COVID-19 VACCINATION CERTIFICATE

VACCINEE DETAILS
Full Name:
VALLERIE MAE PACULAN
TACUYOG

Date of Birth:
12-Feb-2004

Issuer:
Philippine Department of Health

Issuance Date and Time:

08-Jan-2023 07:40 PM

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

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 142141147

Dose Date of Country of

Vaccine/ Prophylaxis Brand, Manufacturer Lot Number
Number Vaccination Vaccination

COVID-19 vaccine, RNA- Moderna,

1 23-Nov-2021
based Moderna
007H21A Philippines

COVID-19 vaccine, RNA- Moderna,

2 27-Dec-2021
based Moderna
068F21A Philippines