Influenza Reporting Form

Submission of this form is voluntary. It is intended to allow TCC to monitor the incidence of absences due to flu-like illness on its campuses during the current flu pandemic.


I have three or more of the following symptoms, including at least two of the first three symptoms. This suggests I may have an influenza-like illness (ILI).

Place a check mark in all boxes that apply:



Generalized Body Aches
Fever (temperature greater than 100.4 F)
Cough
Chills
Headache
Fatigue
Runny or stuffy nose
Sore throat
Diarrhea and/or vomiting


 

In order to protect other TCC staff and students, persons whose responses above indicate they may have an influenza-like illness are strongly urged to follow the current Center for Disease Control recommendation regarding their return to campus.

The CDC recommends remaining at home for at least 24 hours after being free of fever (100ºF) without the use of fever reducing medications.

Please contact your personal physician or healthcare provider regarding any treatment or medication for management of your illness.

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