[textarea default="History provided by ***patient/mother/father***.
Reports ***duration*** history of illness that began with ***fever/chills/headache/retroorbital pain/ear pain/sore throat/nasal congestion/clear rhinorrhea/purulent rhinorrhea/cough/productive cough/nonproductive cough/wheezing/nausea/vomiting/abdominal pain/diarrhea/skin rash***.
Currently symptoms have ***not improved/stayed the same/improved/worsened*** with ***no changes/continued fever/lower fever/resolution of the fever/higher fever/more purulent rhinorrhea/worse facial pain/worse cough/more productive cough/shortness of breath/wheezing***.
There is ***no history of asthma/a history of asthma/a history of bronchodilator use with prior bronchitis episodes***.
***Non-smoker/Smoker/Exposed to second hand smoke***
Patient denies any ***other symptoms/fever/headache/facial pain/sore throat/neck stiffness/cough/chest pain/shortness of breath/productive cough/wheezing/abdominal pain/nausea/vomiting/diarrhea/urinary symptoms***."]