An ePRO measurement platform for COVID-19 symptoms (ePRO-CoV-SM) was developed in 2020, based on an existing platform for lung cancer patients. It underwent three phases: modification for COVID-19 patients, updates for the SARS-CoV-2 BA.2.2 variant, and real-world application. ePRO-CoV-SM (2.0) was later developed in 2022 to address the Omicron BA.2.2 variant, enhancing automation and symptom monitoring. Both versions were validated in cohort studies, with symptom data collected via a WeChat mini program, ensuring data security and patient convenience.