Generated Narrative: QuestionnaireResponse ActiveMonitoringDay3SurveyQuestionnaireResponse

version: 1; Last updated: 2024-04-21 22:07:18+0000

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LinkID	Text	Answer $\"doco\"$
$\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse		Questionnaire:Post Vaccine Symptom Check day 3 survey
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p01-Intro	This is the first of two surveys about your experience with receiving your vaccine. This survey will take approximately five minutes to complete. You will be asked about any reactions you had after your vaccination(s). If you did not have any there is also a section at the end for you to comment on any other parts of your vaccination experience. Your responses are important and will help contribute to the safety monitoring of vaccines in New Zealand. The information you provide is confidential and is protected by the Privacy Act 2020 and data security safeguards. Please remember this is a survey only, your answers will not result in a medical response to your situation. If you have any concerns about your health after your vaccination, call Healthline at 0800 611 116 or speak to your healthcare professional. If you experience any of the following symptoms, you should seek medical help urgently and tell them about your vaccinations: tightness, heaviness, discomfort, pressure or pain in your chest or neck difficulty breathing or catching your breath feeling faint, dizzy, or light-headed fluttering, racing, or pounding heart, or feeling like it’s ‘skipping beats’	Immunization/452fb7d0-8d3d-4534-a147-25560206edc2
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening	Screening
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening / p02-q01-VaccineType	Please confirm the vaccine(s) that you or your dependent (e.g., child) received 3 days ago	[not stated]: Only flu vaccine (Only flu vaccine)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening / p02-q02-SideEffects	We would like to confirm your answer to the invitation text message. Did you experience any side effects after vaccination?	[not stated]: Yes (Yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening / p02-q03-SideEffectsScreening
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening / p02-q03-SideEffectsScreening / p02-q03.1-WhoReceived	Who received the vaccine?	[not stated]: Myself (Myself)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening / p02-q03-SideEffectsScreening / p02-q03.2-WhereReceived	Where did you/they go to receive your/their vaccination?	[not stated]: Community vaccination centre (Community vaccination centre)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p02-Screening / p02-q03-SideEffectsScreening / p02-q03.3-Pregnant	Were you/they pregnant/Hapu at the time of your/their vaccination?	false
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p03-EarlyOnsetReactions	Early onset reactions
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p03-EarlyOnsetReactions / p03-q01-SelectedSideEffects	Did you/they experience any of the following after vaccination? (choose all that apply)	[not stated]: None of the above (None of the above)
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions	Reactions
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q01-ReactionsIntro	Please choose all the reactions that you/they experienced, and if yes describe, on a scale from Minor, Mild, Moderate, Serious, to Severe. For your rating take into account levels of pain, how long symptoms lasted and impact on daily life.
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q02-InjectionSiteDisorder	Injection site reaction (pain, redness, swelling, or itching at or near the injection site)	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q04-Fever	Fever (a temperature of 38°C or higher)	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q06-Swelling	Swelling of glands (i.e., lymph nodes)	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q09-Chills	Chills, shivering, or cold sweats	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q11-Headaches	Headaches	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q13-Rash	Rash (not at the injection site)	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q15-AchesPains	Aches and pains	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q17-DigestiveDisorder	Stomach symptoms (nausea, vomiting, diarrhoea, abdominal pain or loss of appetite)	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q19-Fatigue	Fatigue or tiredness	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q21-ChestSymptoms	Chest symptoms (chest pain/heaviness/tightness or heart palpitations/pounding/racing)	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q23-DifficultyBreathing	Difficulty breathing	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q25-Dizziness	Dizziness or feeling lightheaded	false
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p04-Reactions / p04-q27-OtherSymptoms	Did you/they experience any symptoms that were not listed above?	false
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p05-DailyImpact	Impact on daily activities
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p05-DailyImpact / p05-q01-MissedWork	Did any of the symptoms that you/they reported cause you/them to miss work, study, or normal daily activities?	true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p05-DailyImpact / p05-q02-MissedWorkDetail	How many days did you miss?	[not stated]: Less than 1 day (Less than 1 day)
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p06-CareSought	Medical advice/care sought
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p06-CareSought / p06-q01-SymptomRelief	Did any of the symptoms cause you/them to seek advice or care from a healthcare professional?	true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p06-CareSought / p06-q02-SymptomReliefDetail	Please choose the type of advice or care you/they sought. Please choose all that apply
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p07-VaccinationExperience	Vaccination experience
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p07-VaccinationExperience / p07-q01-OverallExperience	How would you/they rate the overall experience at the vaccination site? For your rating take into account informed consent process, staff helpfulness, vaccination site cleanliness etc.	[not stated]: Average (Average)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p07-VaccinationExperience / p07-q02-Comments	Do you/they have any comments about your/their vaccine experience?	true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p07-VaccinationExperience / p07-q03-CommentsDetail	Please explain	ASsA
$\"\"$ $\"\"$ $\"\"$ ActiveMonitoringDay3SurveyQuestionnaireResponse / p08-Thanks	Thank you for completing the Day 3 post vaccine survey, your answers have been submitted. You will receive your next survey 42 days after your vaccination. The data collected by these surveys will be made available online on the Health NZ website. Survey data provided online are not identifiable and individual responses are confidential.
$\"doco\"$ Documentation for this format