COVID-19 Vaccination Clinical Trials

How would you rate your overall health? *

Excellent

Very Good

Good

Fair

Poor

Have you ever tested positive for COVID-19? *

Yes - tested positive for COVID-19

No

Have you ever been vaccinated for COVID-19? *

Yes - vaccinated for COVID-19

No

Note: These are studies for a publicly available, licensed, non mRNA vaccine.

Have you been diagnosed (by a doctor) with any medical conditions? *
Please list here or write 'none'. 
Please only include conditions which have been diagnosed by a doctor.

Examples include: depression, type 1 diabetes or type 2 diabetes, chronic obstructive pulmonary disease (COPD), interstitial lung disease, bronchiectasis, down syndrome, heart failure, cardiomyopathy, human immunodeficiency virus (HIV), dysthymia, cystic fibrosis, bipolar disorder, cyclothymic disorder, schizophrenia, dementia, Parkinson’s disease, tuberculosis, cirrhosis, non-alcoholic fatty liver disease, autoimmune hepatitis

Are you taking any medications or treatments for your health conditions? *
Please list them below or type ‘none’.

Examples include: dialysis

Do you currently smoke cigarettes? *

Yes - currently smoke

No - but smoked in the past

No - never smoked

Note: This also includes e-cigarettes or vaping devices.

COVID-19 Vaccination Clinical Trials

Study benefits include:

You may qualify if you: