Demographic
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Gender
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Date of birth
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Underlying diseases
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Heart disease
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Lung disease
|
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Tuberculosis
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Asthma
|
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Pneumonia
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HIV infection
|
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Others
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Medical history
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Contact with tuberculosis
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Previous influenza
|
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Prior treatment with antibiotics
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Prior treatment for fever
|
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Date of first symptoms
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Clinical examination at enrollment
|
Weight
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Height
|
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Arm circumference
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Temperature
|
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Blood pressure
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Breathing rate
|
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Arterial oxygen saturation
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Cough
|
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Dyspnea
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Lower chest indrawing
|
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Cyanosis
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Pulmonary crackles
|
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Dullness to percussion of the thorax
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Rhonchi
|
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Wheezing
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Rasping
|
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Diminished breathing sounds
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Convulsions
|
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Other pulmonary signs and symptoms
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Rhinopharyngitis
|
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Prostration or lethargy
|
Conjunctivitis
|
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Otitis
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Inability to drink
|
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Skin rash
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Diarrhea
|
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Vomiting
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Other signs
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Radiological
|
Opacification
|
Abscess
|
findings
|
Interstitial syndrome
|
Pneumothorax
|
(cases only)
|
Alveolar infiltrate
|
Parenchymatous infiltrate
|
Vaccination (dates, number of doses)
|
Pneumococcal conjugate vaccine Influenza vaccine
|
Diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type B vaccine
|
During hospital stay
|
Antibiotics (dates, doses, duration)
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Oxygen therapy
|
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Other drugs
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Death
|
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Acute complications
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Cause of death
|
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Recovery
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