2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Advil Unknown Unknown ActiveAdvil

Substance	Reaction	Severity	Status
Advil	Unknown	Unknown	Active

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

Hepatitis B, [CPT-4: 90746]
11/18/2020
Varicella, [CPT-4: 90716]
11/18/2020
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
11/18/2020
Dexamethasone 4mg/ml, [CPT-4: J1100]
11/18/2020
Depo-Medrol 40mg/ml, [CPT-4: J1030]
11/18/2020
Immunization Injection Administration, [CPT-4: 90471]
11/18/20207461 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

MMR
10/16/2001
Completed
MMR
10/11/2005
Completed
Hepatitis B
11/18/2020
Completed
Varicella
11/18/2020
CompletedMMR7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B4EA77GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVaricellaS015462Merck Co., Inc.7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn 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

11/18/2020 185 cm 73 kg 21.1 114/69 mm[Hg] 37 Cel 70 bpm 98 pct 16 bpmRESULTSLaboratory Values/Results: No Lab Result dataPLAN 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

Procedure	Date
Hepatitis B, [CPT-4: 90746]	11/18/2020
Varicella, [CPT-4: 90716]	11/18/2020
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	11/18/2020
Dexamethasone 4mg/ml, [CPT-4: J1100]	11/18/2020
Depo-Medrol 40mg/ml, [CPT-4: J1030]	11/18/2020
Immunization Injection Administration, [CPT-4: 90471]	11/18/2020

Name	Date	Status
MMR	10/16/2001	Completed
MMR	10/11/2005	Completed
Hepatitis B	11/18/2020	Completed
Varicella	11/18/2020	Completed