2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

ceftriaxone 1 gram solution for injection, [RxNorm: 1665023]
07/01/2020
Administered to (L) glut.
Active
Augmentin 875 mg-125 mg tablet, [RxNorm: 824194]
07/01/2020
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jul 06, 2020
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 27, 2021
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Nov 21, 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

Rocephin 1G, [CPT-4: J0696]
07/01/2020
Immunization Injection Administration, [CPT-4: 90471]
10/28/2021
Immunization Injection Administration, [CPT-4: 90471]
11/21/2022
Influenza virus vaccine, [CPT-4: 90686]
11/21/2022
Influenza virus vaccine, [CPT-4: 90686]
10/27/2021
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, mRNA, LNP-S, PF (Moderna), [CPT-4: 91301]
10/28/2021
Third Dose- Moderna, [CPT-4: 0013A]
10/28/2021
COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]
12/14/20227461 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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
07/01/2020
Completed
COVID-19, mRNA, LNP-S, PF
02/13/2021
Completed
COVID-19, mRNA, LNP-S, PF
03/05/2021
Completed
Influenza virus vaccine
10/27/2021
Completed
COVID-19, mRNA, LNP-S, PF (Moderna)
10/27/2021
Completed
Influenza virus vaccine
11/21/2022
Completed
COVID-19 Vaccine- Bivalent Booster- Pfizer
12/14/2022
CompletedTDapDC924GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-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 DrMontgomeryAL36117USInfluenza virus vaccine7R9NMGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PF (Moderna)020F21AModerna US, Inc.7461 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

07/01/2020 181 cm 111 kg 34.04 133/70 mm[Hg] 36 Cel 94 bpm 97 pct 14 bpm
10/27/2021 36 Cel
11/21/2022 37 CelRESULTSLaboratory 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

Medication	Start Date	Directions	Status
ceftriaxone 1 gram solution for injection, [RxNorm: 1665023]	07/01/2020	Administered to (L) glut.	Active
Augmentin 875 mg-125 mg tablet, [RxNorm: 824194]	07/01/2020	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active

Encounter	Performer	Location	Date
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jul 06, 2020
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 27, 2021
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Nov 21, 2022

Procedure	Date
Rocephin 1G, [CPT-4: J0696]	07/01/2020
Immunization Injection Administration, [CPT-4: 90471]	10/28/2021
Immunization Injection Administration, [CPT-4: 90471]	11/21/2022
Influenza virus vaccine, [CPT-4: 90686]	11/21/2022
Influenza virus vaccine, [CPT-4: 90686]	10/27/2021
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, mRNA, LNP-S, PF (Moderna), [CPT-4: 91301]	10/28/2021
Third Dose- Moderna, [CPT-4: 0013A]	10/28/2021
COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]	12/14/2022

Name	Date	Status
TDap	07/01/2020	Completed
COVID-19, mRNA, LNP-S, PF	02/13/2021	Completed
COVID-19, mRNA, LNP-S, PF	03/05/2021	Completed
Influenza virus vaccine	10/27/2021	Completed
COVID-19, mRNA, LNP-S, PF (Moderna)	10/27/2021	Completed
Influenza virus vaccine	11/21/2022	Completed
COVID-19 Vaccine- Bivalent Booster- Pfizer	12/14/2022	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
07/01/2020	181 cm	111 kg	34.04	133/70 mm[Hg]	36 Cel	94 bpm	97 pct	14 bpm
10/27/2021	36 Cel
11/21/2022	37 Cel