Presence of symptoms, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>?

cclq06

Fever, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Fever

cclq06a

Shivers or chills, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Shivers or chills

cclq06b

Fatigue or tiredness, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Fatigue or tiredness

cclq06c

Joint or muscle pain, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Joint or muscle pain

cclq06d

Headache, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Headache

cclq06e

Lack of appetite, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Lack of appetite

cclq06f

Loss of taste, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Loss of taste

cclq06g

Loss of smell, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Loss of smell

cclq06h

Ear pain (otitis), since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Ear pain (otitis)

cclq06i

Redness or burning eyes, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Redness or burning eyes

cclq06j

Eye pain, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Eye pain

cclq06k

Cold, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Cold

cclq06l

Sore throat or hoarseness, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Sore throat or hoarseness

cclq06m

Dry cough, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Dry cough

cclq06n

Wet cough, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Wet cough

cclq06o

Coughing up blood, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Coughing up blood

cclq06p

Shortness of breath, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Shortness of breath

cclq06q

Chest pain, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Chest pain

cclq06r

Tachycardia or palpitations, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Tachycardia or palpitations

cclq06s

Abdominal pain, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Abdominal pain

cclq06t

Nausea, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Nausea

cclq06u

Vomiting, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Vomiting

cclq06v

Diarrhoea, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Diarrhoea

cclq06w

Pale or oily faeces, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Pale or oily faeces

cclq06x

Skin hypersensitivity, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Skin hypersensitivity

cclq06y

Itching or rash, since <lastdate>

Except for possible symptoms you may regularly suffer from, have you had any of the following symptoms since <cclqldate>? Itching or rash

cclq06z

Date of first symptom appearance

On approximately which date did the first symptoms appear?

cclq07

Duration of symptoms

How long have you had symptoms?

cclq08

Consult physician because of symptoms

For the reported symptoms, have you consulted a physician?

cclq09

Limitation in daily activity because of symptoms

Because of the reported symptoms, have you experienced limitations in your daily activities?

cclq10