---
type: "example"
title: "Immunization Example: immunization-example-reaction"
resource: "Immunization"
example: "immunization-example-reaction"
---
# Immunization Example: immunization-example-reaction

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<!--Authored by Joginder Madra-->
<Immunization xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/immunization.xsd">
	<id value="reaction"/>
	<identifier>
		<system value="urn:ietf:rfc:3986"/>
		<value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/>
	</identifier>
	<status value="completed"/>
	<vaccineCode>
		<coding>
			<system value="http://hl7.org/fhir/sid/cvx"/>
			<code value="175"/>
		</coding>
		<text value="Rabies - IM Diploid cell culture"/>
	</vaccineCode>
	<manufacturer>
		<reference>
			<reference value="Organization/hl7"/>
		</reference>
	</manufacturer>
	<lotNumber value="PPL909K"/>
	<expirationDate value="2023-01-21"/>
	<patient>
		<reference value="Patient/example"/>
	</patient>
	<encounter>
		<reference value="Encounter/example"/>
	</encounter>
	<occurrenceDateTime value="2021-09-12"/>
	<primarySource value="true"/>
	<location>
		<reference value="Location/1"/>
	</location>
	<site>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-ActSite"/>
			<code value="LA"/>
			<display value="left arm"/>
		</coding>
	</site>
	<route>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
			<code value="IM"/>
			<display value="Injection, intramuscular"/>
		</coding>
	</route>
	<doseQuantity>
		<value value="5"/>
		<system value="http://unitsofmeasure.org"/>
		<code value="mg"/>
	</doseQuantity>
	<performer>
		<function>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
				<code value="OP"/>
			</coding>
		</function>
    	<actor>
     		<reference value="Practitioner/example"/>
    	</actor>
	</performer>
	<performer>
		<function>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
				<code value="AP"/>
			</coding>
		</function>
    	<actor>
     		<reference value="Practitioner/example"/>
    	</actor>
	</performer>
	<note>
		<text value="Notes on adminstration of vaccine"/>
	</note>
	<reason>
        <reference>
            <reference value="Observation/example"/>
        </reference>
	</reason>
	<isSubpotent value="false"/>
    <reaction>
        <date value="2021-09-12"/>
        <manifestation>
            <reference>
                <reference value="Observation/example2"/>
            </reference>
        </manifestation>
        <reported value="false"/>
    </reaction>
</Immunization>
```