FREE WORKSHEET · SEASONAL ALLERGIES

A simple record
of your allergy week.

A little space for how you felt, what you noticed, and the days you missed. Start with any day of the week.

See a filled example

Free · No signup · No app required · A4 or US Letter

Use your browser’s Print menu to print or save as PDF. The print layout includes only the blank worksheet—not the example or app promotion. Nothing you write on paper is sent to Cedar.

Keep it simple.

  1. Record one day. Write the date and how severe your symptoms felt overall, from 0 to 10.
  2. Add what you noticed. Note symptoms, whether you took an antihistamine, and anything you want to remember.
  3. Leave gaps honestly. If you did not record a day, leave it blank. A missing day is not a symptom-free day.

CEDAR · FREE PRINTABLE

My seasonal allergy diary

Week starting: ________________

Overall severity: 0 = no symptoms · 10 = worst imaginable symptoms.
Leave unrecorded days blank. This is a personal record, not a diagnostic test.

Day 1 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Day 2 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Day 3 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Day 4 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Day 5 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Day 6 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Day 7 Date: __________

Severity / 10
Symptoms
Antihistamine taken?Yes / No
Notes

Record what happened; do not change medication based on this sheet. Follow your clinician’s care plan.
Cedar · cedar-allergy.pages.dev/allergy-symptom-diary/

FICTIONAL EXAMPLE · NOT MEDICAL ADVICE

An entry can be this simple.

4out of 10
overall severity

Date
September 5
Symptoms
Itchy eyes, sneezing
Antihistamine taken?
No
Notes
Afternoon walk

This records a day; it does not show what caused the symptoms. Your entries do not have to match this example, and a quiet day can be recorded as zero.

PAPER IS ENOUGH. YOUR PHONE IS AN OPTION.

Add a clearer view of your pollen day.

Cedar: Allergy Tracker brings separate modeled pollen levels, source-linked general guidance, and private symptom history together on your iPhone. Today's outlook, guidance, check-ins, basic history, and raw CSV export are free. No account needed.

Get Cedar for iPhone

US pollen coverage · Optional Premium for up to five days of forecast detail, detailed qualified comparisons, and formatted reports.

This worksheet is for recording seasonal allergy symptoms—not diagnosing an allergy, identifying a trigger, or deciding on treatment. Follow your clinician’s care plan. You can use the sheet without downloading Cedar.