2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Penicillins Unknown Unknown Active
Sulfa (Sulfonamide Antibiotics) Unknown Unknown ActivePenicillinsSulfa (Sulfonamide Antibiotics)

Substance	Reaction	Severity	Status
Penicillins	Unknown	Unknown	Active
Sulfa (Sulfonamide Antibiotics)	Unknown	Unknown	Active

MEDICATIONSMedication Start Date Directions Status

duloxetine 30 mg capsule,delayed release, [RxNorm: 596932]
02/14/2018
1 capsule po daily
Active
aspirin 81 mg chewable tablet, [RxNorm: 211832]
02/14/2018
1 tab po daily
Active
amlodipine 5 mg tablet, [RxNorm: 212549]
02/14/2018
1 tab po daily
Active
Robaxin 500 mg tablet, [RxNorm: 197943]
02/14/2018
1 tablet po QID
Active
OxyContin 20 mg tablet,crush resistant,extended release, [RxNorm: 1049565]
02/14/2018
1 tablet po bid
Active
hydroxyzine HCl 50 mg tablet, [RxNorm: 995283]
02/14/2018
1 tablet po daily
Active
Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]
02/14/2018
INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 8 HOURS
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

LIMITED NEW PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Feb 14, 2018
LIMITED EST PT
Melodye Harvey
Auburn Montgomery Warhawk Health Services
Feb 19, 20187461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

Abbott Binax Now Rapid COVID , [CPT-4: 87426]
01/06/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
09/08/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
09/16/20217461 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
09/08/2021
Completed
COVID-19, mRNA, LNP-S, PF
09/16/2021
CompletedCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFEW0169Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn 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

02/14/2018 198 cm 120 kg 30.62 164/98 mm[Hg] 37 Cel 84 bpm
01/06/2022 161/96 mm[Hg] 37 Cel 73 bpm 98 pct 18 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

Medication	Start Date	Directions	Status
duloxetine 30 mg capsule,delayed release, [RxNorm: 596932]	02/14/2018	1 capsule po daily	Active
aspirin 81 mg chewable tablet, [RxNorm: 211832]	02/14/2018	1 tab po daily	Active
amlodipine 5 mg tablet, [RxNorm: 212549]	02/14/2018	1 tab po daily	Active
Robaxin 500 mg tablet, [RxNorm: 197943]	02/14/2018	1 tablet po QID	Active
OxyContin 20 mg tablet,crush resistant,extended release, [RxNorm: 1049565]	02/14/2018	1 tablet po bid	Active
hydroxyzine HCl 50 mg tablet, [RxNorm: 995283]	02/14/2018	1 tablet po daily	Active
Polytrim 10,000 unit-1 mg/mL eye drops, [RxNorm: 244967]	02/14/2018	INSTILL 1 DROP INTO AFFECTED EYE(S) BY OPHTHALMIC ROUTE EVERY 8 HOURS	Active

Encounter	Performer	Location	Date
LIMITED NEW PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Feb 14, 2018
LIMITED EST PT	Melodye Harvey	Auburn Montgomery Warhawk Health Services	Feb 19, 2018

Procedure	Date
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	01/06/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	09/08/2021
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	09/16/2021

Name	Date	Status
COVID-19, mRNA, LNP-S, PF	09/08/2021	Completed
COVID-19, mRNA, LNP-S, PF	09/16/2021	Completed

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate	Inhaled Oxygen Concentration	Head Circumference Percentage	BMI Percentage	Weight to Length Percentage
02/14/2018	198 cm	120 kg	30.62	164/98 mm[Hg]	37 Cel	84 bpm
01/06/2022	161/96 mm[Hg]	37 Cel	73 bpm	98 pct	18 bpm