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Meron ka bang sakit tulad ng lagnat, ubo at sipon?
Do you have illnesses such as fever, cough and cold?
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Naranasan mo na bang magkaroon ng isang matinding reaksyon ng alerdyi (hal. Anaphylaxis) sa isang bagay? Halimbawa, isang reaksyon kung saan ka nagamot ng epinephrine o EpiPen, o kung saan kailangan mong pumunta sa ospital.
Have you ever had a severe allergic reaction (e.g., anaphylaxis) to something? For example, a reaction for which you were treated with epinephrine or EpiPen, or for which you had to go to the hospital.
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Naranasan mo na bang magkaroon ng isang seryosong reaksyon pagkatapos makatanggap ng pagbabakuna o ibang gamot na na-injection?
Have you ever had a serious reaction after receiving a vaccination or another injectable medication?
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Nakatanggap ka ba ng passive antibody therapy (monoclonal antibodies o convalescent serum) bilang paggamot para sa COVID-19 sa nagdaang 90 araw?
Have you received passive antibody therapy (monoclonal antibodies or convalescent serum) as treatment for COVID-19 in the past 90 days?
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Nakatanggap ka ba ng isa pang bakuna sa huling 14 na araw?
Have you received another vaccine in the last 14 days?
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Mayroon ka bang isang mahinang immune system na sanhi ng isang bagay tulad ng impeksyon sa HIV o cancer, uminom ka ba ng mga gamot na pang-immunosuppressive o therapies, o sinabi sa iyo na mayroon kang Guillain-Barre Syndrome o Bell's Palsy ng isang tagabigay ng pangangalaga ng kalusugan?
Do you have a weakened immune system caused by something such as HIV infection or cancer, do you take immunosuppressive drugs or therapies, or have been told you have Guillain-Barre Syndrome or Bell's Palsy by a healthcare provider?
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Mayroon ka bang sakit sa pagdurugo o kasalukuyan kang umiinum ng gamot na tumutulong sa maayos na daloy ng dugo?
Do you have a bleeding disorder or are you taking a blood thinner?
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Nagbubuntis ka ba, nagpapasuso, o nagpaplano na maging buntis sa susunod na 30 araw?
Are you pregnant, breastfeeding, or planning to become pregnant in the next 30 days?
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Direkta na nagkaroon ng pakikipag-ugnayan sa Covid-19 na pasyente?
Directly in interaction with Covid-19 patient?
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Mayroon ka bang positibong resultang medikal para sa COVID-19 o mayroon ka bang nasabi sa iyo ng isang doktor na mayroon kang COVID-19?
Have you had a positive test for COVID-19 or has a doctor ever told you that you had COVID-19?
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Sa Co-Morbidity (Mga Kundisyon ng Medikal)?
With Co-Morbidity (Medical Conditions)?
Others/ Iba Pa
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Mga Alerhiya?
Allergies?
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Nais mo bang mabakunahan ng Covid19 Vaccine?
Do you want to be vaccinated with Covid19 Vaccine?
