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Herpes Vaccine Study Eligibility Questionnaire

Thank you for your interest in clinical trials of new vaccines.

Please read frequently asked questions about a herpes vaccine research study. If you would like more information about participating in a herpes vaccine study, please send us an email at 529vaccinetrial@niaid.nih.gov.

Your answers will be kept confidential and will not be distributed.

1. Are you interested in participating in a clinical trial evaluating a vaccine for herpes? (required)

2. Are you available for the next 18 months to participate in a herpes vaccine trial? (required)

3. Do you live within 60 miles of the Washington, DC, metropolitan area? (required)

If you do not live within 60 miles of the DC area, you are not eligible to participate in this herpes vaccine trial. Please visit www.clinicaltrials.gov for information on other studies for which you may be eligible.

4. Are you 18 to 40 years of age? (required)

If you are under 18 or over 40 years of age, you are not eligible to participate in this herpes vaccine study. Please visit www.clinicaltrials.gov for information on other clinical studies for which you may be eligible.

5. Are you pregnant or breastfeeding? (required)

If you are currently pregnant or breastfeeding, you are not eligible to participate in this herpes vaccine study. Please visit www.clinicaltrials.gov for information on other clinical studies for which you may be eligible.

6. Do you plan to become pregnant within the next 18 months? (required)

7. Do you have a health problem that requires ongoing care by a doctor to prevent serious harm? (required)

If you have a serious health problem that requires active medical care, you are not eligible to participate in this herpes vaccine study. Please visit www.clinicaltrials.gov for information on other clinical studies for which you may be eligible.

8. Are you currently enrolled in a clinical trial? (required)

Co-enrollment in other trials is restricted, other than enrollment into observational studies or into the screening protocol.
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