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. 2022 Aug 31;14(8):e28630. doi: 10.7759/cureus.28630

Table 3. Self-administered demographic questionnaire.

COVID-19: coronavirus disease 2019

Demographic data
Age  
Height (in ft. inches)  
Weight (in kgs)  
Marital status Married
Unmarried
On a scale of 1-4 describe your physical activity 1 - None
2 - Light
3 - Moderate
4 - Strenuous
Perceived Stress Scale; for each following question choose from the following alternatives: 0 - never, 1 - almost never, 2 - sometimes, 3 - fairly often, and 4 - very often
l. In the last month, how often have you been upset because of something that happened unexpectedly?  
2. In the last month, how often have you felt that you were unable to control the important things in your life?  
3. In the last month, how often have you felt nervous and stressed?  
4. In the last month, how often have you felt confident about your ability to handle your personal problems?  
5. In the last month, how often have you felt that things were going your way?  
6. In the last month, how often have you found that you could not cope with all the things that you had to do?  
7. In the last month, how often have you been able to control irritations in your life?  
8. In the last month, how often have you felt that you were on top of things?  
9. In the last month, how often have you been angered because of things that happened that were outside of your control?  
10. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?  
Per-vaccination menstruation
Did you have regular menstrual cycles before getting the COVID-19 vaccine? Yes
No
How would you describe your period flow before getting the COVID-19 vaccine? Scanty
Normal
Heavy
What are your usual associated symptoms during menses period? (Select all that apply) Breast tenderness
Cramps
Fatigue
Mood changes, i.e., irritability, mood swings, sadness, anger, etc.
Other
Post-vaccination menstruation
Q1. Has there been a change in the regularity of your menstrual cycles after getting the COVID-19 vaccine? Yes
No
Q2. Has there been a change in your average cycle duration after getting the COVID-19 vaccine? Yes
No
Q3. If yes, then what changes have you experienced regarding cycle duration after getting the COVID-19 vaccine? Increased duration between cycles
Decreased duration during cycles
Disordered, no regularity
Q4. Has there been a change in your period flow after getting the COVID-19 vaccine Yes
No
Q5. If yes, then what changes have you experienced regarding period flow after getting the COVID-19 vaccine? Gotten heavier
Normal/same as before getting vaccinated
Decreased duration during cycles
Q6. Have you experienced any change in your usual associated symptoms during menses period after getting the COVID-19 vaccine? Yes
No
Q7. If yes, then what changes have you experienced regarding your usual associated symptoms during the menses period after getting the COVID-19 vaccine? Gotten better
Gotten worse