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ANNONSBOKNING SYMPTOMS, CLINICAL COURSE, PAST MEDICAL HISTORY AND SOCIAL HISTORY Name Pre-existing medical conditions? Chronic Lung Disease (asthma/emphysema/COPD)

Yes

No

Unknown

Diabetes Mellitus

Yes

No

Unknown

Cardiovascular disease

Yes

No

Unknown

Chronic Renal disease

Yes

No

Unknown

Chronic Liver disease

Yes

No

Unknown

Immunocompromised Condition

Yes

No

Unknown

Neurologic/neurodevelopmental/intellectual disability

Yes

No

Unknown

Chronic Lung Disease (asthma/emphysema/COPD)

Yes

No

Unknown

Diabetes Mellitus

Yes

No

Unknown

Pre-existing medical conditions?


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