Sinus infection YES NO YES NO YES NO Cough Sputum/phlegm Coughing / pain / Miscarriage / Joint pain YES NO Joint stiffness YES NO Joint swelling Back pain / Eye pain / school Learning Disability / _Yes_No Hepatitis-A _Yes _No Hepatitis-B _Yes _No Meningitis / period Menstrual cramps / breath YES YES YES YES YES NO NO NO NO NO Chest pain / Ear pain / itching / sore throats / /
MedicalTreatment
Blood transfusion / /
Organization
High School / /
Person
Tea cups / Masters Degree / / /
Position
night YES YES YES YES YES YES NO NO NO NO NO NO Headaches YES NO Dizziness YES NO Head / DATE BIRTH DATE YOUR NAME WORK PHONE ADDRESS YOUR DOCTOR HOME PHONE AGE INSURANCE CITY STATE ZIP YOUR COUNSELOR CHIEF / doctor/therapist / /
Product
Tylenol / BENEFITS OF EACH MEDICATION / Alcoholism Drug / /
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