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Flight and landing symptom card

Flight date ____________________ Route ____________________

StageTime or estimateFacial symptoms and sideEar symptoms and sideWhat changed later
Before boarding    
Takeoff and climb    
Cruise    
Descent and landing    
After landing    

Question to ask _______________________________________________________

If you only know the stage, record it without guessing a time. Describe facial and ear symptoms separately.

Personal observations only. Not clinically reviewed. These sheets do not diagnose symptoms or replace your care team’s instructions. Do not delay care to complete a diary.

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