2])
C1571999 (UMLS CUI [1,3])
Code List
Were you scheduled to do paid work during this migraine attack?
Number of Hours Subject was Scheduled to Do Paid Work
Item
If you were scheduled to do paid work during this migraine attack, record the number of hours (to the nearest one-half hour) you were scheduled to do paid work during this migraine attack:
float
C1265611 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
C1571999 (UMLS CUI [1,3])
Item
Activity
text
C0441655 (UMLS CUI [1])
CL Item
Paid work activities. (Complete this row only if you were scheduled to do paid work during this attack.) (1.)
CL Item
Activities outside your paid work. (e.g., leisure activities, household chores/tasks, family/social activities, etc.) (2.)
Number of hours missed from doing activity due to migraine symptoms
Item
Number of hours missed from doing activity due to migraine symptoms
float
C0441655 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0149931 (UMLS CUI [1,4])
Number of hours continued to do activity with migraine symptoms
Item
Number of hours continued to do activity with migraine symptoms
float
C0441655 (UMLS CUI [1,1])
C1314677 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0149931 (UMLS CUI [1,4])
Estimation of Effectiveness with Migraine Symptoms
Item
Estimate how effective you were, compared to your usual performance, while you continued to do activity with migraine symptoms
integer
C0149931 (UMLS CUI [1,1])
C1280519 (UMLS CUI [1,2])
Date of Completion
Item
Date of completion
date
C0011008 (UMLS CUI [1,1])
C0850287 (UMLS CUI [1,2])
PPMQ-R Result
Item
PPMQ-R result
text
C0149931 (UMLS CUI [1,1])
C0030971 (UMLS CUI [1,2])
C0034394 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,4])