Today's date:* must provide value
Today M-D-Y
Please confirm that you have entered today's date correctly above.
Please complete the following information about yourself: Your email address: * must provide value
How did you hear about the VIVID study? Quest Diagnostics
Social media
Family and friends
Other
Specify how you heard about the VIVID study:
What country do you currently reside in?* must provide value
United States of America
Other
ELIGIBILITY: Inclusion, lives in USA
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0 = ELIGIBLE, 1 = INELIGIBLE
Are you living with someone who was diagnosed with COVID-19 in the past 7 days?* must provide value
Yes
No
ELIGIBILITY: Inclusion, living with someone diagnosed with COVID-19 in past 7 days
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0 = ELIGIBLE, 1 = INELIGIBLE
Please check the statements that describe the level of contact with the person in your household who was recently tested positive (Check all that apply) Spends 2 hours or more per day with you in a single room
Has meals with you at least 5 times in the past week
Stays with you for at least 6 days in the past week
Plans on staying with you for the next two weeks or longer
Check all that apply
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
What protective measures are you currently taking at home? (Check all that apply)* must provide value
I am not sharing bedroom with the infected person
I am not sharing bathroom with the infected person
I am not sharing meals with the infected person
I am not sharing personal items (dishes, cups/glasses, silverware, towels, bedding, or electronics) with the infected person
I wear a mask or face covering whenever around the infected person
I wash hands often
None of the above
Check all that apply
Have you been tested for the coronavirus (COVID-19, SARS-CoV-2)?* must provide value
Yes
No
Not sure
Have you had at least one COVID-19 test with a POSITIVE result?* must provide value
Yes
No
Not sure
ELIGIBILITY: Exclusion, ever tested positive for coronavirus
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0 = ELIGIBLE, 1 = INELIGIBLE
Please answer the following questions about the most recent test result you had: On what date did you take the test?* must provide value
Today M-D-Y
What type of test did you take?* must provide value
Nasal or throat swab
Saliva test
Blood test
Not sure
What is the test result?* must provide value
Positive
Negative
Not sure
I have not received the result
On what date did you receive the result?
Today M-D-Y
The next questions ask about your symptoms in the last 14 days: The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Did you experience NEW onset of the following symptoms in the last 14 days? (Excluding chronic or recurrent conditions. Check all that apply)* must provide value
Fever or chills
Cough
Shortness of breath or difficulty breathing
Unusual chest pain or tightness in your chest
Muscle or body aches
New loss of smell or taste
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea
Unusual fatigue
Headache
NONE OF THE ABOVE
Fever and chills: Fever or chills: On what date did this symptom start?* must provide value
Today M-D-Y
Fever or chills: Is this symptom ongoing?* must provide value
Yes
No
Fever or chills: What date did this symptom stop?* must provide value
Today M-D-Y
Fever or chills: What is/was the severity of this symptom? Mild or Moderate
Severe
Cough: Cough: On what date did this symptom start?* must provide value
Today M-D-Y
Cough: Is this symptom ongoing?* must provide value
Yes
No
Cough: What date did this symptom stop?* must provide value
Today M-D-Y
Cough: What is/was the severity of this symptom? Mild or Moderate
Severe
Shortness of breath or difficulty breathing: Shortness of breath or difficulty breathing: On what date did this symptom start?* must provide value
Today M-D-Y
Shortness of breath or difficulty breathing : Is this symptom ongoing?* must provide value
Yes
No
Shortness of breath or difficulty breathing: What date did this symptom stop?* must provide value
Today M-D-Y
Shortness of breath or difficulty breathing: What is/was the severity of this symptom? Mild or Moderate
Severe
Unusual chest pain or tightness in your chest: Unusual chest pain or tightness in your chest: On what date did this symptom start?* must provide value
Today M-D-Y
Unusual chest pain or tightness in your chest: Is this symptom ongoing?* must provide value
Yes
No
Unusual chest pain or tightness in chest: What date did this symptom stop?* must provide value
Today M-D-Y
Unusual chest pain or tightness in chest: What is/was the severity of this symptom? Mild or Moderate
Severe
Muscle or body aches: Muscle or body aches: On what date did this symptom start?* must provide value
Today M-D-Y
Muscle or body aches: Is this symptom ongoing?* must provide value
Yes
No
Muscle or body aches: What date did this symptom stop?* must provide value
Today M-D-Y
Muscle or body aches: What is/was the severity of this symptom? Mild or Moderate
Severe
New loss of smell or taste: New loss of smell or taste: On what date did this symptom start?* must provide value
Today M-D-Y
New loss of smell or taste: Is this symptom ongoing?* must provide value
Yes
No
New loss of smell of taste: What date did this symptom stop?* must provide value
Today M-D-Y
New loss of smell or taste: What is/was the severity of this symptom? Mild or Moderate
Severe
Sore throat: Sore throat: On what date did this symptom start?* must provide value
Today M-D-Y
Sore throat: Is this symptom ongoing?* must provide value
Yes
No
Sore throat: What date did this symptom stop?* must provide value
Today M-D-Y
Sore throat: What is/was the severity of this symptom? Mild or Moderate
Severe
Congestion or runny nose: Congestion or runny nose: On what date did this symptom start?* must provide value
Today M-D-Y
Congestion or runny nose: Is this symptom ongoing?* must provide value
Yes
No
Congestion or runny nose: What date did this symptom stop?* must provide value
Today M-D-Y
Congestion or runny nose: What is/was the severity of this symptom? Mild or Moderate
Severe
Nausea or vomiting: Nausea or vomiting: On what date did this symptom start?* must provide value
Today M-D-Y
Nausea or vomiting: Is this symptom ongoing?* must provide value
Yes
No
Nausea or vomiting: What date did this symptom stop?* must provide value
Today M-D-Y
Nausea or vomiting: What is/was the severity of this symptom? Mild or Moderate
Severe
Diarrhea: Diarrhea: On what date did this symptom start?* must provide value
Today M-D-Y
Diarrhea: Is this symptom ongoing?* must provide value
Yes
No
Diarrhea: What date did this symptom stop?* must provide value
Today M-D-Y
Diarrhea: What is/was the severity of this symptom? Mild or Moderate
Severe
Unusual fatigue: Unusual fatigue: On what date did this symptom start?* must provide value
Today M-D-Y
Unusual fatigue: Is this symptom ongoing?* must provide value
Yes
No
Unusual fatigue: What date did this symptom stop?* must provide value
Today M-D-Y
Unusual fatigue: What is/was the severity of this symptom? Mild or Moderate
Severe
Headache: Headache: On what date did this symptom start?* must provide value
Today M-D-Y
Headache: Is this symptom ongoing?* must provide value
Yes
No
Headache: What date did this symptom stop?* must provide value
Today M-D-Y
Headache: What is/was the severity of this symptom? Mild or Moderate
Severe
Please complete the following information about you: Did you participate in a COVID-19 vaccine trial?* must provide value
Yes
No
ELIGIBILITY: Exclusion, participated in a vaccine trial
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0 = ELIGIBLE, 1 = INELIGIBLE
Are you participating in another COVID-19 trial where you are receiving any treatment?* must provide value
Yes
No
ELIGIBILITY: Exclusion, participating in ongoing COVID-19 trial
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0 = ELIGIBLE, 1 = INELIGIBLE
Sex Male
Female
Other
Weight* must provide value
Enter weight in pounds (lbs)
Height (feet)* must provide value
3 4 5 6 7
Height (inches)* must provide value
0 1 2 3 4 5 6 7 8 9 10 11
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Race (select all that apply) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Other Pacific Islander
White
Race (Asian) specify:* must provide value
South Asian Indian
Other
Ethnicity Hispanic or Latino
Not Hispanic or Latino
Unknown
Are you pregnant?* must provide value
Yes
No
ELIGIBILITY: Exclusion, pregnant
View equation
0 = ELIGIBLE, 1 = INELIGIBLE
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Have you had any of the following? (Mark all that apply)* must provide value
Receipt of a coronavirus (COVID) vaccination
History of kidney stone
Kidney failure or dialysis
Severe liver disease or cirrhosis
Hypercalcemia (high blood calcium level)
Parathyroid disease
Sarcoid or sarcoidosis
Active tuberculosis
Advanced cancer
Hospitalization due to COVID-19 infection
NONE OF THE ABOVE
Mark all that apply
ELIGIBILITY: Exclusion, has a serious medical condition (1+ of last 8 checkboxes)
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0 = ELIGIBLE, 1 = INELIGIBLE
Please answer the following regarding your medical history:Â Have you ever been diagnosed with cancer? * must provide value
Yes
No
If Yes, are you currently undergoing radiation, chemotherapy, or immunotherapy?* must provide value
Yes
No
ELIGIBILITY: Exclusion, currently undergoing cancer treatment
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0 = ELIGIBLE, 1 = INELIGIBLE
Are you currently taking calcium supplements more than 1,200 mg per day?* must provide value
Yes
No
ELIGIBILITY: Exclusion, taking calcium supplements > 1,200 mg per day
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0 = ELIGIBLE, 1 = INELIGIBLE
Are you currently taking medications for seizures or epilepsy? Examples: Carbamazepine (Carbatrol, Tegretol), Phenytoin (Dilantin, Phenytek),Valproic acid (Depakene), Oxcarbazepine (Oxtellar, Trileptal), Phenobarbital, Topiramate (Topamax)* must provide value
Yes
No
ELIGIBILITY: Exclusion, taking medications for seizures or epilepsy
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0 = ELIGIBLE, 1 = INELIGIBLE
Are you currently taking the medication digoxin?* must provide value
Yes
No
ELIGIBILITY: Exclusion, taking digoxin
View equation
0 = ELIGIBLE, 1 = INELIGIBLE
Please answer the following questions regarding your vitamin D intake: NOT including your diet, in the past two weeks, on average, how much TOTAL vitamin D do you take each day from nutritional supplements such as single tablets of vitamin D, multi-vitamins, calcium supplements (Calcium+D) or drugs that may include vitamin D (Example: Fosamax+D)? Referring to package labels, please add up ALL your non-diet sources of vitamin D.* must provide value
None
400 IU or less per day
401-1000 IU per day
Greater than 1000 IU per day
ELIGIBILITY: Exclusion, daily Vitamin D intake (>1000 IU)
Change 1/22/2021 - Increase from >400 to >1000
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0 = ELIGIBLE, 1 = INELIGIBLE
Are you currently taking prescription vitamin D treatments? (Calcitriol [Rocaltrol, Calcitrol, Vectical], Paricalcitol [Zemplar], or Calcijex)* must provide value
Yes
No
ELIGIBILITY: Exclusion, undergoing prescription vitamin D treatments
View equation
0 = ELIGIBLE, 1 = INELIGIBLE
Would you be willing to provide a blood sample by mail on your own (e.g. with a finger prick) to gather important information related to the COVID-19 infection and 25-OH Vitamin D test?* must provide value
Yes
No
ELIGIBILITY: Inclusion, willing to provide blood sample
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0 = ELIGIBLE, 1 = INELIGIBLE
To your knowledge, in addition to the household member recently tested positive, have you EVER been exposed to another person with confirmed or suspected COVID-19? Yes, confirmed COVID-19 case(s)
Yes, suspected COVID-19 case(s) only
Yes, both confirmed and suspected COVID-19 case(s)
No, not that I know of
How long ago did the most recent exposure, other than with the household member, recently tested positive, take place?
Within 3 days
4-7 days ago
8-14 days ago
More than 2 weeks ago
I do not remember
What types of social or physical distancing steps are you taking? Mark all that apply.
By social or physical distancing, we mean steps you are taking to reducing amount of close physical contact you have with other people.
Wearing a mask or face covering
Physical distancing of at least 6 feet when in public spaces
Fewer social gatherings
Avoid shopping
Avoid public spaces like restaurants and theaters
Avoid interactions with friends
Avoid interactions with family
Isolation from person(s) that live in your house
Less physical activity or exercise
I am not taking any social distancing steps
Other
Mark all that apply.
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Do you have any of the following medical conditions? (Mark all that apply)* must provide value
Diabetes
Hypertension
Chronic obstructive pulmonary disease (COPD) or emphysema
History of heart attack
History of heart failure
History of coronary bypass surgery or coronary angioplasty or stent
History of stroke
Diagnosis of sleep apnea
NONE OF THE ABOVE
Are you currently receiving treatment for diabetes? * must provide value
Yes
No
Are you currently receiving treatment for hypertension? * must provide value
Yes
No
Are you using a CPAP device? * must provide value
Yes
No
Have you smoked at least 100 cigarettes in your lifetime?* must provide value
Yes, I have smoked 100 or more cigarettes in my lifetime
No, I have never smoked or smoked less than 100 cigarettes in my lifetime.
If Yes to above, what is your current smoking status?* must provide value
Current smoker, every day
Current smoker, some days
Past smoker (having smoked at least 100 cigarettes in my lifetime but no longer smoking now)
What is the highest level of education you have completed? 8th grade or below
9th to 11th grade
Graduated from high school
1 year of college
2 years of college
3 years of college
Graduated from college
Completed graduate school
What is your approximate average annual household income? $0-$24,999
$25,000 - $49,999
$50,000 - $74,999
$75,000 and up
HIDDEN IN PRODUCTION Internal Logic for Eligibility Sum of eligibility criteria (0 = ELIGIBLE, 1+ = INELIGIBLE)
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0 = ELIGIBLE, 1+ = INELIGIBLE
ELIGIBLE FOR STUDY
NOT ELIGIBLE FOR STUDY
Please answer the following questions about yourself: Date of birth * must provide value
M-D-Y
ELIGIBILITY: Age at time of survey completion.Â
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First name* must provide value
Last name* must provide value
Phone number * must provide value
Street address* must provide value
City* must provide value
State* must provide value
AL, Alabama AK, Alaska AZ, Arizona AR, Arkansas CA, California CO, Colorado CT, Connecticut DE, Delaware DC, District of Columbia FL, Florida GA, Georgia HI, Hawaii ID, Idaho IL, Illinois IN, Indiana IA, Iowa KS, Kansas KY, Kentucky LA, Louisiana ME, Maine MD, Maryland MA, Massachusetts MI, Michigan MN, Minnesota MS, Mississippi MO, Missouri MT, Montana NE, Nebraska NV, Nevada NH, New Hampshire NJ, New Jersey NM, New Mexico NY, New York NC, North Carolina ND, North Dakota OH, Ohio OK, Oklahoma OR, Oregon PA, Pennsylvania RI, Rhode Island SC, South Carolina SD, South Dakota TN, Tennessee TX, Texas UT, Utah VT, Vermont VA, Virginia WA, Washington WV, West Virginia WI, Wisconsin WY, Wyoming
ZIP code* must provide value
Please provide the contact information of a person who is authorized to confirm whether you have been hospitalized (This will only be used when we cannot reach you):
Contact name:
Contact phone number:
Contact email address:
By clicking "Submit", I confirm that:
I understand that I will need to take the study pills every day for 28 days I understand that I will need to provide 2 fingerstick blood samples: 1 on the day I receive the study supplies before I start taking the study pills and 1 between Days 25 and 28 of pill-taking I understand that I will need to complete 1 brief survey in a few days, weekly surveys during the first 4 weeks of the study and 1 additional survey at week 8. Randomization strata: Age criteria 1: < 60 2: 60+
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Randomization strata: Race/ethnicity 1: White, Non-Hispanic 2: Black or African American 3: Other/Unknown
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Randomization strata: Sex 1: Male 2: Female 3: Other/Unknown
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Randomization strata: Final stratum (1-18)
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INTERNAL: Consent version
* must provide value
v1 - VIVID Consent 12.18.20 CLEAN RTR
v2 - VIVID Consent 1.19.21 CLEAN
v3 - VIVID Consent 2.12.21 CLEAN 18 years approved
v4 - VIVID Consent 3.1.21 CLEAN