Choose any or all that are new, worsening and not related to other known causes or conditions.
Select "None of the above" if both of these apply:
Not related to other known causes or conditions (for example, chronic obstructive pulmonary disease)
Not related to other known causes or conditions (for example, asthma, chronic obstructive pulmonary disease, chronic heart failure)
Not related to other known causes or conditions (for example, nasal polyps, allergies, neurological disorders)
Not related to other known causes or conditions (for example, getting a COVID-19 vaccine and/or flu shot in the last 48 hours, osteoarthritis, fibromyalgia)
General feeling of being unwell, lack of energy and not related to other known causes or conditions (for example, getting a COVID-19 vaccine and/or flu shot in the last 48 hours, depression, insomnia, thyroid dysfunction, anemia, malignancy)
Painful swallowing or difficulty swallowing, not related to other known causes or conditions (for example, post-nasal drip, acid reflux)
Not related to other known causes or conditions (for example, seasonal allergies, being outside in cold weather, chronic sinusitis)
Not related to other known causes or conditions (for example, getting a COVID-19 vaccine and/or flu shot in the last 48 hours, tension-type headaches, chronic migraines)
Not related to other known causes or conditions (for example, transient vomiting due to anxiety in children, chronic vestibular dysfunction, irritable bowel syndrome, inflammatory bowel disease, side effects of medication)
Not related to other known causes or conditions (for example, menstrual cramps, gastroesophageal reflux disease)
Not related to other known causes or conditions (for example, blepharitis, recurrent styes)
Not related to other known causes or conditions (for example, anxiety, constipation)
