NOW ENROLLING
Research Studies for Adults 50+
To see if you are eligible, please complete the form below to connect with the research team.
By clicking "I accept", you agree to receive calls or text messages from or on behalf of Velocity Clinical Research, Inc., you further agree to receive calls or text messages from Clinical Site Services, LLC on behalf of Velocity Clinical Research, Inc., regarding clinical research study opportunities at the phone number provided. These calls or text messages may result in data usage and/or charges and may include the use of Artifical Intelligence. Frequency of texting may vary. You may reply with STOP to a text message. For full details, refer to Velocity's
privacy policy
.
Please answer the following questions to determine your eligibility.
What is your first name?
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What is your last name?
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Please select your gender
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Choose...
Male
Female
Other
What is your date of birth?
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What is your email address?
*
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Please enter a valid email address
Enter your phone number starting with your country code
*
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e.g. +1 for the US or +44 for the UK; example: +449541236700
Which city do you live in?
*
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Enter a city name (e.g. Madison)
What is your ZIP Code?
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Invalid Zip Format
Are you generally healthy, without any medical conditions that could put you at high risk of getting sick from COVID-19 such as High blood Pressure, Type 1 or Type 2 Diabetes, COPD, or Asthma (requiring daily inhaler)?
*
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Choose...
Yes
No
Have you been diagnosed with any health condition that has required changes in management or medication within the last 2 months?
*
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Yes
No
Have you ever been diagnosed with an autoimmune disease? (Examples: Guillan Barre Syndrome, Lupus, Multiple Sclerosis, Psoriasis, etc)
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Yes
No
Have you been diagnosed with Covid-19 in the past 3 months?
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Yes
No
Have you had a COVID-19 vaccine within the last 3 months?
*
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Yes
No
Have you received any other vaccines within the past month or planning to receive a vaccine within 1 month after the study vaccine?
*
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Yes
No
Are you between the ages of 50 - 64?
*
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Choose...
Yes
No
Please select a study location where you would want to attend study visits
Find Study Location