Fillable COVID-READY My COVID-19 symptoms diary (Department of the Environment and Energy)

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COVID-READY My COVID-19 symptoms diary (Department of the Environment and Energy)

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COVID-READY
Symptom
Day 1
Date:
Day 2
Date:
Day 3
Date:
Day 4
Date:
Day 5
Date:
Day 6
Date:
Day 7
Date:
Day 8
Date:
Day 9
Date:
Day 10
Date:
Day 11
Date:
Day 12
Date:
Day 13
Date:
Day 14
Date:
Fever - Temp and time
Loss of smell
Loss of taste
Breathlessness
Cough
Muscle aches and
pains
Headache
Fatigue
Vomiting
Diarrhoea
Appetite
Fluid intake
Other:
My COVID-19 symptoms diary
Each day, ll out the table. Write down which of these symptoms you have on Day 1 by writing yes or no, then from Day 2, if your symptom is the
SAME (S), BETTER (B) or WORSE (W) than the day before.
Notes:
Temp: Temp:Temp: Temp:Temp: Temp: Temp:Temp: Temp:Temp: Temp:Temp: Temp:
Time: Time:Time: Time:Time: Time: Time:Time: Time:Time: Time:Time: Time:
Temp:
Time:
COVID-READY
Symptom
Day 15
Date:
Day16
Date:
Day 17
Date:
Day 18
Date:
Day 19
Date:
Day 20
Date:
Day 21
Date:
Day 22
Date:
Day 23
Date:
Day 24
Date:
Day 25
Date:
Day 26
Date:
Day 27
Date:
Day 28
Date:
Fever - Temp and time
Loss of smell
Loss of taste
Breathlessness
Cough
Muscle aches and
pains
Headache
Fatigue
Vomiting
Diarrhoea
Appetite
Fluid intake
Other:
My COVID-19 symptoms diary
Here’s an extra page if you, your health worker or doctor wants you to keep recording your symptoms. Each day, ll out the table. Write if your symptom is the
SAME (S), BETTER (B) or WORSE (W) than the day before.
Notes:
Temp: Temp:Temp: Temp:Temp: Temp: Temp:Temp: Temp:Temp: Temp:Temp: Temp:
Time: Time:Time: Time:Time: Time: Time:Time: Time:Time: Time:Time: Time:
Temp:
Time:
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COVID-READY My COVID-19 symptoms diary (Department of the Environment and Energy)

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Completed 10 January 2022

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