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This study will assess the completeness of vaccine history, comorbid conditions, and medical history data in collaboration with partner health systems and sites. Secondly, it aims to utilize site data to inform expected country, site selection requirements, and refine the full Test Negative Design (TND) study protocol. Finally, the study will evaluate laboratory processes, as well as imaging retrieval and file transfer capabilities, informing the feasibility and approach for the full TND study. In addition, process-oriented objectives related to site start-up activities, as well as feedback from sites on the implementation of the study will be used to identify efficiencies and improvements for the full TND study.