What is - Ingham County, Michigan

ROS: HA, mild photophobia (prefers a darkened room due to his HA), no neck stiffness, no cough, heart complaints; mild nausea with HA, no V/D. Rash noted on arms and legs- not painful or itchy. PE: T 38.6 P 98 R 18 BP 100/65. Tired, moderately ill-appearing. Mild hyperemia conjunctiva OU; mild photophobia ................
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