COVID-19 & Vaccination in MEBO/PATM

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COVID-19 Back-to-Normal Study: https://clinicaltrials.gov/ct2/show/NCT04832932

Anonymous MEBO ID# provided to you by MEBO Research before taking this survey. Please request to maria@meboresearch.org or studies@aurametrix.com *

Since the pandemic began, have you been in close proximity to anyone with active COVID-19 or experienced: fever/chills, body aches, nausea, diarrhea (unless 1-3 days after vaccination), dry cough, difficulty breathing, sore throat, new loss of taste or smell?

Yes

Other:

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Please list your medical conditions, medications, supplements, dietary restrictions, if applicable

MEBO/PATM status

No symptoms lately

Symptoms all the time

Clear selection

Have you ever had COVID-19?

Not sure / Probably not

Always tested negative

Yes, had mild or asymptomatic form of COVID-19

Yes, had moderate form of COVID-19

Yes, survived severe COVID-19 or a long hauler

Had COVID-19 more than once

Other:

Clear selection

Vaccination Status

Have not been vaccinated

Have been vaccinated (one dose of a 2-shot vaccine)

Fully immunized (two shots or one-dose vaccine)

Fully immunized + a booster

Other:

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When approximately did you get vaccinated or had COVID-19? Did you get COVID-19 or experienced COVID-like symptoms despite vaccination?

Vaccine manufacturer

AstraZeneca (2 doses are given 4 weeks apart)

Moderna (2 doses are given 4 weeks apart)

Pfizer (2 doses are given 3 weeks apart)

Johnson & Johnson (1 dose)

Novavax (2 doses are given 3 weeks apart)

Sputnik V (2 doses are given 3-4 weeks apart)

Sinopharm (2 doses 3 weeks apart)

Sinovac/Coronavac (2 doses 2-4 weeks apart)

Covaxin/Bharat Biotech (2 doses 4 week apart)

Other:

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Have you experienced any of these side effects hours or up to 10 days after vaccination? (whichever dose was the worst)? Check all that apply. Examples of less common side effects: abdominal pain, diarrhea, tingling/numbing, sweating, changes in smell/taste

Mild

Moderate

Severe

Injection site pain

Sore arm

Swelling of the lymph nodes in the same arm as the injection

General Muscle Pain

Joint Pain

Tiredness/Fatique

Chills

Fever

Headache

Nausea or Vomiting

Flu-like symptoms

Rash outside of injection site

MEBO/PATM symptoms

Other

Did your MEBO/PATM symptoms change in intensity due to cotracting COVID-19, if applicable? If so, please describe symptoms and duration.

Did your MEBO/PATM symptoms change in intensity after receiving your 1st 2nd or 3rd COVID vaccination shots? Did you have any uncommon symptoms? Please describe symptoms and duration.

Have you been tested for TMAU with urine test?

Yes

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Have you had a TMAU or FMO3 genetic test?

Yes

Other:

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Have you ever had any other test in pursuit of a diagnosis regarding uncontrollable odor or PATM conditions?

Yes

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Would you be willing to share your anonymized test results with the Principal Investigator of this study if requested to do so? It is not required and all privacy will be preserved.

Any other thoughts or comments regarding this survey or the study in general?

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http://bit.ly/BTN-consent (This form describes how we protect your data. You can withdraw and request to delete your data at any time)

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