2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
latex Unknown Unknown Active
codeine Unknown Unknown Activelatexcodeine

Substance	Reaction	Severity	Status
latex	Unknown	Unknown	Active
codeine	Unknown	Unknown	Active

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
03/23/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
03/23/2022
TDap, [CPT-4: 90715]
03/21/2022
Chest XRAY, [CPT-4: 71020]
03/21/2022
MMR TITER, [CPT-4: 5259]
03/23/2022
Immunization Injection Administration, [CPT-4: 90471]
03/21/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
03/21/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]
04/12/2022
Pfizer COVID- 19 First Dose, [CPT-4: 0001A]
03/21/20227461 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 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
03/21/2022
Completed
COVID-19, mRNA, LNP-S, PF
03/21/2022
Completed
COVID-19, mRNA, LNP-S, PF
04/12/2022
CompletedTDapN254CGlaxoSmithKline7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFJ6369Pfizer, Inc7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PFFJ6369Pfizer, 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

03/21/2022 159 cm 63 kg 24.8 134/87 mm[Hg] 36 Cel 80 bpm 97 pct 15 bpmRESULTSResult Type Result Value Date

MEASLES AB (IGG), IMMUNE STATUS
>300.00
03/24/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
87.10
03/24/2022
RUBELLA AB (IGG), IMMUNE STATUS
2.46
03/24/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
842
03/24/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
1057.00
03/24/2022>300.00PLAN 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

Procedure	Date
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	03/23/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	03/23/2022
TDap, [CPT-4: 90715]	03/21/2022
Chest XRAY, [CPT-4: 71020]	03/21/2022
MMR TITER, [CPT-4: 5259]	03/23/2022
Immunization Injection Administration, [CPT-4: 90471]	03/21/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	03/21/2022
COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]	04/12/2022
Pfizer COVID- 19 First Dose, [CPT-4: 0001A]	03/21/2022

Name	Date	Status
TDap	03/21/2022	Completed
COVID-19, mRNA, LNP-S, PF	03/21/2022	Completed
COVID-19, mRNA, LNP-S, PF	04/12/2022	Completed

Result Type	Result Value	Date
MEASLES AB (IGG), IMMUNE STATUS	>300.00	03/24/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	87.10	03/24/2022
RUBELLA AB (IGG), IMMUNE STATUS	2.46	03/24/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	842	03/24/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	1057.00	03/24/2022