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Are you suffering with any of the symptoms – Fever, cold, cough, sore throat, malaise, headache and other?
Do you have active symptoms of COVID-19 infection (lab confirmed)?
Did you have any serious allergic reaction (which needed emergency medical attention) to a previous dose of COVID-19 vaccine?
Did you have either immediate or delayed-onset serious allergic reaction (which needed emergency medical attention) to other vaccines or injectable therapies, pharmaceutical products, food-items etc.?
Do you have history of being unwell and hospitalized (with or without intensive care) due to any illness?
Do you have history of bleeding / coagulation disorder like 'haemophilia'?
Are you on any regular medication?
Have you been immunized or vaccinated in the recent past with any other vaccine?
Did you take COVID-19 vaccination?
Are you pregnant or not sure of being pregnant?
Are you breast feeding your child?
Are you in menstrual periods now?
I understand that: