The International Patient Information Board On Tick-Born Ecephalitis (TBE=FSME)
TBE-
Victims
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Gender
male female
 
Age
0 - 19 20 - 39 40 - 59 60+
 
I was bitten by an infected tick bite in the year
 
I was vaccinated against TBE
yes no
 
Last Vaccination in the year
 
My TBE/FSME history:
 
Information that I want to share with others on my TBE story, because it might help other people and / or TBE victims:
 
My specific question(s) to the expert:
 
E-mail:
 
I would like an expert to get back to me with an answer to my above question.
I would like other people to know about my story and I agree to this paper being posted on the Patient Information Board on TBE in the Patient case report section.
I would like to join a national patient advocacy group in my country.
I would like to actively support a patient advocacy group in my country.
* I agree to my personal data (including my questions) being provided to the expert(s) and/or representative(s) of the support group and to my personal data being saved in anonymous format for further statistical evaluation. I may revoke my declaration of consent for the future at any time.
 
 
Please note that information sent by email is at a risk of loss of confidentiality when transmitted over the Internet.
 
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