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Before we begin, please provide some important information
This assessment is done by
What is the name of the patient?
Unique Id assigned to the case:
Date of Birth:
OR
days
Months
Years
Sex
Male
Female
What are the documents that are available for assessing causality?
Fully Completed
Partially completed
Fully Completed
Partially completed
Fully Completed
Partially completed
Lab report of Human specimens
Lab report of vaccines and logistics testing
Autopsy report
Details of field and / or community investigations
Other (Specify)
Other specific documents :
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Pdf Report