Literal question
127) Did (NAME) suffer from any of the following illness or present one or more of the following symptoms:
Extreme weakness?
Heart problems?
Loss of consciousness?
Rapid breathing or difficulty breathing?
Has or has had convulsions?
Abnormal bleeding?
Icterus/jaundice?
Dark urine?
If none of the above symptoms, circle code Y.
EXTREME WEAKNESS A
HEART PROBLEMS B
LOSS OF CONSCIOUSNESS C
RAPID BREATHING OR DIFFICULTY BREATHING D
HAS OR HAS HAD CONVULSIONS E
ABNORMAL BLEEDING F
ICTERUS/JAUNDICE G
DARK URINE H
NONE OF ABOVE SYMPTOMS Y