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Ministry of Health

Covid 19 National Vaccination Certificate

Name Date of birth

MATEUS GOMES DE SOUZA 27.Nov.1983
Mother's Name Gender
RITA DE CASSIA GOMES DE SOUZA Masculino
ID Nationality
060.577.776-46 Brasileiro

Doses administered

Date Vaccine* Manufacturer Dose Lot Number CNES**

03.Dec.2021 COVID-19 PFIZER - COMIRNATY PFIZER 2/2 FJ4184 6457290
30.Jul.2021 COVID-19 PFIZER - COMIRNATY PFIZER 1/2 FD7221 2709554

* 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 2709554: ESF DR JOSE FRANCISCO JUNQUEIRA REIS - CATAGUASES/MG
CNES 6457290: ESF JOAO BATISTA DO CARMO MILANE - CATAGUASES/MG

Date of the issue : 20.Apr.2022, at 01:54 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:

0W8N.GWDZ.HXCH.MSSR

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