MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC …
Penicillin Allergy High Blood Pressure Back Problems Sulfa Drug Allergy Pain/Pressure in Chest Disease, Injury to Joints Other Drug Allergies. List: _____ Heart Problems Weakness or Paralysis Insect Allergies Heart Murmur Seizure Disorder Appendectomy Rheumatic Fever Eating Disorder Hernia Repair Tumor or Cancer Frequent Anxiety ................
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