PolyVac Tracker
The ongoing pandemic continues to challenge lifestyles and systems. The prolonged use of vaccines under Emergency Use Authorization (EUA) coupled with emergence of mutations and variants warrants attention so that highest standards of health and safety are ensured. With fast-changing clinical and public-health scenarios, the need to share information is more pressing than ever-before. Vaccination certainly is one the keys to overcoming this pandemic if carried out at the required speed.

University of Health Sciences Lahore has established a vaccination tracker to understand and update various trends. Whether multiple jab of the same vaccine or mix-and-match, the PolyVac Tracker invites individuals (particularly the vaccinated ones) to partake in the simple survey aimed at recording and sharing self-reported vaccination and post-vaccination experiences. The Investigators also invite the survey participants to contact on the following phone numbers in case they develope any reportable symptoms or medical conditions upto two years after vaccination(s). Free tele-consultancy will be provided starting in two weeks.

All information will be used for promoting education and literacy on the topic. Names of all manufacturers are mentioned as per the list of EUL holders or approval issued / granted by the World Health Organization or a National Drug regulator.

The survey is expected to take no more than 10 min. Following contact details could be used for any queries and/or submitting a paper-based questionnaire. Thanking you in advance!

CONTACT NUMBER

0310 4443059

0310 4446771

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Name (optional):
Age *
Sex *
Email (optional):
Phone No
Country *
Marital Status *
Average monthly Income (in local currency):
Highest education attained
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Do You have any of the following comorbidities or preexisting conditions (check all that applies) *
必填
Ever Diagnosed with COVID by PCR?
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If Yes what was the date  of diagnosis?
If Yes have you been PCR diagnosed infected with COVID more than once?
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If Yes how many total times since March 2020?
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What type of vaccine did you get(Check all that apply)
Have you been vaccinated by more than one types of vaccines?
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If Yes how many different vaccines in total have you been administered to date?
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choose the vaccine in the below menu that was administered to you for the very first time.
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 if vaccinated by more than one type, choose the second vaccine that was administered to you.
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 if vaccinated by more than one type, choose the third vaccine that was administered to you.
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 if vaccinated by more than one type, choose the fourth vaccine that was administered to you.
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If administered a multiple-dose vaccine type, have you completed its course? *
If Yes , which one?
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If administered more than one multiple dose vaccines, have you completed their recommended doses
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If vaccinated by more than one type choose from the following menu in the order of inoculation
1
2
3
4
5
Pfizer BIONtech
AstraZaneca
Serum Institute of India
Sinopharm
Moderna
SinoVac
The Gamaleya National Center
CanSino BIO
NOVAVAX
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Did you develope any or all of the following symptomes after vaccination?
Did you receive vaccine during pregnancy and / or lactation?
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Were you PCR diagnosed with COVID after vaccination?
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If Yes, after how long?
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What made you choose COVID vaccination?
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此表单是在 University of Health Sciences Lahore 内部创建的。 举报滥用行为