Longitudinal information (CHRIS COVID-19)

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CHRIS COVID-19 Longitudinal information

No sub-modules.
Follow-up questionnaire update

Follow-up questionnaire update

cclq00
Swab for SARS-Cov-2 infection, since <lastdate>

Have you had a naso/oropharyngeal swab for novel coronavirus infection since <cclqldate>?

cclq01
Swab for SARS-Cov-2 infection, since <lastdate>

Have you had a naso/oropharyngeal swab for novel coronavirus infection since <cclqldate>?

cclq01a
Positive swab result, since <lastdate>

Did any swabs taken detect a novel coronavirus infection (positive test) since <cclqldate>?

cclq01b
Swab type: PCR test

Do you recall which type of test was performed? Standard swab (molecular PCR) analyzed at a laboratory

cclq01c1
Swab type: Antigen test, operator

Do you recall which type of test was performed? Swab followed by rapid test (antigen test) administered by trained operator

cclq01c2
Swab type: Antigen test, self-administred

Do you recall which type of test was performed? Self-administered swab followed by rapid test (antigen test)

cclq01c3
Swab type: Saliva test

Do you recall which type of test was performed? Saliva swab

cclq01c4
Swab type: Other

Do you recall which type of test was performed? Other test

cclq01c5
Swab type: Prefer not to respond/don’t know

Do you recall which type of test was performed? Prefer not to respond/Do not know

cclq01c6
Quarantine/home isolation because of SARS-Cov-2 infection, since <lastdate>

Have you been quarantined on suspicion or confirmation of the novel coronavirus infection or isolated on precautionary grounds since <cclqldate>?

cclq02
Hospitalised because of SARS-Cov-2 infection, since <lastdate>

Have you been hospitalized on suspicion or confirmation of the novel coronavirus infection since <cclqldate>?

cclq03
Drugs/therapy because of SARS-Cov-2 infection, since <lastdate>

Have you been prescribed medication or therapies on suspicion or confirmation of the novel coronavirus infection since <cclqldate>?

cclq04
Blood sample for SARS-Cov-2 immunity assessment, since <lastdate>

Have you had one or more samplings (blood, urine, or else) to assess your immunity to the novel coronavirus since <cclqldate>?

cclq05
Blood sample for SARS-Cov-2 immunity assessment, since <lastdate>

Have you had one or more samplings (blood, urine, or else) to assess your immunity to the novel coronavirus since <cclqldate>?

cclq05a
Positive immunity result, since <lastdate>

Did any specimen taken detect a novel coronavirus infection (positive test) since <cclqldate>?

cclq05b
Immunity test type: Blood drawing

Do you recall which type of test was performed? Venous blood draw

cclq05c1
Immunity test type: Finger prick

Do you recall which type of test was performed? Fingertip prick test

cclq05c2
Immunity test type: Other

Do you recall which type of test was performed? Other test

cclq05c3
Immunity test type: Prefer not to respond/don’t know

Do you recall which type of test was performed? Prefer not to respond/Do not know

cclq05c4
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
Contact with infected individuals, at home

Since <cclqldate>, have you been in close contact with someone with coronavirus infection living with you?

cclq11
Contact with infected individuals, outside home

Since <cclqldate>, have you been in close contact with someone with coronavirus infection NOT living with you?

cclq12
Contact with symptomatic individuals, at home

Since <cclqldate>, have you been in close contact with someone with symptoms living with you?

cclq13
Contact with symptomatic individuals, outside home

Since <cclqldate>, have you been in close contact with someone with symptoms NOT living with you?

cclq14
Contact with non-symptomatic individuals, outside home

Since <cclqldate>, have you been in close contact with someone without symptoms NOT living with you?

cclq15
Covid-19 vaccination

Have you received a vaccine against the novel coronavirus?

cclq16
Date first Covid-19 vaccination

When did you receive the first dose of vaccine?

cclq17a
Date last Covid-19 vaccination

When did you receive the last dose of vaccine? (same date as first dose in case of single dose vaccines)

cclq17b
CHRIS Covid-19 Baseline questionnaire

CHRIS Covid-19 Baseline questionnaire

cclqbline
Counter of longitudinal questionnaires

Counter of longitudinal questionnaires

cclqcount
Submission date of CC19 questionnaire

Submission date of CHRIS COVID-19 questionnaire

cclqdate
Number of inhabitants as reported in the baseline questionnaire

Number of inhabitants as reported in the baseline questionnaire

cclqinha
Language used in CC19 questionnaire

Language used in CHRIS COVID-19 questionnaire

cclqlang
Date of last CC19 questionnaire

Date of last CHRIS COVID-19 questionnaire

cclqldate
For whom are you filling out this questionnaire?

For whom are you filling out this questionnaire?

cclqresp
Version of CC19 questionnaire

Version of CHRIS COVID-19 questionnaire

cclqver
CHRIS Covid-19 Study Longitudinal information questionnaire documentation

Documentation regarding information related to SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals.

application/pdf

315.1 KB

CHRIS Covid-19 Study Follow-up questionnaire v1.0 (German)

German version of the follow-up questionnaire in use until 16 December 2020 assessing SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals.

application/pdf

236.1 KB

CHRIS Covid-19 Study Follow-up questionnaire v1.0 (Italian)

Italian version of the follow-up questionnaire in use until 16 December 2020 assessing SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals.

application/pdf

259.0 KB

CHRIS Covid-19 Study Follow-up questionnaire v1.1 (Italian)

Italian version of the follow-up questionnaire in use between 16 December 2020 and 19 January 2021 assessing SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals. Changes to the previous version: The SARS-CoV-2 testing section was redefined and a symptoms duration question was added.

application/pdf

249.1 KB

CHRIS Covid-19 Study Follow-up questionnaire v1.2 (German)

German version of the follow-up questionnaire in use since 20 January 2021 assessing SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals. Changes to the previous version: A section regarding Covid-19 vaccination was added.

application/pdf

256.3 KB

CHRIS Covid-19 Study Follow-up questionnaire v1.2 (Italian)

Italian version of the follow-up questionnaire in use since 20 January 2021 assessing SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals. Changes to the previous version: A section regarding Covid-19 vaccination was added.

application/pdf

253.0 KB

CHRIS Covid-19 Study Follow-up questionnaire v1.1 (German)

German version of the follow-up questionnaire in use between 16 December 2020 and 19 January 2021 assessing SARS-CoV-2 testing, symptoms related to SARS-CoV-2 infection, and contact with infected or symptomatic individuals. Changes to the previous version: The SARS-CoV-2 testing section was redefined and a symptoms duration question was added.

application/pdf

251.2 KB

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