2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Klonopin 0.5 mg tablet, [RxNorm: 206157]
10/02/2020

Active
Adderall 30 mg tablet, [RxNorm: 541365]
10/02/2020
BID
Active
levothyroxine 112 mcg capsule, [RxNorm: 905453]
10/02/2020
Does not know the dosage
Active
Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797933]
10/02/2020
SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE twice daily as needed for congestion
Active
Celexa 40 mg tablet, [RxNorm: 213345]
10/02/2020
Says she takes 60mg
Active
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]
10/02/2020
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
10/02/2020
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

COVID Rapid Testing, [CPT-4: 87426]
10/02/2020
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
04/08/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
05/11/20217461 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
04/08/2021
Completed
COVID-19, mRNA, LNP-S, PF
05/11/2021
CompletedCOVID-19, mRNA, LNP-S, PFER8737Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 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

10/02/2020 177 cm 132 kg 42.2 120/80 mm[Hg] 37 Cel 81 bpm 98 pct 14 bpmRESULTSResult Type Result Value Date

COVID Rapid Testing
Negative
10/02/2020NegativePLAN 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

Medication	Start Date	Directions	Status
Klonopin 0.5 mg tablet, [RxNorm: 206157]	10/02/2020		Active
Adderall 30 mg tablet, [RxNorm: 541365]	10/02/2020	BID	Active
levothyroxine 112 mcg capsule, [RxNorm: 905453]	10/02/2020	Does not know the dosage	Active
Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797933]	10/02/2020	SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE twice daily as needed for congestion	Active
Celexa 40 mg tablet, [RxNorm: 213345]	10/02/2020	Says she takes 60mg	Active
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]	10/02/2020	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	10/02/2020	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active

Procedure	Date
COVID Rapid Testing, [CPT-4: 87426]	10/02/2020
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	04/08/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	05/11/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	04/08/2021	Completed
COVID-19, mRNA, LNP-S, PF	05/11/2021	Completed