2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

albuterol sulf 90 mcg/actuation breath activated powder inhaler,sensor, [RxNorm: 2166797]
04/27/2022

ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
May 10, 2022
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
May 12, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Aug 09, 20227461 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

CBC W/ DIFF (QUEST), [CPT-4: 6399]
04/27/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
04/27/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
04/27/2022
TDap, [CPT-4: 90715]
04/29/2022
TDap, [CPT-4: 90715]
04/27/2022
Hepatitis B, [CPT-4: 90746]
08/09/2022
Hepatitis B, [CPT-4: 90746]
04/29/2022
TB test - IPPD, [CPT-4: SP86580]
05/10/2022
TB test - IPPD, [CPT-4: SP86580]
04/27/2022
MMR TITER, [CPT-4: 5259]
04/27/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
05/12/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
08/09/20227461 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 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
04/29/2022
Completed
Hepatitis B
04/29/2022
Completed
COVID-19, mRNA, LNP-S, PF
05/12/2022
Completed
Hepatitis B
08/09/2022
Completed
COVID-19, mRNA, LNP-S, PF
08/09/2022
CompletedTDapXM2N7GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BTB3KNGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFJ6369Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B337TCGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFP7137Pfizer, 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

04/27/2022 157 cm 99 kg 40.03 151/105 mm[Hg] 37 Cel 75 bpm 99 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
04/29/2022
TB Read Only
Negative
05/12/2022
MEASLES AB (IGG), IMMUNE STATUS
243.00
04/28/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
62.20
04/28/2022
RUBELLA AB (IGG), IMMUNE STATUS
1.45
04/28/2022
WHITE BLOOD CELL COUNT
4.3
04/28/2022
RED BLOOD CELL COUNT
3.79
04/28/2022
HEMOGLOBIN
12.0
04/28/2022
HEMATOCRIT
35.2
04/28/2022
MCV
92.9
04/28/2022
MCH
31.7
04/28/2022
MCHC
34.1
04/28/2022
RDW
12.2
04/28/2022
PLATELET COUNT
333
04/28/2022
MPV
10.6
04/28/2022
ABSOLUTE NEUTROPHILS
2034
04/28/2022
ABSOLUTE LYMPHOCYTES
1828
04/28/2022
ABSOLUTE MONOCYTES
318
04/28/2022
ABSOLUTE EOSINOPHILS
82
04/28/2022
ABSOLUTE BASOPHILS
39
04/28/2022
NEUTROPHILS
47.3
04/28/2022
LYMPHOCYTES
42.5
04/28/2022
MONOCYTES
7.4
04/28/2022
EOSINOPHILS
1.9
04/28/2022
BASOPHILS
0.9
04/28/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
<5
04/28/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
423.50
04/28/2022NegativeNegative<5PLAN 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
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	May 10, 2022
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	May 12, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Aug 09, 2022

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	04/27/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	04/27/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	04/27/2022
TDap, [CPT-4: 90715]	04/29/2022
TDap, [CPT-4: 90715]	04/27/2022
Hepatitis B, [CPT-4: 90746]	08/09/2022
Hepatitis B, [CPT-4: 90746]	04/29/2022
TB test - IPPD, [CPT-4: SP86580]	05/10/2022
TB test - IPPD, [CPT-4: SP86580]	04/27/2022
MMR TITER, [CPT-4: 5259]	04/27/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	05/12/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	08/09/2022

Name	Date	Status
TDap	04/29/2022	Completed
Hepatitis B	04/29/2022	Completed
COVID-19, mRNA, LNP-S, PF	05/12/2022	Completed
Hepatitis B	08/09/2022	Completed
COVID-19, mRNA, LNP-S, PF	08/09/2022	Completed

Result Type	Result Value	Date
TB Read Only	Negative	04/29/2022
TB Read Only	Negative	05/12/2022
MEASLES AB (IGG), IMMUNE STATUS	243.00	04/28/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	62.20	04/28/2022
RUBELLA AB (IGG), IMMUNE STATUS	1.45	04/28/2022
WHITE BLOOD CELL COUNT	4.3	04/28/2022
RED BLOOD CELL COUNT	3.79	04/28/2022
HEMOGLOBIN	12.0	04/28/2022
HEMATOCRIT	35.2	04/28/2022
MCV	92.9	04/28/2022
MCH	31.7	04/28/2022
MCHC	34.1	04/28/2022
RDW	12.2	04/28/2022
PLATELET COUNT	333	04/28/2022
MPV	10.6	04/28/2022
ABSOLUTE NEUTROPHILS	2034	04/28/2022
ABSOLUTE LYMPHOCYTES	1828	04/28/2022
ABSOLUTE MONOCYTES	318	04/28/2022
ABSOLUTE EOSINOPHILS	82	04/28/2022
ABSOLUTE BASOPHILS	39	04/28/2022
NEUTROPHILS	47.3	04/28/2022
LYMPHOCYTES	42.5	04/28/2022
MONOCYTES	7.4	04/28/2022
EOSINOPHILS	1.9	04/28/2022
BASOPHILS	0.9	04/28/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	<5	04/28/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	423.50	04/28/2022