About You |
About a family member, friend or colleague |
Have YOU developed a sudden deterioration of health, or suspected adverse reaction within the last few months? Your gender Your age? Have you been vaccinated or are in close contact with a vaccinated partner or family member? Did you feel pressured into being vaccinated, due to financial or other commitments against your personal choice? What is the nature of the illness or reaction? |
Do you know first hand of a family member, close contact or work colleague that has developed a sudden deterioration of health, or suspected adverse reaction within the last few months? Their gender Their age? Were they vaccinated or in close contact with a vaccinated partner or family member? Do you believe they felt pressured into being vaccinated due to financial or other commitments, against their personal choice? What is the nature of the illness or reaction? |