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Ministry of Health

Covid 19 National Vaccination Certificate

Name Date of birth

CAMILA FARAH RIBEIRO 30.Nov.1987
Mother's Name Gender
Audrey Liliam Farah Ribeiro Feminino
ID Nationality
374.352.328-07 Brasileira

Doses administered

Date Vaccine* Manufacturer Dose Lot Number CNES**

15.Feb.2022 COVID-19 PFIZER - COMIRNATY PFIZER Reforço FF8848 2040166

28.Oct.2021 COVID-19 PFIZER - COMIRNATY PFIZER 2/2 FD7229 1024883

05.Aug.2021 COVID-19 PFIZER - COMIRNATY PFIZER 1/2 FB5436 0106866

* The name of the vaccine is presented from the information of the Prophylaxis Name, Manufacturer/License
Holder - Trade name of the product.
** CNES indicates the Identification Number, at the National Registry of Health Establishments (CNES), of the
one where the vaccine was administered.
CNES 0006866: USF DO ALTO DAS POMBAS - SALVADOR/BA
CNES 2040166: UBS DR RUBENS ISSA HALAK JARDIM JULIANA - RIBEIRAO PRETO/SP
CNES 0003883: UBS RAMIRO DE AZEVEDO - SALVADOR/BA

Date of the issue : 15.Feb.2022, at 11:57 AM

This certificate is issued free of charge by Conecte SUS

and the information was provided by the National
Health Data Network - DATASUS/Ministry of Health.

Its authenticity can be confirmed through the Conecte

SUS application QR Code reader or on the Valida
Certidao page on the Internet, at validacertidao.saude.
gov.br, entering the code:

9ZCJ.0Z4Z.W02L.56KA

Remarks: This certificate is valid throughout Brazil. It is not mandatory to hold one. It cannot be used for
discriminatory purposes.