reinf_text2 |
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text |
Questions in this form will only display if you have selected Yes forIs this a suspected re-infection with COVID-19?, in the Onset and Admission form |
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reinf_prev_enrol |
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radio |
Was the patient previously enrolled? |
1, Yes ; 0, No ; 3, N/K |
reinf_pcr |
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radio |
Did the patient have a positive PCR (virus) test for SARS-CoV-2? |
1, Yes ; 0, No ; 3, N/K |
reinf_pcrd |
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text (date_dmy) |
If yes (to positive PCR (virus) test for SARS-CoV-2), enter date of positive test: |
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reinf_antigen |
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radio |
Did the patient have a positive antigen (virus) test for SARSCoV-2? |
1, Yes ; 0, No ; 3, N/K |
reinf_antigend |
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text (date_dmy) |
If yes (to positive antigen (virus) test for SARS-CoV-2), enter date of positive test: |
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reinf_serology |
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radio |
Did the patient have a positive serology (antibody) test for SARS-CoV-2? |
1, Yes ; 0, No ; 3, N/K |
reinf_serologyd |
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text (date_dmy) |
If yes (to positive serology (antibody) test for SARS-CoV-2), enter date of positive test: |
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reinf_cestdat |
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text (date_dmy) |
Symptom onset date of first/earliest symptom for previous infection |
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reinf_asymptomatic |
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radio |
Asymptomatic |
1, Asymptomatic |
fever_ceoccur_v3 |
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radio |
History of fever |
1, Yes ; 2, No ; 3, N/K |
cough_ceoccur_v3 |
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radio |
Cough |
1, Yes ; 2, No ; 3, N/K |
coughsput_ceoccur_v3 |
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radio |
Cough: sputum |
1, Yes ; 2, No ; 3, N/K |
coughhb_ceoccur_v3 |
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radio |
Cough: bloody sputum / haemoptysis |
1, Yes ; 2, No ; 3, N/K |
sorethroat_ceoccur_v3 |
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radio |
Sore throat |
1, Yes ; 2, No ; 3, N/K |
runnynose_ceoccur_v3 |
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radio |
Runny nose (Rhinorrhoea) |
1, Yes ; 2, No ; 3, N/K |
earpain_ceoccur_v3 |
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radio |
Ear pain |
1, Yes ; 2, No ; 3, N/K |
wheeze_ceoccur_v3 |
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radio |
Wheezing |
1, Yes ; 2, No ; 3, N/K |
chestpain_ceoccur_v3 |
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radio |
Chest pain |
1, Yes ; 2, No ; 3, N/K |
myalgia_ceoccur_v3 |
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radio |
Muscle aches (Myalgia) |
1, Yes ; 2, No ; 3, N/K |
jointpain_ceoccur_v3 |
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radio |
Joint pain (Arthralgia) |
1, Yes ; 2, No ; 3, N/K |
fatigue_ceoccur_v3 |
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radio |
Fatigue / Malaise |
1, Yes ; 2, No ; 3, N/K |
shortbreath_ceoccur_v3 |
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radio |
Shortness of breath (Dyspnea) |
1, Yes ; 2, No ; 3, N/K |
ageusia_ceoccur_v3 |
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radio |
Disturbance or loss of taste (Ageusia) |
1, Yes ; 2, No ; 3, N/K |
lowerchest_ceoccur_v3 |
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radio |
Lower chest wall indrawing |
1, Yes ; 2, No ; 3, N/K |
headache_ceoccur_v3 |
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radio |
Headache |
1, Yes ; 2, No ; 3, N/K |
confusion_ceoccur_v3 |
|
radio |
Altered consciousness / confusion |
1, Yes ; 2, No ; 3, N/K |
seizures_cecoccur_v3 |
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radio |
Seizures |
1, Yes ; 2, No ; 3, N/K |
abdopain_ceoccur_v3 |
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radio |
Abdominal pain |
1, Yes ; 2, No ; 3, N/K |
vomit_ceoccur_v3 |
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radio |
Vomiting / Nausea |
1, Yes ; 2, No ; 3, N/K |
diarrhoea_ceoccur_v3 |
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radio |
Diarrhoea |
1, Yes ; 2, No ; 3, N/K |
conjunct_ceoccur_v3 |
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radio |
Conjunctivitis |
1, Yes ; 2, No ; 3, N/K |
rash_ceoccur_v3 |
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radio |
Skin rash |
1, Yes ; 2, No ; 3, N/K |
skinulcers_ceoccur_v3 |
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radio |
Skin ulcers |
1, Yes ; 2, No ; 3, N/K |
lymp_ceoccur_v3 |
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radio |
Lymphadenopathy |
1, Yes ; 2, No ; 3, N/K |
bleed_ceoccur_v3 |
|
radio |
Bleeding (Haemorrhage) |
1, Yes ; 2, No ; 3, N/K |
anosmia_ceoccur_v3 |
|
radio |
Disturbance or loss of smell (Anosmia) |
1, Yes ; 2, No ; 3, N/K |
no_symptoms_v3 |
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radio |
None |
1, Yes ; 2, No ; 3, N/K |
bleed_cetermy_v3 |
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text |
If Yes to Bleeding, specify site(s) |
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reinf_pre_adm_hosp |
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radio |
Admitted to hospital |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_oxygen |
|
radio |
Treated with oxygen |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_hdu_icu |
|
radio |
Admitted to HDU/ICU |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_inv_vent |
|
radio |
Receive invasive ventilation |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_ecmo |
|
radio |
Receive invasive ventilation |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_dexameth |
|
radio |
Treated with: Dexamethasone |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_steroid |
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radio |
Any other steroid |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_tociliz |
|
radio |
Tocilizumab |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_remdesivir |
|
radio |
Remdesivir |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_conv_plasma |
|
radio |
Convalescent plasma |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_lopin_riton |
|
radio |
Lopinavir/Ritonavir |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_interferon |
|
radio |
Interferon |
1, Yes ; 2, No ; 3, N/K |
reinf_pre_chloro_hchlo |
|
radio |
Chloroquine/Hydroxychloroquine |
1, Yes ; 2, No ; 3, N/K |
reinfection_form_complete |
Form Status |
dropdown |
Readmission section complete? |
0, Incomplete ; 1, Unverified ; 2, Complete |