| Question Numer | Questions | Conditions↑ |
| P1 | Did you experience any side effects from the fourth dose of the COVID-19 vaccine? (Yes/No) |
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| P2 | Did you have any local reaction in the area of your arm where you received the fourth dose of the COVID-19 vaccine? (Yes/No) |
P2 = “yes” |
| P3 | Which of the following local reactions did you have in the arm where you received the fourth dose of the COVID-19 vaccine? (multiple choice)
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P2, P3 = “yes” |
| P4 | Did you have any local reactions in the rest of your body after the fourth dose of the COVID-19 vaccine? (Yes/No) |
P2 = “yes” |
| P5 | Which of the following adverse events did you experience in the rest of your body after being vaccinated with the fourth dose of the COVID-19 vaccine? (multiple choice)
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P2, P3 = “yes” |
| Q6 | How many days after the administration of the fourth dose of the COVID-19 vaccine did the adverse reactions persist?
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P2 = “yes” |
| Q7 | Did you seek medical attention for one or more of the adverse effects? (Yes/No) |
P2 = “yes” |
| Q8 | Several months ago, you received the third dose of the COVID-19 vaccine, did you experience any adverse effects after the administration of the third dose of this vaccine?
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| Q9 | How would you summarize your feelings in the days after receiving the fourth dose of the vaccine, compared to the days after receiving the third dose of the COVID-19 vaccine?
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| Q10 | Did you get your flu vaccine on the same day you were inoculated with the fourth dose against COVID-19? (Yes/No) |
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| ↑ To answer the question you must have answered affirmatively the “condition questions”. | ||