Florida SHOTS uses “Observations” to document contraindications and precautions to receiving certain vaccinations. An observation is also required to be recorded in the system in order to issue a vaccine exemption - Part C on a DH680 form. Additionally, users can add risk factors as observations to indicate non-routine administration of vaccines. When recorded, these observations will influence patient immunization schedules, forecasting, and Reminder/Recall reports. Find step by step instructions on how to document in the patient record HERE. Also available in Spanish.