COVID-19 & Vaccination in MEBO/PATM
COVID-19 Back-to-Normal Study.
MEBO ID# anónimo provided to you by MEBO Research before taking this survey. Please request to maria@meboresearch.org.
In the past 14 days have you been in close proximity to anyone who has tested positive for COVID-19 or experienced: fever/chills, body aches, nausea, diarrhea (unless 1-3 days after vaccination - check below), dry cough, difficulty breathing, sore throat, new loss of taste or smell?
Clear selection
MEBO/PATM status
No symptoms lately
Symptoms all the time
Clear selection
Have you ever tested for COVID-19?
Vaccination Status
Clear selection
When approximately did you get vaccinated?
Vaccine manufacturer
Clear selection
Have you experienced any of these side effects hours or up to 10 days after your most recent dose? 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 and or 2nd COVID vaccination shots? If so, please describe symptoms and duration.
Have you been tested for TMAU with urine test?
Clear selection
Have you had a TMAU or FMO3 genetic test?
Clear selection
Have you ever had any other test in pursuit of a diagnosis regarding uncontrollable odor or PATM conditions?
Clear selection
Would you be willing to share your test results with the Principal Investigator of this study if requested to do so? It is not required and all privacy will be preserved.
Clear selection
Any other thoughts or comments regarding this survey or the study in general?
By clicking submit you consent to share this data with the dedicated MEBO researcher
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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