Patient presents for routine childhood immunization screening and administration.  Review of immunization records and maternal history reveals patient is due for age-appropriate vaccines.  Patient's medical history is significant for (list any pertinent medical history, e.g., premature birth, allergies, prior vaccine reactions).  Family history is noncontributory for immunodeficiency or adverse reactions to vaccines.  Physical examination reveals a well-appearing, well-nourished child in no acute distress.  Vital signs are stable and within normal limits for age.  Heart, lung, and abdominal examinations are unremarkable.  Neurological development is age-appropriate.  Assessment: Patient due for routine childhood immunizations.  Plan:  Discussed risks and benefits of vaccination with parentguardian.  Verbal consent obtained. Administered (list specific vaccines given, e.g., DTaP, MMR, IPV, Hib, HepB, PCV13, Rotavirus) via (route of administration, e.g., intramuscular injection) in the (site of administration, e.g., left anterolateral thigh).  Patient tolerated the procedure well.  Vaccination information sheet provided.  Patient instructed to return for follow-up vaccination appointment as scheduled.  Diagnosis codes: Z23. Encounter for immunization.  Procedure codes: (list appropriate CPT codes for administered vaccines).  Keywords: Child vaccination, immunization schedule, vaccine administration, pediatric immunology, preventive medicine, vaccine safety, childhood vaccines, immunization records, vaccine adverse events, DTaP, MMR, IPV, Hib, HepB, PCV13, Rotavirus, CPT codes, Z23, electronic health records, medical billing, medical coding.