Respiratory History 

Yes / No

Do you have seasonal allergies?
N
Do you ever cough up blood?
N
Do you have a morning cough?
N
Do you produce sputum with the cough?
N
If so, what color?
N/A.
How many pillows do you sleep on?
1
Have you had a flu vaccine?
Y
Have you had a pneumonia vaccine?
Y
When was your last chest x-ray?
3 yr. ago
Do you use tobacco products? What types? How often? 
N

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