With mine I've always had the usual symptoms- nausea, vomiting, severe pain- but I've never had the aura with mine. Mine started when I was in the 3rd grade and at that time the pain was only in my head and eye(s) but when they started up again a few years ago, along the the worsening of the muscle spasms in my neck, I not only had the severe pain in my head, but also in my C-spine, at the same time (weird). It would feel like somebody was jabbing a hot icepick into my spine and the ha's I had when I was younger were NOTHING compared to these. We have a friend who has miagraines (according to his dr.) but doesn't have any pain with them - he just has blurry vision or loses alot of his vision. I've never heard of this but maybe some of you have.