Received Aug 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | ME6072 | IM / LA |
Patient received vaccine and waited 15 min before leaving facility. Approx 45 min later patient blacked out while driving and have car accident totaling his vehicle. Patient was assessed in the ED.
Olecranon bursitis of right elbow 7/30/25, S/P total knee arthroplasty, left Need for antibiotic prophylaxis for dental procedure 7/30/25
Cardiovascular/Peripheral Vascular Elevated blood pressure reading without diagnosis of hypertension Respiratory/Allergy Chronic cough Ear/Nose/Throat Sinusitis, chronic Post-nasal drip FEN/Gastrointestinal GERD (gastroesophageal reflux disease) Genitourinary/Renal ED (erectile dysfunction) Dermatology Onychomycosis Orthopedic/Musculoskeletal Status post total replacement of right hip Cervicalgia S/P total knee arthroplasty, left ID/Immune/Lymphatic H/O aspergillosis Other CARDIOVASCULAR SCREENING; LDL GOAL LESS THAN 100
acetaminophen (TYLENOL) 500 MG tablet Take 500-1,000 mg by mouth every 6 hours as needed for mild pain Takes 1/2 weekly amoxicillin (AMOXIL) 500 MG capsule Take 4 tablets ( 2000 mg ) 1 hour prior to dental cleaning. aspirin 81 MG EC tablet
no known allergies