Hubby and I are hoping to get running on April 2nd. I think i am going to do an excel sheet and upload it to the imported items to keep track of immunizations. (just edit it when a shot is given) It will be a bit of a double entry b/c it will be in the immunization section, but I like the "visual" prompting of seeing all shots on the same sheet. Also, our state has us log the immunizations online and that will prompt when next shot is due.