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| Age |
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| I was bitten by an infected tick bite in the year |
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| I was vaccinated against TBE |
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| Last Vaccination in the year |
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| My TBE/FSME history: |
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| Information that I want to share with others on my TBE story, because it might help other people and / or TBE victims: |
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| My specific question(s) to the expert: |
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| E-mail: |
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| Please note that information sent by email is at a risk of loss of confidentiality when transmitted over the Internet. |
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| * Mandatory entry |