Participant Information | Reactogenicity (pre-vaccination) | Reactogenicity (post-vaccination) | Follow-up questionnaire |
---|---|---|---|
Study Site | Fever | Injection site Pain | Medical care |
Subject ID | Body temperature | Pain Severity | Hospitalization |
Subject Name | Nausea | Redness | Hospitalization date |
phone number | Nausea severity | Redness size | Discharge date |
Name of next kin | Malaise | Swelling | Hospitalization reason |
Phone number of next kin | Malaise severity | Swelling size | Hospitalization diagnostics |
Vaccine dose ID | Chills | Induration | Hospitalization report |
Vaccination date | Chills severity | Induration size | Hospital ID |
Vaccine brand | Headache | Bruise | COVID-19 |
Birth date | Headache severity | Bruise size | COVID-19-Test |
Marital Status | Pain | Warmness | COVID-19 Symptom Onset Date |
Sex | Pain severity | Warmness severity | ICU admission |
Pregnancy | Muscle pain | Muscle pain | ICU admission Date |
Lactation | Muscle pain Severity | Muscle pain Severity | Death |
Chronic respiratory disease | Tired (fatigued) | Tired (fatigued) | Death date |
Chronic heart disease | Tired Severity | Tired Severity | Reason of death |
Chronic liver disease | Â | Chills | Pregnancy |
Chronic renal disease | Â | Chills severity | Abortion |
Diabetes | Â | Headache | Menstrual irregularities |
Immunocompromised / Immunosuppressed | Â | Headache severity | Â |
Obesity | Â | Fever | Â |
Allergy | Â | Body temperature | Â |
Prior Covid | Â | Nausea | Â |
Date of Prior Covid | Â | Nausea severity | Â |
History of reaction to vaccination | Â | Malaise | Â |
Weight | Â | Malaise severity | Â |
Height | Â | Â | Â |