COVID-19 VACCINE STUDY COV002 PRE-SCREENING Southampton

 

Thank you for your interest in our study. Based on your responses, you are eligible to proceed to screening. Please complete the below questions and we will be in touch with more information about the study and to arrange a screening appointment.

 

 

Thank you for your interest in our study. Based on your responses, you are eligible to proceed to screening. Please complete the below questions and we will be in touch with more information about the study and to arrange a screening appointment.

 

 

Thank you for your interest in our study. Based on your responses, you are not eligible to take part.

 

13. I agree that a researcher from the NIHR Southampton Clinical Research Facility can contact me via phone to discuss details of my medical history to assess my eligibility to participate in the trial and if enrolled will go towards my baseline health records. I understand that a unique participant ID number will be allocated to me and used to record my medical history on a secure server and kept for the duration of the study.

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