“…Symptom questionnaires covering 12 possible WNV-related symptoms (fever, headache, eye pain, body aches, new skin rash, swollen lymph nodes, nausea or vomiting, muscle weakness, confusion, disorientation, memory problems, or other symptom) were administered at study enrollment and two weeks later. As previously described, 37 a cutoff of four symptoms was used to categorized blood donors as asymptomatic (AS, number of reported symptoms < 4, n = 244) or symptomatic (S, number of reported symptoms ≥ 4, n=130) as previously used for pathogenesis studies 10, 14, 38, 39 . The average age was 47.4 years for the WNV+ cohort, 48.2 years for asymptomatic, and 46 for symptomatic WNV+ donors ( P AS vs. S = 0.15) (Table 1).…”