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Protocol - Long COVID - Symptoms Due to COVID-19 - Ocular (Long Form)

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Description

This protocol helps better describe and understand the patient experience and recovery of those with confirmed or suspected COVID-19, with a specific emphasis on Long COVID experience especially with ocular.

Specific Instructions

None

Availability

Available

Protocol

Eye and Vision Symptoms

1. Did you experience these symptoms, and when did you experience them?

[ ] None of the below eye and vision symptoms apply to me

Eye and Vision Symptoms

N/A

Week 1

Week 2

Week 3

Week 4

Month 2

Month 3

Month 4

Month 5

Vision symptoms

[ ]

[ ]

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[ ]

[ ]

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[ ]

Other eye symptoms

[ ]

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[ ]

All Other Symptoms - Checkbox

2. Have you experienced any of these symptoms since the start of your COVID-19 illness? (Please choose all options that apply)

[ ] Vision symptoms - Blurred vision

[ ] Vision symptoms - Double vision

[ ] Vision symptoms - Sensitivity to light

[ ] Vision symptoms - Tunnel vision

[ ] Vision symptoms - Total loss of vision

[ ] Eye pressure or pain

[ ] Pink eye (conjunctivitis)

[ ] Bloodshot eyes

[ ] Dry eyes

[ ] Redness on the outside of eyes

[ ] Floaters

[ ] Seeing things in your peripheral vision

[ ] Other eye issues: ________

[ ] None of the above

Symptom Course

3. How severe were/are your symptoms over the course of the weeks/months?

If you experienced multiple severities for symptoms within the time period, select the most severe within that time period.

No symptom

Very Mild

Mild

Moderate

Severe

Very Severe

Week 1

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Week 2

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Week 3

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Week 4

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Month 2

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Month 3

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Month 4

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Month 5

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Month 6

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Month 7+

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[ ]

4. Which of these descriptions appropriately describes your experience with relapses, and your symptom course overall? Please select all that apply:

[ ] My relapses happen in a regular pattern (monthly, daily, or weekly).

[ ] My relapses happen in an irregular pattern (randomly).

[ ] My relapses happen in response to a trigger (stress, alcohol, exercise/exertion, etc).

[ ] My relapses are getting shorter/easier over time.

[ ] My relapses are getting longer/harder over time.

[ ] My relapse severity has stayed about the same over time.

[ ] Overall, my symptoms have slowly gotten better over time.

[ ] Overall, my symptoms have stayed about the same over time.

[ ] Overall, my symptoms have slowly worsened over time.

[ ] I got worse rapidly.

[ ] I got better rapidly.

[ ] Other ___________

7. Which of these trigger a relapse or worsening of symptoms? Please select all that apply:

[ ] Stress

[ ] Alcohol

[ ] Caffeine

[ ] Heat

[ ] Period/menstruation

[ ] Week before period/menstruation

[ ] Exercise

[ ] Physical activity

[ ] Mental activity

[ ] Other ___________


Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Adult

Participants

Adults aged 18 years or older

Selection Rationale

PhenX used input from the PhenX Steering Committee to enable rapid response and release of COVID-19 related protocols in the Toolkit.

Language

English, Other languages available at source

Standards
StandardNameIDSource
Derived Variables

None

Process and Review

Not Applicable

Protocol Name from Source

Online Survey on Recovery from COVID-19

Source

University College London (2022). Online Survey on Recovery from COVID-19, Section “Ocular Section”

General References
None
Protocol ID

992015

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX992015_Long_COVID_Symptoms_Ocular_Long_Eye_Vision_Symptoms_None
PX992015010100 Did you experience these symptoms, and when more
did you experience them? Eye and vision symptoms show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Eye_Vision_Symptoms_Other
PX992015010300 Did you experience these symptoms, and when more
did you experience them? Eye and vision symptoms: Other symptoms show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Eye_Vision_Symptoms_Vision
PX992015010200 Did you experience these symptoms, and when more
did you experience them? Eye and vision symptoms: Vision symptoms show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Other_Covid_Symptoms
PX992015020100 Have you experienced any of these symptoms more
since the start of your COVID-19 illness? (Please choose all options that apply) show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Other_Covid_Symptoms_Other_Eye_Issues
PX992015020200 Have you experienced any of these symptoms more
since the start of your COVID-19 illness? (Please choose all options that apply) Skin and Allergy: Other eye issues show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Courses_Replase
PX992015040100 Which of these descriptions appropriately more
describes your experience with relapses, and your symptom course overall? Please select all that apply: show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Courses_Replase_Other
PX992015040200 Which of these descriptions appropriately more
describes your experience with relapses, and your symptom course overall? Please select all that apply: Other show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Relapse_Trigger
PX992015050100 Which of these trigger a relapse or more
worsening of symptoms? Please select all that apply: show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Relapse_Trigger_Other
PX992015050200 Which of these trigger a relapse or more
worsening of symptoms? Please select all that apply: Other show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Month_2
PX992015030500 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Month 2 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Month_3
PX992015030600 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Month 3 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Month_4
PX992015030700 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Month 4 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Month_5
PX992015030800 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Month 5 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Month_6
PX992015030900 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Month 6 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Month_7
PX992015031000 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Month 7+ show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Week_1
PX992015030100 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Week 1 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Week_2
PX992015030200 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Week 2 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Week_3
PX992015030300 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Week 3 show less
N/A
PX992015_Long_COVID_Symptoms_Ocular_Long_Symptom_Severity_Week_4
PX992015030400 How severe were/are your symptoms over the more
course of the weeks/months? If you experienced multiple severities for symptoms within the time period, select the most severe within that time period. Week 4 show less
N/A
Long COVID
Measure Name

Long COVID - Symptoms Due to COVID-19

Release Date

March 17, 2023

Definition

This is a measure of an individual’s new or continuing COVID-19 symptoms.

Purpose

Presence of lingering COVID-19 symptoms is a sign of Long COVID, and use of this measure helps with understanding people’s experience with COVID-19 and implications of Long COVID.

Keywords

coronavirus, COVID-19, Ocular, University College London, UCL, Eye, Vision

Measure Protocols
Protocol ID Protocol Name
992001 Long COVID - Symptoms Due to COVID-19 - Screener
992002 Long COVID - Symptoms Due to COVID-19 - Memory
992003 Long COVID - Symptoms Due to COVID-19 - Neurology
992004 Long COVID - Symptoms Due to COVID-19 - Psychological Risk Factors
992005 Long COVID - Symptoms Due to COVID-19 - Speech, Language, and Hearing
992006 Long COVID - Symptoms Due to COVID-19 - Psychiatric (Short Form)
992007 Long COVID - Symptoms Due to COVID-19 - Psychiatric (Long Form)
992008 Long COVID - Symptoms Due to COVID-19 - Temperature Regulation and Cardiovascular
992009 Long COVID - Symptoms Due to COVID-19 - Cardiovascular Symptom Course
992010 Long COVID - Symptoms Due to COVID-19 - Respiratory
992011 Long COVID - Symptoms Due to COVID-19 - Gastrointestinal (Long Form)
992012 Long COVID - Symptoms Due to COVID-19 - Gastrointestinal (Short Form)
992013 Long COVID - Symptoms Due to COVID-19 - Allergies
992014 Long COVID - Symptoms Due to COVID-19 - Skin and Hair
992015 Long COVID - Symptoms Due to COVID-19 - Ocular (Long Form)
992016 Long COVID - Symptoms Due to COVID-19 - Ocular (Short Form)
992017 Long COVID - Symptoms Due to COVID-19 - Genitourinary
992018 Long COVID - Symptoms Due to COVID-19 - Muscle and Joint
992019 Long COVID - Symptoms Due to COVID-19 - Tooth Pain
992020 Long COVID - Symptoms Due to COVID-19 - Pediatric
Publications

There are no publications listed for this protocol.