Annual preventive visit with flu shot
Clinical note
Annual preventive visit with flu shot CC: Annual physical, established patient, age 52. HPI: No complaints. Exercises 3x/week, nonsmoker, no alcohol concerns. Reviewed immunization history, colon cancer screening up to date. Exam: Comprehensive exam normal. BP 118/76, BMI 24. Preventive: Age-appropriate counseling on diet, exercise and screening. Quadrivalent influenza vaccine, preservative free, 0.5 mL administered intramuscularly in the left deltoid, no reaction. A/P: Preventive visit, no abnormal findings. Immunization for influenza given today. RTC 1 year.
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