| f. Respiratory | Yes | No |
| Runny nose |
|
|
| Cough |
|
|
| Anosmia |
|
|
| Nasal congestion |
|
|
| Sore throat |
|
|
| Respiratory distress |
|
|
| Pneumonia |
|
|
| Hemoptysis |
|
|
| Chest pain |
|
|
| Others, specify |
|
|