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Ministry of Health

Covid 19 National Vaccination Certificate

Name
Date of birth
KARLA FERNANDA BARBOSA
17.Mar.1965
SILVEIRA FARINELLI Gender
Mother's Name Feminino
MARIA DE LOURDES SIRIO DA SILVEIRA Nationality
ID Brasileira
335.601.701-25

Doses administered

Date Vaccine* Manufacturer Dose Lot Number CNES**

13.Dec.2021 COVID-19 PFIZER - COMIRNATY PFIZER Reforço FM3884 2339528
30.Aug.2021 COVID-19 PFIZER - COMIRNATY PFIZER 2/2 28235BD 2338548
08.Jun.2021 COVID-19 PFIZER - COMIRNATY PFIZER 1/2 FC2495 2339315

* 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 2338548: USF VILA SANTA HELENA - GOIANIA/GO
CNES 2339315: UPA JARDIM NOVO MUNDO - GOIANIA/GO
CNES 2339528: UPA DR DOMINGOS VIGGIANO UPA JARDIM AMERICA - GOIANIA/GO

Date of the issue : 20.Jan.2022, at 01:56 PM

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:

R988.D19X.T31V.07EQ

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