(2) Travel Histo

Date (1) Name/s AGE YES

(indicate
place)
AUGUST 29, 2021 EMAN,NORMAN GALLO 31 0
AUGUST 29, 2021 AQUITANIA,ALFONSO ROSARIO 38 0
AUGUST 29, 2021 VICENCIO, MARIZA BRIONES 53 0
AUGUST 29, 2021 BORROMEO,EARL JERWIN DEL VALLE 15 0
AUGUST 29, 2021 RAMON,ROSELL LOCAY LOCAY 67 0
AUGUST 29, 2021 SUWARANI,BRANDO 6 0
AUGUST 29, 2021 CULDORA, LOLITO MICAYAS 48 0
AUGUST 29, 2021 BLASE, RODEL GORGONIO 36 0
AUGUST 29, 2021 MANGUBAT, HERMELO JR. 45 0
AUGUST 29, 2021 HERNANDEZ, ELAINE, MESINA 25 0
TOTAL
(2) Travel History (3) Vaccination Status

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

0 1 3/8/2021 QUEZON CITY 0 JANSSEN

0 1 05/25/21 BULACAN 06/22/21 BULACAN SINOVAC
0 1 03/23/21 NAES 2/6/2021 NAES ASTRAZENECA
0 10 0 0 0 0
0 1 7/6/2021 PARAÑAQUE 07/28/21 PARAÑAQUE SINOVAC
0 10 0 0 0 0
0 10 0 0 0 0
0 1 10/6/2021 NAES 8/7/2021 NAES SINOVAC
0 1 07/23/21 SM SAN LAZARO 0 0 JANSSEN
0 1 2/7/2021 NAES 07/30/21 NAES SINOVAC
10
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

0 0 1 0 0 0 0
0 0 1 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
0 0 1 0 0 0 0
0 0 0 1 0 0 0
1 0 0 0 0 0 1
0 0 1 0 0 0 1
0 0 1 0 0 0 1
0 0 0 0 1 0 1
3 0 5 1 1 0 4
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 1 HQ 0 0 0 0
0 1 HQ 0 0 0 0
MNHS 0 0 0 0 0 0
MNHS 0 0 0 0 0 0
MARVELA HOTEL 0 0 0 0 0 0
WINTER HOTEL 0 0 0 0 0 0
0 2 0 0 0 4 4
nit (CESU)

(7) Swabbing Facility

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

PH5 GOZON COMPOUND 1 0 0 0

PH6 GOZON COMPOUND 1 0 0 0
#84 SANCIANGCO ST. 1 0 0 0
L2 BLK17 PH2 PARADISE VILLAGE 1 0 0 0
LOT7 PH1 GOZON COMPOUND 1 0 0 0
BLK 1 DAMATA 1 0 0 0
LOT228 PH3 GOZON COMPOUND 0 1 0 0
LOT1 PH1 GOZON COMPOUND 0 1 0 0
112 C. PEREZ ST. 0 1 0 0
C. PEREZ ST. 0 1 0 0
6 4 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

9 0 0 0 0 0 0
9 0 0 0 0 0 0
8 0 0 0 0 0 0
7 0 0 0 0 0 0
1 0 0 0 0 0 0
10 0 0 0 0 0 0
3 0 0 0 0 0 0
1 0 0 0 0 0 0
4 0 0 0 0 0 0
3 0 0 0 0 0 0
55 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
1 0 0 0 0 0 0
0 0 0 0 0 0 1
1 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 0 0
1 0 0 0 0 0 0
0 1 0 0 0 0 0
6 1 0 0 0 0 2
 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
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
1 0 0 0 0
 (2) Travel History
Date (1) Name/s AGE YES
(indicate Date of
travel
place)
AUG. 30, 2021 GAPASANGRA,JHONN SEMRO AQU 18 0 0
AUG. 30, 2021 PELICANO,RICHTER DEL PILAR 33 0 0
AUG. 30, 2021 FELICES, SYRENE, BARGO 27 0 0
TOTAL
Travel History (3) Vaccination Status (4) P

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

10 0 0 0 0 1
1 9/8/2021 NAES 0 0 SINOVAC 0
1 3/6/2021 RTM 12/8/2021 RTM ASTRAZENECA 0
3 1
 Status
(4) Purpose of swabbing (5)

Medical Work Travel Symptomati Others # ISOLATION

c FACILITY

0 0 0 0 0 0 0
0 1 0 0 0 0 0
0 1 0 0 0 0 0
0 2 0 0 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

(6) Street / Area /Address

# HOME # HOSPITAL # PENDING

0 0 0 0 1 1 #46 VILLANUEVA ST.

0 0 0 0 1 1 #40 SITIO BALUT
0 0 0 0 1 1 BLK9 LOT15 FLOVIHOMES
0 0 0 0 3 3
nit (CESU)

(7) Swabbing Facility

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

#46 VILLANUEVA ST. 1 0 0 0 2

#40 SITIO BALUT 1 0 0 0 2
BLK9 LOT15 FLOVIHOMES 0 1 0 0 1
2 1 0 0 5
 VACCINATIO
NOT Fully Vaccinated (1st Dose) FULLY Va

Asymptomatic Mild Moderate Severe Critical Died Asymptomatic

0 0 0 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
2 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 1 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 1 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
 (2) Travel History
Date (1) Name/s AGE YES
(indicate
place)
AUGUST 31, 2021 RAMIREZ, CHELSEA SHANNA DANAO 27 0
AUGUST 31, 2021 REYES, ELOISA BIASON 23 0
AUGUST 31, 2021 FAUSTRELLA, LIAN ELISE REYES 3 0
AUGUST 31, 2021 PULE, WARLITO MONDALA 58 0
AUGUST 31, 2021 LOMINUQUE, JOLLY LOZADA 47 0
AUGUST 31, 2021 ALIX JR, ARMANDO MARMOL 31 0
AUGUST 31, 2021 GONGON, JORGE VIOLA 66 0
(2) Travel History (3) Vaccination Status

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

0 1 6/7/2021 FM 07/27/21 FM PFIZER

0 1 08/20/21 NAES 0 0 SINOVAC
0 1 0 0 0 0 0
0 1 07/21/21 ESES 0 0 JANSSEN
0 1 07/21/21 NAES 08/25/21 NAES SINOVAC
0 1 0 0 0 0 0
0 1 05/24/21 NAES 06/21/21 NAES SINOVAC
7
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

1 0 0 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
0 0 0 1 0 0 0
1 0 0 0 0 0 0
0 1 0 0 0 0 0
0 1 0 0 0 0 0
4 2 0 1 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 1 HQ 0 0 0 0
0 1 0 0 0 6 6
N CITY
artment
llance Unit (CESU)
ONSUYA
gust 2021
(MW) #35

(7) Swabbing Facility

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

#52 SANCIANGCO ST 1 0 0 0
LOT5 BLK16 PH2 PARADISE VILLAGE 1 0 0 0
LOT5 BLK16 PH2 PARADISE VILLAGE 1 0 0 0
PH2 BLK13 PARADISE VILLAGE 1 0 0 0
PH2 GOZON COMPOUND 1 0 0 0
C. PEREZ ST. 1 0 0 0
#14 PAG-ASA ST. 1 0 0 0
7 0 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

4 0 0 0 0 0 0
12 1 0 0 0 0 0
12 0 0 0 0 0 0
4 0 0 0 0 0 0
10 1 0 0 0 0 0
4 0 0 0 0 0 0
6 0 0 0 0 0 0
52 2 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
0 0 0 0 0 0 0
0 0 0 0 0 0 1
1 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 1 0 0 0 0 0
2 1 0 0 0 0 2
 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 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)
1/9/2021 VIBAL, GLAYDEL ARANDIA 24 0
1/9/2021 MATIAS, EDUARDO JR. CORTAN 27 0
1/9/2021 SERRATO, SHIELA MAE PENSABER 25 0
1/9/2021 SANTOS, JON-JON ESCOSIO 28 0
1/9/2021 MACABENTA, ROSE ANGELIQUE ALEJANDRO 26 0
TOTAL
(2) Travel History (3) Vaccination Status

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

0 1 08/16/21 FM 0 0 ASTRAZENECA
0 1 08/16/21 FM 0 0 ASTRAZENECA
0 1 0 0 0 0 0
0 1 08/14/21 OSC 0 0 MODERNA
0 1 08/21/21 OSC 0 0 MODERNA
5
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

0 1 0 0 0 0 1
0 1 0 0 0 0 1
0 1 0 0 0 0 0
0 1 0 0 0 0 0
0 1 0 0 0 0 0
0 5 0 0 0 0 2
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

MNHS 2 0 0 0 0 0 0
MNHS 2 0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 3 3
 TY
ment
ce Unit (CESU)
UYA
2021
W) #35

(7) Swabbing Facility

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

#105 PASCO ST. 1 0 0 0

#105 PASCO ST. 1 0 0 0
FLOVIHOMES 6 1 0 0 0
#50 MENDIOLA ST. 1 0 0 0
#50 MENDIOLA ST. 1 0 0 0
5 0 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

1 0 1 0 0 0 0
1 1 0 0 0 0 0
3 0 0 0 0 0 0
3 1 0 0 0 0 0
3 1 0 0 0 0 0
11 3 1 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 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 0
0 0 0 0 0
0 0 0 0 0
 (2) Travel History
Date (1) Name/s AGE YES
(indicate
place)
2/9/2021 MACABENTA, MARY ROSE ALEJANDRO 28 0
2/9/2021 SABALSA, KAISHER ANN SEBASTIAN 16 0
2/9/2021 SABALZA, VIRGINIA FERNANDEZ 62 0
2/9/2021 DELA FREZ, MARY ANN CULDORA 26 0
2/9/2021 BEO, JOHARAH JOY DERIJE 28 0
2/9/2021 ROMERO, JAYSON SORIANO 25 0
2/9/2021 PULE, JEZREEL TUTOR 26 0
2/9/2021 ELUMBA JR , DAVID ROTONE 29 0
2/9/2021 DIANA, PRINCE LHOUIE CASTRO 8 0
2/9/2021 DIANA, GRACELYN CASTRO 32 0
0
(2) Travel History (3) Vaccination Status

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

0 1 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 1 0 0 0 0 0
0 1 5/8/2021 FM 0 0 SINOVAC
0 1 07/28/21 SM SDAAN 08/25/21 SM SDAAN SINOVAC
0 1 08/24/21 NAES 0 0 SINOVAC
0 1 0 0 0 0 0
0 1 0 0 0 0 0
0 10
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomati Others #

Contact c

0 1 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
1 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
1 0 0 0 0 0 0
1 0 0 0 0 0 0
9 1 0 0 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 10 10
N CITY
partment
eillance Unit (CESU)
ONSUYA
August 2021
K (MW) #35

(7) Swabbing Facility

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

#50 MENDIOLA ST. 1 0 0 0

#518 PH 5 GOZON COMPOUND 1 0 0 0
#518 PH 5 GOZON COMPOUND 1 0 0 0
L228 PH3 GOZON COMPOUND 1 0 0 0
BLK2 DAMATA 1 0 0 0
BLK2 DAMATA 1 0 0 0
L9 BLK3 PH2 PARADISE VILLAGE 1 0 0 0
PALMARIO, PILAPIL ST. 1 0 0 0
#164 GOZON COMPOUND 1 0 0 0
#164 GOZON COMPOUND 1 0 0 0
10 0 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

3 0 0 0 0 0 0
5 0 0 0 0 0 0
5 0 0 0 0 0 0
3 0 0 0 0 0 0
6 0 0 0 0 0 0
6 1 0 0 0 0 0
5 1 0 0 0 0 0
1 1 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
46 3 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 1
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 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 1
0 0 0 0 0 0 7
 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 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)
3/9/2021 MAGNO, MARLENE AQUINO 49 0
3/9/2021 MAGNO, CHARDLENE 9 0
3/9/2021 AQUITANIA, KHENJIE MIGUEL CASTRO 3 0
3/9/2021 AQUITANIA, KHUENZIE MICHAELLA CASTRO 2 0
3/9/2021 AQUINTANIA, RUTH CASTRO 36 0
3/9/2021 RAZONABLE, JENELYN AMANTE 38 0
3/9/2021 SANTIAÑES, SHAN CARL RAZONABLE 14 0
3/9/2021 SANTIAÑES, JHON KIRVY RAZONABLE 12 0
3/9/2021 SANTIAÑES, JHON VINCENT RAZONABLE 7 0
3/9/2021 SANTIAÑES, SEAN PAUL RAZONABLE 10 0
3/9/2021 DALANGPAN, LUCIANO MAÑOZA 52 0
3/9/2021 ALIX. ARMIN MARMOL 44 0
3/9/2021 BONITA, JASMIN IBAYA 42 0
3/9/2021 DALANGPAN, AARON MIGUEL BONITA 10 0
(2) Travel History (3) Vaccination Status

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

0 1 08/23/21 FM 0 0 MODERNA
0 1 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 1 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 1 0 0 0 0 0
0 1 0 0 0 0 0
0 1 08/27/21 FM 0 0 MODERNA
0 1 0 0 0 0 0
0 1 0 0 0 0 0
14
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

1 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
1 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
1 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
1 0 0 0 0 0 0
1 0 0 0 0 0 0
14 0 0 0 0 0 0
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 14 14
CITY
rtment
ance Unit (CESU)
NSUYA
ust 2021
MW) #35

(7) Swabbing Facility

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

BLK 3 KADIMA 1 0 0 0
BLK 3 KADIMA 1 0 0 0
PH6 GOZON COMP. 1 0 0 0
PH6 GOZON COMP. 1 0 0 0
PH6 GOZON COMP. 1 0 0 0
PH 5 FLOVIHOMES 1 0 0 0
PH 5 FLOVIHOMES 1 0 0 0
PH 5 FLOVIHOMES 1 0 0 0
PH 5 FLOVIHOMES 1 0 0 0
PH 5 FLOVIHOMES 1 0 0 0
B10 L6 PARADISE VILLAGE 1 0 0 0
#60 J. ORETA ST. 1 0 0 0
B10 L2 PH1 PARADISE VILLAGE 1 0 0 0
B10 L2 PH1 PARADISE VILLAGE 1 0 0 0
14 0 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

5 1 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
6 0 0 0 0 0 0
3 0 0 0 0 0 0
3 1 0 0 0 0 0
3 0 0 0 0 0 0
3 0 0 0 0 0 0
70 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 1
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 1
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 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 12
 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 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 0 0 0
0 0 0 0 0
 (2) Travel History
Date (1) Name/s AGE YES
(indicate
place)
4/9/2021 FRANCISCO, LEMUEL SAM SIMANES 6 0
4/9/2021 LAYSON, ELENITA DE OCAMPO 50 0
4/9/2021 LAYSON, FRANCIS DE OCAMPO 20 0
4/9/2021 BAYOG, GEONITO, COLOSO 27 0
4/9/2021 FRANCISCO, LEAH , SEMANES 36 0
4/9/2021 LOMALYE, LOLITA, GARCIA 66 0
4/9/2021 BONAN, BERNARD, BALAGTAS 41 0
4/9/2021 DIANZON, JOSE, PACHECO 77 0
4/9/2021 GAYTOS, ANGELA , PATEO 26 0
4/9/2021 ANG, BRYAN JAYSON, FIERTO 27 0
4/9/2021 ALCALA, VIRGIL, MONTA 45 0
4/9/2021 RIVERA, JOY ANNE, GONZALES 29 0
4/9/2021 CLARO JR. HERNANIE 41 0
4/9/2021 TIVIDAD, RENATO CEZAR 53 0
4/9/2021 TIVIDAD JR., RENATO CEZAR 24 0
4/9/2021 DE JESUS, FERDINAND ACERO 40 0
4/9/2021 DE JESUS, MICHELLE SAN PEDRO 37 0
TOTAL
(2) Travel History (3) Vaccination Status

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

0 1 0 0 0 0 0
0 1 4/6/2021 NAES 2/7/2021 NAES SINOVAC
0 1 06/23/21 NAES 07/25/21 NAES SINOVAC
0 1 5/8/2021 PASIG 2/9/2021 PASIG SINOVAC
0 1 05/19/21 OSMAL 9/6/2021 OSMAL PFIZER
0 1 0 0 12/30/1899 0 0
0 1 06/16/21 QC 07/14/21 QC SINOVAC
0 1 2/6/2021 NAES 06/30/21 NAES SINOVAC
0 1 10/3/2021 CHINESE GEN. 12/5/2021 CHINESE GEN. ASTRAZENECA
0 1 06/22/21 FM 07/13/21 FM PFIZER
0 1 8/8/2021 YNC MANILA 0 0 ASTRAZENECA
0 1 06/17/21 FM 07/19/21 FM SINOVAC
0 1 08/23/21 NAVOTAS 0 0 SINOVAC
0 1 06/29/21 FM 07/20/21 FM PFIZER
0 1 06/17/21 NAES 07/19/21 NAES SINOVAC
0 1 06/24/21 MES 07/17/21 MES SINOVAC
0 1 0 0 0 0 0
17
 Status
(4) Purpose of swabbing

Close Medical Work Travel Symptomatic Others #

Contact

1 0 0 0 0 0 0
1 0 0 0 0 0 0
1 0 0 0 0 0 0
0 0 1 0 0 0 1
0 0 1 0 0 0 1
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 1 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 1 0 0 0 0
0 0 1 0 0 0 1
0 0 1 0 0 0 0
0 0 0 0 1 0 0
0 0 0 0 1 0 0
4 4 6 0 3 0 3
 MALABON CITY
City Health Department
City Epidemiology Surveillance Unit (CESU)
Barangay: TONSUYA
Date reported: August 2021
MORBIDITY WEEK (MW) #35

(5) Quarantine Status

ISOLATION # HOME # HOSPITAL # PENDING

FACILITY

0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
MNHS 2 0 0 0 0 0 0
TES 0 0 0 0 0 0
0 0 0 1 OSMAL 0 0
0 1 HQ 0 0 0 0
0 1 HQ 0 0 0 0
0 0 0 1 CHINESE GEN. 0 0
0 1 HQ 0 0 0 0
0 1 HQ 0 0 0 0
0 1 HQ 0 0 0 0
0 1 HQ 0 0 0 0
TES 0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 6 0 2 0 6 6
 TY
ent
ce Unit (CESU)
UYA
2021
W) #35

(7) Swabbing Facility

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

#187 PH5 GOZON COMP. 1 0 0 0

#64 SANCIANGCO ST. 1 0 0 0
#70 SANCIANGCO ST 1 0 0 0
PH5 FLOVIHOMES 0 1 0 0
PH4 GOZON COMP. 0 1 0 0
PH5 FLOVIHOMES 0 1 0 0
BLK2 DAMATA 0 1 0 0
PALMARIO 1 0 1 0 0
BLK5 L6 FLOVIHOMES 0 1 0 0
#1 DELOS SANTOS ST. 0 1 0 0
#125 PH4 GOZON COMP. 0 1 0 0
#19 PAG-ASA ST. 0 1 0 0
#44 VILLANUEVA ST. 0 1 0 0
#17 SAMATON C. PEREZ ST. 0 1 0 0
#7 FLOVIHOMES 0 1 0 0
#1 PASCO ST. 1 0 0 0
#58 VILLANUEVA ST. 1 0 0 0
5 12 0 0
 V
NOT Fully Vaccinated (1st Dose)
Close Contact
Asymptomatic Mild Moderate Severe Critical Died

4 0 0 0 0 0 0
4 0 0 0 0 0 0
4 0 0 0 0 0 0
8 1 0 0 0 0 0
8 0 0 0 0 0 0
5 0 0 0 0 0 0
10 0 0 0 0 0 0
1 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
1 1 0 0 0 0 0
3 0 0 0 0 0 0
3 1 0 0 0 0 0
2 0 0 0 0 0 0
2 0 0 0 0 0 0
7 0 0 0 0 0 0
7 0 0 0 0 0 0
76 3 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
1 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
1 0 0 0 0 0 0
0 1 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
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
0 1 0 0 0 0 0
0 0 0 0 0 0 0
8 3 0 0 0 0 0
 NOT Vaccinated (0 dose)

Mild Moderate Severe Critical Died

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
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 0
0 0 0 0 0
1 0 0 0 0
3 0 0 0 0