2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Penicillins Unknown Unknown Active
Ceclor Unknown Unknown ActivePenicillinsCeclor

Substance	Reaction	Severity	Status
Penicillins	Unknown	Unknown	Active
Ceclor	Unknown	Unknown	Active

MEDICATIONSMedication Start Date Directions Status

Cortisporin-TC 3.3 mg-3 mg-10 mg-0.5 mg/mL ear drops,suspension, [RxNorm: 854997]
10/01/2019
Instill 4 drops in right ear 4 times a day for 10 days.
Active
Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]
11/04/2019
INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 6 HOURS
Active
rizatriptan 5 mg disintegrating tablet, [RxNorm: 828536]
11/04/2019
PLACE 1-2 TABLETS (5 MG-10 MG) ON TOP OF TONGUE, ALLOW TO DISSOLVE THEN SWALLOW, MAY REPEAT DOSE EVE
Active
Tamiflu 75 mg capsule, [RxNorm: 261315]
01/09/2020
TAKE 1 CAPSULE (75 MG) BY ORAL ROUTE 2 TIMES PER DAY
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED NEW PT
Carol Stewart
Auburn Montgomery Warhawk Health Services
Oct 01, 2019
INTERMEDIATE EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Nov 04, 20197461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
02/15/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/08/20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

COVID-19, mRNA, LNP-S, PF
02/15/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/08/2021
CompletedCOVID-19, mRNA, LNP-S, PFEN6200Pfizer, Inc7461 East DrMontgomeryALUSMelodyeHarveyCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSMelodyeHarveyCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

10/01/2019 130/70 mm[Hg] 37 Cel 62 bpm
11/04/2019 110/68 mm[Hg] 37 Cel 54 bpmRESULTSLaboratory Values/Results: No Lab Result dataTREATMENT PLANName Type Date

Prescription
Instill 4 drops in right ear 4 times a day for 10 days.
October 01, 2019Instill 4 drops in right ear 4 times a day for 10 days.Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
Cortisporin-TC 3.3 mg-3 mg-10 mg-0.5 mg/mL ear drops,suspension, [RxNorm: 854997]	10/01/2019	Instill 4 drops in right ear 4 times a day for 10 days.	Active
Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]	11/04/2019	INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 6 HOURS	Active
rizatriptan 5 mg disintegrating tablet, [RxNorm: 828536]	11/04/2019	PLACE 1-2 TABLETS (5 MG-10 MG) ON TOP OF TONGUE, ALLOW TO DISSOLVE THEN SWALLOW, MAY REPEAT DOSE EVE	Active
Tamiflu 75 mg capsule, [RxNorm: 261315]	01/09/2020	TAKE 1 CAPSULE (75 MG) BY ORAL ROUTE 2 TIMES PER DAY	Active

Encounter	Performer	Location	Date
LIMITED NEW PT	Carol Stewart	Auburn Montgomery Warhawk Health Services	Oct 01, 2019
INTERMEDIATE EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Nov 04, 2019

Procedure	Date
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	02/15/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/08/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	02/15/2021	Completed
COVID-19, mRNA, LNP-S, PF	03/08/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
10/01/2019	130/70 mm[Hg]	37 Cel	62 bpm
11/04/2019	110/68 mm[Hg]	37 Cel	54 bpm