{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Encounter", "id": "1", "status": "unknown", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": null, "subject": {"reference": "Patient/1", "display": "Lou Roger Ruecker"}, "participant": null, "period": null, "serviceProvider": null}}, {"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Ruecker", "given": ["Lou", "Roger"]}], "telecom": null, "gender": null, "birthDate": "2010-10-03", "address": [{"line": ["459 Larson Bypass"], "city": null, "state": "Massachusetts", "postalCode": "00000", "country": "US"}], "maritalStatus": null, "multipleBirthBoolean": null, "communication": null}}, {"resource": {"resourceType": "Immunization", "id": "1", "status": "unknown", "vaccineCode": {"coding": [{"system": "http://hl7.org/fhir/sid/cvx", "code": "62", "display": "HPV, quadrivalent"}], "text": "HPV, quadrivalent"}, "patient": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/1"}, "occurrenceDateTime": null, "primarySource": null, "occurrenceString": "2021-10-17T11:45:05+02:00"}}, {"resource": {"resourceType": "Immunization", "id": "2", "status": "unknown", "vaccineCode": {"coding": [{"system": "http://hl7.org/fhir/sid/cvx", "code": "140", "display": "Influenza, seasonal, injectable, preservative free"}], "text": "Influenza, seasonal, injectable, preservative free"}, "patient": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/1"}, "occurrenceDateTime": null, "primarySource": null, "occurrenceString": "2021-10-17T11:45:05+02:00"}}]}
The note is concerning a patient named Lou Roger Ruecker. Mr. Ruecker was born on October 3rd, 2010 and resides at 459 Larson Bypass in Massachusetts, US, with the postal code 00000. His city of residence has not been stated. 

The medical details mention an encounter of unknown status. The context of this service is ambulatory. 

On October 17th, 2021 at 11:45:05 UTC+02:00, Mr. Ruecker received two immunizations. The first one was the quadrivalent HPV vaccine and the second was the seasonal influenza vaccine, which was injectable and preservative free. The status of these vaccines is listed as unknown. It's important to note that both of these vaccinations were administered during the same encounter.
The note is concerning a patient named XXXXXXX. XXXXXXX. XXXXXXX was born on XXXXX and resides at XXXXXXX in XXXXXXX, US, with the postal code 00000. XXXXXXX city of residence has not been stated. 

The medical details mention an encounter of unknown status. The context of this service is ambulatory. 

On XXXXX at XXXXXUTC+XXXXX, XXXXXXX. XXXXXXX received two immunizations. The first one was the quadrivalent HPV vaccine and the second was the seasonal influenza vaccine, which was injectable and preservative free. The status of these vaccines is listed as unknown. It's important to note that both of these vaccinations were administered during the same encounter.