Please take a survey

After the second dose of the COVID-19 vaccine, it seems that many of us experienced severe systemic symptoms such as a high fever that prevented us from working the following day. There seems to be a tendency that Asians likely have such systemic symptoms. This survey aims to determine the actual frequency of these side effects compared between the types of vaccines, races, and ages, which will help those who will receive the vaccine shortly to anticipate coming events after the vaccination.
 
Completion of the survey is voluntary. All answers will remain anonymous. If you have any questions, please contact Dr. Momoko Yoshimoto at the University of Texas Health Science Center at Houston (Momoko.Yoshimoto@uth.tmc.edu)

The data collected by this survey may be posted/published in a research archive or a journal. Also, the analysis of the data may be shared by social media or news media. The data will never be used for commercial purposes.
IRS# HSC-MS-21-0126.

Your participation is greatly appreciated!

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* 1. Please select your age

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* 2. What is your biological sex?

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* 3. Please select your race

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* 4. If you selected Asian or Asian American in the previous question, please specify your ethnicity.

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* 6. What is your occupation?

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* 7. How many doses of the Coronavirus vaccination have you received?

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* 8. Which vaccination did you receive?

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* 9. After the first dose of the vaccine, how was the injection site?

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* 10. After the first dose of the vaccine, did you experience any systemic symptoms?

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* 11. After the second dose of the vaccine, how was the injection site?

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* 12. Have you experienced any of the following symptoms after the second dose of the vaccine?

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* 13. If you experience a fever, what was the highest temperature reading?

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* 14. How long after receiving the second dose did the fever start?

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* 15. How long did the fever last after receiving the second dose?

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* 16. Other than the fever, how long did the other symptoms last?

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* 17. Were you able to work the day after receiving the second dose?

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* 18. How many days did you take off after the second dose? If you do not work, how many days did it take to return to a regular schedule?

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* 19. Did you have any symptoms that required you to see a medical professional?

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* 20. If you answered "Yes" to the previous question, please specify the symptoms you had and the diagnosis the doctor made.

Thank you so much for your participation!

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