2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797933]
05/12/2021
SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE ONCE DAILY AS NEEDED for allergies
Active
Singulair 10 mg tablet, [RxNorm: 153892]
02/28/2023
TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING FOR ALLERGIES
Active
amoxicillin 875 mg tablet, [RxNorm: 213339]
11/30/2022
TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS
Active
lisinopril 30 mg tablet, [RxNorm: 213482]
11/30/2022
1 TABLET PO DAILY
Active
Lipitor 10 mg tablet, [RxNorm: 617314]
11/30/2022
1 TABLET PO DAILY
Active
aspirin 325 mg tablet, [RxNorm: 211873]
05/12/2021
1 tablet PO daily
Active
Singulair 10 mg tablet, [RxNorm: 153892]
05/12/2021
TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING FOR ALLERGIES
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
04/12/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
05/05/20217461 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
04/08/2021
Completed
COVID-19, mRNA, LNP-S, PF
05/05/2021
CompletedCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, 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

05/12/2021 185 cm 99 kg 28.88 135/75 mm[Hg] 37 Cel 82 bpm 97 pct 15 bpm
09/27/2021 183 cm 97 kg 28.95 131/78 mm[Hg] 36 Cel 84 bpm 97 pct 16 bpm
11/30/2022 183 cm 99 kg 29.55 149/96 mm[Hg] 36 Cel 81 bpm 96 pct 16 bpm
03/17/2023 183 cm 99 kg 29.64 137/86 mm[Hg] 36 Cel 91 bpm 96 pct 16 bpmRESULTSLaboratory Values/Results: No Lab Result dataTREATMENT PLANName Type Date

REFERRAL
 East Montgomery Imaging Center
March 17, 2023 East Montgomery Imaging CenterGoals 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
Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797933]	05/12/2021	SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE ONCE DAILY AS NEEDED for allergies	Active
Singulair 10 mg tablet, [RxNorm: 153892]	02/28/2023	TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING FOR ALLERGIES	Active
amoxicillin 875 mg tablet, [RxNorm: 213339]	11/30/2022	TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS	Active
lisinopril 30 mg tablet, [RxNorm: 213482]	11/30/2022	1 TABLET PO DAILY	Active
Lipitor 10 mg tablet, [RxNorm: 617314]	11/30/2022	1 TABLET PO DAILY	Active
aspirin 325 mg tablet, [RxNorm: 211873]	05/12/2021	1 tablet PO daily	Active
Singulair 10 mg tablet, [RxNorm: 153892]	05/12/2021	TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY IN THE EVENING FOR ALLERGIES	Active

Procedure	Date
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	04/12/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	05/05/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	04/08/2021	Completed
COVID-19, mRNA, LNP-S, PF	05/05/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
05/12/2021	185 cm	99 kg	28.88	135/75 mm[Hg]	37 Cel	82 bpm	97 pct	15 bpm
09/27/2021	183 cm	97 kg	28.95	131/78 mm[Hg]	36 Cel	84 bpm	97 pct	16 bpm
11/30/2022	183 cm	99 kg	29.55	149/96 mm[Hg]	36 Cel	81 bpm	96 pct	16 bpm
03/17/2023	183 cm	99 kg	29.64	137/86 mm[Hg]	36 Cel	91 bpm	96 pct	16 bpm