Table 5 Disease exposure data about a probable or confirmed case of COVID-19

Exposure data

Direct contact with an infected person

Has the person had contact with a probable or confirmed case in the 14 days before the onset of symptoms?

If yes, The place of encounter:

Health care center, hypermarket/shop, gas station, bus/metro, airport/railway station, restaurant/coffee, public administrative area, bank, home, residential institution, weddings, family parties, mourning ceremonies, workplace, other(s), please specify

If yes, and the patient knows the person (probable or confirmed case), please state the person’s details:

Name and surname, phone number, address

Travel

Has the case travelled in the 14 days before the symptom onset?

If yes: Country, province/state, city, date of departure from the place, details (please explain)

Case finding

Case finding process

Refer to a health care center with symptoms of COVID-19, random screening and identification of the patient, transfer from other health care centers, case finding by tracking who had close contact with previously identified patients, other(s), please specify

First symptom of disease

Fever, chills, dry cough, nasal congestion, runny nose, sore throat, mucus or phlegm, shortness of breath, constant pain or pressure in chest, tiredness, muscle aches, headache, loss of smell or taste, fatigue, diarrhea, nausea or vomiting, loss of appetite, dry mouth, other(s), please specify, date of first symptom

First visit to a healthcare center

Type of admission (ambulatory, impatient), date of admission, name of healthcare center

COVID-19 testing

Type of tests (RT-PCR, antigen/rapid test), sampling method (nasopharyngeal swab, throat swab), date of sampling

Test result (positive, negative), laboratory name, date of confirmed disease

Infection with mutated strains of COVID-19

Infection with mutated strains of COVID-19, type of variant (B.1.1.7, B.1.351, P.1, B.1.427, B.1.429, B.1.617, …)