COVID-19 VACCINATION CERTIFICATE

Full Name:
JAISON GABRIEL
MAURACE LARWA
NIDO SILVA
BAUTISTA

Date of Birth:
14-Jan-2003
07-Nov-1993

Issuer:
Philippine Department of Health

Issuance Date and Time:

07-Jan-2022 02:39 PM

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

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 478955114

Date of Vaccine/ Brand, Country of

Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

COVID-19vaccine,
vaccine, RNA- Moderna,
1 26-Oct-2021
28-Aug-2021
COVID-19
based
innactived virus
CoronaVac,
Moderna
Sinovac
046G21A
L202100752 Philippines

COVID-19vaccine,
vaccine, RNA- Moderna,
2 23-Nov-2021
28-Sep-2021
COVID-19
based virus
innactived
CoronaVac,
Moderna
Sinovac
046G21A
J202166036 Philippines