2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 02, 2020
BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 18, 2020
BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Aug 30, 2021
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Oct 03, 20227461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

COVID Rapid Testing, [CPT-4: 87426]
12/18/2020
Immunization Injection Administration, [CPT-4: 90471]
10/02/2020
Immunization Injection Administration, [CPT-4: 90471]
10/03/2022
Influenza virus vaccine, [CPT-4: 90686]
10/02/2020
Influenza virus vaccine, [CPT-4: 90686]
10/03/2022
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
08/30/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
10/26/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
08/29/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
02/13/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/05/2021
COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]
01/13/20237461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 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
02/13/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/05/2021
Completed
COVID-19, mRNA, LNP-S, PF
10/26/2021
Completed
COVID-19, mRNA, LNP-S, PF
08/29/2022
Completed
Influenza virus vaccine
10/03/2022
Completed
COVID-19 Vaccine- Bivalent Booster- Pfizer
01/13/2023
CompletedCOVID-19, mRNA, LNP-S, PFEN6200Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEN6205Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFC3184Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFP7137Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USInfluenza virus vaccineM3R5BGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19 Vaccine- Bivalent Booster- PfizerGH9702Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn 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

10/02/2020 36 Cel
12/18/2020 36 Cel 74 bpm 98 pctRESULTSResult Type Result Value Date

COVID Rapid Testing
Negative
12/18/2020NegativePLAN OF TREATMENTNo Treatment Plan Defined 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

Encounter	Performer	Location	Date
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 02, 2020
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 18, 2020
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Aug 30, 2021
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Oct 03, 2022

Procedure	Date
COVID Rapid Testing, [CPT-4: 87426]	12/18/2020
Immunization Injection Administration, [CPT-4: 90471]	10/02/2020
Immunization Injection Administration, [CPT-4: 90471]	10/03/2022
Influenza virus vaccine, [CPT-4: 90686]	10/02/2020
Influenza virus vaccine, [CPT-4: 90686]	10/03/2022
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	08/30/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	10/26/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	08/29/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	02/13/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/05/2021
COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]	01/13/2023

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	02/13/2021	Completed
COVID-19, mRNA, LNP-S, PF	03/05/2021	Completed
COVID-19, mRNA, LNP-S, PF	10/26/2021	Completed
COVID-19, mRNA, LNP-S, PF	08/29/2022	Completed
Influenza virus vaccine	10/03/2022	Completed
COVID-19 Vaccine- Bivalent Booster- Pfizer	01/13/2023	Completed