(2) Travel History

Date (1) Name/s AGE YES

(indicate
place)
12/9/2021 FLAVIANO, ESTEVEN KYLE MACABUHAY 21 0
12/9/2021 ORTUESTE, ROLANDO DOCARNOY 57 0
12/9/2021 ECHAVARIA,EMMANUEL CLEMENTE 31 0
12/9/2021 ELEUTERIO, ERWIN,BESONIA 30 0
TOTAL
(2) Travel History (3) Vaccination Status

Date of No 1st
Place 2nd
Place Brand
travel (date) (date)

0 1 08/21/21 NAES 0 0 SINOVAC

0 1 0 0 0 0 0
0 1 11/8/2021 QUEZON CITY 0 0 MODERNA
0 1 0 0 0 0 0
4
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

0 0 1 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
0 1 0 0 0 0 0
2 1 1 0 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: September 2021
MORBIDITY WEEK (MW) #36

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 1 HQ 0 0 0 0
0 0 0 1 OSMAL 0 0
0 1 0 1 0 2 2
CITY
tment
ance Unit (CESU)
NSUYA
mber 2021
MW) #36

(7) Swabbing Facility

(6) Street / Area /Address OTHERS (Osmal
Redcross CDRS ANTIGEN etc.)

FLOVIHOMES 1 0 0 0
PH2 GOZON COMP. 1 0 0 0
#50 SANCIANGCO ST. 0 1 0 0
BLK 4 KADIMA 0 1 0 0
2 2 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

2 1 0 0 0 0 0
10 0 0 0 0 0 0
7 1 0 0 0 0 0
4 0 0 0 0 0 0
23 2 0 0 0 0 0
 VACCINATION HEALTH PROFILE
FULLY Vaccinated (2 Doses) NOT Va

Asymptomatic Mild Moderate Severe Critical Died Asymptomatic

0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
 NOT Vaccinated (0 dose)

Mild Moderate Severe Critical Died

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 1
 (2) Travel History
Date (1) Name/s AGE YES
(indicate Date of
travel
place)
09/13/21 FACTURA, HENRY RAMIRES 40 0 0
09/13/21 MENSIGOS, CARLO HADOYPA 19 0 0
09/13/21 IMUS, LIMUEL FABILLAR 36 0 0
09/13/21 YU, JONALYN MABANSAG 18 0 0
09/13/21 ANTONIO, CHRISTIAN MANACLAY 26 0 0
09/13/21 MEDEL,ROGELIO BIALA 80 0 0
09/13/21 PATRICIO, ERICKA CASTRO 24 0 0
09/13/21 QUIBRAL, JULIUS CAESAR GAVINO 25 0 0
Travel History (3) Vaccination Status (4) P

No 1st
Place 2nd
Place Brand Close
(date) (date) Contact

1 6/8/2021 OSC 3/9/2021 OSC SINOVAC 1

1 0 0 0 0 0 1
1 07/31/21 ORTIGAS 0 0 ASTRAZENECA 0
1 0 0 0 0 0 0
1 6/8/2021 OSC 3/9/2021 OSC SINOVAC 0
1 08/18/21 SADPP 0 0 ASTRAZENECA 1
1 08/13/21 FM 0 0 MODERNA 1
1 0 0 0 0 0 0
8 4
 Status
(4) Purpose of swabbing (5)

Medical Work Travel Symptomatic Others # ISOLATION

FACILITY

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 1 0 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 1 0 0 0 0 0
2 2 0 0 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: September 2021
MORBIDITY WEEK (MW) #37

(5) Quarantine Status

(6) Street / Area /Address

# HOME # HOSPITAL # PENDING

0 0 0 0 1 1 BLK6 LOT3 FLOVIHOMES 2

0 0 0 0 1 1 PH2 PARADISE VILLAGE
0 0 0 0 1 1 FLOVIHOMES 8
0 0 0 0 1 1 12 MENDIOLA ST.
0 0 0 0 1 1 12 MENDIOLA ST.
0 0 1 DMMC HOSP. 0 0 76 SANCIANGCO ST.
0 0 0 0 1 1 BLK6 LOT3 FLOVIHOMES 2
0 0 0 0 1 1 BLK25 LOT12 PH1 DAMATA
0 0 1 0 7 7
nit (CESU)

(7) Swabbing Facility

(6) Street / Area /Address OTHERS (Osmal Close Contact
Redcross CDRS ANTIGEN etc.)

BLK6 LOT3 FLOVIHOMES 2 1 0 0 0 3

PH2 PARADISE VILLAGE 1 0 0 0 4
FLOVIHOMES 8 1 0 0 0 2
12 MENDIOLA ST. 1 0 0 0 1
12 MENDIOLA ST. 1 0 0 0 1
76 SANCIANGCO ST. 0 1 0 0 6
BLK6 LOT3 FLOVIHOMES 2 1 0 0 0 3
BLK25 LOT12 PH1 DAMATA 1 0 0 0 2
7 1 0 0 22
 VACCINATIO
NOT Fully Vaccinated (1st Dose) FULLY Va

Asymptomatic Mild Moderate Severe Critical Died Asymptomatic

1 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
0 0 0 0 0 0 0
5 0 0 0 0 0 0
 VACCINATION HEALTH PROFILE
FULLY Vaccinated (2 Doses) NOT Vaccinated (0 do

Mild Moderate Severe Critical Died Asymptomatic Mild

0 0 0 0 0 0 0
0 0 0 0 0 1 0
0 0 0 0 0 0 0
0 0 0 0 0 1 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 1 0
0 0 0 0 0 3 0
NOT Vaccinated (0 dose)

Moderate Severe Critical Died

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 (2) Travel History
Date (1) Name/s AGE YES
(indicate
place)
09/14/21 DALUT,LOVELY DACAL 28 0
09/14/21 ABING, FRANCE VERONICA NABONG 55 0
09/14/21 NAVIDA, JOBELLE CORPUZ 27 0
TOTAL
(2) Travel History (3) Vaccination Status

Date of No 1st
Place 2nd
Place
travel (date) (date)

0 1 08/17/21 VALENZUELA CITY 11/9/2021 VALENZUELA CITY

0 1 04/26/21 NAES 05/28/21 NAES
0 1 07/27/21 CALOOCAN CITY 08/24/21 CALOOCAN CITY
3
 Status
(4) Purpose of swabbing

Brand Close Medical Work Travel Symptomatic Others

Contact

ASTRAZENECA 0 0 1 0 0 0
SINOVAC 0 0 0 0 1 0
SINOVAC 0 1 0 0 0 0
0 1 1 0 1 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: September 2021
MORBIDITY WEEK (MW) #37

(5) Quarantine Status

# ISOLATION # HOME # HOSPITAL #

FACILITY

1 MNHS 0 0 0 0 0
0 0 1 HQ 0 0 0
1 MNHS 0 0 0 0 0
2 0 1 0 0 0 0
BON CITY
th Department
Surveillance Unit (CESU)
y: TONSUYA
d: September 2021
WEEK (MW) #37

(7) Swabbing Facility

(6) Street / Area /Address
PENDING Redcross CDRS ANTIGEN

0 43 SANCIANGCO ST. 0 1 0
0 11 PASCO ST. 0 1 0
0 40 MENDIOLA 0 1 0
0 0 3 0
 NOT Fully Vaccinated (1st Dose)

OTHERS (Osmal Close Contact

etc.) Asymptomatic Mild Moderate Severe Critical

0 3 1 0 0 0 0
0 2 0 0 0 0 0
0 2 0 0 0 0 0
0 7 1 0 0 0 0
 VACCINATION HEALTH PROFILE
FULLY Vaccinated (2 Doses)

Died Asymptomatic Mild Moderate Severe Critical Died

0 0 0 0 0 0 0
0 0 1 0 0 0 0
0 1 0 0 0 0 0
0 1 1 0 0 0 0
 NOT Vaccinated (0 dose)

Asymptomatic Mild Moderate Severe Critical Died

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 (2) Travel History
Date (1) Name/s AGE YES
(indicate Date of
travel
place)
09/15/21 DOMINGO, MARY JOY SUMADSADSAD 29 0 0
09/15/21 RAFANAN GELANY NOPAL 35 0 0
09/15/21 VILLANUEVA, ARIEL FERNANDEZ 46 0 0
09/15/21 CARANTO, HILDA DIZON 44 0 0
09/15/21 CARANTO, BEATRIZE DIZON 14 0 0
09/15/21 ECHAVARIA, EDISON CLEMENTE 26 0 0
09/15/21 CLEMENTE, REMEDIOS DELA CRUZ 68 0 0
09/15/21 MUS, SUMUYYA TOMONAS 34 0 0
TOTAL
Travel History (3) Vaccination Status (4) Pu

No 1st
Place 2nd
Place Brand Close
(date) (date) Contact

1 3/7/2021 MANILA 07/31/21 MANILA SINOVAC 0

1 0 0 0 0 0 0
1 2/8/2021 ORETA SC 0 0 SINOVAC 1
1 2/8/2021 ORETA SC 0 0 SINOVAC 1
1 0 0 0 0 0 1
1 5/6/2021 ORETA SC 5/8/2021 ORETA SC SINOVAC 1
1 0 0 0 0 0 1
1 10/8/2021 NAES 7/9/2021 NAES MODERNA 1
8 6
 Status
(4) Purpose of swabbing (5)

Medical Work Travel Symptomatic Others # ISOLATION

FACILITY

0 0 1 0 0 0 0
0 1 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 1 1 0 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: September 2021
MORBIDITY WEEK (MW) #37

(5) Quarantine Status

(6) Street / Area /Address

# HOME # HOSPITAL # PENDING

0 0 0 0 1 1 118 C. PEREZ ST.

1 HQ 0 0 0 0 PH5 FLOVIHOMES
0 0 0 0 1 1 50 SANCIANGCO ST.
0 0 0 0 1 1 50 SANCIANGCO ST.
0 0 0 0 1 1 50 SANCIANGCO ST.
0 0 0 0 1 1 50 SANCIANGCO ST.
0 0 0 0 1 1 50 SANCIANGCO ST.
0 0 0 0 1 1 FLOVIHOMES 8
1 0 0 0 7 7
nit (CESU)
A
1

(7) Swabbing Facility

(6) Street / Area /Address OTHERS (Osmal Close Contact
Redcross CDRS ANTIGEN etc.)

118 C. PEREZ ST. 0 1 0 0 5

PH5 FLOVIHOMES 0 1 0 0 1
50 SANCIANGCO ST. 1 0 0 0 8
50 SANCIANGCO ST. 1 0 0 0 8
50 SANCIANGCO ST. 1 0 0 0 8
50 SANCIANGCO ST. 1 0 0 0 8
50 SANCIANGCO ST. 1 0 0 0 8
FLOVIHOMES 8 1 0 0 0 3
6 2 0 0 49
 VACCINATIO
NOT Fully Vaccinated (1st Dose) FULLY Va

Asymptomatic Mild Moderate Severe Critical Died Asymptomatic

0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 1 0 0 0 0 0
1 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
1 0 0 0 0 0 0
2 1 0 0 0 0 2
 VACCINATION HEALTH PROFILE
FULLY Vaccinated (2 Doses) NOT Vaccinated (0 do

Mild Moderate Severe Critical Died Asymptomatic Mild

0 0 0 0 0 0 0
0 0 0 0 0 1 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 1 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 2 1
NOT Vaccinated (0 dose)

Moderate Severe Critical Died

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 (2) Travel History
Date (1) Name/s AGE YES
(indicate Date of
travel
place)
NO NEW ACTIVE CASE
Travel History (3) Vaccination Status (4) Purp

No 1st
Place 2nd
Place Brand Close
(date) (date) Contact
 Status
(4) Purpose of swabbing (5) Qu

Medical Work Travel Symptomati Others # ISOLATION

c FACILITY
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: September 2021
MORBIDITY WEEK (MW) #37

(5) Quarantine Status

(6) Street / Area /Address

# HOME # HOSPITAL # PENDING
Unit (CESU)
A
21
7

(7) Swabbing Facility

(6) Street / Area /Address OTHERS (Osmal Close Contact
Redcross CDRS ANTIGEN etc.)
 VACCINATIO
NOT Fully Vaccinated (1st Dose) FULLY Va

Asymptomatic Mild Moderate Severe Critical Died Asymptomatic

 VACCINATION HEALTH PROFILE
FULLY Vaccinated (2 Doses) NOT Vaccinated (0 do

Mild Moderate Severe Critical Died Asymptomatic Mild

NOT Vaccinated (0 dose)

Moderate Severe Critical Died

 (2) Travel History
Date (1) Name/s AGE YES
(indicate Date of
travel
place)
09/17/21 GAYTOS,ANGELA PATEO 26 0 0
09/17/21 MALUENDA, JENETTE COLUNOR 29 0 0
Travel History (3) Vaccination Status

1st 2nd
No Place Place Brand
(date) (date)

1 03/13/21 CHINESE GEN. HOSP. 05/18/21 CHINESE GEN. HOSP. ASTRAZENECA

1 12/6/2021 RTM 12/7/2021 RTM SINOVAC
2
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

0 0 1 0 0 0 0
1 0 0 0 0 0 1
1 0 1 0 0 0 1
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: September 2021
MORBIDITY WEEK (MW) #37

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 1 HQ 0 0 0 0
TES 0 0 0 0 0 0
0 1 0 0 0 0 0
Y
nt
e Unit (CESU)
YA
2021
#37

(7) Swabbing Facility

(6) Street / Area /Address OTHERS (Osmal
Redcross CDRS ANTIGEN etc.)

BLK 5 LOT 6 FLOVIHOMES 0 1 0 0

28 MEDIOLA ST. 0 1 0 0
0 2 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

3 0 0 0 0 0 0
1 0 0 0 0 0 0
4 0 0 0 0 0 0
 VACCINATION HEALTH PROFILE
FULLY Vaccinated (2 Doses) NOT Va

Asymptomatic Mild Moderate Severe Critical Died Asymptomatic

1 0 0 0 0 0 0
1 0 0 0 0 0 0
2 0 0 0 0 0 0
 NOT Vaccinated (0 dose)

Mild Moderate Severe Critical Died

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0