Fillable 14 DAY SYMPTOM LOG FOR CLOSE CONTACTS OF (Alabama Department of Public Health)

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14 DAY SYMPTOM LOG FOR CLOSE CONTACTS OF (Alabama Department of Public Health)

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How to use: Two times a day (morning and night), for 14
days, write down the date, your temperature and any
COVID-19 symptoms (listed to the right) that you may have.
If you get sick: Stay home. Avoid contact with others. You might have COVID-19; most people
are able to recover at home without medical care. If you have trouble breathing or are worried
about your symptoms, call or text a health care provider. Tell them about your recent exposure
and your symptoms. Call ahead before you go to a doctor’s office or emergency room.
USE TO MONITOR HEALTH FOR
14 DAYS FROM DATE OF LAST
CONTACT TO THE POSITIVE CASE
Fever >99.9
0
F
Diculty
breathing
Loss of taste
or smell
Muscle pain
Nausea, diarrhea,
or vomiting
Chills
Cough
Runny nose or
congestion
Sore throat
Headache
Fatigue
DAY DAT E TEMP SYMPTOMS
DAY 0
DAY 0 IS THE DAY YOU WERE LAST EXPOSED TO COVID-19.
DAY 1
AM AM
PM PM
DAY 2
AM AM
PM PM
DAY 3
AM AM
PM PM
DAY 4
AM AM
PM PM
DAY 5
AM AM
PM PM
DAY 6
AM AM
PM PM
DAY 7
AM AM
PM PM
DAY 8
AM AM
PM PM
DAY 9
AM AM
PM PM
DAY 10
AM AM
PM PM
DAY 11
AM AM
PM PM
DAY 1 2
AM AM
PM PM
DAY 1 3
AM AM
PM PM
DAY 1 4
AM AM
PM PM
14 DAY SYMPTOM LOG FOR CLOSE
CONTACTS OF COVID-19 CASES
alabamapublichealth.gov/covid19
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14 DAY SYMPTOM LOG FOR CLOSE CONTACTS OF (Alabama Department of Public Health)

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Completed 7 May 2022

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