Extract symptoms and complaints from this medical document. Return a JSON array or null. Each entry: - type: "chronic", "acute", "observation" - value: (empty) - summary: symptom description, e.g. "Head tilt to the right" - timestamp: "YYYY-MM-DD" if date mentioned - data: {"symptom": "...", "severity": "...", "details": "..."} Only extract SYMPTOMS — things the patient experiences or displays. NOT diagnoses (those go elsewhere), NOT imaging findings, NOT test results. A symptom is something observable: pain, difficulty walking, head tilt, irritability, fever. Document: {{MARKDOWN}}