2020 COVID - 19 Pre-Screening Form

Common symptoms of COVID-19 include:

Fever (temperature of 37.8°C or greater)New or worsening coughShortness of breath (dyspnea)

Other symptoms of COVID-19 can include:

Sore throatDifficulty swallowingNew olfactory or taste disorder(s)Nausea/vomiting, diarrhea, abdominal painRunny nose, or nasal congestion – in absence of underlying reason for these symptoms such as seasonal allergies, post nasal drip, etc.Clinical or radiological evidence of pneumonia

Atypical symptoms/clinical pictures of COVID-19 should be considered, particularly in children, older persons, and people living with a developmental disability. Atypical symptoms can include:

Atypical signs can include:

Unexplained tachycardia, including age-specific tachycardia for childrenDecrease in blood pressureUnexplained hypoxia (even if mild i.e. O2 satLethargy, difficulty feeding in infants (if no other diagnosis)