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Everything mentioned above, plus I'll add a few thoughts:
Some sort of redundancy with your paddle / pedal drive.
1) paddle + leash
2) paddle + spare paddle
3) pedal drive + paddle
Practice self rescuing. If you haven't done this, you shouldn't be further from shore than you can swim.
High vis flag, plus a CG approved light if you're going to launch before sunrise.
Dive knife on your PFD, in case you fall overboard and get tangled up in fishing line.
Dressed for immersion. When you practice self rescue, take note of how cold you get. Being in the water for 20+ mins shouldn't be life and death.
First aid kit.
Food and water, bring one more water bottle than you think you'll need.
A couple other items that might not be must haves: floating tow rope you could toss a boater or other kayaker, deck compass if a fog rolls in and your electronics fail, sponge to complement the bilge pump, CG approved distress light if you're really going to get out there.
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