Fussiness History

[textarea default="History provided by mother|father|grandparent|daycare provider.  Age ***. Patient has been fussy for ***.  There have been no localizing symptoms.  Patient has|does not have a fever.  Patient has|does not have a history of fussiness."]

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 1 form elements, 1 text areas, 1 total clicks
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