❑ Increased neck pain or stiffness | ❑ Fainting |
❑ Increased or new radiating pain | ❑ Nausea/vomiting |
❑ Tiredness/fatigue | ❑ Blurred or impaired vision |
❑ Headache | ❑ Ringing in the ears |
❑ Dizziness/imbalance | ❑ Arm or leg weakness |
❑ Confusion or disorientation | ❑ Depression or anxiety |
❑ Other ______________________ |