TEMPLATE B

Table 1. SDO Summary (City)

School Name: CABID-AN AND QUIRINO ELEM SCHOOL
Eligible Population Number of Eligible Number of Eligible
Population Already Population Already
Population Vaccinated Vaccinated
(Incomplete/First (Complete/Second
Dose Only) Dose)
A1: Workers in Essential Health Services
Non-teaching personnel
Teaching personnel[1]
A2: Senior Citizens
Non-teaching personnel
Teaching personnel 1 0
A3: Individuals with Co-morbidities
Non-teaching personnel
Teaching personnel 3 1 0
A4: Workers in Frontline Essential Sectors (Less A1-A3)
Non-teaching personnel
Teaching personnel 11 0
TOTAL 15 1
[1]
Some teachers may also be professional health workers (e.g., RN) and may have registered and have been vaccinated as part of A1.

Table 2. AEFIs Reported

Personnel with AEFIs Reported
Number of Eligible Reported AEFI but Confined to a Health
Breakdown Population Already Released for Remote Facility and Have
Vaccinated (At least Monitoring/Home Been Released
first dose) Management
Teaching personnel
Non-teaching personnel

Table 3. Reported Reasons for Declining Vaccination

Number of Eligible
Population Still Disqualified by Lack of Trust to the
Breakdown Unregistered/ Attending Physician COVID-19 Vaccine
Unvaccinated
Teaching personnel 14 0
Non-teaching personnel
 Number of Eligible Number of Eligible
Population Already Population Still
Registered and Unregistered and
Awaiting Schedule of Unvaccinated
Vaccination

0 1

0 2

0 11
14
.

Currently Confined to
a Health Facility

Reasons
Waiting for Preferred Other Reasons No Cited Reason
Brand

11