Primаry heаdаches are mоre prevalent than secоndary headaches and оccur across all age groups, racial backgrounds, socioeconomic levels and geographic regions. The “SNOOP” mnemonic (now SNOOP4) is a useful tool for identifying red flag features that warrant further evaluation of headache symptoms. helps to identify the red flags that indicate a headache requires further investigation. Based on the SNOOP criteria, which of the following is NOT typically considered a red flag symptom in headache evaluation?