65436 45822

Republic of the Philippines

C I T Y OF M A N I L A

CERTIFICATE OF VACCINATION

This is to certify that NIKKO CARLO CALAYAG ALVAREZ, 29 years of

age, residing at BLDG. C9, RAWIS COMPOUND STA. FE Barangay 118, TONDO
I / II was fully vaccinated by the Manila Health Department.

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1st Dose 2nd Dose

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Date Administered 09/23/2021 11/18/2021
Brand AstraZeneca AstraZeneca

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Injection Site Deltoid, Left Deltoid, Left

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Lot Number A1054 ci N005A
Route IM IM
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Expiration Date 03/31/2022 01/21/2022
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Vaccinator/Site (1st) ROSEMARIE B. BARTOLO

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TONDO FORESHORE HEALTH CENTER

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Vaccinator/Site (2nd) ROSEMARIE B. BARTOLO

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TONDO FORESHORE HEALTH CENTER

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This certificate is issued this 03rd day of March 2023 for whatever legal
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purpose this may serve best.

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Arnold M. Pangan, MD, RSW

City Health Officer