| 64750-3 | Symptom severity | |
| 94068-4 | Symptom distress level | |
| 94069-2 | Emesis occurred | |
| 94070-0 | Emesis count 24h nRate | |
| 94072-6 | Attended school today | |
| 94073-4 | Best thing about your day | |
| 94074-2 | Most bothersome concern | |
| 94075-9 | Cause of sick feeling | |
| 74015-9 | Date recorded | |
| 94067-6 | Color Me Healthy panel | |