COVID-19 VACCINATION CERTIFICATE

VACCINEE DETAILS
Full Name:
MARY ANN PABUSTAN MEER

Date of Birth:
30-Mar-1965

Issuer:
Philippine Department of Health

Issuance Date and Time:

19-Jul-2022 12:56 PM

This is a secure QR code and can be verified by using the

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 566899192

Dose Date of Country of

Vaccine/ Prophylaxis Brand, Manufacturer Lot Number
Number Vaccination Vaccination

COVID-19 vaccine, RNA- Moderna,

1 10-Nov-2021
based Moderna
010G21B Philippines