Pennsylvania Democratic Senate nominee John Fetterman released an updated letter Wednesday from his primary care physician that said he "has no work restrictions and can work full duty in public office."

The medical report from Oct. 15 comes after Fetterman suffered a stroke in May.

Dr. Clifford Chen at University Of Pittsburgh Medical Center said that Fetterman "is recovering well from his stroke and his health has continued to improve." The report also found no "strength or coordination deficits" and no cognitive impairments.

But Fetterman is experiencing symptoms of "an auditory processing disorder which can come across as hearing difficulty," said Chen.

Fetterman, who is the lieutenant governor of Pennsylvania, confirmed the condition and is relying on closed-captioning which he will also utilize next week in his debate against Republican Mehmet Oz.

While the report confirms Fetterman's recovery from a near-fatal stroke, it comes following controversy around his failure to disclose previous medical information, including his 2017 cardiomyopathy diagnosis, which affects the amount of blood his heart is able to pump.

Fetterman is in a heated contest with Oz for an open Senate seat. The race is one of the most closely watched Senate races and could determine which party controls Congress in the upcoming legislative session.

Oz has released three medical reports this year citing his "excellent" health. The Pittsburgh Post-Gazette editorial page urged both candidates to release medical reports earlier this month.

Rachel Tripp, an Oz campaign spokesperson, responded to the medical report.

"That's good news that John Fetterman's doctor gave him a clean bill of health ... and now that he apparently is healthy, he can debate for 90 minutes, start taking live questions from voters and reporters, and do a second debate now too," Tripp told the Daily Beast.

Fetterman and Oz are scheduled to debate on Tuesday in Harrisburg, Pennsylvania.