Sample Reports

Sample Reports

The sample reports on this page demonstrate common clinical scenarios and highlight some of the report's features.

Click the report image to view.

Newborn
routine first visit

Report for a 9 day-old infant with:

  • Single Hep B dose on chart, dose #2 forecast for 1 mo.
  • RSV due now
  • DTP, Hib, Pneumococcal, Polio, Rotavirus forecast for 2 mo.

Infant
day before first birthday

Report for infant one day before first birthday with:

  • Hep A, Hib, and Pneumococcal can be given (grace period).
  • MMR #1 given too young, is invalid.
  • MMR and Varicella re-forecast to later date due to invalid MMR and 28-day live vaccine spacing.

14 yr old
MMR incomplete

Report for 14 year old, with:

  • Due for seasonal COVID-19 and Flu.
  • Invalid 3rd Hep B dose but was re-vaccinated, series complete.
  • Duplicate MMRV dose chart gives appearance of series complete if dates not checked. Patient is under-immunized. MMR dose 2 forecast and is due now.

3 yr old
Invalid Hep B, past due

Report for 3 year old, with:

  • Due for seasonal COVID-19 and Flu.
  • Invalid 3rd Hep B dose requires re-vaccination, is past due and patient is under-immunized.