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Suffi Current_Residence: Date of

Last_Name First_Name Middle_Name Contact_No.


x Barangay Vaccination
BARREDO ROBERTO GARETE N/A N/A BABOL GENERAL HOSPITA3/16/2021
BLABAGNO MARLENE BESANA N/A 9187181932 MATALAM MIDWAY HOSPITA 3/17/2021
FANTONIAL MARY KRIZ ABANIEL N/A 9105569551 MATALAM MIDWAY HOSPITA 3/17/2021
KUSAIN ALIMONDA BALAH 9068982180 _124708034_POBLACION 3/19/2021
CAMRON FATIMA LEGADA N/A 9551265304 _124708003_ARAKAN 3/22/2021
EUSALA SOTERO AMBITO N/A 9631050069 _124708018_LATAGAN 3/22/2021
PERLA EVELYN CASTILLO N/A 9359289724 _124708003_ARAKAN 3/22/2021
YUSOP AISA BANSUAN N/A 9102871644 _124708003_ARAKAN 3/22/2021
CAMRAL JONALYN CAPILITAN N/A 9121482985 _124708037_SARAYAN 3/23/2021
ALILAYA DINDANG KANDALAYANG N/A 9977410739 KIDAMA 3/24/2021
ALMERON GLORIA CAMPANO N/A 9070842068 _124708001_NEW ALIMODI 3/24/2021
ALON CATALINA ANDIG N/A 9300141173 _124708001_NEW ALIMODI 3/24/2021
CRESPO ORLANDO VARGAS SR 9103788372 NEW PANDAN 3/24/2021
GANDALLA EMMA PACIA N/A 9512648245 _124708020_LOWER MALA 3/24/2021
GONZALGO EMELITA BELLEZA N/A 9358828065 SALVACION 3/24/2021
ARCUAL MARITIES NORTIGA NA 9678599151 _124708012_KIBIA 3/25/2021
CLARITO GEMMA ABOBOT N/A 9363579417 _124708019_LINAO 3/25/2021
DAGOHOY VILMA CADIAO NA 9100015588 _124708012_KIBIA 3/25/2021
Does not
manifest any
of the Does not have
following any of the
symptoms: following: HIV,
Fever/chills, Has not Cancer/ * If with
* If with allergy * if with Headache, * If Has no history received Malignancy, mentioned
Has no history Has not been
Current Current_ Pregn Has no severe Has no allergy or asthma, will bleeding Cough, Colds, manifesting of exposure to convalescent Underwent condition, has
Current Has no of bleeding previously Has not * If with
PhilH _Reside Residenc Current_Residen ancy_ Immunode Patient_was_di Date_of_first_positive_resul Willing allergic to food, egg, the vaccinator history, is a Sore throat, any of the a confirmed or plasma or * if pregnant, Transplant, presented Vaccine
Categ Catego PWD _Reside Birthdate_m Drug_All Food_All Insect_Al Latex_All Mold_All Pet_Aller Pollen_Al With_Comorbi Hypertens Heart_Dis Kidney_Di Diabetes_ Bronchial Classification_o Reason for Age more than allergies to disorders or treated for received any mentioned Date of Vaccinator Profession of
ealth Last_Name First_Name Middle_Name Suffix Contact_No. nce: e: ce: Sex Civil_Status Profession status ficiency_S Cancer Others agnosed_with_ t_/_specimen_collection_m to_be_Vaccinat CONSENT reaction after medicines, able to gauge 23 - 25 Myalgia, mentioned suspected monoclonal Not Pregnant? 2nd or 3rd Under Steroid medical Deferral Manufacturer Batch Number Lot Number 1st Dose 2nd Dose
ory ry_ID ID nce:_Re m/dd/yyyy_ ergy? ergy? lergy? ergy? ergy? gy? lergy? dity? ion ease sease Mellitus _Asthma f_COVID_19 Refusal 16 years old? PEG or currently COVID-19 in vaccine in the condition/s, Vaccination Name Vaccinator
_ID Provinc Municipal Barangay tatus COVID_19 m/dd/yyyy_ ed? the 1st dose of and no monitor the syringe Fatigue, symptom/s, COVID-19 antibodies for Trimester? Medication/ clearance Name
gion polysorbate? taking anti- the past 90 past 2 weeks? specify.
e ity/City the vaccine? asthma? patient for 30 available for Weakness, specify all that case in the COVID-19 in Treatment, prior to
_01_A1_05_A1.5: Government O PANES JOSE SALLY LORCA 9971125483 Soccsksa_1247_N _124708_M_124708015_KILAD 02_Male 11/08/1969 BPAT NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO YES YES YES NO NO NO NO coagulants?
NO NO NO of NO 2 weeks? days?
NO NO NO past 90 NO NO NO Ridden, NO NO 6/1/2021 ASTRAZENECAABV7279 ABV7279 GENEFE Q. LU NURSE YES
minutes? injection? Loss apply past the Bed vaccination
_01_A1_02_A1.2: Hospitals CatBAYAWAN WENI JANE ROSA N/A 9676956282 Soccsksa_1247_N _124704_C_124704009_ILOMA01_Femal06/21/1989 HOUSEKEEPING 02_Not_Pre02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_None 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES YES YES NO NO NO NO NO NO NO
smell/taste, NO NO NO NO
days? NO NO NO
terminal NO NO
day? 6/1/2021 ASTRAZENECAABV7279 ABV7279 MARY JEAN S. MIDWIFE YES
_01_A1_02_A1.2: Hospitals CatARO JENALYN PAMA N/A 9127158645 Soccsksa_1247_N _124703_K _124703007_KATID01_Femal09/14/1978 06_Nurse 02_Not_Pre02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_None 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES YES YES NO NO NO NO NO NO Diarrhea,
NO NO NO NO NO NO NO illness,
NO less NO NO 6/1/2021 ASTRAZENECAABV7279 ABV7279 MARY JEAN S. MIDWIFE YES
_01_A1_07_A1.7: Closed SettingBESANA CHRISTIAN CARLO CORTEL 9612325968 B15, L29, VS HOM MALE 1/8/1995 BFP NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO YES YES YES NO NO NO NO NO NO Shortness
NO of NO NO NO NO NO NO than 6 months
NO NO NO 6/1/2021 ASTRAZENECAABV7279 ABV7279 MARY JEAN S. MIDWIFE YES
breath/ prognosis
_01_A1_H05_A1.5: Government Own MOJANA DEMETRIO NIM N/A 9466922058 Soccsksa_1247_N _124708_M_124708018_LATA 02_Male 07/10/1982 BPAT 6/4/2021 ASTRAZENECA ABV7279 ABV7279 ASRIA DAYATO MIDWIFE 01_Yes
difficulty in
_01_A1_H05_A1.5: Government Own IDTUG CUTIN MACAGAGA 9651206823 Soccsksa_1247_N _124708_M_124708009_ILIAN MALE 07/03/1952 BPAT breathing 6/4/2021 ASTRAZENECA ABV7279 ABV7279 ASRIA DAYATO MIDWIFE 01_Yes
_01_A1_H05_A1.5: Government Own SEBLARIO FE LOGRONIO 9108392854 Soccsksa_1247_N _124708_M_124708031_NEW F 03/06/1973 KGD 6/4/2021 ASTRAZENECA ABV7279 ABV7279 ZORAIDA TOLIA MIDWIFE 01_Yes
_01_A1_H05_A1.5: Government Own CANGAS EDWIN LLANA 9072795125 Soccsksa_1247_N _124708_M_124708042_PINA 02_Male 07/16/1968 BPAT 6/4/2021 ASTRAZENECA ABV7279 ABV7279 ZORAIDA TOLIA MIDWIFE 01_Yes
_01_A1_H VALDESCO
03_A1.3: Quarantine Isolat MAE JOY DUMASIS N/A 9058012341 Soccsksa_1247_N _124708_M_124708017_LAMP 01_Femal04/21/1998 BNS 6/4/2021 ASTRAZENECA ABV7279 ABV7279 ZORAIDA TOLIA MIDWIFE 01_Yes
_02_A2_S09_A2.2:17-000024164- CUMALING RODRIGO EMPASIS NA 9301195560 Soccsksarg_1247_NO_124708_M _124708034_POBLACION02_Male 02/14/1956 NO NO NO NO NO NO NO NO NO YES NO NO NO NO NO NO NO NO YES YES 6/4/2021 ASTRAZENECA ABV7279 ABV7279 GENEFE LUMACTONURSE 01_Yes
_02_A2_S09_A2.2: All Other Senior BAYONETA LAURA TINGSON NA Soccsksarg_1247_NO_124708_M 01_Female 02/24/1950
_124708034_POBLACION NO NO NO NO NO NO NO NO NO NO YES NO NO NO NO NO NO NO YES YES 6/4/2021 ASTRAZENECA ABV7279 ABV7279 GENEFE LUMACTONURSE 01_Yes
_02_A2_S09_A2.2: All Other Senior FAELDONIA SAMUEL NA 0948-7652858 Soccsksarg_1247_NO_124708_M _124708034_POBLACION02_Male 04/07/1960 BUDGET OFFICER NO NO NO NO NO NO NO NO NO YES NO NO NO NO NO NO NO NO YES YES 6/4/2021 ASTRAZENECA ABV7279 ABV7279 ROMER NICOLAS NURSE 01_Yes
_01_A1_05_A1.5: Government O TANONGON NESTOR YSON 9077676848.00 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 11-15-1965 BPAT YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 ASRIA DAYATOMIDWIFE YES
_01_A1_05_A1.5: Government O PANES REGIE MENDOSA 9517910983.00 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 07/10/1979 BPAT YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 ZORAIDA TOLIAMIDWIFE YES
_01_A1_05_A1.5: Government O ACUPAN FORTUNATO ALREO 9098905290.00 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 8-21-1959 BPAT YES YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 ZORAIDA TOLIAMIDWIFE YES
_01_A1_05_A1.5: Government O PRADO ROGER ESPARES 9103788372 Soccsksa_1247_N _124708_M_124708031_NEW M 12-27-1971 BPAT YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 ZORAIDA TOLIAMIDWIFE YES
_01_A1_05_A1.5: Government O SAMILLANO EDDIE BANDIOLA N/A 90300235906.00 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 08/12/1974 BPAT YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 JAYSON ANGULMIDWIFE YES
_01_A1_05_A1.5: Government O RUSIANA ROMEO ETOL 9368864665 Soccsksa_1247_N _124708_M_124708019_LINAO 07/10/1963 BPAT YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 ZORAIDA TOLIAMIDWIFE YES
_03_A3_A23_A3_1417-025669225-ROLDAN THALIA SISON 9096976000 Soccsksa_1247_NO _124708_MATALAM_124708 FEMALE 6/4/1999 SINGLE YES YES YES YES 6/8/2021 ASTRAZENECAABV7279 ABV7279 ZORAIDA S. TOLMIDWIFE YES
_01_A1_H05_A1.5: Government Own VALDEZ RHYAN Soccsksa_1247_N _124708_M_124708025_MANUBUAN BARANGAY KAGAWAD 6/11/2021 Astrazeneca ABV7279 ABV7279 GENEFE Q. LUMACNURSE I 01_Yes
_01_A1_H05_A1.5: Government Own LORENZO ESTER FE CLARITO N/A 9300180271 Soccsksa_1247_N _124708_M_124708034_POBL 01_Femal11/16/1994 DSWD XII 6/11/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_01_A1_H05_A1.5: Government Own CLAVE ROSALIE MATURAN N/A 9301971128 Soccsksa_1247_N _124708_M_124708034_POBL 01_Femal8/27/1988 DSWD XII 6/11/2021 Astrazeneca ABV7279 ABV7279 ZORAIDA S. TOLIA, RM 01_Yes
_01_A1_H05_A1.5: Government Own SALES RANDEL PRADO 9104158485 Soccsksa_1247_N _124708_M_124708025_MANUBUAN 03/08/1981 BPAT YES YES 6/11/2021 ASTRAZENECA ABV7279 ABV7279 JAYSON ANGULO NURSE YES
_01_A1_H05_A1.5: Government Own TAMBOGON CEASAR VALDEZ 9101819602 Soccsksa_1247_N _124708_M_124708025_MANUBUAN 02/27/1987 BPAT YES YES 6/11/2021 ASTRAZENECA ABV7279 ABV7279 GENEFE LUMACTONURSE YES
_03_A3_A23_A3_14_Others TOLIA UNO ANGKAY _124708006_CENT 02_Male 8/14/1968 LIASON (SAGIP) 6/11/2021 Astrazeneca ABV7279 ABV7279 ZORAIDA S. TOLIA MIDWIFE III 01_Yes
_03_A3_A
COMORBIDITY CABRERA MAYLEN ALMARENES Soccsksa_1247_N _124708_ _124708034_POBLACION 6/11/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I
_03_A3_Adult_wi12940605-248 MACASLING MARLON NARCISO 9352139204 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 3/13/1976 02_Married 6/11/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I
_03_A3_Adult_wi### 1702525ALAGANO WENDELL DESCARGAR 9100430516 Soccsksa_1247_N _124708_M_124708015_KILAD 02_MALE5/9/1987 01_SINGLE 6/11/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I
_01_A1_05_A1.5: Government O GARCIA LOLITA JAVILLONAR Soccsksa_1247_N _124708_M_124708025_MANUBUAN BRGY. TREAS. 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II 01_Yes
_01_A1_06_A1.6: Stand-alone CREBUYAS REYNALDO VILLON 9294449254 _124708020_LOWER MALA 4/20/1994 MEDTECH STUDENT 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II 01_Yes
_01_A1_05_A1.5: Government O LACRO RONILO DELA SERNA 9306270937 Soccsksa_1247_N _124708_M_124708035_SALVAMALE 05/02/1964 BPAT 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II 01_Yes
_01_A1_05_A1.5: Government O LANCITA JOEMAR SERON N/A Soccsksa_1247_N _124708_M_124708018_LATA 02_Male 02/03/1982 BARABGAY KAGAWAD 6/15/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGU NURSE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniALIPOON LOURDES CARINO Soccsksa_1247_N _124708_M_124708015_KILAD 01_Femal08/18/1933 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniSEGUMBAN ROGELIO DEIL *09104607351 Soccsksa_1247_N _124708_M_124708039_TAGU MALE 04/22/1956 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniARAQUEL TERESITA PADERNAL *09481000628 Soccsksa_1247_N _124708_M_124708039_TAGU FEMALE 03/17/1947 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniROLDAN MINDA SERIRITAN Soccsksa_1247_N _124708_M_124708039_TAGU FEMALE 10/04/1954 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniROLDAN REYNALDO JOPANDA Soccsksa_1247_N _124708_M_124708039_TAGU MALE 07/29/1957 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniVALENZUELA MELINDA JACOBO Soccsksa_1247_N _124708_M_124708007_DALAP01_Femal3-16-1956 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniTUZON REYNALDO J Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 12/11/1959 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniBARRACA NORMA MAGARZO 9293663648 Soccsksa_1247_N _124708_M_124708007_DALAP01_Femal4-29-1935 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniBUYCO GLORIA ARZAGA 9276178668 Soccsksa_1247_N _124708_M_124708026_MANU01_Femal06/01/1957 6/15/2021 Astrazeneca ABV7279 ABV7279 ROMER P. NICOLASNURSE II
_02_A2_S 09_A2.2: All Other SeniBAYONETA NOEL SR 9268092665 Soccsksa_1247_N _124708_M_124708034_POBL 02_Male 10/06/1949 6/15/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II
_02_A2_S 09_A2.2: All Other SeniSERRA EDGAR ESTRELLAR Soccsksa_1247_N _124708_M_124708015_KILAD 02_Male 03/12/1957 6/15/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II
_02_A2_S 09_A2.2: All Other SeniANGELES ARMANDO NA Soccsksa_1247_N _124708_M_124708012_KIBIA M 05/04/1951 6/15/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II
_02_A2_S 09_A2.2: All Other SeniSALVADOR SOFIA TORIJOS 9656924203 Soccsksa_1247_N _124708_M_124708025_MANU01_Femal10/29/1939 6/15/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II
_01_A1_05_A1.5: Government O FULLANTE JOEL JAMER 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBU M 07-14-1974 BPAT 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_01_A1_06_A1.6: Stand-alone CLADERA ANALYN RUIZ _124708015_KILADA MEDTECH STUDENT 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_01_A1_06_A1.6: Stand-alone CBERNARDINO GILLIAN MAE Soccsksa_1247_N _124708_M_124708034_POBLACION 11/11/1999 MEDTECH STUDENT 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_Senior_Citizens TAN VIOLETA CANJA Soccsksa_1247_N _124708_M_124708007_DALAPITAN 12-19-1944 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniPIA JOSE PASCIALES JR. 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBUDOC 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_Senior_Citizens TABERNA ROBERTO TALIGA 9611148453 Soccsksa_1247_N _124708_M_124708034_POBLACION 12/15/1957 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_Senior_Citizens BERNARDINO ROLANDO MARIANO 9213547656 Soccsksa_1247_N _124708_M_124708038_TACULEN 9/5/1960 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniABITONA CONSTANCIO BENITEZ Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 6-24-1957 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniNADUA SONIA CASTRO SOCCSK_1247_N _124708_M_124708015_KILADA 07/21/1950 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniDELOS SANTOS RUTH G Soccsksa_1247_N _124708_M_124708007_DALAP01_Femal10-25-1959 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniFELIPE CONRADO FAELDONIA 946018001 Soccsksa_1247_N _124708_M_124708034_POBL M 2/18/1952 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_Senior_Citizens MARQUEZ FELIPE B Soccsksa_1247_N _124708_M_124708007_DALAPITAN 4/2/1956 6/16/2021 Astrazeneca ABV2779 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_03_A3_Adult_with_Comorbidit RIZABA PRIMROSE SALMORIN 9461502196 Soccsksa_1247_N _124708_M_124708007_DALAP01_Femal9/21/1976 02_Married TEACHER 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
03_A3: Adult with Comorbidity PASTER LANI DEMAISIP 9389609176 Soccsksa_1247_N _124708_M_124708034_POBLACION 9/19/1968 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
03_A3: Adult with Comorbidity LERIO MIGUEL DEMAISIP 9512668868 Soccsksa_1247_N _124708_M_124708034_POBLACION 6/28/1964 6/16/2021 Astrazeneca ABV7279 ABV7279 LERRY ESTELLOSO, MIDWIFE II 01_Yes
03_A3: Adult with Comorbidity DIMAISIP LIZA BALASE 9338548849 Soccsksa_1247_N _124708_M_124708034_POBLACION 8/8/1974 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
03_A3: Adult with Comorbidity BERNARDINO SHALIMAR LAZARO Soccsksa_1247_N _124708_M_124708015_KILADA 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_03_A3_Adult_with_Comorbidit BERNARDINO CHRISTOPHER LAZARO 9385614244 SOCCSK_1247_N _124708_M_124708015_KILAD 02-MALE7/30/93 02-MARRIED 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_03_A3_Adult_with_Comorbidit TURQUEZA JONATHAN CASEL 9532103767 Soccsksarg_1247_NO_124708_M_124708027_MARBEL02_Male 9/21/1961 02_No 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_03_A3_A 06_A1.6: Stand-alone CLIBATIQUE KATRINA BARBARA Soccsksa_1247_N _124708_M_124708034_POBLACION MEDICAL STUDENT 6/16/2021 Astrazeneca ABV7279 ABV7279 BESSIE D. PATRICI MIDWIFE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniDE VERA DEMY RINON N/A 9203318471 SOCCSK_1247_N _124708_M_124708015_KILAD FEMALE 01/23/1955 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniBARRACA RAMONETH BARRACA 9093268985 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 02/19/1943 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_03_A3_Adult_with_Comorbidit HABAN NONA FAYE ENRIQUEZ SOCCSK_1247_N _124708_M_124708015_KILADA 8/25/1967 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_03_A3_Adult_with_Comorbidit HABAN NOVIEJHUN DE VERA SOCCSK_1247_N _124708_M_124708015_KILADA 11/17/1969 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
03_A3: Adult with Comorbidity DORADO EMELYN Soccsksa_1247_N _124708_MTAGURANAO 12/12/1980 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
03_A3: Adult with Comorbidity SISON REYNA DORADO Soccsksa_1247_N _124708_MTAGURANAO 5/8/1986 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_03_A3_Adult_with_Comorbidit DESCARGAR COLLIN ROSE JARABATA SOCCSK_1247_N _124708_M_124708015_KILADA 6/21/2001 6/17/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniBARRACA MODESTO D. 9090775931 Soccsksa_1247_N _124708_M_124708007_DALAP02_Male 6-15-1948 6/18/2021 Astrazeneca ABV7279 ABV7279 ZORAIDA S. TOLIA MIDWIFE III 01_Yes
_02_A2_S 09_A2.2: All Other SeniBARRACA ADELA MANAGO 9090775931 Soccsksa_1247_N _124708_M_124708007_DALAP01_Femal12-16-1948 6/18/2021 Astrazeneca ABV7279 ABV7279 BESSIE PATRICIO, MIDWIFE III 01_Yes
_02_A2_S 09_A2.2: All Other SeniGIERZA SAMUEL TROCIO NA 09464253094 Soccsksa_1247_N _124708_M_124708034_POBL 02_Male 05/07/1958 6/18/2021 Astrazeneca ABV7279 ABV7279 GENEFE LUMACTOD NURSE II 01_Yes
03_A3: Adult with Comorbidity QUINTO EMMANUEL NICER Soccsksa_1247_N _124708_M_124708017_LAMPAYAN 6/18/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLO, MIDWIFE III 01_Yes
_03_A3_Adult_with_Comorbidit ESTELLOSO VINCENT JACK 9567238457 Soccsksa_1247_N _124708_MPOBLACION M 1/31/1997 6/18/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLO, MIDWIFE III 01_Yes
_03_A3_Adult_with_Comorbidit GARCIA BERNIE VAN TORRES 9468606668 Soccsksa_1247_N _124708_MMARBEL M 11/23/1972 6/18/2021 Astrazeneca ABV7279 ABV7279 GENEFE LUMACTOD NURSE II 01_Yes
_03_A3_Adult_wi12-4708-018-2GLORIBA RUBENCIO ALAGAO 9505714359 Soccsksa_1247_N _124708_M_124708026_MANU02_Male 7/3/1979 02_Married 19_Others_ 6/18/2021 Astrazeneca ABV7279 ABV7279 GENEFE LUMACTOD NURSE II 01_Yes
03_A3: Adult with Comorbidity SOLIVAR LARRA CARRIE DEMAISIP 9464046513 Soccsksa_1247_N _124708_M_124708034_POBLACION 12/6/1995 6/18/2021 Astrazeneca ABV7279 ABV7279 GENEFE LUMACTOD NURSE II 01_Yes
_03_A3_Adult_wi4708-0106A-ACAGAS CEDIE JHAY BLASÉ 9515039920 Soccsksa_1247_N _124708_M_124708026_MANU02_Male 1/12/1999 Live in 6/18/2021 Astrazeneca ABV7279 ABV7279 GENEFE LUMACTOD NURSE II 01_Yes
_03_A3_Adult_with_Comorbidit FELIPE JUDIL NA 9274419019 Soccsksa_1247_N _124708_M_124708034_POBL M 2/18/1981 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/18/2021 Astrazeneca ABV7279 ABV7279 GENEFE LUMACTOD NURSE II 01_Yes
_03_A3_Adult_with_Comorbidit BALDEVIA AILEEN BARRIENTOS SOCCSK_1247_N _124708_M_124708015_KILADA 5/17/1973 6/18/2021 Astrazeneca ABV7279 ABV7279 FLORENCE D. MADNURSE II 01_Yes
05_A1.5: Government
_01_A1_Health_Care_Workers
Owned Community
17-250299967-8
Based NAPrimary CareSANDIG
Facilities NELLY TOBIAS NA 9481281009 Soccsksargen
_1247_NORTH_COTABATO
_124708_MATALAM
_124708026_MANUPAL01_Female 10/01/1976 02_Married BARANGAY KAGAWAD 02_No
02_Not_Pregnant YES 02_No 02_No 02_No 02_No 02_No YES 02_No 02_No 02_No YES YES 02_No 02_No VERTIGO 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_01_A1_05_A1.5: Gover17-2007DIMANAY EDDIE ESTELLOSO n/a 9097403691 Soccsksa_1247_N _124708_M_124708026_MANU02_Male 12/14/1950 BARANGAY KAGAWAD 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLOS MIDWIFE II 01_Yes
_01_A1_05_A1.5: Government O ENATE JARED PATRONA N/A 9077675403 Soccsksa_1247_N _124708_M_124708026_MANU02_Male 10/06/1975 BARANGAY KAGAWAD 02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_YES 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 ARCELYN D. QUINTMIDWIFE II 01_Yes
_01_A1_05_A1.5: Government O Develos Jose Daquilos JR 9105035858 Soccsksa_1247_N _124708_M_124708037_SARA 02_Male 07/11/1965 SINGLE BARANGAY KAGAWAD 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 ARCELYN D. QUINTMIDWIFE II 01_Yes
_01_A1_05_A1.5: Gover17-2003BINGIL LEORINO PRACUELES N/A 09305175736 Soccsksa_1247_N _124708_M_124708014_KIDAM02_mARR7/29/1966 02_Married BPAT 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_01_A1_05_A1.5:12940611-015 PRADO CELSO TAMAÑO N/A 09464023394 Soccsksa_1247_N _124708_M_124708014_KIDAM02_Marri 12/15/1956 02_Mar BPAT 02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_01_A1_05_A1.5:936-157-342-0MAYUGA PHILLIP CAUNGA N/A 09105686414 Soccsksa_1247_N _124708_M_124708014_KIDAM01_Single12/27/1979 BPAT 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 ARCELYN D. QUINTMIDWIFE II 01_Yes
_01_A1_05_A1.5:776-828-103-0Medrano Ma. Teresa Manuel n/a Soccsksa_1247_N _124708_M_124708037_SARA 01_Femal11/10/1964 01_Single BARANGAY KAGAWAD 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLOS MIDWIFE II 01_Yes
_01_A1_05_A1.5: Government O Gemoto Reynaldo EstañoL 9505859694 Soccsksa_1247_N _124708_M_124708037_SARA 02_Male 08/04/1973 MARRIED BARANGAY KAGAWAD 02_Not_02_No YES 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 ARCELYN D. QUINTMIDWIFE II 01_Yes
_01_A1_05_A1.5: Government O Larida Reymon Malones n/a 9382360913 Soccsksa_1247_N _124708_M_124708037_SARA 02_Male 05/04/1987 BARANGAY KAGAWAD 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_01_A1_05_A1.5: Government O ESCUDERO JAMES ANDRES NA 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBU MALE 10/15/1996 SINGLE SK CHAIRMAN 02_Not_Pregnant02_No YES NONE NONE NONE NONE NONE YES NO NO NO NO NO NO NO OBESITY NONE NONE NONE NONE 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_01_A1_05_A1.5: Government O Agarcio Nover Cadiao SR 9632325803 Soccsksa_1247_N _124708_M_124708037_SARA 02_Male 5/30/1959 02_Married BARANGAY KAGAWAD 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE II 01_Yes
_02_A2_S 09_A2.2: All Other SeniBILOG MYRNA CETEKESTA 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBU FEMALE 05/13/1955 WIDOW NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 ARCELYN D. QUINTMIDWIFE III 01_Yes
_02_A2_S 09_A2.2:12940610-013 ANCHETA RODRIGO ABIAN n/a 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBU 01_Male 04/14/1955 senior 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_02_A2_S 09_A2.2:17-200400125-DELA CRUZ LUZ PRESTO 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBU FEMALE 09/26/1953 WIDOW KAGAWAD NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_02_A2_S 09_A2.2:### TASIS BENITA SALAS 9508052849 Soccsksa_1247_N _124708_M_124708007_DALAP01_Femal4-19-1938 WIDOW NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_02_A2_S 09_A2.2: All Other SeniHERRERA LUZVIMINDA LIMOS NA 9485217222 Soccsksa_1247_N _124708_M_124708034_POBL 01_Femal01/18/1959 MARRIED NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E ESTELLOS MIDWIFE III 01_Yes
_02_A2_S 09_A2.2: All Ot17-0252DELA CRUZ SHIRLEY PAULO 9679608598 Soccsksa_1247_N _124708_M_124708013_KIBUDOC 03/13/1959 02_Mar 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_02_A2_Senior_Citizens
09_A2.2: All Other
17-025467610-4
Senior Citizens
NA DELA CRUZ ELENA ALEJANDRO NA 9307776697 Soccsksargen
_1247_NORTH_COTABATO
_124708_MATALAM
_124708013_KIBUDOC F 05/23/1954 NO02_Not_Pregnant NO 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
02_Senior NA
SENIOR17-050059246-2
CITIZEN DEL ROSARIO ALEJANDRINA MONDALA NA 09212882175 Soccsksargen
_1247_NORTH_COTABATO
_124708_MATALAM_124708034_POBLAC F 2/26/1947 MARRIED SC 02_Not_PregnantNA
NO NA NA NA NA NONE 02_No 02_No YES 02_No 02_No YES 02_No 01_Yes 01_Yes POST CVA 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_03_A3_Adult_with_Comorbidit BALLENAS JOVEN ARZAGA N/A 9202002328 Soccsksa_1247_N _124708_M_124708026_MANU02_mALE 9/16/1980 01_Sigle 19_Others_ 02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_03_A3_Adult_with_Comorbidit VERSOLA JOSHUA JAMES NOGODULA 9175914282 Soccsksa_1247_N _124708_M_124708034_POBLACION 2/11/1999 SINGLE MARINE SCIENCE NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLOS MIDWIFE II 01_Yes
_03_A3_Adult_wi4708-010AG2 DALISAY DELMAR CASTILLON 9501740005 Soccsksa_1247_N _124708_M_124708026_MANU02_Male 7/22/1974 MARRIED 19_Others_ NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 01_Yes 01_Yes 02_No 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLOS MIDWIFE II 01_Yes
_03_A3_Adult_wi4708-017-0250BULDA ROWEL ASUNCION N/A 9658877986 SOCCSK_1247_N _124708_M_124708015_KILAD 02-MALE10/22/64 02-MARRIED 02_No 02_No 02_No 02_No 02_No 02_No NO 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_03_A3_A
COMORBIDITY 17-000063254-SONGCAYA JAYNARD VALENCIA NA 9953875460 Soccsksargen
_1247_NORTH_COTABATO
_124708_MATALAM KIDAMA MALE 5/13/1986 SINGLE NO
NOT PREGNANT NO NO NO NO NO NO NO YES YES NO YES NO NO NO NO ESRD 2ND TO NO NO NO NO 6/22/2021 Astrazeneca ABV7279 ABV7279 JAYSON M. ANGULNURSE I 01_Yes
_03_A3_Adult_wi17-025227239-MAGBANUA GENESIS MAHINAY 9097625628 Soccsksa_1247_N _124708_MMANUBUAN 02_Male 09/24/1978 SINGLE TEACHER NONE 02_Not_02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No YES 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLOS MIDWIFE II 01_Yes
_03_A3_A governm12476-17-0255DAGUMANPAN GLADYS CATARONG n/a 9101226071 Soccsksa_1247_N _124708_M_124708026_MANU01_Femal2/1/1996 01_Single 19_Others_ 02_No 01_yes 02_No 02_No 02_No 02_No 02_No 02_None 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 6/22/2021 Astrazeneca ABV7279 ABV7279 LERRY E. ESTELLOS MIDWIFE II 01_Yes
_01_A1_03_A1.3: Quarantine Isol UMPONG NORSIDA LACMAN N/A 9.5E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708001_Female 09/25/1965 BHW 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_01_A1_05_A1.5: Government O MAGTULIS ANA PAGUNSAN ### Soccsksarg_1247_NOR _124708_MATALAM _124708 F 08/26/1969 BARANGAY KAGAWAD 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_01_A1_05_A1.5: Government O BICO JEFREY FRANCISCO N/A Soccsksarg_1247_NOR _124708_MATALAM _124708 8/4/1981 04/08/1981 BPAT BPAT 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_01_A1_07_A1.7: Closed SettingGarde Roxanne Jill Castor 9093656159 09093656Soccsksa_1247_NO _124708_MATALAM_124708034_POBLACIO1/22/1990 PNP 7/23/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE III
_01_A1_H 05_A1.5: Government OwnEMBAC JESSIE BOY SUMIN 963597351196359735 Soccsksarg_1247_NOR _124708_MATALAM _124708037_SARAYAN 1/10/1990 BPAT 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
_01_A1_H 05_A1.5: Government OwnBATO ALVIN MANIB 9.09E+08 Soccsksarg_1247_NOR _124708_MATALAM _1247080 4/15/1979 4/15/1979 BPAT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_05_A1.5: Government O PENDON ANGELITO VILLAFLOR 9073257448 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 02_Male 09/20/1977 BPAT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_05_A1.5: Government O Laminero Jeric Mark Prospero 9303504701 Soccsksarg_1247_NOR _124708_MATALAM _124708 02_Male 5/28/1991 BARANGAY SECRETARY 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
_01_A1_05_A1.5: Government O DESALES JAVAN ENATE 9096989684 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 2/21/1971 03/21/1971 BPAT 7/23/2021 Astrazeneca 210052 210052 ARCELYN D QUINTMIDWIFE III
_01_A1_05_A1.5: Government O SAGUIPA JUN-JUN GABAO 1E+10 Soccsksarg_1247_NOR _124708_MATALAM _1247080MALE 06/12/1970 BARANGAY KAGAWAD 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_05_A1.5: Government O BALACANAN PUTI MAMANGKAS 9756503073 9.8E+09 Soccsksarg_1247_NOR _124708_MATALAM _12470801/5/1985 11/01/2877 BARANGAY KAGAWAD 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_05_A1.5: Government O BABIERA RAMIL ALVAREZ 9464107679 9.5E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 4/23/1985 04/23/1985 BPAT 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_01_A1_05_A1.5: Government O ANDIANO MARCELO CANTOR 9109182074 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 MALE 10/30/1987 BPAT 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL NURSE II
_01_A1_05_A1.5: Government O NICOR JULIET 9096920013 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM SARAYAF 06/20/1970 DAYCARE WORKER 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_05_A1.5: Government O OSTIQUE JUAN JOEMARY SUMAGAYSAY N/A 9675545708 Soccsksarg_1247_NOR _124708_MATALAM _124708 2/19/1971 2/19/1971 KAGAWAD BARANGAY KAGAWAD 7/23/2021 Astrazeneca 210052 210052 ARCELYN D QUINTMIDWIFE III
_01_A1_H 05_A1.5: Government OwnCAGBAY ARMAN CANAYA 9284575995 9.29E+08 Soccsksarg_1247_NOR _124708_MATALAM _1247080 9/30/1975 9/20/1975 BPAT 7/23/2021 Astrazeneca 210052 210052 ARCELYN D QUINTMIDWIFE III
_01_A1_H 05_A1.5: Government OwnRUFINO JERSON MAGAN 9485218444 9.49E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708037_SARAYAN 4/25/1992 BPAT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_H 05_A1.5: Government OwnCASIMIRO JOEL 9.09E+08 Soccsksarg_1247_NOR _124708_MATALAM _124708037_SARAYAN 6/20/1965 BPAT 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
_01_A1_06_A1.6: Stand-alone CCANTERO ELIZER SARASA Soccsksarg_1247_NOR _124708_MATALAM _124708001_NEW ALIM 9/14/1974 MEDTECH STUDENT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, MIDWIFE III
_01_A1_H A1.9 DILANGALEN RINIEDO ANSA 9758108317 9.76E+09 Soccsksarg_1247_NOR _124708_MATALAM KIBIA 6/3/1975 6/3/1975 RELATIVE 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_01_A1_H
05_A1.5: Government Own
PILAPIL WILFREDO 9.13E+09 Soccsksarg_1247_NOR _124708_MATALAM SARAYAN BPAT 7/23/2021 Astrazeneca 210052 210052 ARCELYN D QUINTMIDWIFE III
_01_A1_05_A1.5: Government OALEGRADO JEROME CALUGAS SR. 9129303131 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 MALE 02/17/1991 BPAT 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
_01_A1_05_A1.5: Government OCABALONG REY CABACANG 9.3E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 MALE 09/06/1987 BPAT 7/23/2021 Astrazeneca 210052 210052 ARCELYN D QUINTMIDWIFE III
_01_A1_05_A1.5: Government OCABILITASAN JOSE CALAMBRO JR Soccsksarg_1247_NOR _124708_MATALAM M 10/16/1969 10/16/1969 BPAT 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
_01_A1_05_A1.5: Government OANTONINO ARANTE DE GUZMAN N/A 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 02_Male 06/10/1978 BARANGAY KAGAWAD 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_01_A1_05_A1.5: Government ORAMOS JONATHAN VALDEZ 9.5E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 M 12/12/1975 BARANGAY KAGAWAD 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROLDAN
_01_A1_05_A1.5: Government OBelgera Jimelane Mae Coñado Soccsksarg_1247_NOR _124708_MATALAM _124708 01_Female 2/27/1990 18_Administrative_Staff 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_01_A1_06_A1.6: Stand-alone CCORDERO GLYDEL JOY THOBIAS 9382731796 Soccsksarg_1247_NOR _124708_MATALAM _124708 9/21/2000 MEDTECH STUDENT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, RM
_01_A1_06_A1.6: Stand-alone CNICOR NICA JOY M. 9485284587 Soccsksarg_1247_NOR _124708_MATALAM _124708 7/25/2000 MEDTECH STUDENT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, RM
_01_A1_05_A1.5: Government O MENDOZA JAIME N/A 9058122316 Soccsksarg_1247_NOR _124708_MATALAM _124708 11/26/1962 BPAT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, RM
_01_A1_05_A1.5: Government O DESALES PETER ENATE 9.1E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 5/5/1965 05/05/1965 BPAT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, RM
_01_A1_05_A1.5: Government O GLORIBA DAVID BERDIN 9382462334 9.4E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 5/4/1975 05/04/1975 BPAT 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S TOLIA, RM
_01_A1_H
06_A1.6: Stand-alone ClinBERNARDINO JAYSON Soccsksarg_1247_NOR _124708_MATALAM _124708038_TACULEN 12/3/1997 STUDENTS 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_01_A1_05_A1.5: Government O GLORIBA MARY ANN BEDANO 9387631341 9.4E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708 12/23/1989 12/23/1989 TREASURER 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
09_A2.2: All Other SeniJ AWOD
_02_A2_S JOVITA REGALADO 9518075298 Soccsksarg_1247_NO_124708_M_124708026_MANU01_Femal07/28/1939 7/23/2021 Astrazeneca 210052 210052 ARCELYN D. QUINTMIDWIFE III
09_A2.2: All Other SeniMULOD
_02_A2_S MONTERA M Soccsksarg_1247_NO_124708_M_124708009_ILIAN MALE 02/22/1955 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_02_A2_S
09_A2.2:2E+11 JAWOD DOMINADOR OSTAN 9518075298 Soccsksarg_1247_NO_124708_M_124708026_MANU02_Male 10/17/1937 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
09_A2.2: All Other SeniTOBIAS
_02_A2_S MYRNA ARZAGA 9382574745 Soccsksarg_1247_NO_124708_M_124708026_MANU01_Femal01/21/1956 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniYABUT
_02_A2_S GLORIA EDIZA 90389601216 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal02/29/1956 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
09_A2.2: All Other SeniPLAYDA
_02_A2_S CIRILA SAQUIBAL 9063373575 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal01/02/1951 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_02_A2_Senior_Citizens DELA CRUZ EDITHA 9282826594 Soccsksarg_1247_NO_124708_M_124708034_POBLACION 4/19/1948 RETIRED 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniCOLESIO
_02_A2_S MELITA CORPUZ 9192424166 Soccsksarg_1247_NO_124708_M_124708038_TACU MALE 12/01/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniBERMUDEZ
_02_A2_S JOSEFINA TORRES Soccsksarg_1247_NO_124708_M_124708038_TACU 01_Femal01/19/1960 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
09_A2.2: All Other SeniOSTIQUE
_02_A2_S LOURDES SUMAGAYSAY Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal11/08/1947 7/23/2021 Astrazeneca 210052 210052 ARCELYN D. QUINTMIDWIFE III
09_A2.2: All Other SeniCABAÑAS
_02_A2_S DELIA CABAYA 909630020 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal08/24/1952 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
09_A2.2: All Other SeniALIMEOS
_02_A2_S ALFREDO CARMAN Soccsksarg_1247_NO_124708_M_124708040_TAMPEMALE 03/12/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_02_A2_Senior_Citizens MIBALO VERONICA 9463121349 Soccsksarg_1247_NO_124708_M _124708034_POBLACION
F 3/27/1961 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
09_A2.2: All Other SeniSICABALO
_02_A2_S ERLINDA ALBUNA 9651156862 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal08/09/1958 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniDALISAY
_02_A2_S LETECIA ALOQUIN Soccsksarg_1247_NO_124708_M_124708040_TAMPEFEMALE 11/27/1955 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniDALISAY
_02_A2_S ROMEO COMLA 9631243458 Soccsksarg_1247_NO_124708_M_124708040_TAMPEMALE 10/22/1954 7/23/2021 Astrazeneca 210052 210052 ARCELYN D. QUINTMIDWIFE III
09_A2.2: All Other SeniATONDUCAN
_02_A2_S JULIETA BADARAN Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal07/30/1954 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniMEDIAVILLA
_02_A2_S PILAR PUNO 9090597233 Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal02/11/1959 7/23/2021 Astrazeneca 210052 210052 ARCELYN D. QUINTMIDWIFE III
_02_A2_Senior_Citizens EGOS CONSUELO DEVELOS 9510482540 Soccsksarg_1247_NO_124708_M_124708037_SARAYAF 9/28/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
09_A2.2: All Other SeniMACAYA
_02_A2_S LOURDES VISUYAN Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal05/31/1944 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
09_A2.2: All Other SeniPAGAYON
_02_A2_S MYRNA AGUILAR Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal12/12/1957 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
09_A2.2: All Other SeniEGOS
_02_A2_S ARSENIO REMANDO JR 9510482540 Soccsksarg_1247_NO_124708_M_124708037_SARA 02_Male 08/30/1958 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_Senior_Citizens MEDIAVILLA CHITO ALLASCO 9090597233 SARAYAN M 12/9/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniDEVELOS LUZ DAQUILO 9105035858 Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal05/09/1940 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROLDAN, RM
_02_A2_S09_A2.2: All Other SeniESTIVA SILVESTRE CASCO Soccsksarg_1247_NO_124708_M_124708018_LATA 02_Male 02/10/1956 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniDINSAY IMELDA LOLO Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal05/13/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniLANCITA LUZ SERON 956687972 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal07/09/1954 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_02_A2_S09_A2.2: All Other SeniATONDUCAN MAXIMA BADARAN Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal10/16/1950 7/23/2021 Astrazeneca 210052 210052 ARCELYN D. QUINTO, RM
_02_A2_S09_A2.2: All Other SeniUNTAL NESTOR ZAMORA Soccsksarg_1247_NO_124708_M_124708037_SARA 02_Male 07/24/1953 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_02_A2_S09_A2.2: All Other SeniESTIVA WENNY OSTA Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal10/28/1956 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniPAJARILLO ADELINA REYNO NA 09387343770 Soccsksarg_1247_NO_124708_M_124708034_POBL 01_Femal03/16/1946 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROLDAN, RM
_02_A2_S09_A2.2: All Other SeniESTIVA NARCISO CASCO SR Soccsksarg_1247_NO_124708_M_124708018_LATA 02_Male 01/02/1948 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_02_A2_Senior_Citizens TABERNA RELPHA TABALANZA 9277746403 Soccsksarg_1247_NO_124708_M_124708034_POBLACION 6/21/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniESTIVA TESSIE DAANOY Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal03/22/1959 7/23/2021 Astrazeneca 210052 210052 ARCELYN D. QUINTO, RM
_02_A2_S09_A2.2: All Other SeniGALVEZ JULIETA PUNO Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal05/27/1957 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROLDAN, RM
_02_A2_S09_A2.2: All Other SeniDEVELOS ALFREDO GAQUILOS Soccsksarg_1247_NO_124708_M_124708037_SARA 02_Male 03/06/1956 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniDEVELOS EMMA CATEQUESTA Soccsksarg_1247_NO_124708_M_124708037_SARA 01_Femal03/07/1958 7/23/2021 Astrazeneca 210052 210052 LERRY ESTELOSO, RM
_02_A2_S09_A2.2: All Other SeniGALVEZ ERNESTO MALUMPITAN Soccsksarg_1247_NO_124708_M_124708037_SARA 02_Male 01/21/1948 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniESCOMES JULIETA SAQUIBAL 9068373575 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal06/03/1959 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_S09_A2.2: All Other SeniFORNOLLES JOSEFINA SOLINA 9657308184 Soccsksarg_1247_NO_124708_M_124708018_LATA 01_Femal06/26/1946 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_02_A2_S09_A2.2: All Other SeniFELASOL ARTURO MORADA 9073714422 Soccsksarg_1247_NO_124708_M_124708026_MANU02_Male 10/04/1960 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_02_A2_S09_A2.2: All Other SeniBALLENAS VIOLETA BARCEBAL 9127866265 Soccsksarg_1247_NO_124708_M_124708026_MANU01_Femal01/26/1952 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_03_A3_Adult_with_Comorbidity FLORES EMMA UMALI 9109118472 Soccsksarg_1247_NO_124708_M POBLACION F 9/25/1963 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidit FLORES CARLO UMALI 9958841707 Soccsksarg_1247_NO_124708_M_124708034_POBL M 8/15/1995 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidity LOREDO KAREN WRENCYLL QUEENANCHETA 9630570781 Soccsksarg_1247_NO_124708_M_124708038_TACULEF 1/21/1995 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidit RAYA TITA PACATE None 09078560766 Soccsksarg_1247_NO_124708_M_124704029_PACO 01_Femal 1/5/1967 TEACHER 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidity SURALTA ZENAIDA MAXIMO 9121701175 Soccsksarg_1247_NO_124708_M_124708038_TACULEF 11/7/1973 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_03_A3_Adult_with_Comorbidity BALLO MIRASOL GAWAT 9502209011 Soccsksarg_1247_NO_124708_M_124708007_DALAPITAN 1/25/1981 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
03_A3: Adult with Comorbidity BORRA HARGIE SOPERIODAD 9300865508 Soccsksarg_1247_NO_124708_M_124708034_POBL M 5/10/1982 7/23/2021 Astrazeneca 210052 210052 LERRY E. ESTELLOS MIDWIFE III
_03_A3_Adult_with_Comorbidity ALCUEBA RHEA A 9099769194 Soccsksarg_1247_NO_124708_M POBLACION 10/17/1980 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidity VALDEVIESO MARY GRACE 9484483308 POBLACION F 10/23/1985 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidity Ardiente Jolly Ann Madriaga 9124788964
Soccsksargen_1247_NO_124704_CI _124704015_LANAO 01_Femal 7/7/1986 PHILIPPINE NATIONAL POLICE 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidity Peña Sean Torda 09307336755 Soccsksargen_1247_NO_124710_M_124710031_POBLACMale 12/9/1981 PHILIPPINE NATIONAL POLICE 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_03_A3_Adult_with_Comorbidit NAHILAT ARLENE BORRA 9302085149 Soccsksarg_1247_NO_124708_M_124708034_POBLACION 8/3/1983 7/23/2021 Astrazeneca 210052 210052 ARCELYN QUINTO,MIDWIFE III
_03_A3_Adult_with_Comorbidity TANDOG LEORENCE 9466115568 Soccsksarg_1247_NO_124708_M_124708035_SALVACF 7/21/1966 7/23/2021 Astrazeneca 210052 210052 LERRY E. ESTELLOS MIDWIFE III
03_A3: Adult with Comorbidity CARUMBA JONELLE REY VINLUAN 9304941637 Soccsksarg_1247_NO_124708_M_124708027_MARBEL 5/22/1998 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_03_A3_Adult_with_Comorbidity TANDOG JZETH HENRIK C. 9505286569 Soccsksarg_1247_NO_124708_M_124708035_SALVACM 10/30/1998 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA MIDWIFE III
_03_A3_Adult_with_Comorbidity ESPINOSA ANNELYN BORCILLO 9950310517 Soccsksarg_1247_NO_124708_MLINAO F 2/27/1967 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_03_A3_Adult_with_Comorbidit GARCIA JAMES MICAHEL PECONADA 9389636703 Soccsksarg_1247_NO_124708_M _124708034_POBLACION
M 12/8/1981 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_03_A3_Adult_with_Comorbidit PELIGROS CYNTHIA PERALTA 9128466898 Soccsksarg_1247_NO_124708_M_124708034_POBLACION 10/5/1966 7/23/2021 Astrazeneca 210052 210052 MARY GRACE S ROMIDWIFE III
_03_A3_Adult_with_Comorbidit TORILLA LERA MAY NEGRILLO None 09485207398 Soccsksarg_1247_NO_124708_M_124704032_POBL 01_Femal 5/26/1992 TEACHER 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE NURSE II
_03_A3_Adult_with_Comorbidity VERGARA ULYSSES AVELINO JR 09128527403 Soccsksarg_1247_NO_124708_M POBLACION M 10/27/1982 7/23/2021 Astrazeneca 210052 210052 ARCELYN QUINTO,MIDWIFE III
_03_A3_Adult_with_Comorbidit DINSAY JOSE NELSON LANCITA 9364438351 Soccsksarg_1247_NO_124708_M_124708018_LATA 02_Male 5/25/1967 7/23/2021 Astrazeneca 210052 210052 MARY JEAN S ROL MIDWIFE III
_03_A3_Adult_with_Comorbidity PLEÑA VIVIEN BENDOY 9156608258 POBLACION F 9/29/1969 7/23/2021 Astrazeneca 210052 210052 LERRY E. ESTELLOS MIDWIFE III
_03_A3_Adult_with_Comorbidit VALDEVIESO ARIEL TUPAS Soccsksarg_1247_NO_124708_M_124708034_POBLACION
02_Male 1/12/1981 7/23/2021 Astrazeneca 210052 210052 ARCELYN QUINTO, RM
_03_A3_Adult_with_Comorbidit MORBO ERMA C. Soccsksarg_1247_NO_124708_M_124708017_LAMPAYAN 3/14/1968 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_03_A3_Adult_with_Comorbidit SABANAL KATHERINE Soccsksarg_1247_NO_124708_M_124708034_POBLACION 11/9/1984 7/23/2021 Astrazeneca 210052 210052 JO ANN THERESE V. CARUMBA-MORENO, RN
_03_A3_Adult_with_Comorbidity SEBASTIAN OLIVETH MANMANO 9485948140 Soccsksarg_1247_NO_124708_M_124708007_DALAPI F 3/8/1984 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_03_A3_Adult_with_Comorbidity FLORES HERNANDO C SR 09109118472 Soccsksarg_1247_NO_124708_M POBLACION M 12/22/1963 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_03_A3_Adult_with_Comorbidity TORRES VALERIE 9209492164 POBLACION 2/20/1978 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_03_A3_Adult_with_Comorbidit POPON JAYPEE ROMMEL SENIEL NA Soccsksarg_1247_NO_124708_M_124708034_POBL M 10/10/1983 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_03_A3_Adult_with_Comorbidit PELIGROS RONNIE FAIGANE 9380670595 Soccsksarg_1247_NO_124708_M_124708034_POBL M 6/19/1965 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_02_A2_Senior_Citizens BORNASAL IRENIO N Soccsksarg_1247_NO_124708_M_124708034_POBL M 12/4/1958 7/23/2021 Astrazeneca 210052 210052 ZORAIDA S. TOLIA, RM
_01_A1_05_A1.5: Government O MAGSIPOC JOEL ESPINOSA 9531196457 9.5E+09 Soccsksarg_1247_NOR _124708_MATALAM _124708012/6/1964 06/12/1964 SINGLE TANOD 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
06_A1.6: Stand-alone ClinVIAJANTE
_01_A1_H SHEILA MAE TADENA 9484560410 9.48E+09 Soccsksarg_1247_NOR _124708_MATALAM POBLACIOF 5/18/2021 SINGLE STUDENT 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_01_A1_H
A1.8 NA BANTOG DIEGO DAYOHA NA 9560515026 9.56E+09 Soccsksarg_1247_NOR _124708_MATALAM ESTADO M 11/13/1972 M OFW-SEAMAN 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_03_A3_Adult_wit17-150NA SOTTO ROVILLE ANN CUMALING NA 9469461460 Soccsksarg_1247_NO_124708_M POBLACION F 3/6/1985 M GOVT EMPLOYEE 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_03_A3_Adult_wi17-200NA YAGONG CECILIA CASTILLO NA 9458247281 Soccsksarg_1247_NO_124708_M_124708008_ESTA F 9/25/1964 M FARMINNG 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_03_A3_Adult_wi17-050066776-NOVISTEROS CHERYL GALVEZ 9638213620 Soccsksarg_1247_NO_124708_M _124708034_POBLACION
F 10/14/1977 MARRIED 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_03_A3_Adult_wit17-250NA MERCADO ROBERTA YAGONG NA 9658897619 Soccsksarg_1247_NO_124708_MESTADO F 7/27/1966 M NONE 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_03_A3_Adult_with_Com NA SARMIENTO JULIET SILVERIO NA Soccsksargen
_1247_NORTH_COTABATO
_124708_MATALAM POBLACION FEMALE 3/24/1965 M NONE 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOS MIDWIFE
_03_A3_Adult_wit12-050NA DALOGDOG ERNESTO LUBON NA 9658943923 Soccsksarg_1247_NO_124708_MESTADO M 6/21/1982 M NONE 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOSO, RM
_03_A3_Adult_wit2E+10 NA RAMOS VIDA CELA MARGARET TUZON NA 9105354251 Soccsksarg_1247_NO_124708_MDALAPITAN F 4/7/1975 M BDO-MARKETING 7/28/2021 Astrazeneca 210052 210052 LERRY E ESTELLOSO, RM
_03_A3_Adult_with_Comorbidit JUCAO ARNEL JOHN 9305296625 SALVACION M 03/01/1998 8/27/2021 ASTRAZENECA PV46700 MORENO, JO ANNNURSE
_03_A3_Adult_with_Comorbidit BASAL DIVINA LEGASPI 9665403700 NEW PANDAN F 07/30/1983 8/27/2021 ASTRAZENECA 210056 MORENO, JO ANNNURSE
_03_A3_Adult_with_Comorbidit MILAN MELANIE FAJERNA 9507261778 NEW PANDAN F 01/17/1983 8/27/2021 ASTRAZENECA PV46700 MORENO, JO ANNNURSE
_01_A1_Health_Care_Workers VERSOLA DAPHNE JEAN G 9298598106 F 9/11/1996
_03_A3_Adult_with_Comorbidit JABAN NORIE DERERA 9164467013 M 11/17/1969
A4 LACRO RANJAY LABINDAO 9381345258 M 4/19/1994
A4 PANICTICAN JOBERT T 9631062530 M 7/31/1995
_02_A2_Senior_Citizens ALESNA REGINO LAPARAN M 5/6/1942
_01_A1_Health_Care_Workers AGUIRRE MARY JANE SEVILLENO 9099328775 F 3/12/1987
Su
b-
Pri Phi
PW
Priority ori lHe Suffi
D Last_Name* First_Name* Middle_Name*
Group* ty alth x
ID
Gr _ID
ou
_04_A4_Frontline_Person GRAFILO ABRAHAM B.
p*
_04_A4_Frontline_Person CEDENO ROMMEL S.
_04_A4_Frontline_PersonENERIO BON CARLO B.
_04_A4_Frontline_PersonLILAM JIE-AR ASPEJO
_04_A4_Frontline_PersonESTOLLOSO ERIC JOHN R.
17-050293981-8
_04_A4_Frontli Solana Marjorie Naldoza
03-000284412-1
_04_A4_Frontli Cadiz Kimberly Rose Ballares
17-025466506-4
_04_A4_Frontli Himalaya Bernadette Santiago
_04_A4_Frontline_PersonMALAYA JENNYLINE BACLAGAN
_04_A4_Frontline_PersonGUINTAOS JOEGENE VINCENT O
_04_A4_Frontline_PersonBUENAFE DEOREEN MAY FLORES
_04_A4_Frontline_PersonGUIAMLA ALLADIN SAMBRIA
_04_A4_Frontline_PersonMAXIMO JUNALYN LIBO
17-200941483-0
_04_A4_Frontli Andayan Rowel Casimina
03-051108545-0
_04_A4_Frontli Miniano Donessa Maria Jade Dolar
20-200047260-5
_04_A4_Frontli Amilbahar Rajah Bunso Gani
17-0000811508
_04_A4_Frontli Enate Krizza Mae Gauran
_04_A4_Frontline_PersonMANDO JERRY MAMALAMPAY
_04_A4_Frontline_PersonPENARANDA PAT FRANZ
_04_A4_Frontline_PersonDEVELOS ASHLEY C.
_04_A4_Frontline_PersonMANLANOT MICHAEL JOSE
_04_A4_Frontline_PersonCANDIDIER WALTER C. JR
_04_A4_Frontline_PersonOTAO KRISTEL MAE PANTONIAL
_04_A4_Frontline_PersonOSORIO RANDY BARIUS
_04_A4_Frontline_PersonEDEP ANGELITO L
_04_A4_Frontline_PersonCASIPE ROGELIO JR
16-000073280-7
_04_A4_Frontli Racsa Marvin Art Aquino
17-050090831-1
_04_A4_Frontli Dumaguing Jennie Fernandez
17-000081124-9
_04_A4_Frontli Peralta Mack Randy Rosillo
_04_A4_Frontli ### Alipda Meynaro Caser
_04_A4_Frontli ### Ofngol Carlo Fredie Uy
_04_A4_Frontli ### Badayos Ruben James Salaber
_04_A4_Frontli ### Aloyodan Khaled Adam
17-025138226-6
_04_A4_Frontli Pajo Herwin Pallier
17-0000853391
_04_A4_Frontli Baltazar Venna Joy Magbanua
17-025326519-4
_04_A4_Frontli Amella Ramsy Macalay
_04_A4_Frontli ### Guiamla Al Rashid Sambria
17000065012-1
_04_A4_Frontli Calopez Leonora Orbe
17-025242906-1
_04_A4_Frontli Villon Dante Mendegoria
_04_A4_Frontli ### Magsael Rico Lubay
_04_A4_Frontli ### Mantiquilla Myra Alo
16-05023258-0
_04_A4_Frontli Japitana Ian Roy Martin
17-025294714-3
_04_A4_Frontli Bangero Jason Dejan
17-000079264-3
_04_A4_Frontli Lucena Ryan O’nell Bautista
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
sid id nc Current_Residence: Birthdate_mm/dd l_St
Contact_No.* Sex*
en en e: Barangay* /yyyy_* atu
ce: ce Mu s
9982063464 _R : nic SOUTH COTABATO M 8/25/1981
9107525758 egi Pr ipa MIDSAYAP M 5/1/1976
on ov lity
9103387152 in /Ci KIDAPAWAN M 04/22/1991
9489902829 ce ty* POLOMOLOK M 8/1/1989
9518239916 * MATALAM M 12/20/1997
9072422029 _1247_NORTH_COTABATO
Soccsksargen
_124707_MAKILALA 01_Female 7/12/1987 03_Widow/Widower
09074012595 _1247_NORTH_COTABATO
Soccsksargen
_124708_MATALAM
_124708034_POBLACION01_Female 13-Mar-92 02_Married
09079080856 _1247_NORTH_COTABATO
_124704_CITY_OF_KIDAPAWAN_
Soccsksargen _124704001_AMAS 01_Female 9/3/1992 01_Single
9772509360 KIDAPAWAN CITY F 12/2/1994
9485790754 LIBUNGAN M 11/12/1991
9122425046 KIDAPAWAN CITY F 5/3/1989
9500058624 PIKIT M 1/20/1988
9489892156 MLANG F 6/20/1994
09107322047 _1247_NORTH_COTABATO
Soccsksargen
_124708_MATALAM
_124708007_DALAPITAN 02_Male 10-Apr-85 02_Married
09076624696 _1265_SULTAN_KUDARAT
_126510_PRESIDENT_QUIRINO
Soccsksargen
_126510016_POBLACION (SAMBULAWAN)
01_Female 14-April-95 01_Single
09109390128 _1247_NORTH_COTABATO
Soccsksargen
_124708_MATALAM
_124708025_MANUBUAN 02_Male 26-Mar-87 01_Single
09125263561 _1247_NORTH_COTABATO
Soccsksargen
_124708_MATALAM
_124708026_MANUPAL 01_Female 2/7/1991 01_Single
9187702260 MIDSAYAP M 8/2/1993
9051916615 TULUNAN M 2/5/1995
M 09/26/1992
9384903309 M 09/23/1988
9078127404 TAGURANAO M 01/29/1991
9090722824 KIDAPAWAN F 05/21/1991
9206326374 KIDAPAWAN M 3/8/1992
9425969739 KIDAPAWAN M 04/29/1987
M 10/11/1985
9481503575 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN
_124703007_KATIDTUAN 02_Male 9/20/1988
9217536828 _1247_NORTH_COTABATO
Soccsksargen
_124708_MATALAM 01_Female 6/26/1979
09635823881 Soccsksargen
_1280_SARANGANI
_128005_MAITUM 02_Male 11/15/1988
09106430251 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN
_124703007_KATIDTUAN 02_Male 5/7/1981
09094614083 _1247_NORTH_COTABATO
Soccsksargen
_124711_PIGKAWAYAN
_124711015_KIMARAYANG 02_Male 2/7/1986
09101544322 _1247_NORTH_COTABATO
_124704_CITY_OF_KIDAPAWAN_
Soccsksargen _124704032_POBLACION 02_Male 4/14/1987
9230881268 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN
_124703020_SALAPUNGAN 02_Male 12/27/1992
09287653883 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN
_124703019_POBLACION 02_Male 5/8/1978
09102095302 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN_124703014_OSIAS 01_Female 7/17/1986
9261457214 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN
_124703019_POBLACION 02_Male 12/4/1990
09460995463 _1247_NORTH_COTABATO
_124704_CITY_OF_KIDAPAWAN_
Soccsksargen _124704013_KALASUYAN 02_Male 9/9/1986
09090059132 _1247_NORTH_COTABATO
_124704_CITY_OF_KIDAPAWAN_
Soccsksargen _124704041_MAGSAYSAY01_Female 2/22/1979
09307046879 _1247_NORTH_COTABATO
Soccsksargen
_124708_MATALAM
_124708020_LOWER MALAMOTE
02_Male 5/19/1983
09300336539 _1247_NORTH_COTABATO
Soccsksargen
_124710_MLANG
_124710004_CALUNASAN 02_Male 12/3/1984
9061431538 _1247_NORTH_COTABATO
Soccsksargen
_124714_TULUNAN
_124714001_BAGUMBAYAN01_Female 8/23/1986
09302245299 _1247_NORTH_COTABATO
Soccsksargen
_124710_MLANG
_124710006_DAGONG 02_Male 10/12/1983
09064600886 _1247_NORTH_COTABATO
_124704_CITY_OF_KIDAPAWAN_
Soccsksargen _124704032_POBLACION 02_Male 7/22/1984
09363190185 _1247_NORTH_COTABATO
Soccsksargen
_124703_KABACAN
_124703019_POBLACION 02_Male 8/11/1980
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
03_Widow/Widower
PHILIPPINE NATIONAL POLICE
01_Single

PHILIPPINE NATIONAL POLICE


PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

PV46700
PV46700
PV46700
PV46700
PV46700
PV46700
PV46700
PV46700
08/16/2021 ASTRAZENECA PV46700
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

MORENO, JO ANN THERESNURSE


MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE

ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
ZORAIDA TOLIA, RM
Z
rre
ur
nt
re
Cu _R
nt
rre esi
_
nt_ de
R
Re nc
es
Category_I PhilHealth_ Middle_Na sid e: Current_Residence:
Category PWD ID Last_Name First_Name Suffix Contact_No. id Sex
D ID me en M Barangay
en
ce: un
_01_A1_Heal05_A1.5: Government Owned Community GANION AMELODIN ANGKEL NA 9106397656 Soc
ce _12 _12_124708006_CENTRAL MALA02_Male
Pro ici
_03_A3_Adult_with_Comorbidity LEE MESALINA :_ _12 _12_124708008_ESTADO
Soc 01_Female
vin pa
R
_02_A2_Senior_Citizens MILLAN NIELA A ce lit _124708013_KIBUDOC
eg
_02_A2_Senio 09_A2.2: All Other Senior Citizens MATULLANO ELVIRA BESO SO_12 y/
_12_124708015_KILADA
io
COLONIA SAMUEL 9103002538 Soc Cit
_02_A2_Senio 09_A2.2: All Other Senior Citizens n _12 _12_124708017_LAMPAYAN M
y
02_Senior_Citizen BILOG ROSALINA ESTUESTA Soc_12 _12_124708019_LINAO
02_Senior_Citizen ESTUESTA CRISTINA CORNELIO 90070677256 Soc_12 _12_124708019_LINAO
02_Senior_Citizen 1.7175E+11 ORDINARIO HORTENCIA Soc_12 _12_124708019_LINAO
SECRETARY 17-20095145N/A ZAMORA MARIBEL CANO N/A 9657067890 _12 _12_124708019_LINAO FEMALE
BPAT 04_Other_ID 17-20036057N/A MADIS VEVENCIO SAGASAG JR 9187202341 Soc_12 _12_124708020_LOWER MALAM 02_Male
_02_A2_Senior09_A2.2: All Other Senior Citizens MAGBANUA ANASTACIA MAHINAY 9107915611 Soc_124_12_124708025_MANUBUAN 01_Female
02_Senior_Ci04_Other_ID ### TEOFILA AL-AG Soc_12 _12_124708027_MARBEL 01_Female
_02_A2_Senio 09_A2.2: All Other Senior Citizens AMBROCIO ERLINDA DE GUZMAN Soc_12 _12_124708027_MARBEL 01_Female
_03_A3_Adult_with_Comorbidity LLANTO EMIE ENCARNACION Soc_12 _12_124708027_MARBEL 01_Female
_02_A2_Senio 09_A2.2: All Other Senior Citizens SAMSON YOLANDA PRESTO Soc_12 _12_124708027_MARBEL 01_Female
HRH 01_PRC_num17-02520182N/A AMIGO MARIAN PEROCHO 9474410556 Soc_12 _12_124708034_POBLACION 01_Female
02_Senior_Ci02_OSCA_number BALDONADO MARILYN GALAN 09239233344 Soc_12 _12_124708034_POBLACION F
_02_A2_Senio 09_A2.2: All Other Senior Citizens CRESPO VIOLETA SARMIENTO Soc_12 _12_124708034_POBLACION F
03_A3: Adult with Comorbidity DANDAN ROSE LAARNI PUNZALAN 9431282904 Soc_12 _12_124708034_POBLACION F
_03_A3_Adult_with_Comorbidity GALANG MARA SHAIRA ANGELES 09284373714 Soc_12 _12_124708034_POBLACION
_02_A2_Senior09_A2.2: All Other Senior Citizens JAVIER GODOFREDO GODOFRED NA 99556010859 Soc_124_12 _124708034_POBLACION 02_Male
_02_A2_Senio 09_A2.2: All Other Senior Citizens SUNICO LEAH BESANA _124708034_POBLACION
_01_A1_Healt 06_A1.6: Stand-alone Clinics and DiagnTEJANO JOHN CARLO LOPECILLO Soc_124_12_124708034_POBLACION
02_Senior_CiSENIOR CITIZEN UMALI CONCEPCION ESCALANA 9075203936 Soc_12 _12_124708034_POBLACION M
_02_A2_Senior_Citizens MEDINA MANUEL Soc_124_12_124708035_SALVACION
_02_A2_Senior_Citizens PALALIMPA MARIO E Soc_12 _12_124708007_DALAPITAN
Pregnancy_s
Birthdate_m tatus Drug_Allerg Food_Allerg Insect_Aller Latex_Allerg Mold_Allerg Pollen_Aller With_Comor Hypertensio
Civil_Status Profession Pet_Allergy?
m/dd/yyyy_ y? y? gy? y? y? gy? bidity? n
02/09/1967 BARANGAY CAPTAIN
2/6/1966 02_Not_Pregn01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_None 02_No
NOT PREGNA02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes
07/27/1938 NOT PREGNA02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No
02/11/1956
4/9/1949
7/10/1951
1/6/1937 NOT PREGNA02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No
04/26/1973 MARRIED SECRETARY
2/6/1967 02_Married BPAT
06/01/1950 NO NO YES NO NO NO NO NO NO NO
7/2/1959 03_Widow/Widower
04/09/1959
4/6/1984 02_Not_Pregn02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_None 02_No
02/22/1945
6/7/1985 02_Married 06_Nurse
12/25/1955 MARRIED

2/8/1970

02/19/1955 NO

5/7/1993 UTILITY
12/8/1956 NA NOT PREGNA02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No
5/21/1959 NONE NO NO NO NO NO NO NO NO NO
3/2/1955
Date_of_first
Patient_was _positive_re Vaccine
Classificatio Willing
Heart_Disea Kidney_Dise Diabetes_Me Bronchial_A Immunodefic _diagnosed_ sult_/_speci Date of Manufact
Cancer Others n_of_COVID to_be_Vacci 28
se ase llitus sthma iency_Status with_COVID men_collecti Vaccination urer
_19 nated?
_19 on_mm/dd/y Name
5/14/2021 Sinovac 6/11/2021
yyy_
02_No 02_No 02_No 01_Yes 02_No 02_No 02_No 02_No 02_No 5/26/2021 SINOVAC 6/23/2021
02_NO 02_No 02_No 02_No 02_No 02_No 02_No 02_No 4/23/2021 Sinovac 5/21/2021
02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No None N/A 02_No 5/28/2021 SINOVAC 6/25/2021
5/27/2021 SINOVAC 6/24/2021
5/27/2021 SINOVAC 6/24/2021

02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No None N/A 02_No 5/28/2021 SINOVAC 6/25/2021

NO YES YES 6/4/2021 SINOVAC 7/2/2021


6/17/2021 Sinovac 7/15/2021

02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 4/15/2021 Sinovac 5/13/2021
YES YES 6/11/2021 SINOVAC 7/9/2021

6/17/2021 Sinovac 7/15/2021


5/27/2021 SINOVAC 6/24/2021
6/17/2021 Sinovac 7/15/2021

02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No None N/A 02_No 5/27/2021 SINOVAC 6/24/2021
NO NO NO NO NO NO NO NO 4/23/2021 Sinovac 5/21/2021
32

6/15/2021
6/27/2021
5/25/2021
6/29/2021
6/28/2021
6/28/2021

6/29/2021

7/6/2021
7/19/2021

5/17/2021
7/13/2021

7/19/2021
6/28/2021
7/19/2021

6/28/2021
5/25/2021
ABIAN WARLITO LABUGUEN SR. 9101442619
GAYAK ALJEHAD S 9755004510
BUSAYONG FLORIE PAMPLONA 9101187662
CAMANO RAYMUND QUIME 909614972
MAIDO LORETO CATUBO
ALOQUIN CHRISTOPHER CANTERO 9355023886
LATIDO RANDY JAMOLES 9465644255
CARI JISMAR CADANGIN
CADANGIN JESSIE CAMBEL
OROLA ARMENIO GENOLOS
ESCUDERO VICTOR BONCALES 9958842680
TAGAMOLILA MARIO TABUGA
JAWOD JOSE RANELO REGALADO 9466470470
GONGGA FAISAL ZAITOC N/A 09360277744
DELA CRUZ JOEY MAGBANUA N/A 09355763341
NOBLE CAROLINE QUIRINO N/A 9466470470.00
CAHEMTONG JHONNY N 9076802138
MATAYA SALAHUDIN USMAN 9361183040
PAQUITA VERONICA BACUTA 9515749819
GAZO AGRIPINO BALDE JR 938448333
CAMPOLLO ANGELITA PANUGALINOG 9105350431
IPONG TARHATA ANGKEL NA 9557982730
USMAN IMELDA SILONGAN NA 9534014377
ANGKEL WARDA GUIAMPUTO NA 9554861091
SOMERA WILFREDO JAQUIAS JR 9302744080
CABENIAN ENGELBERT ASI 9503341172
BILOG LEONARDO CRISTOBAL JR 9973000871
BILOG REMEGIA TAMBOGON 9979000871
BIONGAN DELIA PALMERO 9197551244
RAQUEL ERNESTO ALIDA JR 9475694221
GELLEGANI DIVINA GRACE BELDIA 9307337321
BANDOJA REY CONDINO 9075256803
DOONG ABITA L. 9277379733
SOLAIMAN MANSOR WAHAB 9058042500
FUENTES EDISON MANLAYA NA 9468861818
SEGUNDERA ANALYN SEDON 9511985513
ROMAY IMELDA MANUEL 93082245783
JANAPON GRACE MAGSINO
JANAPON REY ABUC
LLOBRERA ROMEO ALEJANDRO 9679608598
DELA CRUZ WARLITO C 9755168973
SALVARION LUDY CODERIAS 9679608598
BALMONTE MELECIO CAPILLAN SR
POSADAS RODRIGO OBRA 9679608598
CUANAN JUVY ESCUDERO 9679608598
ABIAN CONSTANCIO LABUGUEN 9679608598
SAWAY ROMEO ONOTAN 9679608598
MAYUGA PERRY CAUNGA 9301581818
CRISPOLON ALADIN ALPERTO N/A 09464024740
SOBREVILLA LUDY JABAN 9612207651
WACAY EMELLODY JOYCE 9500817527
PALACIO MONALISA CASTILLON 96538025531
DELOS SANTOS BILLY L 9066364720
ALGAR LYNDON EVANGENIO 9363388505
DALISAY ESTELA JAVIER 9356878621
BORCILLO JULIETA VALDEZ
UGAY LARRY LAGMAY 9120532436
TUMBAO NORHANA JOSE 9153707771
AQUINO AIZA BENIDO 9511996125
SALES FLORENDA ESTEBE 9487323306
CATALO KENNETH ISAAC GARCIA 9514509136
MARTIZANO ANTONIO DELSOCORO JR 9700748217
FERNANDO CHERMELITA S. 9356500421
ROQUERO RHONNA MAE ENATE 9464023303
SALVADOR ROGER ABRIQUE 9468214831
REUSORA ALEXANDER MOLINA 9652035144
LAGASAN NASRULLA MAMALAPAT 9352728443
ANGELES SITTIE GUIMLA 9558737035
DIMAAGOS OMAR IMBONG 9976358445
ANDALING EBRAHIM BALARANAN 9975420077
PLON ZOREN NANIMBONG 9058392955
AMBEL MAMA MARALIGO 9531249957
DUMLAO LYXER KENT 9568161930
QUIRINO CLEMENTE LUPERA JR. 9090050946
NOBLE MARCELINO BAUTISTA 9466470470
SALMORIN BENNY BELLO 9071007421
SALMORIN DANNY BELLO 9516561368.00
CORDERO GIL OLAO JR.
JARAVATA RAIZA NELLAS 9355259050
PASTOLERO RAYMUNDO GANI NA 09382433740
PABLO RAQUEL DE TOMAS NA 09103358138
ANTIPOLO MERCEDITA PAMULAGAN NA 09558754436
ASUNCION RAMON PREDES JR 09485752129
LANOSIN RUBEN ESPIRITU NA 09187702654
SANTILLAN SANDRO LUZADA NA 09630700199
PASCUA ANALIZA TANODTANOD NA 09638213740
BUENA JAY RONEL VIADO NA 09104257239
DOCTOLERO MARLO DUCLAYAN NA 09631472939
AKAS MAIMONA KANAPIA 90683036616
GUADALUPE MARIA JOHANNIE VIV ESCOMES 9304918401
DESACA DANNIE FACTAO JR 9097413302
TUSCANO MODESTO PALEN
LEE MARILOU VILLAS NA 9514790211
PIORNATO JOZACAR MACAIRAN 9336824505
PIORNATO MINDA B 9432934752
PIORNATO GLAIZA MAE YBAÑES 9336824505
PELIGROS LENIE NOVESTEROS NA 9465031921
PIORNATO ZENAIDA BISCARRA 9099568509
FLORES KERSTIN ORDANEZA None 09050816955
PELIGROS ARNOLD AMPER NA 9501862492
PELIGROS EMILY AMPER 9501862492
ENAD MARILOU IGLESIA 95321099369
JULOYA ANNALIE ENGALLADO 9317387585
TAYO RODEL ESTOMATO 9485699250
ROLDAN BERNARD FERNANDEZ 9534099369
MUJERES OLIVER 9121876603
JAQUIAS ROVELYN CARDILLA 9513891330
MONTERONA ALLAN A 9638119699
PALOMO JAIME OROLA 9076802138
PERALTA DOMINADOR E 9076802138
PATALINO RONITO OROLA 9076802138
ODONES RUDILIZA QUINONES 9564069817
NOTARIO DOMINADOR GASMIN JR 9360700092
NOTARIO HERMINIGILDA CABRERA 9554881185
CABES MARCOS BERMUDO
ALABADO ELDRED ESTANQUE 9101506710
ALABADO RENE AMAHIDO
REPOSAR ELMERITO GAPOL
CALANAO GERSON DORONILA 90514182353
OTON ROGELIO GARBILIO 9631040697
TEJERO LUZ BARBOSA NA 9974974015.00
ALCALDE JOFREY SAAVEDRA NA 9569750258.00
TUZON FERNANDO QUINTINITA NA 9679124123.00
IPONG NASROLA MINALANG 9531295782
MARIANO ELVIRA REPAREJO 9519406739
BELANDRES LOURDES D
BELDIA DONA BELLA BARRACA 9618313663
CAJELO MARINA A 9308216789
REYES YIEL MURAD 9474262664
CABAÑAS RAMON C
TOQUERO JUDITH ANCHETA 9366993760
BEÑALES JOEMAR F 9771667221
ESCOSIA PETER JOSHUA T 9518190721
GADIA LADY LEE 9158388597
MASCARIÑAS VANESSA MORENO 9386870110
BILOG JOMAR TUZON 9755087689
TOLEDO JEFFERSON MARIANO 9101104340
TOLEDO JUNRIEL C 9101104340
MARANION LEAH PIORNATO 09124299405
ECO JUMAR NORICO 9531285420
LANOSIN MELLIE GICOS 09102975586
ALOD MARIAFE CAMPANO 09553364836
SELOVERES ELSA QUEMADO 09365934748
ANTONIO GERTRUDES QUEMADO 09076287028
BAUZON PAUL LANA 09661990148
GONZALES JOBELLE BUENTIPO
GUMANIT VENUS PEREZ
GUANZON DONNA MAE BLANCIA 9651444433
SEGUMBAN CASSANDRA CELINE
J. 9289739329
NATIVIDAD AVELINO PAGADUAN SR
Civi
Birthdate_mm/d l_St
Sex* Occupation*
d/yyyy_* atu
s
F 02/18/1976 BHW
M 04/14/1979 BPAT
02_Ma12/10/1964 BPAT
F 06/20/1977 BARANGAY KAGAWAD
MALE08/09/1969
02/06/1997 MUNICIPAL
M 06/04/1975 NONE
MALE06/11/1972 BPAT
MALE07/10/1966 BPAT
FEMA10/14/1962
M 02/24/1965 GOV'T EMPLOYEE
_124708013_KIBUDOC 01/25/1971 BPAT
CENTRAL MALAMOTE M 11/21/1998 STUDENT
_124708004_BANGBANG 01_F 10/22/1974 BHS-BANGBANG
_124708039_TAGURANAO MALE05/01/1974 BPAT
_124708039_TAGURANAO MALE11/18/1984 BPAT
_124708039_TAGURANAO MALE08/08/1976 BPAT
_124708039_TAGURANAO MALE05/28/1982 BPAT
_124708039_TAGURANAO MALE07/17/1974 BPAT
_124708039_TAGURANAO MALE08/17/1961 BPAT
TAGURANAO M 10/18/1982
_124708013_KIBUDOC 02_Ma07/24/1962 19_Others_
_124708030_NEW BUGASONG MALE10/24/1963 BPAT
_124708030_NEW BUGASONG MALE10/17/1965
_124708014_KIDAMA M 04/05/1972 BPAT
_124708014_KIDAMA M 07/11/1968 BPAT
_124708030_NEW BUGASONG F DECEMBER 10, 1981 BHW
_124708036_SANTA MARIA M 12/12/1979 NONE
CENTRAL MALAMOTE M 03/26/1982
POBLACION F 6/16/1974
_124708001_NEW ALIMODIAN 02_Ma08/27/1969 BPAT
_124708004_BANGBANG 01_F09/16/1968
_124708006_CENTRAL MALAMOT01_F10/16/1980 BNS
_124708006_CENTRAL MALAMOT01_F07/25/1963 16_Barangay_Health_Worker
_124708006_CENTRAL MALAMOT01_F08/07/1997 BARANGAY KAGAWAD
_124708006_CENTRAL MALAMOT02_Ma04/03/1968
_124708007_DALAPITAN 02_Ma05/16/1983 AIRCON TECHNICIAN
_124708007_DALAPITAN M 12/02/1968
_124708007_DALAPITAN F 12/26/1970
_124708007_DALAPITAN F 05/04/1962
_124708007_DALAPITAN 02_Ma03/26/1974
_124708007_DALAPITAN 01_F09/21/1986
_124708007_DALAPITAN 02_Ma
02/11/1968
_124708008_ESTADO 01_F05/02/1964 BHS
_124708009_ILIAN MALE12/21/1994 BPAT
_124708012_KIBIA 02_Ma
07/31/1980 19_Others_
_124708012_KIBIA 01_F01/10/1981 19_Others_
_124708012_KIBIA 01_F10/19/1967 19_Others_
_124708012_KIBIA 01_F11/04/1970 19_Others_
_124708012_KIBIA 02_Ma
08/17/1978 19_Others_
_124708013_KIBUDOC M 05/15/1973 BPAT
_124708013_KIBUDOC M 7/18/1971 BPAT
_124708013_KIBUDOC M 05/05/1975 BPAT
_124708013_KIBUDOC M 10/19/1970 BPAT
_124708013_KIBUDOC M 10/21/1965 BPAT
_124708013_KIBUDOC 07/21/1984 TREASURER
_124708013_KIBUDOC M 12/15/1965 BPAT
_124708013_KIBUDOC M 10/05/1983 BPAT
_124708014_KIDAMA 02_Ma
6/3/1974 BPAT
_124708014_KIDAMA M 04/20/1978 BPAT
_124708015_KILADA F 12/24/1962
_124708017_LAMPAYAN 01_Female 19_Others_
_124708017_LAMPAYAN 01_Female 19_Others_
_124708019_LINAO M 12/31/1960
_124708019_LINAO M 04/08/1975
_124708019_LINAO F 07/07/1968
_124708019_LINAO F 05/09/1978 BHS
_124708020_LOWER MALAMOTE 02_Ma
07/20/1972
_124708025_MANUBUAN 09/06/1988 BHW
_124708025_MANUBUAN 06/29/1990 BHW
_124708025_MANUBUAN 01_F05/03/1989
_124708026_MANUPAL 02_Ma
05/24/1987 BPAT
_124708026_MANUPAL 02_Ma
12/08/1965
_124708026_MANUPAL 01_F11/28/1985
_124708026_MANUPAL 01_F05/09/2001
_124708026_MANUPAL 02_Ma
09/13/1997 19_Others_
_124708027_MARBEL 02_Male BPAT
_124708027_MARBEL 02_Ma
07/14/1946 BPAT
_124708027_MARBEL 01_F11/09/1971 DAY CARE WORKER
_124708027_MARBEL 02_Ma
03/09/1984 BPAT
_124708027_MARBEL 02_Ma
07/13/1976 19_Others_
_124708027_MARBEL 02_Ma
03/21/1976 19_Others_
_124708027_MARBEL 02_Ma
02/24/1990 BPAT
_124708027_MARBEL M 08/17/1998 BHS
_124708030_NEW BUGASONG M 02/16/1996 BLGU
_124708030_NEW BUGASONG MAL 04/16/1977 BPAT
E
_124708030_NEW BUGASONG MALE06/22/1975 BPAT
_124708030_NEW BUGASONG M 06/22/1975 BARANGAY KAGAWAD
_124708030_NEW BUGASONG MALE12/10/1968 BPAT
_124708034_POBLACION 01_F12/30/1992 CLERK-HOSPITAL
_124708034_POBLACION MALE01/07/1975 BARANGAY DRIVER
_124708034_POBLACION FEMA04/08/1963 BNS
_124708034_POBLACION 01_F12/14/1974 BNS
_124708034_POBLACION MALE04/29/1989 BARANGAY TANOD
_124708034_POBLACION MALE06/10/1967 BARANGAY TANOD
_124708034_POBLACION MALE05/24/1984 BARANGAY TANOD
_124708034_POBLACION FEMA02/11/1981 BARANGAY TANOD
_124708034_POBLACION MALE03/02/1972 BARANGAY TANOD
_124708034_POBLACION MALE08/26/1981 BARANGAY TANOD
_124708034_POBLACION F 12/19/1982 BPAT
_124708034_POBLACION F 4/14/2000 STUDENT
_124708034_POBLACION M 10/10/2000 STUDENT
_124708034_POBLACION M 06/22/1967
_124708034_POBLACION F 10/20/1978
_124708034_POBLACION F 07/15/1983
_124708034_POBLACION F 09/02/1978
_124708034_POBLACION F 12/08/1998
_124708034_POBLACION F 08/10/1971
_124708034_POBLACION F 01/07/1978
_124708034_POBLACION 01_F 11/12/1996 TEACHER
_124708034_POBLACION M 07/10/1964
_124708034_POBLACION F 07/19/1976
_124708034_POBLACION F 11/29/1970
_124708034_POBLACION F 12/26/2008
_124708034_POBLACION 02_Ma 06/22/1970
_124708034_POBLACION M 10/27/1961
_124708036_SANTA MARIA M 07-24-1975 NONE
_124708036_SANTA MARIA 8/23/1985 BHW
_124708036_SANTA MARIA M 06/11/1970 BPAT
_124708036_SANTA MARIA M 09-22-1965 NONE
_124708036_SANTA MARIA M 06/11/1967 BPAT
_124708036_SANTA MARIA M 10/07/1968 BPAT
_124708036_SANTA MARIA F 3/5/1997 01_SiSTUDENTS
_124708036_SANTA MARIA M 11/21/1979
_124708036_SANTA MARIA 10/26/1983 TEACHER
_124708039_TAGURANAO MALE09/13/1970 BPAT
_124708039_TAGURANAO MALE04/04/1970 BPAT
_124708039_TAGURANAO MALE02/16/1968 BPAT
_124708039_TAGURANAO MALE02/24/1970 BPAT
_124708039_TAGURANAO MALE07/26/1966 BPAT
_124708039_TAGURANAO MALE06/01/1968 BPAT
_124708041_NEW ABRA 01_F07/08/1978 16_Barangay_Health_Worker
_124708041_NEW ABRA 02_Ma
06/05/1997 16_Barangay_Health_Worker
_124708041_NEW ABRA 02_Ma
10/01/1976 16_Barangay_Health_Worker
CENTRAL MALAMOTE M 9/2/1996
CENTRAL MALAMOTE 09/21/1970
DALAPITAN F 9/21/1961 BHS
DALAPITAN F 02/15/1980
DALAPITAN F 03/03/1962
DALAPITAN 04/07/1978
KIBIA M 9/5/1961 BRGY. KAGAWAD
KIBUDOC F 11/21/1987
KIDAMA M 06/04/1990
KILADA M 12/07/2001
MARBEL 6/3/1991 MARKETING EXECUTIVE
POBLACION 2/4/2000 STUDENTS
POBLACION M 11/23/1996
POBLACION M 8/31/1996
POBLACION M 6/30/1988
POBLACION 06/25/1965
POBLACION M 01/18/1988
POBLACION F 09/13/1965
POBLACION F 10/06/1985
POBLACION F 11/20/1964
POBLACION F 06/16/1966
POBLACION M 06/29/1965
POBLACION M 09/28/1986
POBLACION F 09/01/3061
POBLACION F 9/22/1997 OFFICE STAFF

TAGURANAO F 02/26/2003
KIBUDOC M 1/24/1961
Allergy to vaccines Pregnancy_status
or components of Drug_Allergy? Food_Allergy?
vaccines

KAGAWAD

y_Health_Worker
KAGAWAD
KAGAWAD
y_Health_Worker
y_Health_Worker
y_Health_Worker
Insect_Allergy? Latex_Allergy? Mold_Allergy? Pet_Allergy?
Pollen_Allergy? With_Comorbidity? Hypertension Heart_Disease

YES
YES
YES

YES
YES

YES

YES

YES

YES

YES

YES

YES
YES

YES
YES

YES
YES

YES

YES

YES

YES
YES

YES

YES
YES

YES
YES

YES
YES

YES
YES

YES

YES

YES
YES
YES
YES
YES
YES
Immunodeficiency_S
Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
tatus

YES

YES

YES

YES

YES

YES

YES
YES
YES

YES
YES

YES
YES

YES

YES
YES

YES

YES

YES

YES
Date_of_first_positiv
Patient_was_diagnos e_result_/_specimen
Cancer Others
ed_with_COVID_19 _collection_mm/dd/y
yyy_
YES
Classification_of_CO Willing
CONSENT Reason for Refusal
VID_19 to_be_Vaccinated?
Has no severe
Has no allergy to
Age more than Has no allergies to allergic reaction after
food, egg, medicines,
16 years old? PEG or polysorbate? the 1st dose of the
and no asthma?
vaccine?
Does not manifest
any of the following
symptoms:
* If with allergy or Fever/chills,
Has no history of * if with bleeding
asthma, will the Headache, Cough,
bleeding disorders or history, is a gauge 23
vaccinator able to Colds, Sore throat,
currently taking anti- - 25 syringe available
monitor the patient Myalgia, Fatigue,
coagulants? for injection?
for 30 minutes? Weakness, Loss of
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has no history of
* If manifesting any exposure to a Has not been
Has not received any
of the mentioned confirmed or previously treated for
vaccine in the past 2
symptom/s, specify suspected COVID-19 COVID-19 in the past
weeks?
all that apply case in the past 2 90 days?
weeks?
Does not have any of
the following: HIV,
Has not received Cancer/ Malignancy,
convalescent plasma Underwent
or monoclonal * if pregnant, 2nd or Transplant, Under
Not Pregnant?
antibodies for 3rd Trimester? Steroid Medication/
COVID-19 in the past Treatment, Bed
90 days? Ridden, terminal
illness, less than 6
months prognosis
* If with mentioned
condition, has
* If with mentioned
presented medical Deferral Date of Vaccination
condition/s, specify.
clearance prior to
vaccination day?
8/2/2021
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8/2/2021
Vaccine
Batch Number Lot Number Vaccinator Name
Manufacturer Name

Sinovac L202106047 L202106047 ARCELYN D. QUINTO


Sinovac L202106047 L202106047 JO AN THERESE V. CAR
Sinovac L202106047 L202106047 JO AN THERESE V. CAR
Sinovac L202106047 L202106047 JO AN THERESE V. CAR
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
Sinovac L202105047 L202105047 ARCELYN D. QUINTO
Sinovac L202105047 L202105047 ARCELYN D. QUINTO
SINOVAC L202105047 L202105047 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 LERRY E. ESTELLORE
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
SINOVAC L202105047 L202105047 ARCELYN D. QUINTO, RM
SINOVAC L202105047 L202105047 ARCELYN D. QUINTO, RM
Sinovac L20210647 L20210647 GLORIA B. FERNANDEZ
Sinovac L202105047 L202105047 ARCELYN D. QUINTO
Sinovac L20210547 L20210547 ARCELYN D. QUINTO
Sinovac L202105047 L202105047 ARCELYN D. QUINTO
Sinovac L202105047 L202105047 ARCELYN D. QUINTO
Sinovac L202114062 L202114062 ARCELYN D. QUINTO
SINOVAC L202105047 L202105047 ARCELYN D. QUINTO, RM
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
Sinovac L202106047 L202106047 JO AN THERESE V. CAR
Sinovac L202106047 L202106047 JO AN THERESE V. CAR
Sinovac L202106047 L202106047 JO AN THERESE V. CAR
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
Sinovac L20210547 L20210547 ARCELYN D. QUINTO
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 GLORIA B. FERNANDEZ,R
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
SINOVAC L202105047 L202105047 ARCELYN D. QUINTO, RM
Sinovac L202106047 L202106047 ARCELYN D. QUINTO
Sinovac L202105047 L202105047 ARCELYN D. QUINTO
Sinovac L20210647 L20210647 ARCELYN D. QUINTO
SINOVAC L2021860717 L2021860717 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 JO ANN THERESE V. CA
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
SINOVAC L202106047 L202106047 ARCELYN D. QUINTO, RM
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Sinovac L202106047 L202106047 ARCELYN D. QUINTO

Sinovac L202106047 L202106047 ARCELYN D. QUINTO


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Sinovac L202106047 L202106047 LERRY E. ESTELLOSO
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SINOVAC L202106042 L202106042 ARCELYN D. QUINTO, RM


Profession of
1st Dose 2nd Dose
Vaccinator

MIDWIFE
NURSE
NURSE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
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MIDWIFE
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MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
NURSE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
NURSE
NURSE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE

MIDWIFE
MIDWIFE
NURSE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
NURSE
NURSE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
MIDWIFE
MIDWIFE
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MIDWIFE
NURSE
NURSE
MIDWIFE
NURSE
NURSE
MIDWIFE

MIDWIFE
Last_Name* First_Name* Middle_Name* Suffix Contact_No.*

ESCALANTE IMELDA PILA 0916-114-0587


YGLORIA MERLY VILLAMORE
HILARIO EMELITA ANDRES 9658920465
HILARIO CLARO G 9658920465
BERNARDINO LOREN BUTARDO 9638174777
TUSCANO ELESIO TARONA NA
COÑADO FITCH GERALD MALVAR 9197226230
TUZON MARCELO MARTINEZ 9366777879
CATANUS DENNY JAMOLES N/A 9484649706
CAMRAL ROGER ANDEA SR
CANDIDIER ZALDY ALPUERTO 9388513220
CABRISTANTE PABLO ANDIANO 9072968798
VALENZUELA MA. DELIA CAMPANO 9467195839
CAPILITAN LAURENCIO ANDEA 9639459600
ESCOTOTO ROSALIE CAMRAL 9389197835
ALPUERTO ALEJANDRO ANDAM SR. 9107697654
SIBAYAN FRESCO DOMINGGO NA 9516567603
SIBAYAN ADELAIDA CAPECIO NA 9516567603
PASCUA MANITA MARIANO NA
TABARA CADRIA HADJI ABUBAKAR NA 9171637628
BENJAMIN ARCHIE RYAN TANIO 9276781278
ALBARRACIN CRISTOPHER ROSLINDA 9679608598
RUIZ ROMY VALERA SR 9679608598
LEGASPI DOLIA MAGUAD
MATULLANO EPEFANIA MENDOZA 9365934007
MATULLANO ROSE EDEN S 9265598754
MATULLANO ARNALDO BESO 9265598754
NASIBOG DAISY GUINALING 9685386714
BACUDO JOELITO BACAY N/A
GARCIA MERLY C 9296070559
TATUNAY ARTEMIO C
LUNDA ESMAEL MATALIMBOL
BLANCIA WILFREDO DOMINGO
TIGKANAN ALZASHMER SANDAY 9269813505
BALATAMAY ARATOC BANGKAILAN 9676915564
MACALIN ALONZO LEONARD 9658898205
SALLE RICARDO RONQUILLO JR
ENOK ALIMUDIN MANGANOD 9557957504
FUNA LYDIA URCORLIO
CAMPANILLA MARY LOU HIPOLITO
ALAGANO DEMETRIO CANETE SR 9120190175
ELIDAN ALVIN ANDAPANAN SR
ALOJEPAN ESTERLITA GUANSING 9392752401
PATANAO CARINA PANAGSAGAN
PALACAY MERLENE DIOCALES
TORADO AUSENCIA PACIFICO
SALVADOR ESTRELLA PANAGSAGAN
HUYO TERESITA TASIC 9308538152
NOVENO ANITA FERNANDEZ None 9187209623
ASOTIC YOLANDA WACAY 9466943527
ENCLONAR JOSEFINA UMALI NA
TESORO JULIO VERONA NA 9197544012
CORPUZ LUZMINDA DADAG NA 9461531189
CORPUZ GREGORIO BARTOLOME
PASCUAL EMETERIA GAOIRAN NA 9568534587
GIMOTO NELIDA ALCAMPOR 9187167607
SANTILLAN WILSON ESTOYA NA
AGMATA EMERELDA PASCUAL 9513052490
PASCUAL FERNANDO GAOIRAN JR 909603860
Tuscano Crispin Candari JR 9518268304
AGMATA FLOREN R 9125325565
BARSUBIA JULIUS RYAN DURAN 9489350531
BARSUBIA ALICIA DURAN 9658897610
BENITEZ BASILIA DAYUHA 9075787615
SABAN JOYLYN GRACE 9090932359
LOREDO CRISOSTOMO MENDOZA JR 9501728454
HILARIO DAVID GABAS
SAUNIL ARGIE COVERO 9504252803
HILARIO PATRICIA GABAS 9300052018
CATEDRILLA NILO ALCALA 9101121521
BULDA SALVADOR BRAZIL

BULDA AVELINO SEBASTIAN

LOREDO FRANCISCO LOBERIZA

PASCUA ANITA DELA CRUZ 9485947880


PEÑAFLOR REGINA GONZALES 9099973243
TAMAYO GERARDO B.
ALBARILO EDGARDO CARCUEVA
DORDAS RICARDO ALBA 9078967957
FRADES FREDDIE SERENIO 9107365897
CARIM JOSE 9069616717
TALABOC APOLONIA 9301108957
CRUZ EDGARDO TORREDA 9369884760
FALCO MIKE MOSCOSO 9092959088
ALBARAN KRISTINA P
ANDIANO CARINA
JERAO FRANCISCO CASTANO JR Soccsksargen
DAGUIO APOLONIO ACOB 9518075296
DELIMA BELITA JUSTINIANE 9268098244
ENGAY RENANTE MADRID
Civi
Allergy to vaccines
Current_Residence: Birthdate_mm/ l_St
Sex* Occupation* or components of
Barangay* dd/yyyy_* atu
vaccines
s
01_F 3/11/1957
4/15/1958
FEMA1/17/1951
Male 7/25/1952
09/29/1986 BPAT
MALE05/23/1971 BHS
MALE12/30/1968 BPAT
MALE01/17/1970 19_Others_
MALE12/15/1982 BPAT
MALE11/09/1979
MALE03/10/1968 BPAT
MALE06/06/1967 BPAT
MALE10/18/1944
MALE3/29/1956
MALE12/22/1942
MALE9/9/1958
02_Ma8/6/1953
FEMA10/28/1952
01_F 7/20/1956
01_F 9/15/1952
F 4/28/1960
F 7/1/1961
M 10/21/1951
F 11/9/1958
F 5/13/1953

_124708008_ESTADO 01_F 5/14/1963


_124708034_POBLACIF 8/8/1960
_124708038_TACULEN01_F 8/25/1954
_124708038_TACULEN02_Ma 10/10/1950
TACULEN 12/26/2001 STUDENT
_124708034_POBLACI02_Ma 1/15/1951
SARAYAN M 10/21/1996 19_Others_
NEW ABRA M 1/24/1952
_124707010_GARSIKA02_Ma 09/21/1982 19_Others_
_124708001_NEW ALI 02_Ma11/05/1972 BPAT
_124708001_NEW ALI 02_Ma04-18-1974 BPAT
_124708001_NEW ALI 02_Ma01-15-1975 BARANGAY KAGAWAD
_124708001_NEW ALI 01_F 08-20-1967 BRGY. SECRETARY
_124708001_NEW ALI 02_Ma08/10/1978 BPAT
_124708001_NEW ALI 01_F 10/13/1976 BRGY. TREAS.
_124708001_NEW ALI 02_Ma02/12/1965 BARANGAY KAGAWAD
_124708006_CENTRA 02_Ma 12/28/1957
_124708006_CENTRA 01_F 1/4/1958
_124708006_CENTRA 01_F 11/13/1953
_124708006_CENTRA 01_F 7/1/1950
_124708013_KIBUDOC 9/6/1981 BPAT
_124708013_KIBUDOC 3/11/1960
_124708013_KIBUDOC 8/17/1960
_124708015_KILADA F 3/3/1958
_124708015_KILADA F 8/14/1958
_124708015_KILADA 8/14/1958
_124708015_KILADA 11/2/1955
_124708015_KILADA 01_F 12/27/1974
_124708018_LATAGAN02_Ma 07/10/1967 19_Others_
_124708019_LINAO 10/10/1955
_124708019_LINAO MALE03-26-52
_124708025_MANUBUAN 01/14/1972 BPAT
_124708025_MANUBUAN 03/08/1982 BPAT
_124708025_MANUBUAN 05/12/1994 BARANGAY KAGAWAD
_124708025_MANUBUAN 08/18/1974 BPAT
_124708025_MANUBUAN 05/03/1973 BPAT
_124708025_MANUBUAN 07/03/1967 BPAT
_124708025_MANUBU02_Ma 08/22/1971 BPAT
_124708025_MANUBU01_F 11/21/1961
_124708025_MANUBU01_F 11/30/1953
_124708025_MANUBUAN 11/24/1957
_124708025_MANUBU02_Ma 8/10/1959
_124708031_NEW PA F 07/10/1973 BARANGAY KAGAWAD
_124708031_NEW PANDAN2/16/1952
_124708031_NEW PANDAN12/16/1960
_124708031_NEW PANDAN4/5/1949
_124708031_NEW PANDAN2/12/1956
_124708031_NEW PANDAN8/11/1953
_124708031_NEW PA 01_F 03/10/1977 TEACHER
_124708034_POBLACIF 10/26/1937
_124708034_POBLACI01_F 8/9/1955
_124708034_POBLACI02_Ma 9/20/1959
_124708034_POBLACI01_F 8/15/1955
_124708034_POBLACIM 3/13/1939
_124708034_POBLACIF 3/8/1940
_124708034_POBLACIF 9/6/1951
_124708034_POBLACI02_Ma 11/22/1952
_124708034_POBLACIONF 08/03/1969
_124708034_POBLACIONM 08/28/1973 TEACHER
_124708034_POBLACI02_Ma 11/03/1990 TEACHER
_124708034_POBLACION 12/27/1969
_124708035_SALVACI MALE05/31/1979 BPAT
_124708035_SALVACI FEMA6/24/1955
_124708035_SALVACI FEMA6/13/1955
_124708036_SANTA MARIA 1/16/1997 SK
_124708038_TACULENM 10-25-1966 BARANGAY KAGAWAD
_124708038_TACULENM 08-30-1968 BPAT
_124708038_TACULENM 04-15-1983 BPAT
_124708038_TACULENF 06/11/1963
_124708038_TACULENM 06/09/1977
_124708038_TACULENMAL 8/10/1956
E
_124708038_TACULENMAL 8/23/1950
E
_124708038_TACULENMAL 6/16/1950
E
CENTRAL MALAMOTE F 8/9/1950
CENTRAL MALAMOTE F 3/14/1951
KILADA M 7/7/1961
LAMPAYAN M 11/29/1963
MANUBUAN M 9/5/1970 BPAT
MANUBUAN M 8/4/1951
MANUBUAN M 02/12/1987 BPAT
MARBEL FEMA 12/10/1966
POBLACION M 3/29/1956
POBLACION 07/10/1966 BHS
SALVACION F 8/17/1954
SARAYAN FEMA 10/26/1961
01_F 11/2/1953
CENTRAL MALAMOTE M 9/26/1941
KIBUDOC F 4/28/1960
POBLACION M 9/4/1986
Pregnancy_status
Drug_Allergy? Food_Allergy? Insect_Allergy?
Latex_Allergy? Mold_Allergy? Pet_Allergy? Pollen_Allergy?
With_Comorbidity? Hypertension Heart_Disease Kidney_Disease

YES YES

YES
YES

YES

YES

YES
YES

YES

YES

YES
YES
YES YES

YES
YES

YES

YES

YES
YES

YES
Immunodeficiency_S
Diabetes_Mellitus Bronchial_Asthma Cancer
tatus
YES
YES
Date_of_first_positiv
Patient_was_diagnos e_result_/_specimen Classification_of_CO
Others
ed_with_COVID_19 _collection_mm/dd/y VID_19
yyy_
Willing Age more than
CONSENT Reason for Refusal
to_be_Vaccinated? 16 years old?
* If with allergy or
Has no severe
Has no allergy to asthma, will the
Has no allergies to allergic reaction after
food, egg, medicines, vaccinator able to
PEG or polysorbate? the 1st dose of the
and no asthma? monitor the patient
vaccine?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Fever/chills,
Has no history of * if with bleeding * If manifesting any
Headache, Cough,
bleeding disorders or history, is a gauge 23 of the mentioned
Colds, Sore throat,
currently taking anti- - 25 syringe available symptom/s, specify
Myalgia, Fatigue,
coagulants? for injection? all that apply
Weakness, Loss of
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has no history of Has not received
exposure to a Has not been convalescent plasma
Has not received any
confirmed or previously treated for or monoclonal
vaccine in the past 2
suspected COVID-19 COVID-19 in the past antibodies for
weeks?
case in the past 2 90 days? COVID-19 in the past
weeks? 90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
Underwent
* if pregnant, 2nd or Transplant, Under * If with mentioned
Not Pregnant?
3rd Trimester? Steroid Medication/ condition/s, specify.
Treatment, Bed
Ridden, terminal
illness, less than 6
months prognosis
* If with mentioned
condition, has
Vaccine
presented medical Deferral Date of Vaccination
Manufacturer Name
clearance prior to
vaccination day?
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
8/3/2021 Sinovac
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Profession of
Batch Number Lot Number Vaccinator Name
Vaccinator

L202106047 L202106047 ROMER P. NICOLAS,RN NURSE


L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106034 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106034 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047
L202106047 L202106047
L202106047 L202106047
L202106047 L202106047 JO ANN THERESE U. CA NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106034 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS NURSE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS NURSE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106034 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE

L202106047 L202106047 ROMER P. NICOLAS,RN NURSE

L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE

L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE


L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 LERRY E. ESTELLOSO, RM MIDWIFE
L202106047 L202106047 JO ANN THERESE CARUM NURSE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106034 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 GLORIA B. FERNANDEZ, R MIDWIFE
L202106047 L202106047 ROMER P. NICOLAS,RN NURSE
L202106047 L202106047
1st Dose 2nd Dose
Suffi
Last_Name* First_Name* Middle_Name* Contact_No.*
x

PARA-AT JECELYN ALPERTO 9505075166


GARDE NICCA NIO N/A 9975448182
LUBRIQUE NOEL CANGAS N/A 9055823875
SENINING LEOCEL DIOCOS NA 9676977179
SIMPLICIANO ROLANDO 9187220790
FAJANELA MARIMAR TESORO 9382319692
PADLAN RODRIGO LUCINA 9389839610
SIACOR EMILIA PACIA 9389607554
PASAWILAN OMAR LANGKOT NA 9059690434
ANGKIL BASSER GUIAMPUTO NA 9059690434
TOLIA HARON GUIMBA NA 9261665684
PANEGAS YUSOP LANGKOT NA 9059690434
UDAO ABDILA K. NA 9058022067
USMAN MAJEHA SILONGAN NA 9512526777
MIRABUENO ROGER SOLEDAD 9079656291
ATUPAN MIRAFLOR ALQUEZA 9512621873
ESCALANTE ESTERLITA M. 9382360563
VILLEGAS BERTULDO O. 9120899112
UMALAY DIVINA ALQUIZA 9631044422
MASUELO NERLITA SANGAHAN 9070141771
GALANTO BUENAVENTURA CORPUZ
CRISPOLON ELORDE ALPERTO 09467683487
PATRIMONIO RICKY VERSOLA 9307028521
AVENA ELEODORO BAL-UT 9127731997
BAGAWISAN ARNOLD VERGARA SR 9187202341
GARCIA MARIANO VIADO JR 09505724363
CASTILLO ALBERT DACALANO 9121504951
APOLONIO GLADYS NOVELLE 9569345112
BELLANO KANISAN AMBEL 9756759978
CEPEDA DANTE ALAGOS SR 9063425108.00
YBUT ANTONIETO SALINAS NA 9063425108.00
OBLIGADO ROBERTO GERSALINO NA 9063425108.00
CEPEDA HENRY ALAGOS JR 9394152126
MANZAN JOEMARIE LOREZO NA 9551451815
AREVALO EDUARDO DENOSTA O9066526649
RODUTA MARLON CAMPOS 9266004986
FLORES VICTORIA ORTANEZA NA 9385038367
NICOLAS GENEROSO FERRER JR 9778556017
BAUZON LUELA ROSETE 9105489822
VITORILLO RUBEN ALFECHE 9107518595
VILLA JAY RICK 9465756592
MILANES THALIA KAYE 9127155569
TOLERO APOLONIO GARATA 9103559120
CHUNGSON ARJENILYN SAMAR 9121407029
CARABALLE RAUL GREVA 907970135
ALCAZAREN NERIEL JOY FANTILAN 9102766947
BANGOT KENNETTE JAMES 9483240243
PATROCINIO JESSA MARIE BERDON 9662260028
BARRACA KARL ANTHONY 9569768057
BARRACA ROBERT BARRACA 09109202588
TAHUM JEFFERSON 9082323927
PASCUAL CHRISTIAN JAY PRINCESA 9971147243
SARDA JAYRICK BURLAT 9519467896
TAMBALONG BASILIO JR
ADTO-ON MARJORIE MAY SALVA 9308607904
PEREZ HARRIS KENN ABAYHON 9516566614
IGNACIO ROXZYD NOVENO 9489316902
FLORES BRYAN JOHN ORDANEZA 9106775472
TAN MARY JANE 9382020531
SORIANO ALLAN ROY AQUINO 9395845980
Civi
Current_Residence: Birthdate_mm/dd/ l_St
Sex* Occupation*
Barangay* yyyy_* atu
s
02_Ma08/08/1980 BPAT
02_Ma03/22/1966 BPAT
02_Ma12/17/1980 BPAT
03/07/1976
02_Ma10/27/1973 BPAT
02/08/1993 OFW
12/01/1986
_124708014_KIDAMA 01_F9/7/1974 UTILITY
_124708028_MINAMAING FEMA04/09/1988 BHW
_124708028_MINAMAING 02_Ma09/06/1973 BARANGAY KAGAWAD
_124708012_KIBIA 02_Ma07/06/1983 BPAT
_124708012_KIBIA 02_Ma03/27/1981
_124708014_KIDAMA F 12/08/1996 SK CHAIRMAN
_124708015_KILADA 02_M11/29/1961
_124708020_LOWER MALAMOT 11/25/1961
_124708006_CENTRAL MA02_Ma05/15/1977 BPAT
_124708006_CENTRAL MA02_Male BPAT
_124708006_CENTRAL MA02_Ma10/20/1984 BPAT
_124708006_CENTRAL MA02_Ma04/08/1980 BPAT
_124708006_CENTRAL MA02_Ma08/09/1969 BPAT
_124708006_CENTRAL MA01_F02/05/2002
_124708008_ESTADO 02_Ma08/16/1977
_124708008_ESTADO 01_F04/04/1969
_124708008_ESTADO 01_F04/07/1975
_124708008_ESTADO 02_Ma12/10/1968
_124708008_ESTADO 01_F10/18/1981
_124708012_KIBIA 01_F02/16/1979
_124708013_KIBUDOC 10/20/1967 BPAT
_124708014_KIDAMA M 04/02/1969 BARANGAY KAGAWAD
_124708015_KILADA M 03/20/1980
_124708015_KILADA 02_M08/06/1970
_124708020_LOWER MAL 02_Ma05/01/1979 BPAT
_124708025_MANUBUAN 02_Ma 08/27/1965
_124708026_MANUPAL 02_Ma08/18/1961 BPAT
_124708027_MARBEL 11/19/1996
_124708027_MARBEL 01_F09/09/1970
_124708029_NATUTUNGA 02_Ma9/13/1976 BPAT
_124708029_NATUTUNGA 02_Ma8/17/1971 BPAT
_124708029_NATUTUNGA 02_Ma12/22/1970 BPAT
_124708029_NATUTUNGA 02_Ma04/10/1980 BPAT
_124708029_NATUTUNGA 02_Ma1/19/1996 BPAT
_124708029_NATUTUNGA 02_Ma12/13/1970
_124708031_NEW PANDANM 06/01/1971
_124708034_POBLACION 02_Ma10/11/1959
_124708034_POBLACION M 03/10/1973
_124708034_POBLACION 08/26/1964
_124708038_TACULEN M 11/28/1968 BPAT
BALINDOG 01/03/1988 COTELCO
KATIDTUAN 09/10/1996
KIDAPAWAN 04/10/1962
KIDAPAWAN 03/05/1997
KIDAPAWAN 04/17/1971
KILADA 12/12/1996
MAGPET 12/29/1995
MANUBUAN 12/27/1995
MANUBUAN 10/16/1996
MANUBUAN 10/6/1971
MANUBUAN M 03/17/1997
MANUBUAN 04/19/1997
MANUBUAN 08/01/1994
MANUBUAN 9/28/1978
MANUBUAN 05/02/1990
MLANG 02/07/1994 COTELCO
NEW ALIMODIAN 02/02/2009 COTELCO
POBLACION 09/27/1999
POBLACION 12/15/1982
SINGAO 01/21/1981
Allergy to vaccines Pregnancy_status
or components of Drug_Allergy? Food_Allergy?
vaccines

KAGAWAD

KAGAWAD
Insect_Allergy? Latex_Allergy? Mold_Allergy? Pet_Allergy?
Pollen_Allergy? With_Comorbidity? Hypertension Heart_Disease
Immunodeficiency_S
Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
tatus
Date_of_first_positiv
Patient_was_diagnos e_result_/_specimen
Cancer Others
ed_with_COVID_19 _collection_mm/dd/y
yyy_
Classification_of_CO Willing
CONSENT Reason for Refusal
VID_19 to_be_Vaccinated?
Has no severe
Has no allergy to
Age more than Has no allergies to allergic reaction after
food, egg, medicines,
16 years old? PEG or polysorbate? the 1st dose of the
and no asthma?
vaccine?
Does not manifest
any of the following
symptoms:
* If with allergy or Fever/chills,
Has no history of * if with bleeding
asthma, will the Headache, Cough,
bleeding disorders or history, is a gauge 23
vaccinator able to Colds, Sore throat,
currently taking anti- - 25 syringe available
monitor the patient Myalgia, Fatigue,
coagulants? for injection?
for 30 minutes? Weakness, Loss of
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has no history of
* If manifesting any exposure to a Has not been
Has not received any
of the mentioned confirmed or previously treated for
vaccine in the past 2
symptom/s, specify suspected COVID-19 COVID-19 in the past
weeks?
all that apply case in the past 2 90 days?
weeks?
Does not have any of
the following: HIV,
Has not received Cancer/ Malignancy,
convalescent plasma Underwent
or monoclonal * if pregnant, 2nd or Transplant, Under
Not Pregnant?
antibodies for 3rd Trimester? Steroid Medication/
COVID-19 in the past Treatment, Bed
90 days? Ridden, terminal
illness, less than 6
months prognosis
* If with mentioned
condition, has
* If with mentioned
presented medical Deferral Date of Vaccination
condition/s, specify.
clearance prior to
vaccination day?
8/4/2021
8/4/2021
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8/4/2021
8/4/2021
Vaccine
Batch Number Lot Number Vaccinator Name
Manufacturer Name

Sinovac L202106047 L202106047 ROMER P NICOLAS, RN


Sinovac L202106047 L202106047 ARCELYN D QUINTO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ARCELYN D QUINTO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ARCELYN D QUINTO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RM
JANNSEN 212C2IA 212C2IA ROMER P NICOLAS, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 JO ANN THERESE V CARUMBA-MORENO, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ARCELYN D QUINTO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 LERRY E ESTELLOSO, RM
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Sinovac L202106047 L202106047 ROMER P NICOLAS, RN
Profession of
1st Dose 2nd Dose
Vaccinator

ESE V CARUMBA-MORENO, RN
ESE V CARUMBA-MORENO, RN

NURSE
NURSE

ESE V CARUMBA-MORENO, RN

ESE V CARUMBA-MORENO, RN
ESE V CARUMBA-MORENO, RN
ESE V CARUMBA-MORENO, RN

ESE V CARUMBA-MORENO, RN
Suffi
Last_Name* First_Name* Middle_Name*
x

TAMAO EMELIA ODAL


DATUGAN ADIL SALIK NA
TUPAS MARIA VIENA JALANDONI
MANGAOANG MABRILEEN FE CANO
REPONTE JOHN WILSON P.
ABAQUITA JULIUS
ANDRES RICHARD CUBERO JR.
ANDO IMELDA PASCUA
NAVARRO MARK ANTHONY TUAZON
BAUTISTA RYAN MAE B.
NIETES MERLINDA
AMUALLA GRACE
MARTINEZ EMEE R.
PACHICOY JAYMARK VILLANUEVA
MAGDAY RYAN
LAGUTING GILBERT T.
IPONG RASOL MAMALUBA NA
DAGUIO KRISHIA KAYE PASCUA NA
NICER MARIVIC MAGNO
BIENE GEMMA ROBENION
MALITOC MARCELO CAPICIO
SUBEBE MARIVIC JONTILLA
IMPOY DANILO BALBUENA
SOLIS JOHN JOSHUA
LEGADA AMY GRACE S.
ALIG RALITO C. JR.
VITALE JESSAMAE HUELAR
LAGAT GEMMA C.
N/A
CAMPANO GERZON C.
VINLUAN RODRIGO M.
BAUTISTA JULITA ANASCO
TAGAYUNA MARICEL MATA
LUTAO ALEX GABO
BUEN GARY OCAMPO
BUTARDO MYLENE AVENA
MESIAS LALIBETH PACETE
BARLAAN AGUSTIN SERQUINA
AGOM RAUL W. SR
TRACAROL RENALDO T.
SALIK MELODIA P.
GANAS REMEGIO BARTOLOME SR
VARGAS ROSALIA G.
AMBEL NORHANA KATOG N/A
MATO TAMBOY AKIL
IMBONG MICHAEL BLANCIA
DANDAT ARNEL TAGITICAN
CALIXTRO RUFFA MAE DIAZ
GAJE AGUSTINA L.
DELA CRUZ JERRY SAMULDE NA
PAGADUAN ARTHUR C.
DORIMON RODRIGO QUINONES
ANDIANO NEOLO CAMPANO
DUMAM-AG DEXTER
BERTO REY CALIXTRO
LANOSIN NORMAN G. JR.
COLONIA PRINCESS JADE W.
ROQUERO BONIFACIO SADJIE JR
CRISTOBAL SHIELA FERNANDEZ
MONTERO BASILIO SAMILLANO
RABAGO CHARLIE B.
ESTOLAS ZENAIDA O.
LAIDIA ALFONSO JR
CAMPANERO ROSE MAE S.
BAGNOL XELAMARIE BERAME
LLANES REYNOLD BELARMINO
ROSALES HERMES TALICTIC
ROSALES VENICE HEIKA G.
MAGBANUA BILLY MAHINAY
LOPEZ JOEMAR
GALES CEDRIC ANTONIO
UMADHAY KENT ADRIAN
MOMBAY ROMY JUNE
BUTARDO TRINIDAD T
VALDEZ JULIUS C
Civi
Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
Barangay* dd/yyyy_* atu
s
02_Male
02_Ma10/25/1972
M 6/15/1963
01_F02/12/1973
01_F04/05/1974
02_Male
M 11/19/1985
02_Ma05/16/1999
M 4/5/1970
F 08/06/1995
FEMA 5/6/1984
M 10/03/1986

_124708004_BANGBANG F 11/09/1972
9059690434 _124708006_CENTRAL MALAMO02_Ma03/20/1979
9100210342 _124708034_POBLACION F 02/14/1967
9069595363 POBLACION 08/01/1996
9052677344 POBLACION M 07/14/2001
9510463080 _124708010_KABULACAN M 05/06/1976
9070855494 _124708038_TACULEN M 04-28-1999
9318139292 MANUBUAN 11/04/1968
9467344275 POBLACION 12/02/1996
9553863389 _124708028_MINAMAING F 03/31/1996
9171189807 MANUBUAN F 10/08/1991
9389618127 MANUBUAN F 11/05/1974
9452506046 MANUBUAN F 08/17/1978
9500256546 POBLACION 02_Ma11/28/1991
POBLACION Male 08/24/1981
9485821210 _124708001_NEW ALIMODIAN M 08/27/86
9059690434 _124708006_CENTRAL MALAMO02_Ma05/01/1986
9518075296 _124708006_CENTRAL MALAMO01_F07/29/2002
9462635264 _124708007_DALAPITAN 01_F08/27/1976
9108611261 _124708007_DALAPITAN FEMA04/25/1971
9639471438 _124708007_DALAPITAN MALE05/02/1984
9966058800 _124708007_DALAPITAN 01_F03/31/1977
9505185465 _124708007_DALAPITAN 02_Ma09/09/1982
9107766703 _124708007_DALAPITAN 02_Ma11/23/2000
9187885590 _124708007_DALAPITAN F 3/17/77
9106847425 _124708007_DALAPITAN M 12/14/83
9479990526 _124708012_KIBIA 01_Fe05/26/1986
9616870571 _124708012_KIBIA F 11/4/1988
9508048504 _124708012_KIBIA M 08/20/1978
9128280187 _124708013_KIBUDOC M 4/15/73
9094582829 _124708015_KILADA 01-F 07/30/1964
9120285356 _124708015_KILADA FEMA10/28/1969
9306936632 _124708015_KILADA 02-M11/21/1963
9465718525 _124708015_KILADA 02-M3/1319/76
9553958893 _124708015_KILADA F 06/16/1973
9755160306 _124708015_KILADA FEMA12/06/1969
9382743879 _124708015_KILADA M 1/20/78
9161180924 _124708015_KILADA M 02/22/1973
9475676987 _124708015_KILADA M 8/21/65
9752334942 _124708019_LINAO FEMA03/06/1976
9752877270 _124708019_LINAO M 06/09/1982
_124708025_MANUBUAN 01_F12/27/1968
9679703051 _124708027_MARBEL 01_F05/11/1981
9066574127 _124708027_MARBEL 02_Male
9752812511 _124708027_MARBEL 02_Male
9058915660 _124708027_MARBEL 02_Ma08/23/76
9460076040 _124708030_NEW BUGASONG 06/15/1997
9187504200 _124708031_NEW PANDAN F 08/08/1965
9771670693 _124708034_POBLACION M 11/02/1962
9100416333 _124708034_POBLACION M 03/02/1967
9297608025 _124708034_POBLACION M 9/25/66
9096320511 _124708034_POBLACION M 12/16/69
9307776030 _124708034_POBLACION M 12/12/1982
9510891554 _124708034_POBLACION M 06/05/1980
_124708034_POBLACION M 08/07/1992
9307784740 _124708034_POBLACION F 11/02/994
_124708037_SARAYAN 02_Ma6/20/1965
9505668678 _124708038_TACULEN F 9/16/93
BANGBANG 02_Ma03/25/1962
9071972230 BANGBANG 02_Ma01/21/1971
9476231298 DALAPITAN 01_Fe 10/04/1972
9632369161 DALAPITAN M 11/26/1962
9483114383 DALAPITAN F 10/27/1976
9505909031 MANUBUAN F 07/24/1986
9501469554 MANUBUAN M 05/25/1965
9297696110 MANUBUAN 02_Ma 04/25/1970
9151645317 MANUBUAN 01_Fe 08/16/2001
9502640641 MANUBUAN 01_Fe07/17/1968
9989902912 POBLACION 12/29/1984
9670041131 POBLACION M 05/18/1993
9489117259 POBLACION M 06/11/1998
9515745932 POBLACION M 07/19/1990
9498522815 F 10/18/62
9755335087 M 3/16/69
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
BPAT
BPAT

BPAT
BPAT
RHU MATALAM
BPAT

BPAT

BPAT

MIDWAY

BPAT

NONE

BPAT
BHW
BPAT
BPAT
BPAT
MEDTECH STUDENT

BPAT

BNS
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes
01_Yes

01_Yes
01_Yes

01_Yes

01_Yes
01_Yes
01_Yes
01_Yes
01_Yes
01_Yes
01_Yes

01_Yes
01_Yes
01_Yes
01_Yes
01_Yes
01_Yes

01_Yes
01_Yes
01_Yes

01_Yes
01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

8/5/2021 SINOVAC L202106037 L202106037


8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC #REF! #REF!
8/5/2021 SINOVAC L202106049 L202106049
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106048 L202106048
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106037 L202106037
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
8/5/2021 SINOVAC L202106047 L202106047
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ARCELYN QUINTO, RM MIDWIFE


LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE

LERRY E ESTELLOSO, RM MIDWIFE


LERRY E ESTELLOSO, RM MIDWIFE
JO ANN THERESE V CAR NURSE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO,MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
LERRY E ESTELLOSO, RM MIDWIFE
ZORAIDA S. TOLIA, RM MIDWIFE
Suffi
Last_Name* First_Name* Middle_Name*
x

PAGAYON SUSAN
TAMBOGON IMELDA RUIZ
SARMIENTO MARIO E.
UNOTAN ALVIN TAPA
MAMANGAN JOHN USMAN
ROA JUDITH MATEO
LABAYEN LOVELY MAY NACIS
BLAYA HERMENIA BICCAY
ABEDIN ARBEN KALUNSING
QUIRANTE KARL ARDIENTE
PACYAO RICHARD GOMEZ SR
QUIRICON BENJIE MOJANA N/A
ETANG ANALYN OTTI N/A
FERNANDEZ JOSE ARNEL SUMUGAT N/A
LAPIDES RAMIL CATAYA
CLARITO JIMMY ANDIANO
BENITO ROGER CATANUS N/A
TAGUDAR REYMUN CABAÑAS N/A
MORALLAS ROBERTO CAMPOS
GESULGA NORMAN A
BUTON MARVIN DAPAG N/A
CASTILLON JANICE TORIAGA
MATALAM ALGHABID QADEER
ENTING ABDULATIF TAHIR
NAWAWI NASRUDIN SALAPUDIN
DALPENG ABDUL RACMAN CASAN
BENEDICTO ROMEO RENACIA JR
RAMOS ROBERT ALEGRIA
PADAGAS RICARDO Q.
TUYAN ALMA JARABATA NA
PELEGROS DIANNE HERMIE B
BALDONADO JASPHER B
JUNTILANO ROSEMALYN
BANEZ VIVIEN DELA TORRE
SEBLARIO THERESA D.
ADIL TOMY MOMA
BAUTISTA ROSALIA MAGLASANG
FROFUNGA JONATHAN I.
VALDEZ ROMEL BADUA SR
PADILLA BENITA FERRER
VASQUEZ DANILO M.
VALDEZ KIMBERLY M.
FEOLOG REY G.
FEOLOG DEIONESIA TOMINES
VALDEZ ROMEL C. JR
VASQUEZ LEONIDA E.
ABELLO MARIA RUIZ
JULAO MARITESS DURAN
RAMIREZ JAYSON DELA FUENTE
QUIMOT JUDGIE ESPEDES
ALCAMPOR MARGIE ESPANOLA
NOTARIO BERLYN INTONG
LAPEŇA ERNESTO V. JR
OBRA MIRLA POSADAR
EPISTOLA WILFREDO DELA CRUZ
MORBO EFREN LAURISTA
OBRA ANGELITA D.
DUMLAO LYRIE CASTOR
DUMLAO ROBERTO BILOG
FUENTES FRELYN S. N/A
FUENTES MARILOU DECHOSA
PARAGSA PROSPERO AZUCENA JR
CERVANTES MARIETTA CANJA
BARCEBAL CARMENCITA
MAGONCIA SHERLY J.
AMBAY LORIE BALLARTA
CAMAY JANETTE CERVANTES
AMBAY JOSUE TALIDONG JR
CAMARIÑAS DOMINGO E.
BISCARRA RONNIE TURQUEZA
CASIBANG SUSAN E.
LANOSIN FREDDIE ESPIRITU
LAGUARDIA GRACE
Current_Residence:
Contact_No.* Sex*
Barangay*

F
MALE
MALE
02_Male
02_Male
01_Female

9555036700 MINAMAING
9971680394 KILADA
9653122503 _124708031_NEW PANDAN
9058011701 _124708009_ILIAN MALE
9091729473 POBLACION
9503277649 _124708035_SALVACION F
9076554070 _124708035_SALVACION F
9458240373 MARBEL
9363034877 _124708027_MARBEL 02_Male
9274912099 LAMPAYAN
9093418391 _124708035_SALVACION MALE
9150714665 _124708018_LATAGAN 02_Male
9058113408 _124708018_LATAGAN 01_Female
9608512035 _124708018_LATAGAN 02_Male
9515042801 _124708001_NEW ALIMODIAN M
9575042001 _124708001_NEW ALIMODIAN
9050827220 _124708018_LATAGAN 02_Male
9124428164 _124708018_LATAGAN 02_Male
9121961223 _124708035_SALVACION MALE
9508048501 POBLACION
9658922223 _124708018_LATAGAN 02_Male
9102843379 _124708026_MANUPAL 01_Female
9352277825 WEST PATADON M
9973795383 _124708033_PATADON WEST 02_Male
9534018960 _124708033_PATADON WEST 02_Male
9069563707 _124708033_PATADON WEST 02_Male
9500095366 TACULEN M
9463085067 TACULEN
9558745761 LINAO M
9105299219 POBLACION 01_Female
9666618001 POBLACION
9630700198 POBLACION
9317906978 NEW PANDAN F
9431327406 _124708034_POBLACION
9197634535 _124708031_NEW PANDAN F
9091729473 CENTRAL MALAMOTE
9973477194 POBLACION
9363366328 KIBIA
9751559102 LINAO
99670257048 KIBUDOC F
9101740043 LINAO
9068901542 LINAO
9304980677 SANTA MARIA
9517911073 SANTA MARIA
9052223123 LINAO
9977387471 LATAGAN F
9631844043 MARBEL
9195050375 SALVACION
9120502918 MINAMAING
9468777881 NEW ALIMODIAN M
9097705885 BATO
_124708036_SANTA MARIA F
9129713854 _124708027_MARBEL
KIBUDOC
9073183474 _124708036_SANTA MARIA M
9096542654 _124708017_LAMPAYAN
KIBUDOC F
KIBUDOC
KIBUDOC
9468861818 _124708012_KIBIA
9485609730 KIBIA F
9456653553 CENTRAL MALAMOTE
9510205253 POBLACION
9518036781 POBLACION
9101200603 KIBUDOC
9505692701 DALAPITAN
9461260208 POBLACION
9120167454 _124708007_DALAPITAN 02_Male
9534308138 LINAO
MARBEL M
9534017401 MARBEL F
9104638053 POBLACION M
9759709534 KIBIA F
Civi
Allergy to vaccines Pregnancy_status
Birthdate_mm/dd/yy l_St
Occupation* or components of
yy_* atu
vaccines
s
12/14/1991
05/11/1986 BARANGAY BOOKKEEPER
06/09/1995 M BARANGAY TANOD
09/29/1988 M BARANGAY TANOD
09/03/1980 M BPAT
12/27/1979 BPAT
02/04/1992 KGD?
5/26/1951
08/07/1973
03/06/1968
09/29/1976
6/19/1959
10/18/1971
12/08/1974
02/24/1975 BPAT
1/12/1963 BPAT
04/20/1976 BARANGAY KAGAWAD
05/11/1986 SECRETARY
9/8/1991 STUDENT
09/28/1990 BPAT
10/2/1998 SK KGD
02/20/1979 BPAT
02/08/1985 BPAT
09/06/1977 BARANGAY KAGAWAD
11/26/1967 BPAT
12/15/1976 BPAT
8/20/1977 BPAT
03/09/1971 BPAT
06/10/1991 BPAT
02/13/1984 BPAT
8/24/1968 M BPAT
05/03/1978 M BPAT
07/31/1986 F DAYCARE WORKER
8/24/1946 KGD?
01/06/1986 BPAT
12/10/1974 DRIVER
05/18/1980 BPAT
12/26/1977 BPAT
8/13/1987 BPAT
12/24/1961
11/15/1960
06/12/1996
01/05/1999
12/24/1977
06/04/1963
10/15/1964
08/15/1974
01/17/1962
09/15/1972
10/04/1996
07/30/1966
12/17/1974
02/22/1996
10/11/1976
6/11/1967
12/31/1995
03/16/1983
08/20/1967
10/18/1983
6/5/1991
12/05/1983
05/29/1983
06/20/1966
07/10/1970
11/25/1968
10/19/1968
07/10/1969
08/03/1967
06/06/1966
11/09/1963
8/20/1985
10/21/1979
9/17/1986
4/24/1974
11/04/1983
05/12/1981
01/19/1970
6/10/1980
05/30/1987
04/03/1969
1/15/1972
5/27/1965
1/9/1978
2/18/1962
Drug_Allergy? Food_Allergy? Insect_Allergy? Latex_Allergy?
Mold_Allergy? Pet_Allergy? Pollen_Allergy? With_Comorbidity?
Hypertension Heart_Disease Kidney_Disease Diabetes_Mellitus
Immunodeficiency_S
Bronchial_Asthma Cancer Others
tatus
Date_of_first_positiv
Patient_was_diagnos e_result_/_specimen Classification_of_CO Willing
ed_with_COVID_19 _collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Age more than Has no allergies to
CONSENT Reason for Refusal
16 years old? PEG or polysorbate?
* If with allergy or
Has no severe Has no history of
Has no allergy to asthma, will the
allergic reaction after bleeding disorders or
food, egg, medicines, vaccinator able to
the 1st dose of the currently taking anti-
and no asthma? monitor the patient
vaccine? coagulants?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* if with bleeding * If manifesting any exposure to a
Headache, Cough,
history, is a gauge 23 of the mentioned confirmed or
Colds, Sore throat,
- 25 syringe available symptom/s, specify suspected COVID-19
Myalgia, Fatigue,
for injection? all that apply case in the past 2
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
Has not been convalescent plasma
Has not received any
previously treated for or monoclonal
vaccine in the past 2 Not Pregnant?
COVID-19 in the past antibodies for
weeks?
90 days? COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
* if pregnant, 2nd or Transplant, Under * If with mentioned
presented medical
3rd Trimester? Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Deferral Date of Vaccination Batch Number
Manufacturer Name

8/6/2021 SINOVAC L202106047


8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
8/6/2021 SINOVAC L202106047
Profession of
Lot Number Vaccinator Name 1st Dose
Vaccinator

L202106047 ARCELYN QUINTO, RM


L202106047 QUINTO, ARCELYN D
L202106047 ESTELLOSO, LERRY
L202106047 ESTELLOSO, LERRY
L202106047 ESTELLOSO, LERRY
L202106047 TOLIA, ZORAIDA
L202106047 ESTELLOSO, LERRY
L202106047 ESTELLOSO, LERRY MIDWIFE
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 QUINTO, ARCELYN
L202106047 LERRY E ESTELLOSO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 QUINTO, ARCELYN D MIDWIFE
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 QUINTO, ARCELYN D
L202106047 FERNANDEZ, GLORIA
L202106047 QUINTO, ARCELYN D
L202106047 FERNANDEZ, GLORIA
L202106047 QUINTO, ARCELYN D
L202106047 FERNANDEZ, GLORIA
L202106047 FERNANDEZ, GLORIA
L202106047 QUINTO, ARCELYN D
L202106047 ESTELLOSO, LERRY
L202106047 TOLIA, ZORAIDA
L202106047 TOLIA, ZORAIDA
L202106047 TOLIA, ZORAIDA
L202106047 TOLIA, ZORAIDA
L202106047 ESTELLOSO, LERRY
L202106047 ESTELLOSO, LERRY
L202106047 ESTELLOSO, LERRY
L202106047 ESTELLOSO, LERRY
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 ARCELYN QUINTO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 GLORIA FERNANDEZ, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 GLORIA FERNANDEZ, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 LERRY E ESTELLOSO, RM
L202106047 ARCELYN QUINTO, RM
2nd Dose
Suffi
Last_Name* First_Name* Middle_Name*
x

BORRA GENEVIVE HERMANE


NUŇEZ JOEL DONASCO
CARI JIMMY
REGOTIA NONA EREJE
CORONADO DIOLE CANUTO
DUMAGAN ESTHER JALANDONI
JALANDONI EUNICE PABELLON
DUMAGAN CELENE KENNETH JAIME
CAMPANO FERMIN ALIGAEN JR
INCEPIDO JONIE VERGARA
CORDOVA RICARDO CAMBEL
MAGKILAT DEXTER HIMOTO
NENING RECTO VILLANUEVA
GARCIA MARK VILLAGOMEZA
ARENGGA ARSENIO LILIA
ARINGGA BENEDICTO LILLA
OLIVO LUCILO P JR
CERVANTES ANTOINETTE JERALDINE
CERVANTES MARICEL ROBLES
BETITA EDNA VALDEZ
NENING RECHEL U
MORALES JIMMY PALMA
PUNGYAN VALERIANO LARIDO
Civi
Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
Barangay* dd/yyyy_* atu
s
MALE 5/7/1958
FEMA 8/21/1992
9300865508 POBLACION 1/22/1986
_124708005_BATO 02_Ma07/15/1972
9305898073 KABULACAN MALE03/28/1980
9489782685 POBLACION FEMA 11/03/1983
09505696170 _124708001_NEW ALI 02_Ma 12-14-1979
9237265199 _124708034_POBLACION 03/14/1978
9178969808 _124708034_POBLACIFEMA 11/11/1994
9178915354 _124708034_POBLACION 04/16/1980
09120170243 _124708001_NEW ALI 02_Ma 11/11/1971
09467195839 _124708001_NEW ALI 02_Ma 07/11/1979
09485795449 _124708001_NEW ALI 02_Ma 01-17-1971
9093943606 _124708031_NEW PA M 04-22-1968
9171044096_124708034_POBLACION M 07/07/1971
9122210792 _124708036_SANTA MARIA 6/3/1976
9184432327 KILADA MALE 1/12/1949
9067489283 KILADA MALE 4/7/1954
09777262598 POBLACION MALE 07/23/1969
9459833752 POBLACION FEMA 6/12/1997
9461260208 POBLACION FEMA 10/4/1987
9073617139 POBLACION FEMA 9/11/1966
9171044101 POBLACION FEMA11/28/1977
938600415 TACULEN MALE11/28/1971
9564063979 POBLACION M 3/1/1963
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

BARANGAY KAGAWAD
BPAT

BPAT

BPAT
BPAT
BPAT
BPAT

MEDICAL STUDENT

BPAT
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes

01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

8/9/2021 SINOVAC J202106037 J202106037


8/9/2021 SINOVAC L202106047 L202106047
8/9/2021 SINOVAC
8/9/2021 SINOVAC L202106047 L202106047
8/9/2021 SINOVAC #REF! #REF!
8/9/2021 SINOVAC #REF! #REF!
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC #REF! #REF!
8/9/2021 SINOVAC #REF! #REF!
8/9/2021 SINOVAC #REF! #REF!
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC L202106047 L202106047
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC #REF! #REF!
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC J202106038 J202106038
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC L202106047 L202106047
8/9/2021 SINOVAC L202106047 L202106047
8/9/2021 SINOVAC J202106037 J202106037
8/9/2021 SINOVAC L202106047 L202106047
8/9/2021 SINOVAC
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ROMER P NICOLAS, RN NURSE


JO ANN THERESE V CAR NURSE

LERRY ESTELLOSO, RM MIDWIFE


JO ANN THERESE V CAR NURSE
ROMER P NICOLAS, RN NURSE
ZORAIDA S TOLIA, RM MIDWIFE
ROMER P NICOLAS, RN NURSE
ROMER P NICOLAS, RN NURSE
ROMER P NICOLAS, RN NURSE
ZORAIDA S TOLIA, RM MIDWIFE
JO ANN THERESE V CAR NURSE
JO ANN THERESE V CAR NURSE
JO ANN THERESE V CAR NURSE
ZORAIDA S TOLIA, RMMIDWIFE
ZORAIDA S TOLIA, RM MIDWIFE
ROMER P NICOLAS, RN NURSE
ROMER P NICOLAS, RN NURSE
JO ANN THERESE V CAR NURSE
JO ANN THERESE V CAR NURSE
JO ANN THERESE V CAR NURSE
GLORIA FERNANDEZ, RM MIDWIFE
ZORAIDA S TOLIA, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
Suffi
Last_Name* First_Name* Middle_Name*
x

PALADO ADELFA JUGUE N/A


TATOY RAQUEL YSON
LAZONA VICENTE CAGUD JR
BALBERAN RENE ALFONSO
SEBALLOS JERRY ROA SR
IGLESIA LARRY BOY BARNEDO SR
MOLINA NORDY CAGUD NA
DURON JIOHAN LOQUIRA NA
MONDRAGON ROLEN VICTORIANO NA
DIOCOS JOEWY JANAPON NA
CABASTANTE JOSE CAPULO NA
CERVANTES ADONIS LORENZO NA
FUERTE RICHARD LAZONA NA
TABOR JOSE BACULINAO NA
NARA EDWIN BASINGA
TAMBOGON PEDRO DELA PENA
ALPUERTO CHRISTIAN JAY GABO
GONZALES RODELLE DAIS
TORRES ESTRELLA A.
LAZONA WINSTON CABRILLOS
CAGUD ROXANNE GAY JONTILLA
DURAN ROLLY SURIAGA
BLANCAFLOR RIO ALPERTO
Civi
Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
Barangay* dd/yyyy_* atu
s
02_Ma08/01/1975
MALE11/12/1966
MALE12/23/1967
MALE05/04/1981
MALE04/18/1982
MALE10/04/1969
MALE 5/2/1941
FEMA05/23/1994
9554988352 _124708028_MINAMAIFEMA08/13/1966
MANUPAL FEMA 3/8/1977
9262814945 _124708010_KABULA 02_Ma
3/14/1963
9129657403 KIBUDOC M 7/5/1969
_124708001_NEW ALI 02_Ma 09/01/1972
9658894958.00 _124708008_ESTADO 02_Ma 07/01/1974
9369548272 _124708010_KABULA 02_Ma 03/07/1978
9676977179 _124708012_KIBIA 02_Ma
11/03/1968
9663023874 _124708012_KIBIA 02_Ma
09/05/1981
9091272974 _124708012_KIBIA 02_Ma
03/13/1966
9676977179 _124708012_KIBIA 02_Ma
04/20/1967
9676977179 _124708012_KIBIA 02_Ma
08/29/1975
9676977179 _124708012_KIBIA 02_Ma
04/16/1974
9676977179 _124708012_KIBIA 02_Ma
03/13/1967
9679608598 _124708013_KIBUDOCM 07/10/1974
9679608598 _124708013_KIBUDOCM 08-19-1973
9997096329 _124708017_LAMPAY 02_Ma 10/30/1997
9091934292 _124708034_POBLACION 6/3/2003
9169753902 ESTADO FEMA 12/17/1961
9514800572 KABULACAN M 9/7/1996
9500813410 KABULACAN F 04/20/2001
9309531380 SALVACION M 10/15/1960
9109101807 KIDAMA M 12/23/1983
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
BPAT
BPAT
BPAT
BPAT
BPAT
BARANGAY KAGAWAD

STUDENT
DAYCARE WORKER
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
BPAT
MEDTECH STUDENT
BHW
SK

BPAT
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

08/11/12021 SINOVAC J202106037 J202106037


08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
08/11/12021 SINOVAC J202106037 J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ARCELYN QUINTO, RM MIDWIFE


JO ANN THERESE V CAR NURSE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
JO ANN THERESE V CAR NURSE
ARCELYN QUINTO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
JO ANN THERESE V CAR NURSE
ARCELYN QUINTO, RM MIDWIFE
GLORIA FERNANDEZ, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
JO ANN THERESE V CAR NURSE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
JO ANN THERESE V CAR NURSE
ARCELYN QUINTO, RM MIDWIFE
JO ANN THERESE V CAR NURSE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_01_A1_Health_Care_Workers
_01_A1_Health_Care_WorkeSULTAN DONG S.
_01_A1_H05_A1.5: Governme BADILLA SUSAN A.
_01_A1_H05_A1.5: Governme GANDEZA DEMETRIO CLAUSTRO
_01_A1_H05_A1.5: Governme VELASCO EMILY HILARIO
_01_A1_Health_Care_WorkeVITORILLO MERIAM NICOLAS
Civi
Suffi Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x Barangay* dd/yyyy_* atu
s
02_Ma08/24/1983
02_Ma04/14/1978
M 6/4/1964
9676909836 KILADA M 4/4/1969
9101038906 F 06/20/1965
965277744 _124708027_MARBEL 02_Ma 09/09/1963
9630567766 _124708038_TACULENF 01/02/1979
9107518595 TACULEN FEMA 9/7/1963
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
BPAT
BPAT
BPAT
BPAT
DAYCARE WORKER
BPAT
TREASURER
UTILITY
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

8/12/2021 SINOVAC J202106037 J202106037


8/12/2021 SINOVAC J202106037 J202106037
8/12/2021 SINOVAC J202106037 J202106037
8/12/2021 SINOVAC J202106037 J202106037
8/12/2021 SINOVAC J202106037 J202106037
8/12/2021 SINOVAC J202106037 J202106037
8/12/2021 SINOVAC J202106037 J202106037
8/12/2021 SINOVAC J202106037 J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

GLORIA FERNANDEZ, RM MIDWIFE


ROMER NICOLAS, RN NURSE
ROMER NICOLAS, RN NURSE
ROMER NICOLAS, RN NURSE
LERRY ESTELLOSO, RM MIDWIFE
ROMER NICOLAS, RN NURSE
JO ANN THERESE V CAR NURSE
ROMER NICOLAS, RN NURSE
Su
b-
Pri Phi
PW
Priority ori lHe Suffi
D Last_Name* First_Name* Middle_Name*
Group* ty alth x
ID
Gr _ID
ou
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
p*
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_H05_A1.5: GovDADO BEBOT SEBALLOS
_01_A1_H05_A1.5: GovCABAYA JOMAR MASO N/A
_03_A3_Adult_with_Como
RANCE NESTOR EDANG
_03_A3_Adult_with_Como
DAIS RYAN JAY CERENIO
_03_A3_Adult_with_Como
MOLENO EVA EDEN
_03_A3_Adult_with_Como
ALPAS ALTHEA BAGSIC
_01_A1_H05_A1.5: GovOSIS DOMINADOR D.
_03_A3_Adult_with_Como
DENAGA JULIUS CEASAR NOMONG
_03_A3_Adult_with_Como
VIRGINIA JOCELYN C.
_03_A3_Adult_with_Como
RAMOS MARITON C.
UNTALAN
_03_A3_Adult_with_Como BERNIE PALMA
UNTALAN
_03_A3_Adult_with_Como JEANILYN DACLES
_03_A3_Adult_with_Como
DAIS LEODILIA
_01_A1_H05_A1.5: GovALMIRANTE BERNARD ARANA
_01_A1_H05_A1.5: GovBERNAL BENEDICTO UMALDE JR
_01_A1_H05_A1.5: GovILIGAN ROLLY MATIBAY
_01_A1_H05_A1.5: GovTEMPLA DANILO CAMPOSO
RUIZ
_03_A3_Adult_with_Como REX VENTURA
_03_A3_Ad_03_A3 FLORES MERJORIE ALOJIPAN
_03_A3_AdA3 ORCAJADA DOLORES CABATINGAN
_03_A3_Adult_with_Como
CABATINGAN ALEJANDRO TAGALOG
_03_A3_Adult_with_Como
ARZAGA ELBON BALLENAS
_03_A3_Adult_with_Como
RICOPUERTO LARRY NOBLE
_03_A3_Adult_with_Como
SALES JEAN CLAIRE FERNANDEZ
_03_A3_Adult_with_Como
CALANAO JERNEL Z.
_03_A3_Adult_with_Como
CALANAO CRISTY FARINAS
_03_A3_Adult_with_Como
CENTINA JUSTIN JOHN O.
_03_A3_Adult_with_Como
SERQUIñA JAMES PEPITO
_03_A3_Adult_with_Como
FAJARITO ARIEL JISIM
_03_A3_Adult_with_Como
BARREDO BERNIE JOHN C.
_03_A3_Adult_with_Como
MANGACOP RASAM A.
_03_A3_Adult_with_Como
PARACHA HENRY ACOSTA
_03_A3_Adult_with_Como
CAMBARIHAN JOVEL DELA CRUZ
_03_A3_Adult_with_Como
ALMIROL JOHN ERIC LAGORRA
_01_A1_H05_A1.5: GovESCARO MELCHOR CERVO
_03_A3_Adult_with_Como
ALCALDE FE DIMALALUAN
_01_A1_Health_Care_ALPUERTO ALEJANDRO TAGURA JR
_03_A3_Adult_with_Como
AMBAY CRHRISTINE JAY G.
_03_A3_Adult_with_Como
PORRAS ANNIE ROSE BATILARAN
_03_A3_Adult_with_Como
DELA CRUZ RUTH MARIANO
_03_A3_Adult_with_Como
POLISON DANNA MIRR SAMULDE
_03_A3_Adult_with_Como BALDONADO MARK XENUS VALLEJO
_03_A3_Adult_with_Como
BISCARRA FRANCES AICAH CARDINES
_03_A3_Adult_with_Como
ALPAS LEVE SOLATORIO
_03_A3_Adult_with_Como
CASTRO ALFREDO MILLAGROSA
_03_A3_Adult_with_Como
MICUTUAN MA. ELLEN ROSE SANSANO
_03_A3_Adult_with_Como
BELANDRES ROLANDO MONTERO
_03_A3_Adult_with_Como
CORPUZ RENYL TORMIS
_03_A3_Adult_with_Como
MOSQUEZA CYNTHIA FUNA
_03_A3_Adult_with_Como
PECAOCO MERIAM ROSALIA
_03_A3_Adult_with_Como
RABANAL JENRINE PISCO
_03_A3_Adult_with_Como
PADUYOS MANNY PACOLOR
_03_A3_Adult_with_Como
SORONGON GENNA UMALI
_03_A3_Adult_with_Como
SORONGON FEDERICO SAAVEDEA
_03_A3_Adult_with_Como
SORILLA LUIGE AGUILAR
_03_A3_Adult_with_Como
VANZUELA MADELINE DELGADO
_03_A3_Adult_with_Como
TABARA EDWARD YAGO JR
_03_A3_Adult_with_Como
AUDITOR JHIHARA YZABELLE L
_03_A3_Adult_with_Como
AUDITOR GIVEN ROLAND MAXELLE L.
_03_A3_Adult_with_Como
MUSTAPHA OMAR SALEM
_03_A3_Adult_with_Como
ABDULLAH VISHAER A.
_03_A3_Adult_with_Como
ABEDIN ALINOR MOHAMMAD
_03_A3_Adult_with_Como
PEREZ CHRISTINE JANE DELA PENA
_03_A3_Adult_with_Como
SALIK LINTATO S.
_03_A3_Adult_with_Como
VERNONA ALBERTO
_03_A3_Adult_with_Como
SERQUINA JAMES PEPITO
_03_A3_Adult_with_Como
DALISAY ROBELEN
Civi
Current_Residence: Birthdate_mm/dd l_St
Contact_No.* Sex*
Barangay* /yyyy_* atu
s
02_Ma11/05/1981
02_Ma04/07/1964
M 12/03/1969
M 04/27/1963
F 07/01/1996
F 07/17/1975
M 12/28/1987
F 04/02/1987
F 01/27/2003
F 06/19/1973
9385786335 _124708001_NEW ALI 02_Ma 03/22/1977
9266890518 _124708018_LATAGAN02_Ma 02/11/1987
9286459314 POBLACION M 11/17/1970
9091934007 POBLACION M 05/03/1999
9478134478 LOWER MALAMOTE F 03/12/1987
9666555028 POBLACION F 05/24/2003
9630567765 _124708036_SANTA MM 01/12/1966
9487882655 KABULACAN M 07/14/2001
9673175513 KIBIA F 12/11/1993
9101570907 KIDAMA M 03/29/1988
9464954381 POBLACION M 3/18/1978
9464954381 POBLACION F 6/26/1974
9091934292 POBLACION F 05/09/1973
09467195839 _124708001_NEW ALI 02_Ma 03/03/1964
9309958089 _124708001_NEW ALI 02_Ma 08/25/1980
9483155290 _124708004_BANGBA 02_Ma 02/18/1982
9358703911 _124708004_BANGBA 02_Ma 08/27/1963
09485242776 _124708007_DALAPIT M 01/13/1989
09309337456 _124708034_POBLACIF 04/27/1997
9356890454 _124708034_POBLACION F 2/21/1974
9557982552 DALAPITAN M 04/01/1971
9975439957 DALAPITAN M 08/30/1969
9125225604 INAS MLANG M 12/10/1987
9102287184 KIBIA F 03/02/1996
9099683952 KIBIA M 08/20/1990
9512005887 KIBIA F 08/03/1991
9295805707 KIDAMA M 11/06/1996
9311874181 KILADA M 1/12/1974
9303125186 KILADA M 12/16/1972
9360532786 KILADA M 12/28/1994
9515629705 KILADA M 12/02/1961
9107880488 KILADA M 11/16/1966
9631013000 LAMPAYAN M 06/17/1993
9667650963 MANUBUAN M 01/16/1997
9656948689 NATUTUNGAN M 12/5/1979
9305662680 NEW ABRA F 01/07/1977
9107499387 NEW ALIMODIAN M 05/22/1989
9382761871 NEW PANDAN F 02/21/1989
9514800506 POBLACION F 05/23/1983
9512619902 POBLACION F 07/19/1977
9272480608 POBLACION F 09/06/1993
9700748197 POBLACION 03/08/1999
9484555395 POBLACION F 04/06/1998
9473265887 POBLACION M 07/12/1972
9464435718 POBLACION M 12/15/1977
9678539826 POBLACION F 01/10/1998
9127129505 POBLACION M 09/18/1980
9298036932 POBLACION M 08/31/1990
9154315866 POBLACION F 11/25/1979
9306207932 POBLACION F 12/22/1965
9639471450 POBLACION M 08/17/1995
9305613777 POBLACION M 10/20/1981
9515083443 POBLACION F 06/25/1974
9503443412 POBLACION M 01/04/1975
POBLACION M 06/12/1971
9091918012 POBLACION F 03/09/1983
9555019989 POBLACION M 06/23/1985
9666858556 POBLACION F 09/11/2001
9104387987 POBLACION M 10/23/2002
9971707733 POBLACION M 3/30/1996
9322768061 POBLACION F 01/05/1998
9360537657 POBLACION M 09/27/1997
9673955613 POBLACION F 12/24/1995
WEST PATADON M 11/30/1973
9469751396 POBLACION M 12/28/1987
9311874181 KILADA M 1/12/1974
9501740005 MANUPAL F 5/22/1981
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
BPAT
BPAT

BPAT
BPAT

BPAT

BPAT
BPAT
BPAT
BPAT
BPAT

BARANGAY KAGAWAD
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
MARY JEAN ROLDAN, RM
ZORAIDA TOLIA, RM
ARCELYN QUINTO, RM
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
MARY JEAN ROLDAN, RM
MARY JEAN ROLDAN, RM
ARCELYN QUINTO, RM
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
LERRY ESTELLOSO, RM
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
MARY JEAN ROLDAN, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
MARY JEAN ROLDAN, RM
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
MARY JEAN ROLDAN, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
LERRY ESTELLOSO, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
MARY JEAN ROLDAN, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
ARCELYN QUINTO, RM
ARCELYN QUINTO, RM
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
MARY JEAN ROLDAN, RM
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ROMER NICOLAS, RN
LERRY ESTELLOSO, RM
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ROMER NICOLAS, RN
ROMER NICOLAS, RN
LERRY ESTELLOSO, RM
LERRY ESTELLOSO, RM
ARCELYN QUINTO, RM
ARCELYN QUINTO, RM
ROMER NICOLAS, RN
MARY JEAN ROLDAN, RM
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_02_A2_Senior_Citizens YALDA AURORA YAGONG
_03_A3_Adult_with_ComorbidiYAGONG VIRGILIO S
_03_A3_Adult_with_ComorbidiMOJANA CRISTINA PALMA
_03_A3_Adult_with_ComorbidiBOLANO JELYN ESTEVA
_03_A3_Adult_with_ComorbidiHORBEDALLA HAIDE COMBONG
_03_A3_Adult_with_ComorbidiANDRES GENEDINA BALBES
_03_A3_Adult_with_ComorbiPAULINO ROSITA SANIO
_03_A3_Adult_with_ComorbiMENDIOLA ELNIE O.
_03_A3_Adult_with_ComorbiZABALA HAMMER REY SUMAGAYSAY
_03_A3_Adult_with_ComorbidiCABUYAO NORA BATUA
_03_A3_Adult_with_ComorbiVERONA JANREY TUZON
_03_A3_Adult_with_ComorbiVILLARIN DANNYBOY CATALBAS
_01_A1_Health_Care_WorkeTUMPAR ARNEL
_03_A3_Adult_with_ComorbidiSANCHEZ FELIX R
_03_A3_Adult_with_ComorbidiMERCADO MARIETA JOVONILLO
_03_A3_Adult_with_ComorbiENCARNADO RENE DEEYOY
_03_A3_Adult_with_ComorbidiBELOTINDOS BELINDA
03_A3: Adult with ComorbidiBAGUAMAMA MAIRO LANGKOT
_03_A3_Adult_with_ComorbiLUBON ANESITA
_03_A3_Adult_with_ComorbidiRODUTA MERGIE
_03_A3_Adult_with_ComorbiSINCO OFELIA JAMOLES
_03_A3_Adult_with_ComorbiCARINO DANIEL UCEP
_03_A3_Adult_with_ComorbiSALES ALLAN MADIO
_03_A3_Ad 708-018-282 LAGUNDAY GERLIE NAZARENO
_03_A3_Adult_with_ComorbiASILDEQUE RUBY DIONESIO
_03_A3_Adult_with_ComorbiLLAVADO ROMEO NAZARENO
_03_A3_Adult_with_ComorbiDAPUN ARGIE N
_03_A3_Adult_with_ComorbiNUESCA EVELYN DE PEDRO
_03_A3_Adult_with_ComorbiPAJARO MARICEL MICATOR
_03_A3_Ad_03_A3 JAVIEN SELVA ETABAG
_03_A3_Ad_03_A3 JAVIEN MELBERT I
_01_A1_H05_A1.5: Governme AMAN BENCITO DIAZ
_02_A2_Se09_A2.2: All Other OLIVEROS MARIANO MARQUEZ
_03_A3_Adult_with_ComorbiPERLA LORNA SEGUMBAN
_03_A3_Adult_with_ComorbiCAMANDAGAN CARLIE DANILA
_03_A3_Adult_with_ComorbiRAMOS FEBRALYN JUVY V.
_03_A3_Adult_with_ComorbiMASOLA KRISTINE V.
_03_A3_Adult_with_ComorbidiOMANDAM ENRICO SUNICO
_03_A3_Adult_with_ComorbidiIPONG MAGUID CABUYAO
_03_A3_Adult_with_ComorbidiSEBAYAN JOEL CAPECIO
_03_A3_Adult_with_ComorbidiABALOS CATHERINE D.
_03_A3_Adult_with_ComorbiTERNIO ROSE ANN
_03_A3_Adult_with_ComorbiEBITA RYL MAY ABALOS
_03_A3_Adult_with_ComorbidiVALDEVIESO RICA
_03_A3_Adult_with_ComorbidiIRLANDEZ MARY ROSE
_03_A3_Adult_with_ComorbidiREAL RUBYLYN
_03_A3_Adult_with_ComorbidiMALLORCA FELIMON SISON
_03_A3_Adult_with_ComorbidiVALDEVIESO TONY
_03_A3_Adult_with_ComorbidiREAL ALLEN CUARES
_03_A3_Adult_with_ComorbiCABANILLA MANUEL C.
_03_A3_Adult_with_ComorbiMAGNO JAMES M.
_03_A3_Adult_with_ComorbiCANQUE VICENTE CAGANILLA
_03_A3_Adult_with_ComorbiDELA TORRE JAN JANAPON
_03_A3_Adult_with_ComorbiYRA REMY MORALES
_03_A3_Adult_with_ComorbiCANQUE EROL CAPINDO
_03_A3_Adult_with_ComorbiMAGNO JOSEPH M.
_03_A3_Adult_with_ComorbiENCARNACION ALFONSO CARINO
_03_A3_Adult_with_ComorbiGATCHALIAN MARK BARNEDO
_03_A3_Adult_with_ComorbiSIOBAL MARLON VERSOLA
_03_A3_Adult_with_ComorbiSIOBAL JANRY VERSOLA
_03_A3_Adult_with_ComorbidiCABILBIGAN MARILOU CABAYA
_03_A3_Adult_with_ComorbidiCABANAS JOWENA CABAYA
_03_A3_Adult_with_ComorbidiSIASOL ARNEL MOJANA
_03_A3_Adult_with_ComorbiBIGAYO RENANTE VILLASOR
_03_A3_Adult_with_ComorbidiFORONDA IZA MAE RACETES
_03_A3_Adult_with_ComorbidiGACAL JOAN ANDRES
_01_A1_Health_Care_WorkeEVANGELIO JUDELYN BACUS
_03_A3_Adult_with_ComorbidiCANLOG LUZVIMINDA T.
_03_A3_Adult_with_ComorbidiCADUNGON ROWENA TAPULGO
_03_A3_Adult_with_ComorbidiSANCHEZ JUNALYN BUENTIPO
_03_A3_Adult_with_ComorbidiSINCO JAZREL JAMOLES
_03_A3_Adult_with_ComorbidiLEE HENRY SERGUINA
_03_A3_Adult_with_ComorbidiJAVILLONAR IAN JAY BUENAVISTA
_03_A3_Adult_with_ComorbidiCANLOG LEONILO V.
_03_A3_Adult_with_ComorbidiJAVILLONAR SHEILAH FAITH BUENAVISTA
_03_A3_Adult_with_ComorbiGATCHALIAN JAYSON BARMEDO
_03_A3_Adult_with_ComorbiGATCHALIAN SANNY PABLO
_03_A3_Adult_with_ComorbiBALDOS MARINO BALILI
_03_A3_Adult_with_ComorbiGATCHALIAN JERRY PABLO
_03_A3_Adult_with_ComorbiSAMILLANO LUZ BELLA ORBE
_03_A3_Adult_with_ComorbiGATCHALIAN ERIC RABARA
_03_A3_Adult_with_ComorbiRAFAEL ALBERTO
_03_A3_Adult_with_ComorbiRAFAEL MARILYN TAGAYUNA
_03_A3_Adult_with_ComorbiCUMLA JIMUEL BLANCIA
_03_A3_Adult_with_ComorbiTUSCANO ELLEN RAGUS
_03_A3_Adult_with_ComorbiUY JOHN BERT TACANG
_03_A3_Adult_with_ComorbidiCADING LILIBETH SASUMAN
_03_A3_Adult_with_ComorbidiANTONIO LIEZEL S
_03_A3_Adult_with_ComorbiALCALDE REMIE LYNN PECAOCO
_03_A3_Adult_with_RAYUMA VALDEZ CELSO SAMULDE
_02_A2_Senior_Citizens CATIQUESTA WILFREDO BILOG
_03_A3_Adult_with_ComorbiPANIAGUA CRIS AMLON
_01_A1_Health_Care_WorkeCANDIDIER RENELYN CALAWIGAN
A3 CALLO JOVELINA
_03_A3_Adult_with_ComorbiFERNANDEZ IRVIN NINO
Civi
Suffi Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x Barangay* dd/yyyy_* atu
s
01_F 10/07/1976
01_F 01/14/1974
F 07/10/1973
F 10/21/1967
F 12/03/1981
F 08/02/1970
F 3/20/1963
M 08/01/1980
M 11/27/1960
M 12/31/1971
F 3/3/1963
M 08-19-1982
ESTADO F 7/9/1961
JR 9125033492 ESTADO M 03/17/1969
9679608329 LATAGAN F 07/05/1975
9803233442 LATAGAN F 02/07/1980
9619970267 LATAGAN F 05/16/1974
9968120308 LATAGAN F 1/28/1964
LATAGAN F 11/12/1967
9418230449 POBLACION F 03/05/1983
9564082952 POBLACION M 04/05/1992
9153757755 CENTRAL MALAMOTE F 5/3/1971
9513620502 CENTRAL MALAMOTE M 10/01/1996
0906-610-0884 ESTADO 02_Ma1/15/1972
ESTADO M 9/6/1987
ESTADO M 03/31/1968
9754951382 ESTADO F 01/09/1968
KABULACAN M 04/04/1983
9489290500 LINAO F 1-/18/1980
9091729473 _124708006_CENTRAL M M 12/06/1970
9366034006 _124708008_ESTADO 01_F 10/03/1974
9361814681 _124708013_KIBUDOC F 12/08/1967
9174077564 _124708019_LINAO F 12/03/1975
9103079226 _124708025_MANUBUAN02_Ma 05/22/1962
9487323306 _124708025_MANUBUAN02_Ma 9/18/1985
9223018340 _124708026_MANUPAL 01_Fe 03/28/1982 01_Single
9500271745 _124708028_MINAMAIF 05/11/1988
9559730114 _124708028_MINAMAIM 07/30/1965
9463493845 _124708028_MINAMAIF 11/22/1969
9520880405 _124708028_MINAMAIF 07/15/1979
9104734677 _124708028_MINAMAIF 01/21/1983
09107024542 _124708034_POBLACIF 10/22/1974
09107024542 _124708034_POBLACIM 01/20/1967
JR 9486388044 _124708036_SANTA MM 11-21-1985
_124708038_TACULENMALE05/18/1954
9061706548 ARAKAN F 03/08/1986
9464437711 ARAKAN F 05/05/1978
9305899750 ARAKAN F 02/18/1995
9061188996 ARAKAN F 12/20/1995
9953381145 BANGBANG M 08/22/2002
9756818894 CENTRAL MALAMOTE M 03/15/1979
9122064289 CENTRAL MALAMOTE M 2/13/1981
9121701172 CENTRAL MALAMOTE F 2/19/1986
9638237061 DALAPITAN F 12/15/1994
9230849482 DALAPITAN F 05/08/1987
KABULACAN F 08/31/1989
9481710775 KABULACAN F 01/21/1977
9055654418 KABULACAN F 10/17/1975
JR KABULACAN M 05/14/1972
KABULACAN 03/25/1983
KABULACAN M 08/23/1974
9396348881 KABULACAN M 09/11/1972
9777804790 KABULACAN M 4/25/2001
9534311383 KABULACAN M 4/17/1975
KABULACAN M 02/05/1966
9069711667 KABULACAN M 11/23/1978
9187241522 KABULACAN M 07/14/1987
9104569651 KABULACAN M 9/22/1995
9977806025 KIBUDOC M 01/05/1972
9488820034 KIDAPAWAN M 04/19/1998
9487873457 KILADA M 03/19/1981
9970968142 KILADA M 01/19/1989
9109937296 LATAGAN F 06/04/1970
LATAGAN F 07/02/1977
9107987211 LATAGAN M 10/09/1990
9070148284 LATAGAN M 04/19/1988
9774624266 LINAO F 04/01/1981
9355742230 LINAO F 07/26/1978
9061706256 LINAO FEMA 5/5/1997
9057104241 LINAO F 06/06/1970
LINAO F 01/17/1977
9168211597 LINAO F 6/13/1983
9756104560 LINAO M 4/28/2001
9070463848 LINAO M 1/19/1978
9237457103 MANUBUAN M 08/05/1994
9057104241 MANUBUAN M 06/20/1965
9512559652 MANUBUAN F 11/22/2000
9488200324 MARBEL M 12/15/1992
MARBEL M 06/26/1924
9076126679 MARBEL M 01/14/1972
MARBEL M 12/05/1976
9096984413 NEW BUGASONG F 10/16/1972
NEW PANDAN M 01/05/1988
JR 9304946424 POBLACION M 11/18/1976
9185952937 POBLACION F 7/16/1970
9301160833 POBLACION M 02/03/1986
9155720110 POBLACION F 04/30/1980
9175820494 POBLACION M 11/03/1991
9519463279 POBLACION FEMA 3/9/1983
09100484135 POBLACION F 01/29/1980
9197527110 POBLACION F 08/24/1986
9090093434 POBLACION M 03/21/1971
SANTA MARIA M 3/17/1961
9509741626 TAMPED F 12/25/1999
9975435165 MINAMAING F 11/1/1992
9700925098 MANUBUAN F 1/22/1984
9317320360 KIBUDOC M 06/04/1990
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

BPAT

BRGY DRIVER

01_Single
BPAT

STUDENT
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes
01_Yes
01_Yes

01_Yes

01_Yes
01_Yes
01_Yes
01_Yes
01_Yes
01_Yes

01_Yes
01_Yes
01_Yes
01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106047
08/16/2021 SINOVAC
08/16/2021 SINOVAC J202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106047
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106033
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC J202106037
08/16/2021 SINOVAC L202106047
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106037
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106032
08/16/2021 SINOVAC L202106033
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106033
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106047
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106033
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC
08/16/2021 SINOVAC L202106047
08/16/2021 SINOVAC
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ARCELYN QUINTO, R MIDWIFE


ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, MIDWIFE
GLORIA FERNANDEZ, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ROMER NICOLAS, RN NURSE
ARCELYN QUINTO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ROMER NICOLAS, RN NURSE
ARCELYN QUINTO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ROMER NICOLAS, RNNURSE
ARCELYN QUINTO, R MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ROMER NICOLAS, RNNURSE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ROMER NICOLAS, RN NURSE
ZORAIDA TOLIA, RM MIDWIFE
ROMER NICOLAS, RN NURSE
GLORIA FERNANDEZ, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
GLORIA FERNANDEZ, RM MIDWIFE
GLORIA FERNANDEZ, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ROMER NICOLAS, RN NURSE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
JO ANN THERESE V CAR NURSE
LERRY ESTELLOSO, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ARCELYN QUINTO, R MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ZORAIDA TOLIA, RM MIDWIFE
ROMER NICOLAS, RN NURSE
LERRY ESTELLOSO, RM MIDWIFE
JO ANN THERESE V NURSE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ROMER NICOLAS, RN NURSE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
LERRY ESTELLOSO, RM MIDWIFE
ARCELYN QUINTO, RM MIDWIFE
JANINE TIAQGUIN PASIN NURSE 8/16/2021
GENEFE QUIRUBIN LUMA NURSE 8/16/2021
ROMER NICOLAS NURSE 8/16/2021
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Ad_03_A3
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_AdA3 DELGADO LOLITA UMALI
_03_A3_Adult_with_ComorbidiSENIEL JASON BONILLA
_03_A3_Adult_with_ComorbidiCERVANTES ALESSANDRA SOPHIA
_03_A3_Adult_with_ComorbidiJAUM JEFFREY MIRANDA
_03_A3_Adult_with_ComorbidiBATILARAN MERLE N.
_03_A3_Adult_with_ComorbidiORQUILA JAKE DACLES
_03_A3_Adult_with_ComorbidiPENTECOSTES CRISTY LOU SILLA
_03_A3_Adult_with_ComorbidiRILLORTA SALLY MISATON
_03_A3_Adult_with_ComorbidiLENTIJA MICHAEL LAMBITO
_03_A3_Adult_with_ComorbidiREAL ROSALIA DE AMBOY
_03_A3_Adult_with_ComorbidiGANGE JANET PENTORAS
_03_A3_Adult_with_ComorbidiCABURATAN WENDELL T.
_03_A3_Adult_with_ComorbidiGARCIA JOAN MAY PELONADA
_03_A3_Adult_with_ComorbidiROSETE ERICKA POBLACION
_03_A3_Adult_with_ComorbidiSALLE MARICEL SAGAYEN
_03_A3_Adult_with_ComorbidiSILVA ANGELITA GARCIA
_03_A3_Adult_with_ComorbidiZABALA LARRY SUMAGAYSAY
_03_A3_Adult_with_ComorbidiDURAN ROSEMARIE MONTERON
_03_A3_Adult_with_ComorbidiALENIO HERLYN CARRIEDO
_03_A3_Adult_with_ComorbidiMANIB GINA P
_03_A3_Adult_with_ComorbidiDELA CRUZ PEBE ROSE BATUIGAS
_03_A3_Adult_with_ComorbidiLETRAN ANIELYN DELA PENA
_03_A3_Adult_with_ComorbidiBAHAGUE JAMES EARL DUBLAS
_03_A3_Adult_with_ComorbidiLAMAUAG JAY-AR BAREDO
_03_A3_Adult_with_ComorbidiLOZANO MARICEL PERLAS
_03_A3_Adult_with_ComorbidiPERALTA JASMIN TUMAOB
_03_A3_Adult_with_ComorbidiSALTING ROWENA DULAY
_03_A3_Adult_with_ComorbidiSALVADOR GINA VALDEZ
_02_A2_Senior_Citizens SENEREZ ANDRESITO L
_02_A2_Senior_Citizens SENEREZ VERONICA G.
_03_A3_Adult_with_ComorbidiCATUBAY MEBETH JEAN S.
_03_A3_Adult_with_ComorbidiGAYONDATO RICHARD SELEBIO
_03_A3_Adult_with_ComorbidiTESIO RUEL ALBIOS
_03_A3_Adult_with_ComorbidiMASUGOT MAYGAN ALMAREZ
_03_A3_Adult_with_ComorbidiTACUKEN THELMA G.
_03_A3_Adult_with_ComorbidiTACUKEN ARMAN O.
_03_A3_Adult_with_ComorbidiDE EYOY REYNOLD DUMASIS
_03_A3_Adult_with_ComorbidiCAMRAL RIC ANDEA
_03_A3_Adult_with_ComorbidiALILAYA ZENAR ANGELES
_03_A3_Adult_with_ComorbidiCARINO RODELYN CASTANES
_03_A3_Adult_with_ComorbiSUGASTE ELISER BARBERO
_03_A3_Adult_with_ComorbidiSAGAYCA SHAINA MAY CRISPOLON
_03_A3_Adult_with_ComorbidiSALLE RICKY S
_03_A3_Adult_with_ComorbidiSUGASTE LALAINE VALDE
_03_A3_Adult_with_ComorbidiMACAN DARWIN GABUTERO
_03_A3_Adult_with_ComorbidiPLANTAR BRYAN B.
_03_A3_Adult_with_ComorbidiCORONADO RIMA E.
_03_A3_Adult_with_ComorbidiBAUTISTA RICHARD NICOR
_03_A3_Adult_with_ComorbidiTABASA NOEL C
_03_A3_Ad_03_A3 LUCHE REAH REAL
_03_A3_Adult_with_ComorbidiAMORIA JUANITO YSON
_03_A3_Adult_with_ComorbidiBAJENTING OLIVIA UMALI
_03_A3_Adult_with_ComorbidiBAJENTING GABRIEL UMALI
_03_A3_Adult_with_ComorbidiBATILARAN ERIC BON U.
_03_A3_Adult_with_ComorbidiBENTAYAO BRIX RAYMOND NIETES
_03_A3_Adult_with_ComorbidiBLANCIA PRETCHEL LOU BATUIGAS
_03_A3_Adult_with_ComorbidiBUDAY KLYNE HARRY BEDIA
_03_A3_Adult_with_ComorbidiCONDEZ KRIZZA BEA R.
_03_A3_Adult_with_ComorbidiCORPUZ SOCORRO CANLAS
_03_A3_Adult_with_ComorbidiDACLES ANGELYN E.
_03_A3_Adult_with_ComorbidiDACLES GREGORIO QUIRANTE
_03_A3_Adult_with_ComorbidiESTEBAN BETTY D.
_03_A3_Adult_with_ComorbidiFERNANDEZ RODEL TEJIRO
_03_A3_Adult_with_ComorbidiFERRER JULIET ROSETE
_03_A3_Adult_with_ComorbidiMAGBANUA ARLEN BALIGUAT
_03_A3_Adult_with_ComorbidiNICOLAS GEMA PALMA
_03_A3_Adult_with_ComorbidiORCAJADA JOHN MARC CABATINGAN
_03_A3_Adult_with_ComorbidiPACIO JESSE NEIL
_03_A3_Adult_with_ComorbidiSARMIENTO CHARLES DARVEY
_01_A1_Health_Care_WorkeSOLAñA JEMINA SHEMINITH J
_03_A3_Adult_with_ComorbidiSORONGON FRANCIS U.
_03_A3_Adult_with_ComorbidiTALADTAD AL CEDRICK V.
_03_A3_Adult_with_ComorbidiUMINGA KING KRISTIAN ENCLONAR
_02_A2_Senior_Citizens DURAN VERGENCITA
_03_A3_Adult_with_ComorbidiBENDIJO ALBERT ABALOS
_03_A3_Adult_with_ComorbidiVILLAHERMOSA CHRISTINE G
_03_A3_Adult_with_ComorbiMAGDUGO JERRY COMILLE
09_A2.2: All Other BARBERO
_02_A2_Se FEDERICO GANDEZA
_03_A3_Adult_with_ComorbiMORIAL MARIEGLO PALO
_03_A3_Adult_with_ComorbiUMALAY DANILO
09_A2.2: All Other MATO
_02_A2_Se FATIMA AKIL
_03_A3_Adult_with_ComorbiCARZON MILAGROS B.
_03_A3_Adult_with_ComorbidiFLORES CHERRY CELESTIAL
_03_A3_Adult_with_ComorbidiMANANSALA SWEET HONEY MAE ZASPA
_03_A3_Adult_with_ComorbidiONOTAN DEVIJONES LASTIMOSA
_03_A3_Adult_with_ComorbidiONOTAN ROSE MAE PATUBO
_03_A3_Adult_with_ComorbidiANTOY LAARNI BARBERO
_03_A3_Adult_with_ComorbidiBOLIVAR JENELYN C.
_03_A3_Adult_with_ComorbidiTARONA CLINT JAN BALDONADO
_03_A3_Adult_with_ComorbidiUSMAN JENNIFER IMPONG
_03_A3_Adult_with_ComorbidiUSMAN JHIHARA IMPONG
_03_A3_Adult_with_ComorbidiUSMAN STEPHEN IMPOY
_03_A3_Adult_with_ComorbidiDIDO NITA VILLAFLOR
_03_A3_Adult_with_ComorbidiGAJETO RICA ANGELIE LOQUINARIO
_03_A3_Adult_with_ComorbidiGUARDIANO REA LOU MENDOZA
_03_A3_Adult_with_ComorbidiANCHETA BRENDA G.
_03_A3_Adult_with_ComorbidiANCHETA MERLITO A.
_03_A3_Adult_with_ComorbidiPANES ROY CABAGUA
_03_A3_Adult_with_ComorbidiDASOC JOVELYN COLMO
_03_A3_Adult_with_ComorbidiDERECHO RODOLF C
_03_A3_Adult_with_ComorbidiMAYUGA CHINNY CLAIRE
_03_A3_Adult_with_ComorbidiACERO CAROLYN C
_03_A3_Adult_with_ComorbidiAPATAN HERACLEO
_03_A3_Adult_with_ComorbidiCAOILE MARLYN S.
_03_A3_Adult_with_ComorbidiCARINO ADORME
_03_A3_Adult_with_ComorbidiINOCITO LHERMA P.
_03_A3_Adult_with_ComorbidiPAQUIBOT CECILIA LALOCAN
_03_A3_Adult_with_ComorbiPATRIMONIO REYNANTE V.
_03_A3_Adult_with_ComorbiPATRIMONIO MARJOLYN D.
_03_A3_Adult_with_ComorbidiPATRIMONIO CLINT JOHN D.
_03_A3_Adult_with_ComorbidiPATRIMONIO MICHAEL RIC
_03_A3_Adult_with_ComorbidiRULLAMAS MERLYN J
_03_A3_Adult_with_ComorbiSECRETARIA CHARITY CARINO
_03_A3_Adult_with_ComorbiSECRETARIA GEROME NARISMA
_03_A3_Adult_with_ComorbidiTATOY REY V.
_03_A3_Adult_with_ComorbiBAUTISTA MARJORIE ANASCO
_03_A3_Adult_with_ComorbidiMAGBANUA ANA MAE G
_03_A3_Adult_with_ComorbidiMAGBANUA TEOFILA TULAY
_03_A3_Adult_with_ComorbidiOCAMPO ARNIE C
_03_A3_Adult_with_ComorbidiVALDEZ LUZVIMINDA B.
_03_A3_Adult_with_ComorbidiVALDEZ JOSEPH ADERA
_03_A3_Adult_with_ComorbidiYU JO ANN MAGBANUG
_03_A3_Adult_with_ComorbidiCASIMINA MARY JOY PLENOS
_03_A3_Adult_with_ComorbidiCOMCOM NEMIEL A.
_03_A3_Adult_with_ComorbidiDIOCOLANO JOE-AL M
_03_A3_Adult_with_ComorbidiINDANAN REY A.
_03_A3_Adult_with_ComorbidiMAGAYAN RENIE GUMANTI
_03_A3_Adult_with_ComorbidiMOLLANEDA JAY ROMMEL GUIAO
_03_A3_Adult_with_ComorbidiOGATIS FRETZ GERALD
_03_A3_Adult_with_ComorbidiTAKETAKA CRISMOND JOSHUA ROMASANTA
_03_A3_Adult_with_ComorbidiLEGASPI PRETCHIE JEAN JANOD
_03_A3_Adult_with_ComorbidiGALLEGO ALFREDO ASTROLOGO
_03_A3_Adult_with_ComorbidiJAPITAN RACJEM JOHN BLANCIA
_01_A1_Health_Care_WorkeCARZON JOSELITO B.
_03_A3_Adult_with_ComorbidiCARZON MELANIE OMBALINO
_03_A3_Adult_with_ComorbidiMAGDUGO JAMES JEFFERSON ANDAM
_03_A3_Adult_with_ComorbidiOMANA JENNIFER BURGOS
_03_A3_Adult_with_ComorbidiAHADAIN JESSIE JEAN LEBOSADA
_03_A3_Adult_with_ComorbidiAMAR ANGELENE ARIES PAGARAN
_03_A3_Adult_with_ComorbidiBACANI KIMBERLY JEAN REAL
_03_A3_Adult_with_ComorbidiBACANI CYRIL REAL
_03_A3_Adult_with_ComorbidiBATON KRISTELLE MAE CATEDRILLA
_03_A3_Adult_with_ComorbidiBERAME JOVELYN NATANO
_03_A3_Adult_with_ComorbidiBEZANDRES ANALYN BAUTISTA
_03_A3_Adult_with_ComorbidiBUNIEL LUDWIG VINCENT DE JUAN
_03_A3_Adult_with_ComorbidiCANLAS REYNALDO BALING
_03_A3_Adult_with_ComorbidiCANLAS REGINO FLORES
_03_A3_Adult_with_ComorbidiCONDES BON JOVI ROSETE
_03_A3_Adult_with_ComorbidiCONDES JENYZIE E.
_03_A3_Adult_with_ComorbidiCONDES ROSS ROSETE
_03_A3_Adult_with_ComorbidiDELA CRUZ VANESSA JOY BARRIENTOS
_03_A3_Adult_with_ComorbidiDIOLASO NORLY ANN RAZON
_03_A3_Adult_with_ComorbidiEDRESSI ABDULLAH ALHUSSNEY
_03_A3_Adult_with_ComorbidiFAJARDO ZOSIMO MANLIQUES
_03_A3_Adult_with_ComorbidiFERNANDEZ CHRISTINE MAE HUYO
_03_A3_Adult_with_ComorbidiFRIGILLANA JOJO E
_03_A3_Adult_with_ComorbidiHAOC JHON
_03_A3_Adult_with_ComorbidiKIMPAY YUSOP DARYL UMALI
_03_A3_Adult_with_ComorbidiLABI DARWIN D
_03_A3_Adult_with_ComorbidiLUCHE RUEL CORTEZA
_03_A3_Adult_with_ComorbidiMEDINA VALERI
_03_A3_Adult_with_ComorbidiMONDEJAR FERDINAND BARBON
_03_A3_Adult_with_ComorbidiMONES YOLANDA DIZON
_03_A3_Adult_with_ComorbidiOLVIDO MARIA ALEXIS
_03_A3_Adult_with_ComorbidiPECAOCO CRISTELLE JOY ROSALIA
_03_A3_Adult_with_ComorbidiPLANA ROBERT
_03_A3_Adult_with_ComorbidiPLANA FRANCIS
_03_A3_Adult_with_ComorbidiQUIMOT ARNEL
_03_A3_Adult_with_ComorbidiUMADHAY KIMVE REYES
_03_A3_Adult_with_ComorbidiUMADHAY KRIZZIA B.
_03_A3_Adult_with_ComorbidiYABES KENNITH RAMPEN
_03_A3_Adult_with_ComorbidiYABES JENNYLYN CABANG
_03_A3_Adult_with_ComorbidiYAGONG CARLO ANDREW P.
_03_A3_Adult_with_ComorbidiCABELBEL JONATHAN ALIMO-ON
_03_A3_Adult_with_ComorbidiBULDA MARICEL I
_03_A3_Adult_with_ComorbidiDIZON JESAFE G.
_03_A3_Adult_with_ComorbidiRAMOS AILENE O.
_03_A3_Adult_with_ComorbidiRAMOS JULIUS C.
_03_A3_Adult_with_ComorbidiRESPICIO MELVIN D.
_03_A3_Adult_with_ComorbiJAQUIAS HANZEL REY
Civi
Suffi Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x Barangay* dd/yyyy_* atu
s
F 01/06/1990
F 04/13/1985
M 04/30/1975
F 11/05/1996
M 08/09/1984
M 12/30/1979
M 07/07/1998
F 12/27/1983
F 02/10/1987
M 09/01/1979
F 09/28/1979
F 06/20/1995
M 03/08/1956
F 06/02/1968
F 04/01/1996
M 07/21/1976
F 02/29/1972
F 06/24/1991
F 01/27/2001
F 06/20/1974

NA 9123297759 POBLACION 01_Female 11/30/1964


9500138858 CENTRAL MALAMOTE M 03/01/1995
09369564186 POBLACION F 10/21/1999
9382355127 POBLACION M 03/25/1987
9358745408 POBLACION F 07/03/1979
9384618112 POBLACION M 10/10/1995
9464983169 POBLACION F 11/12/1991
9971124921 POBLACION F 07/14/1993
9102275765 ARAKAN M 10/25/1985
9084130248 DALAPITAN F 03/01/1981
9481000632 MATALAM F 09/27/1992
9389966325 POBLACION M 0/10/1998
9518037649 POBLACION F 10/05/1991
9564054399 POBLACION F 12/10/2001
POBLACION F 04/11/1973
9514133488 POBLACION F 11/27/1982
9156080361 POBLACION M 08/15/1992
9309551380 SALVACION F 08/09/1970
9123230677 CENTRAL MALAMOTE F 09/18/1985
9975448549 CENTRAL MALAMOTE F 2/14/1980
9307774888 DALAPITAN F 1/20/1987
9512619656 MATALAM F 10/08/1980
9564456439 POBLACION M 10/19/1999
9308024790 POBLACION M 06/05/1989
9489752442 POBLACION F 11/26/1986
9513888924 POBLACION F 07/17/1998
9123297710 POBLACION F 02/27/1990
9510463325 POBLACION F 02/13/1983
9505676956 POBLACION M 1/19/1952
9505676956 POBLACION F 08/03/1955
9466472014 SALVACION F 12/30/1995
9072887343 KILADA 9/28/1979
C/O LIBOON
9504443220 CENTRAL MALAMOTEF 04/11/1997
9059382422 CENTRAL MALAMOTE F 08/26/1980
9272500920 CENTRAL MALAMOTE M 05/14/1980
9513071513 KABULACAN M 10/30/2000
KIBIA M 11/27/1974
9569780714 KILADA M 04/18/1994
9356080098 KILADA F 01/23/1976
09513627970 MANUBUAN 02_Ma 11/15/1975
9631255915 MANUBUAN F 05/07/2001
9469430272 MANUBUAN M 6/14/1990
9102275548 MANUBUAN F 02/23/1979
906230637 MARBEL M 03/30/1996
9950848392 MARBEL M 10/19/1991
9505696170 NEW ALIMODIAN F 07/07/1981
95071794566 NEW BUGASONG M 05/25/1979
9302245825 NEW PANDAN M 09/16/1994
09517895540 POBLACION F 03/21/1976
9564463465 POBLACION M 12/03/1982
9093983578 POBLACION F 10/28/1971
9302897903 POBLACION M 07/17/1997
9513538201 POBLACION M 09/05/2007
9469225287 POBLACION M
9070948633 POBLACION F 08/08/1988
9553728378 POBLACION M 08/17/1988
9178535037 POBLACION F 08/03/1994
9514104226 POBLACION F 03/06/1980
9094598210 POBLACION F 04/21/1996
JR 9073192461 POBLACION M 07/18/1984
09076949292 POBLACION F 04/29/1962
9507239617 POBLACION M 06/15/1973
9751564615 POBLACION F 09/02/2002
9489879300 POBLACION F 11/30/1984
9483332780 POBLACION F 5/7/1979
9673798329 POBLACION M 03/24/2002
9270886377 POBLACION M 06/29/1999
9162017479 POBLACION M 05/29/2001
9090774842 POBLACION FEMA12/20/2001
9272480615 POBLACION M 10/17/2000
9302862241 POBLACION M 03/05/1998
9122550138 POBLACION M 1/21/2002
9653128626 SALVACION F 06/14/1964
9306040426 TACULEN M 05/06/1990
C/O LIBOON
09462002233 _124708001_NEW ALI 02_Ma
03/12/1969
SR 948996529 _124708006_CENTRA 02_Ma03/23/1951
9301699447 _124708025_MANUBUF 09/13/1979
9301699447 _124708025_MANUBUM 12/17/1975
9367868335 _124708027_MARBEL FEMA3/5/1953
9970997221 _124708028_MINAMAIF 06/10/1964
9666846451 ARAKAN F 12/12/1995
9095212306 ARAKAN F 9/17/1997
9485040330 ARAKAN M 07/09/1983
9071699811 ARAKAN F 11/17/1986
9489169529 CENTRAL MALAMOTE F 05/08/1971
9975448569 CENTRAL MALAMOTE F 06/25/2002
9670251314 CENTRAL MALAMOTE M 10/14/1991
9505692643 CENTRAL MALAMOTE F 05/30/1974
9973965320 CENTRAL MALAMOTE F 10/18/2001
9512618548 CENTRAL MALAMOTE M 02/05/1998
9518023932 DALAPITAN F 01/01/1962
9513059798 DALAPITAN F 11/03/2002
9487402804 DALAPITAN F 08/27/1998
9093204012 KIBUDOC F 06/21/1970
9303437143 KIBUDOC M 08/26/1970
9277747641 KIBUDOC M 10/25/1976
9482911702 KIDAMA F 10/2/1990
9469123301 KIDAMA M 04/30/1993
9510485144 KIDAMA F 4/27/2001
9457221456 KILADA F 11/14/1980
KILADA M 12/29/1955
9385613087 KILADA F 04/13/1974
JR 9554827000 KILADA M 03/17/1982
KILADA F 04/19/1977
9631243352 KILADA F 03/06/1970
KILADA M 05/26/1978
KILADA F 05/08/1982
KILADA M 07/24/2000
KILADA M 01/19/2000
9102702883 KILADA F 12/03/1968
9108496437 KILADA F 11/16/1980
9482439688 KILADA M 08/02/1980
9093283330 KILADA M 09/15/1974
9093887101 LINAO F 03/18/1986
9631245897 MANUBUAN F 11/12/1991
9751389743 MANUBUAN F 07/09/1971
9676958631 MANUBUAN 07/21/1995
9162426460 MANUBUAN F 12/27/1972
9125214732 MANUBUAN Male 10/04/1970
9102592234 MANUBUAN F 06/21/1976
9353821139 MARBEL F 04/27/1998
9277733673 MARBEL M 05/03/1990
9271721380 MARBEL M 08/15/1971
9367324961 MARBEL M 11/11/1990
9066182587 MARBEL MALE03/21/1994
9670253865 MARBEL M 06/13/1996
9666594999 MARBEL M 09/24/1994
9976142185 MARBEL M 08/28/1991
9074022842 MATALAM F 08/21/1987
9317387686 MATALAM M 10/14/1965
9668061477 MATALAM M 01/22/1997
9086375345 MINAMAING M 11/10/1968
9534099459 MINAMAING F 03/12/1987
9304939658 NEW ALIMODIAN M 11/04/1986
9512488966 NEW PANDAN F 02/04/1991
9165711937 POBLACION F 12/30/1993
9223811435 POBLACION F 03/31/1995
9317329119 POBLACION F 06/24/1992
9384923427 POBLACION F 03/25/1972
9507186298 POBLACION F 09/30/1996
9126605537 POBLACION 06/25/1984
9127129505 POBLACION F 06/13/1980
9127465031 POBLACION M 04/21/1995
9531246062 POBLACION M 9/13/1975
9389628306 POBLACION M 4/26/2000
9664737944 POBLACION M 03/28/1995
9458247957 POBLACION F 06/11/1986
948247957 POBLACION M 03/01/1987
9052953900 POBLACION F 09/02/1999
9075439722 POBLACION F 5/11/1990
9505558552 POBLACION M 11/18/1978
9468477290 POBLACION M 11/05/1963
9977437479 POBLACION F 01/19/1999
9266871310 POBLACION M 11/12/1974
9631292227 POBLACION M 05/19/1991
9501757773 POBLACION M 09/24/1996
POBLACION M 04/25/1996
9517895540 POBLACION M 12/18/1971
POBLACION F 10/20/1998
9104722420 POBLACION M 02/22/1968
9639472797 POBLACION F 03/02/2001
9383397422 POBLACION F 05/18/2002
9951819715 POBLACION F 12/25/1996
9667611973 POBLACION M 10/17/1970
9667611973 POBLACION M 12/28/1999
POBLACION M 04/16/1990
9193920454 POBLACION M 04/28/1994
9382351799 POBLACION F 04/13/1994
9630567613 POBLACION M 11/26/1981
9514693172 POBLACION F 07/14/1981
9458244333 POBLACION M 02/17/1990
9076802138 SANTA MARIA M 02/24/1971
9093866623 TACULEN F 03/16/1992
9304738588 TACULEN F 12/24/1983
9107831024 TACULEN F 04/25/1984
9651508403 TACULEN M 11/24/1980
9309929465 TACULEN M 08/05/1988
_124708007_DALAPITAN 09/25/1992
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

QUARRY
QUARRY
QUARRY

TEACHER
STUDENT

QUARRY
19_Others_
AFP

BPAT
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
01_Yes

DM
01_Yes

01_Yes
01_Yes

01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

08/17/2021 SINOVAC J202106037


08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107060
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106067
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202107037
08/17/2021 SINOVAC J202107037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC
08/17/2021 SINOVAC
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202107037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202107062
08/17/2021 SINOVAC J202107062
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202107037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC L202107062
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
08/17/2021 SINOVAC J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

NICOLAS, ROMER RN NURSE


QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE

NICOLAS, ROMER RN NURSE


QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE

TOLIA, ZORAIDA RM MIDWIFE


MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN TH NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE

TOLIA, ZORAIDA RM MIDWIFE


TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN R MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN TH NURSE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM NURSE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
ROMER NICOLAS NURSE 8/17/2021
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_ComorbidiBIYO MITCHELL BERNABE
_03_A3_Adult_with_ComorbidiGENERALE C JOHN
_03_A3_Adult_with_ComorbidiBALNEG CARMEE MAY LUMANIG
_02_A2_Se 09_A2.2: All Other DUMAGPI DOMINGO ALAYON
_03_A3_Adult_with_ComorbiDELA CRUZ CHRISTINE FAITH C
_03_A3_Adult_with_ComorbidiGICOS OFELIA TAMO
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_02_A2_Se 09_A2.2: All Other Senior Citizens
_02_A2_Se 09_A2.2: All Other Senior Citizens
_02_A2_Se 09_A2.2: All Other Senior Citizens
_02_A2_Senior_Citizens
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_Health_Care_Workers
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_Health_Care_Workers
_02_A2_Se 09_A2.2: All Other Senior Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_Health_Care_Workers
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_ComorbiLIM JOEL BUENA
_03_A3_Adult_with_ComorbiBERNABE RODEL BIYO
_03_A3_Adult_with_ComorbiBERNABE JASMIN G.
_03_A3_Adult_with_ComorbidiRABAGO ANALYN CERBO
_03_A3_Adult_with_ComorbidiADSAMAN FATHMA LUMAMBAS
_03_A3_Adult_with_ComorbiCARIŇO JULIENNE DEE ORMITA
_01_A1_Health_Care_WorkeMACALIMPAS MONISA L.
_03_A3_Adult_with_ComorbiTALUBAN JAYCIE BOY
_03_A3_Adult_with_ComorbidiDE EYOY LARRY CALANZA
_03_A3_Adult_with_ComorbidiDE EYOY ROSEMARIE DUMASIS
_03_A3_Adult_with_ComorbiCANGQUE RHEZA MANTAC
_03_A3_Adult_with_ComorbidiTRACANOL ELIZABETH NIMUAN
_02_A2_Senior_Citizens MOJANA CONRADO MOLINING
_03_A3_Adult_with_ComorbiSERON MARJURY BERNAL
_02_A2_Se09_A2.2: All Other TAMBOGON CECELIO ESPIRITU
_01_A1_H05_A1.5: Governme MIRANDA GENESIS ESPEDES
_01_A1_H05_A1.5: Governme MONDIA DELIA GUILARAN
_03_A3_Adult_with_ComorbidiBESANA ANGELIE ESCOTE
_03_A3_Adult_with_ComorbidiDIANDA REYMART MARA
_03_A3_Adult_with_ComorbidiOTOS RONNIE KABUAT
_03_A3_Adult_with_ComorbidiSARMIENTO IAN TORRES
_03_A3_Adult_with_ComorbidiVILLANUEVA KAREN MONGAYA
_03_A3_Adult_with_ComorbidiCRISTOBAL RIZALYN JOY OCAMPO
_01_A1_H05_A1.5: Governme CATANUS TERESA RABAL
_03_A3_Adult_with_ComorbidiALEJO RUNALYN FELICIA
_03_A3_Adult_with_ComorbidiALEJO AL AMBAY
_01_A1_Health_Care_WorkeMAGARZO BEVERLY MANDATE
_03_A3_Adult_with_ComorbidiANDRES ARMANDO SORIANO
_03_A3_Adult_with_ComorbidiSUMILHIG ANA JUVY PENAREDONDO
_03_A3_Adult_with_ComorbidiCATARONG ELMER ABRIQUE
_03_A3_Adult_with_ComorbidiDAGUMANPAN FREGIALY C.
_03_A3_Adult_with_ComorbidiDALISAY MARLYN
_03_A3_Adult_with_ComorbidiDESALES FRANCES
_03_A3_Adult_with_ComorbiALLA VERGIE AMOSIN
_03_A3_Adult_with_ComorbiAMARANTE MARITES ALLA
_03_A3_Adult_with_ComorbiLARIDA RIO ANDIANO
_03_A3_Adult_with_ComorbiLARIDA YEZER C
_03_A3_Adult_with_ComorbidiMADERA ANA MARIE ALBUNA
_03_A3_Adult_with_ComorbiTALADUA JUDY
_03_A3_Adult_with_ComorbiBARBERO RUEL ALCALDE
_03_A3_Adult_with_ComorbidiCARILLO EDWIN VILLANUEVA
_03_A3_Adult_with_ComorbidiCAYAN JEFFREY URETA
_03_A3_Adult_with_ComorbiEDRESSI SARAH FALCIS
_03_A3_Adult_with_ComorbiRUIZ CRISTOBAL DELA TORRE
_03_A3_Adult_with_ComorbidiRUIZ EDLYN UGPAY
_03_A3_Adult_with_ComorbidiVALDEZ RODEL D
_03_A3_Adult_with_ComorbiCHIVA NILO CASTILLANES
_03_A3_Adult_with_ComorbidiGABIO JAYVIE FRANCES RABAGO
_03_A3_Adult_with_ComorbidiGENERALE BABY JEAN
_03_A3_Adult_with_ComorbiABDULKADER RAED T.
_02_A2_Se09_A2.2: All Other ADSAMAN NORMA TOLIA
_03_A3_Adult_with_ComorbidiCAPECIO ROSIELLA G.
_03_A3_Adult_with_ComorbidiLAYOS GEMMA PASILAN
_03_A3_Adult_with_ComorbidiMAKAKUA NORSALIN RAMON
_03_A3_Adult_with_ComorbiMOHAMAD ALI MILAYA
_03_A3_Adult_with_ComorbiUSMAN STEVEN IMPOY
_02_A2_Senior_Citizens CEPRES ROBERTO V.
_03_A3_Adult_with_ComorbidiNOGAS JUCELYN MIRANDA
_03_A3_Adult_with_ComorbidiPATARAY DELNA MARIE
_03_A3_Adult_with_ComorbiTALUBAN ESTER
_01_A1_Health_Care_WorkeBALAH NORODEN A.
_01_A1_Health_Care_WorkeGEDTA MOHAMIDEN B.
_03_A3_Adult_with_ComorbiIDTUG TUNGKO S.
_03_A3_Adult_with_ComorbiMATIMAN BAININA L
_03_A3_Adult_with_ComorbiSAPTOLA MECHAEL
_01_A1_Health_Care_WorkeSOLAIMAN RANDY
_01_A1_Health_Care_WorkeSOLAIMAN WAHED ODIN
_03_A3_Adult_with_ComorbidiBAGAS MARITES CANDELARYO
_03_A3_Adult_with_ComorbidiBAGAS NORUEL TEJERO
_02_A2_Se09_A2.2: All Other BARBERO IRENE ALCALDE
_03_A3_Adult_with_ComorbidiTAGUDAR LYRA CAPINOLO
_03_A3_Adult_with_ComorbidiTONOGBANUA ZOSIMA AVENA
_02_A2_Senior_Citizens CAMANAY LETICIA OBRA
_03_A3_Adult_with_ComorbiCANGQUE MARILOU PARAYNO
_03_A3_Adult_with_ComorbidiCASAMA DENNIS LAREZA
_03_A3_Adult_with_ComorbidiDENOSTA ROSIE FEOLAG
_02_A2_Se09_A2.2: All Other FEOLOG LUVIMIN GALAPIN
_03_A3_Adult_with_ComorbidiFEOLOG CRISTINA
_03_A3_Adult_with_ComorbidiFEOLOG RUTH NANOSA
_03_A3_Adult_with_ComorbiSATOHITO GRACE S.
_03_A3_Adult_with_ComorbiBRONIOLA DINDO TRADEJO
_03_A3_Adult_with_ComorbiBRONIOLA GRACE CUBERO
_03_A3_Adult_with_ComorbiCARBONELL ELIZAR PADILLA
_03_A3_Adult_with_ComorbidiALPERTO ELMER B.
_03_A3_Adult_with_ComorbiELIAS HOPER HOPE F.
_03_A3_Adult_with_ComorbidiCATALAN MICHAEL ELARDO
_03_A3_Adult_with_ComorbidiDANSALAN JAMES PAUL DAVE O.
_03_A3_Adult_with_ComorbidiDELA CERNA JAIMILITO
_03_A3_Adult_with_ComorbidiSEVILLA NEKO MELECIO
_03_A3_Adult_with_ComorbidiAVENA MARK GAY ASUNCION
_03_A3_Adult_with_ComorbiBUTARDO FRETCHIE JOY AVENA
_03_A3_Adult_with_ComorbidiCARINO CHRISTIAN TAYONG
_03_A3_Adult_with_ComorbiCAWILE SHIRLEY
_03_A3_Adult_with_ComorbiCUENCA JOHN RAYMAR TAGHO
_03_A3_Adult_with_ComorbiDELA SAURA ROSENDO D.
_03_A3_Adult_with_Comorbidi HERRERA JOEFE SOBREVILLA
_03_A3_Adult_with_ComorbiLEMBAK MARY JANE ENTOL
_03_A3_Adult_with_ComorbiLUTAO GLORIBE ALIPO-ON
_03_A3_Adult_with_ComorbiMATALAM SUKARNO SALAMA
_03_A3_Adult_with_ComorbiPAGOTAISIDRO SOLIMA ABELLERA
_03_A3_Adult_with_ComorbidiPAGOTAISIDRO JERRY NAPAL CRUZ
_03_A3_Adult_with_ComorbidiPAYAWAN RIZA MAE GREGORIO
_01_A1_Health_Care_WorkeTORRES ARNELLE GRACE
_01_A1_Health_Care_WorkeVALLESCAS REMAR DULAY
_03_A3_Adult_with_ComorbiTATOY ROXANNE MAE SUNGCOG
_03_A3_Adult_with_ComorbiTATOY JOHN FRANCIS
_03_A3_Adult_with_ComorbidiMOJANA FELIPA NIM
_03_A3_Adult_with_ComorbiABSALON LOUGEN T.
_02_A2_Se09_A2.2: All Other CAONAN EVELYN
_01_A1_Health_Care_WorkeSERON RAFFY
_02_A2_Senior_Citizens VILLARUZ MATILDE PACTOL
_02_A2_Senior_Citizens VILLARUZ SALOMI FLORES
_03_A3_Adult_with_ComorbiESTILLOSO JOCELYN RAPA
_03_A3_Adult_with_ComorbidiABUBAKAR AL MANZUR C.
_03_A3_Adult_with_ComorbidiALEJAGA FEBIE MICUTUAN
_03_A3_Adult_with_ComorbidiALPERTO ROGER BACLAS
_03_A3_Adult_with_ComorbidiAQUINO HENRY
_03_A3_Adult_with_ComorbidiBABAYSON ISABELO PANES
_03_A3_Adult_with_ComorbidiBALUTIAS BONIFACIO DACARA
_03_A3_Adult_with_ComorbidiBRATO NORMAN PANES
_03_A3_Adult_with_ComorbidiBRUCE DAISY CASIBSIB
_03_A3_Adult_with_ComorbiBUCAG JOEY S
_03_A3_Adult_with_ComorbiCAMUS JOHN MARK T.
_03_A3_Adult_with_ComorbidiCASIDSID ANA OCAMPO
_03_A3_Adult_with_ComorbidiCASTRO ALFREDO SEPLON
_03_A3_Adult_with_ComorbiCORTEZ RUBY JUNE
_03_A3_Adult_with_ComorbidiENRIQUE SHERLIE CARIANO
_03_A3_Adult_with_ComorbidiFERDIN LARRY DAROLES
_03_A3_Adult_with_ComorbidiGARCIA JONATHAN
_03_A3_Adult_with_ComorbidiGAUTANI NEIL ISMAEL D.
_03_A3_Adult_with_ComorbiLAGAT EDFRAN C.
_03_A3_Adult_with_ComorbidiLANGUIDO RAMER TANGIAN
_03_A3_Adult_with_ComorbiMARIIT JOSEPH
_03_A3_Adult_with_ComorbidiOCIONES KRISNA JOY B.
_03_A3_Adult_with_ComorbiORIONDO JOHN LESTER MAZO
_03_A3_Adult_with_ComorbiPALACAY ERNESTO SOLOMON
_03_A3_Adult_with_ComorbidiPASCUA REYMAR CORONADO
_03_A3_Adult_with_ComorbiSALICA JOEMAR R.
_03_A3_Adult_with_ComorbidiSANDIGAN SALAHUDIN M.
_03_A3_Adult_with_ComorbiTACSAGON ARCHIE D.
_03_A3_Adult_with_ComorbiTERADO JUSTICO ESPIA
_03_A3_Adult_with_ComorbiTERIC CRISTOPHER PIŇARANDA
_03_A3_Adult_with_ComorbiVALENIA JONATHAN SARMIENTO
_03_A3_Adult_with_ComorbidiVARONA JUNE
_03_A3_Adult_with_ComorbidiVELASQUEZ APRIL BOY CABISTANTE
_03_A3_Adult_with_ComorbiVILLARIN DENNIL CRIS
_02_A2_Se09_A2.2: All Other DELGADO MATILDE PATRONA
_02_A2_Se09_A2.2: All Other DELGADO CARLOS DELOS SANTOS
_03_A3_Adult_with_ComorbidiDIMAMAY NEMIA ENATE
_03_A3_Adult_with_ComorbidiGLORIBA VILLY BEDANO
_03_A3_Adult_with_ComorbiANGELES DANILO B.
_03_A3_Adult_with_ComorbidiBATONGHINOG RYAN TANEZA
_03_A3_Adult_with_ComorbidiBUGCAL JEANY JOY P.
_03_A3_Adult_with_ComorbiBUHOY ALMA D.
_03_A3_Adult_with_ComorbidiCABASUG GERWIN
_03_A3_Adult_with_ComorbidiCABASUG DIONIE L.
_03_A3_Adult_with_ComorbiCORPUZ PERLINA DE GUZMAN
_03_A3_Adult_with_ComorbiDENAGA EDGAR D.
_03_A3_Adult_with_ComorbidiDIAZ MARVIN GLEN R.
_03_A3_Adult_with_ComorbidiESCOTO ROLLY ABAYON
_03_A3_Adult_with_ComorbiILISAN JAZZIEZ NAVARRO
_03_A3_Adult_with_ComorbiMACARIMBANG JUFFALY MAMARINTA
_03_A3_Adult_with_ComorbidiMAESTRECAMPO KURT TERUEL
_03_A3_Adult_with_ComorbidiMAGLUYAN HOWARD TEE DEQUINO
_03_A3_Adult_with_ComorbidiMONTERO ALBERT L.
_03_A3_Adult_with_ComorbidiPALOPE NOEL L.
_03_A3_Adult_with_ComorbidiPALOPE JOLLY L.
_03_A3_Adult_with_ComorbiQUILATON ERIC JOHN REGPALA
_01_A1_H03_A1.3: Quarantine RUIZ GLENDA EDUQUE
_03_A3_Adult_with_ComorbidiTAMBOGON THEODORO
_03_A3_Adult_with_ComorbiTAN DIAN JOY BARBERO
_03_A3_Adult_with_ComorbidiRAMIREZ JAY-AR DELA FUENTE
_03_A3_Adult_with_ComorbiBATAANON ROLAND B
_03_A3_Adult_with_ComorbidiGONZALES MARILOU B.
_02_A2_Senior_Citizens MONTECIO EDUARDO PADAYAO
_03_A3_Adult_with_ComorbiALON BERNADITA CANDIDIER
_03_A3_Adult_with_ComorbidiALPUERTO IRISH MAE RUSIANA
_03_A3_Adult_with_ComorbidiARREOLA JESUS C.
_03_A3_Adult_with_ComorbiCABAYA RYNDON W.
_03_A3_Adult_with_ComorbiCALAMBRO JUVELYN TAGABE
_03_A3_Adult_with_ComorbiCALIBARA RENCIE ALON
_01_A1_Health_Care_WorkeCAMRAL AIVE CYREL CANDIDIER
_03_A3_Adult_with_ComorbiCAMRAL JEANN LIMALO
_03_A3_Adult_with_ComorbiCAMRAL ANTONIO
_02_A2_Se09_A2.2: All Other CANANIA GLICERIO FERNANDES
_03_A3_Adult_with_ComorbiCATUBO EMELY MAGULLADO
_03_A3_Adult_with_ComorbiLAGULAY JOHN REX MIRANTE
_03_A3_Adult_with_ComorbiMIRANTE ROCKIE SUBIATE
_03_A3_Adult_with_ComorbidiPEREZ RAMIL SALER
_03_A3_Adult_with_ComorbiPLOMA REYNALDO DESTREZA
_03_A3_Adult_with_ComorbiPLOMA DAISY LARIDA
_03_A3_Adult_with_ComorbiSINGALIVO ANITA TOLEDO
_03_A3_Adult_with_ComorbiSINGALIVO LARRY
_03_A3_Adult_with_ComorbiVALENZUELA VICENTE BALADIANG
_03_A3_Adult_with_ComorbiVALENZUELA ELSIE CALANG
_03_A3_Adult_with_ComorbidiAGASER VENZ ANGEL A.
_01_A1_H05_A1.5: Governme ALCALDE RANDY BOY EPANTO
_03_A3_Adult_with_ComorbiALORRO ALAN
_03_A3_Adult_with_ComorbiALPUERTO DANILO A.
_03_A3_Adult_with_ComorbiBACAS PRINCESS JOY
_03_A3_Adult_with_ComorbidiBAUZON PAULON JULES R.
_03_A3_Adult_with_ComorbidiBLABAGNO KYLA MARIE BESANA
_03_A3_Adult_with_ComorbidiBLANCO CARL JOHN L.
_03_A3_Adult_with_ComorbidiBUSACO JOIE PAGLINAWAN
_03_A3_Adult_with_ComorbidiCADIZ IKE RYAN BALLARES
_03_A3_Adult_with_ComorbidiCALIBO RICHARD L.
03_A3: Adult with ComorbidiCATAMCO CHERYL VALDEVIESO
_03_A3_Adult_with_ComorbiDELA CRUZ JOECEL ALPARITA
_03_A3_Adult_with_ComorbidiDIAZ PAMELA PALMA
_03_A3_Adult_with_ComorbidiFLORES GEINUS SMILE
_03_A3_Adult_with_ComorbiINTONG DIOSDADA AGTA
_03_A3_Adult_with_ComorbidiLAYOS CIARRA ANDREA PASILAN
_03_A3_Adult_with_ComorbidiLAYOS REUBEN MAN-ON
_03_A3_Adult_with_ComorbidiLOPEZ MAE FLOR GRGORIO
_03_A3_Adult_with_ComorbidiLOPEZ EDWIN COLORADO
_03_A3_Adult_with_ComorbidiLUCERO JOSE PAZ
_03_A3_Ad
COMORBIDITY MAGANA JULIO OCOL
_03_A3_Ad
COMORBIDITY MAGANA JULIET RELATOR
_03_A3_Adult_with_Comorbidi MAINIT JULIEN SACAMAY
_03_A3_Adult_with_ComorbidiMAQUERME VINCE GAMBOL
_03_A3_Adult_with_ComorbidiMENDOZA JAY MHAR AGASER
_03_A3_Adult_with_ComorbidiMENDOZA MAR JANE A.
_03_A3_Adult_with_ComorbiMIBALO ESMERALDA VERONA
_03_A3_Adult_with_ComorbidiOCTAVIO JOCELYN SAMILLANO
_03_A3_Adult_with_A3 PACIO JOSEPH GINITA
_03_A3_Adult_with_ComorbidiPISIGAN TAM ANDREW A.
_03_A3_Adult_with_ComorbiQUINONES THRESCIA STEPHANIE P.
_02_A2_Se09_A2.2: All Other RAMOS FRANKLIN ALVARO
_03_A3_Adult_with_ComorbiREPOSAR JELNER AMBONG
_03_A3_Adult_with_ComorbidiRIEL RIZA MAE
_03_A3_Adult_with_ComorbiSAMILLANO ALVIN HIMBAS
_03_A3_Adult_with_ComorbiSAMILLANO AQUILINO ROXAS
_03_A3_Adult_with_ComorbiSAMILLANO LORENA ORBE
_03_A3_Adult_with_ComorbiSANCHEZ PAVINA SARMIENTO
_02_A2_Se09_A2.2: All Other SANQUE ESTER CALIXTRO
_03_A3_Adult_with_ComorbidiTOLETE JERSON R.
_03_A3_Adult_with_ComorbiVERGARA MELISSA GOROSIN
_01_A1_Health_Care_WorkeVERSOLA RAIJENNE CAJELO
_02_A2_Se09_A2.2: All Other NOTARIO LILIA GASMIN
_02_A2_Senior_Citizens ALMARINES ZALDY
_03_A3_Adult_with_ComorbidiALMARINES ALMA TOTO
_03_A3_Adult_with_ComorbidiBOLANO MARIO A
Suffi Current_Residence: Birthdate_mm/
Contact_No.* Sex*
x Barangay* dd/yyyy_*

997729742 BANGBANG M 4/16/1987


9101823435 BANGBANG M 10/06/1991
9090733045 DALAPITAN F 5/1/2001
9105696188 DALAPITAN 02_Ma
8-30-1942
9756516410 KABULACAN F 05/31/1999
9385613342 KABULACAN F 10/24/1975
M 09/09/1981
M 10/13/1990
F 12/10/1979
M 09/15/1982
M 03/16/1965
F 06/15/1970
F 09/16/1947
01_F08/24/1949
01_F07/15/1941
01_F01/13/1953
F 12/25/1959
M 12/16/1957
F 05/13/1987
M 10/13/1970
M 12/16/1963
M 08/18/1963
M 03/20/1996
F 07/07/1964
M 10/19/1985
F 07/11/1997
F 09/10/1979
F 03/21/1966
M 04/08/1970
M 03/20/1984
01_F1/9/1956
M 08/08/1977
M 08/16/1995
F 08/31/1987
M 3/12/1975
F 7/30/1999
F 02/24/1966
F 10/30/1979
M 01/21/1982
POBLACION M 01/25/1964
9513636701 BANGBANG M 01/12/1987
9075735301 BANGBANG F 11/25/1988
9301972230 BANGBANG F 02/05/1972
9526561188 CENTRAL MALAMOTE F 12/19/2001
9389615317 CENTRAL MALAMOTE F 03/07/2000
9510881029 CENTRAL MALAMOTE FEMA09/29/2000
9275335440 DALAPITAN M 09/07/1986
KABULACAN M 09/22/1970
9657934044 KABULACAN F 02/13/1970
9396211166 KIBIA F 09/19/1979
9572670661 KILADA F 12/09/1962
LATAGAN M 02/19/1951
9356501600 LINAO F 04/30/1985
SR MARBEL 02_Ma7/1/1960
9489170668 NEW ALIMODIAN 02_Ma03-14-1984
NEW ALIMODIAN 01_F03-19-1965
946917765 POBLACION F 07/18/1980
9667524840 POBLACION M 09/12/1991
9531285932 POBLACION M 12/31/1998
9464049123 POBLACION M 07/01/1982
9302126314 POBLACION F 6/27/1999
9281659472 TACULEN F 6/10/2000
9093984577 F 03/10/1965
9104752020 DALAPITAN F 05/29/1992
9493548752 DALAPITAN M 12/13/1985
9554530537 LAMPAYAN FEMA 9/3/2000
LATAGAN M 01/20/1967
9531247443 LATAGAN 01_Fe08/27/1967
JR 9129652503 MANUPAL M 12/07/2000
9075371951 MANUPAL F 01/16/2001
9107448484 MANUPAL F 09/02/2000
9107452786 MANUPAL M 01/03/2001
9486250342 NEW ALIMODIAN F 3/16/1966
09187229143 NEW ALIMODIAN 02_Ma10/25/1975
SR 9570206659 NEW ALIMODIAN M 03/05/1986
9380282431 NEW ALIMODIAN F 03/18/1984
9469133684 NEW ALIMODIAN F 08/22/1988
9071905743 NEW ALIMODIAN F 03/24/1981
9124726255 POBLACION M 05/01/1985
9631472650 POBLACION M 10/29/1978
9151880651 POBLACION M 08/12/1998
9505080090 POBLACION F 09/26/1980
9101653010 POBLACION M 08/07/1980
9485611714 POBLACION F 08/11/1980
9350029728 POBLACION M 05/21/1997
BANGBANG M 04/12/1961
9616316504 BANGBANG M 3/22/1993
9125070314 BANGBANG F 11/05/1992
9555042251 CENTRAL MALAMOTE M 07/23/2003
NA 9756021735 CENTRAL MALAMOTE 01_F03/21/1957
9485761911 CENTRAL MALAMOTE F 01/26/1967
9500287324 CENTRAL MALAMOTE F 12/03/1976
9639470801 CENTRAL MALAMOTE M 08/08/1996
9366027391 CENTRAL MALAMOTE M 08/04/1996
9752571126 CENTRAL MALAMOTE M 12/27/1995
9309655049 DALAPITAN M 12/9/1950
9302176906 DALAPITAN F 06/28/1988
9999349321 DALAPITAN F 03/13/2002
9206281135 DALAPITAN F 10/20/1986
9361846578 ILIAN 06/30/2000
ILIAN M 10/22/1995
9359119843 ILIAN M 10/01/1995
9380977296 ILIAN F 10/19/1998
9362051039 ILIAN M 05/10/1996
9068942360 ILIAN M 02/24/1998
9676909857 ILIAN M 02/24/1998
9350269243 KABULACAN F 12/04/1990
9666858528 KABULACAN M 04/10/1985
9090059247 KABULACAN FEMA7/21/1953
9208859129 KABULACAN F 01/03/1976
9122581019 KABULACAN F 12/27/1967
9097156409 KIBIA F 06/23/1961
9079843029 KIBIA F 09/11/1966
KIBIA M 11/17/1976
9093283963 KIBIA F 02/01/1975
NA KIBIA F 2/20/1936
9071377394 KIBIA F 11/06/1963
9485060113 KIBIA F 02/01/1982
9467074912 KIBIA F 9/15/1967
9979482190 KIBUDOC M 04/08/1979
9512648441 KIBUDOC F 04/27/1978
JR 9090645209 KIBUDOC M 03/01/1996
9631025946 KIDAMA M 04/16/1981
9384917501 KIDAMA M 10/21/1992
9481474522 KIDAPAWAN CITY M 10/02/1992
9389604633 KIDAPAWAN CITY M 07/24/1993
9125251232 KIDAPAWAN CITY M 09/01/1982
9700817534 KIDAPAWAN CITY M 04/06/1984
96577067295 KILADA M 08/27/1983
9979630707 KILADA F 05/12/1992
9465631981 KILADA M 12/28/1999
9308422383 KILADA F 11/29/1976
KILADA M 09/12/1999
KILADA M 08/05/1964
9052661306 KILADA F 06/22/1985
9351051184 KILADA F 10/01/1968
9486846201 KILADA F 04/13/1968
KILADA M 01/01/1975
9307104814 KILADA F 09/18/1965
9505704417 KILADA M 05/08/1970
9632325644 KILADA F 05/19/2002
9167858751 KILADA FEMA07/30/1999
9350290824 KILADA M 3/2/1995
9062874722 LAMPAYAN F 03/19/1992
9484222692 LAMPAYAN M 03/31/1992
9307994154 LATAGAN F 09/20/1970
9056346731 LINAO F 08/24/1986
9659165164 LINAO FEMA2/21/1954
9061349377 LINAO M 2/9/1986
LINAO F 01/26/1942
9169357319 LINAO F 04/24/1961
9951000160 LOWER MALAMOTE F 04/10/1969
9066162767 MANUBUAN M 05/16/1979
9075033626 MANUBUAN F 10/19/1993
9090731132 MANUBUAN M 11/04/1995
9124403664 MANUBUAN M 10/27/1978
JR 9498459431 MANUBUAN M 02/02/1970
9355224471 MANUBUAN M 09/11/1988
9128022362 MANUBUAN F 04/17/1990
9534017408 MANUBUAN F 08/14/1976
9363341616 MANUBUAN M 01/03/1989
9075207051 MANUBUAN M 03/23/1992
9475677566 MANUBUAN F 11/11/1974
JR 09462905417 MANUBUAN 02_Ma 07/27/1981
9464955820 MANUBUAN M 10/19/1985
9484555830 MANUBUAN F 06/05/1986
9300318487 MANUBUAN 02_Ma 06/24/1968
9387038417 MANUBUAN M 12/22/1995
9096320238 MANUBUAN M 02/26/1985
9308605961 MANUBUAN M 07/29/1980
9104263279 MANUBUAN M 11/13/1978
9652316511 MANUBUAN M 12/24/1987
9279463500 MANUBUAN F 11/05/1998
9703914788 MANUBUAN M 11/17/1991
JR 9383374637 MANUBUAN M 01/30/1988
9382348471 MANUBUAN M 03/04/1998
9635825651 MANUBUAN M 02/14/1993
9363598401 MANUBUAN M 09/05/1992
9956112803 MANUBUAN M 10/03/1986
9679103537 MANUBUAN M 10/05/1996
9074918855 MANUBUAN M 12/25/1992
9555071616 MANUBUAN M 12/27/1975
9639473792 MANUBUAN M 05/30/1977
9302128316 MANUBUAN M 04/08/1997
9308511852 MANUBUAN M 07/23/1980
9308016485 MANUPAL 01_F12/20/1955
MANUPAL 02_Ma12/24/1949
MANUPAL 01_Fe 12/28/1962
9216239084 MANUPAL M 07/29/1993
JR 9286758769 MARBEL M 05/30/1994
9108679896 MARBEL M 05/28/1992
9309969531 MARBEL F 11/09/2000
9659265198 MARBEL F 05/09/1969
9265276435 MARBEL M 10/21/1988
MARBEL M 04/06/1973
MARBEL F 09/01/1965
9477708971 MARBEL M 10/24/1978
9978818763 MARBEL M 10/16/1992
MARBEL M 05/11/1983
9120370305 MARBEL M 08/03/1992
9363369746 MARBEL M 1/15/1991
9631455531 MARBEL M 01/08/1997
9675968587 MARBEL M 06/03/1985
9068312598 MARBEL M 01/15/1994
9975418621 MARBEL M 12/15/1966
9975418621 MARBEL F 03/02/1969
9382743909 MARBEL M 08/23/1991
9658877984 MARBEL 01_F12/20/1975
9398773506 MARBEL M 01/01/1973
9216440023 MARBEL F 04/15/1998
9197898295 MINAMAING M 01/12/2000
9486848166 NEW ABRA M 05/05/1970
9555022376 NEW ABRA FEMA 12/03/1962
NEW ABRA M 03/25/1956
9461443726 NEW ALIMODIAN 01_F10/29/1962
9107499387 NEW ALIMODIAN F 05/14/1994
9500210260 NEW ALIMODIAN F 02/12/1970
9106264625 NEW ALIMODIAN M 9/24/1992
09072966862 NEW ALIMODIAN 01_F09/30/1980
09654963772 NEW ALIMODIAN 01_F10/12/1987
9461822840 NEW ALIMODIAN FEMA03/22/2000
9484574899 NEW ALIMODIAN F 06/19/2000
9484574899 NEW ALIMODIAN M 10/21/1978
9515745336 NEW ALIMODIAN 02_Ma12/21/1947
9098641669 NEW ALIMODIAN F 03/12/1975
NEW ALIMODIAN M 06/28/1990
9515745360 NEW ALIMODIAN M 03/19/1990
9500292225 NEW ALIMODIAN M 08/13/1980
SR 9071244911 NEW ALIMODIAN M 06/09/1979
9635492701 NEW ALIMODIAN F 12/14/1981
9486379218 NEW ALIMODIAN F 09/01/1981
9384870294 NEW ALIMODIAN M 06/07/1977
JR 9097477224 NEW ALIMODIAN 02_Ma08/05/1971
9097477224 NEW ALIMODIAN F 01/06/1973
9108446196 POBLACION F 07/01/2003
NA 09302050078 POBLACION MALE07/24/1989
9385039298 POBLACION M 08/15/1976
9106457174 POBLACION M 12/18/1986
9078585635 POBLACION F 10/06/1997
9512667633 POBLACION M 04/20/1996
9094536802 POBLACION F 10/23/2002
9063975932 POBLACION M 01/19/2003
9658891384 POBLACION F 03/15/1975
9469751680 POBLACION M 09/20/1983
9066326371 POBLACION M 10/16/1983
9393621885 POBLACION F 07/14/1973
9514510899 POBLACION M 10/16/1998
9486904927 POBLACION F 5/24/1998
9106293569 POBLACION F 05/25/2000
9384919498 POBLACION F 11/07/1968
9983834987 POBLACION F 9/6/2000
9500287324 POBLACION M 9/16/1980
9700829315 POBLACION F 05/16/1981
9515745644 POBLACION M 07/17/1979
12/20/-3741 POBLACION M 12/13/1962
9192419764 POBLACION 02_Male 04/12/1964
9098484588 POBLACION FEMALE 07/20/1969
9982517370 POBLACION F 01/25/1975
9518259777 POBLACION M 05/07/1997
9505681809 POBLACION M 12/27/1977
9126226450 POBLACION F 03/27/1992
POBLACION F 06/29/1957
9073029852 POBLACION F 01/18/1989
9484555166 POBLACION M 12/25/1970
9196214846 POBLACION M 04/24/2003
9127797876 POBLACION F 3/15/1998
SR POBLACION 02_Ma10/19/1953
9154656563 POBLACION M 11/06/2001
9187644294 POBLACION F 03/21/1992
9632311940 POBLACION M 06/11/1974
9286761221 POBLACION M 01/31/1975
9286761221 POBLACION F 03/21/1977
9385039299 POBLACION F 12/22/1976
NA 9512490498 POBLACION 01_F9/3/1958
JR 9162431886 POBLACION M 08/26/2001
9462679195 POBLACION F 10/17/1983
9217322154 POBLACION FEMA12/16/1999
9072376831 SANTA MARIA F 1/12/1950
9294931095 TAMPED M 02/15/1957
9601471370 TAMPED F 04/10/1963
9503233442 LATAGAN M 08/02/1973
Civi
Allergy to vaccines Pregnancy_status
l_St
Occupation* or components of Drug_Allergy?
atu
vaccines
s

BPAT
BPAT

UTILITY

BPAT

BPAT
SK KGD

BPAT
BPAT

DAYCARE WORKER

STUDENT

02_Married

TEACHER
BPAT
SK KGD

STUDENT
SK KGD

COTELCO
COTELCO
COTELCO
COTELCO
STUDENT
AFP

EMBALMER

COTELCO

COTELCO
COTELCO
COTELCO

COTELCO

COTELCO
COTELCO
COTELCO

COTELCO

COTELCO

COTELCO
COTELCO

COTELCO
COTELCO

MARRIED

AFP

AFP

AFP
AFP
AFP

BHW

19_Others_

19_Others_
TEACHER
STUDENT
19_Others_

BPAT

POBLACION
STUDENT
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
01_Yes
01_Yes

01_Yes
01_Yes
01_Yes

01_Yes

01_Yes
01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

08/20/2021 SINOVAC L202107062 L202107062


08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062 L202107062
08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062 L202107062
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08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
08/20/2021 SINOVAC L202107062
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08/20/2021 SINOVAC L202107062
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Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

NICOLAS, ROMER RNNURSE


TOLIA, ZORAIDA RM
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
ESTELLOSO, LERRY MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RNNURSE
ESTELLOSO, LERRY RM MIDWIFE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RN
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN TH NURSE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN
ESTELLOSO, LERRY RM
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY MIDWIFE
QUINTO, ARCELYN R MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN TH NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN
QUINTO, ARCELYN RM
TOLIA, ZORAIDA RM
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN
MORENO, JO ANN THERESE RN
ESTELLOSO, LERRY RM MIDWIFE
TOLIA, ZORAIDA RM
ESTELLOSO, LERRY RM
ESTELLOSO, LERRY RM MIDWIFE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN TH NURSE
TOLIA, ZORAIDA RM
ESTELLOSO, LERRY RM
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESE RN
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN TH NURSE
MORENO, JO ANN THERESE RN
MORENO, JO ANN THERESE RN
QUINTO, ARCELYN R MIDWIFE
QUINTO, ARCELYN R MIDWIFE
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN
QUINTO, ARCELYN RM
TOLIA, ZORAIDA RM
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN
NICOLAS, ROMER RN
MORENO, JO ANN TH NURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN R MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RN
NICOLAS, ROMER RN
TOLIA, ZORAIDA RM
NICOLAS, ROMER RN
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM
MORENO, JO ANN TH NURSE
ESTELLOSO, LERRY MIDWIFE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM
ESTELLOSO, LERRY RM
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN
NICOLAS, ROMER RN
MORENO, JO ANN THERESE RN
MORENO, JO ANN THERESE RN
NICOLAS, ROMER RN
ESTELLOSO, LERRY RM
ESTELLOSO, LERRY RM
ESTELLOSO, LERRY RM
ESTELLOSO, LERRY MIDWIFE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM
NICOLAS, ROMER RN
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM
NICOLAS, ROMER RNNURSE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RNNURSE
ESTELLOSO, LERRY RM

ESTELLOSO, LERRY MIDWIFE


ESTELLOSO, LERRY RM
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN
ESTELLOSO, LERRY MIDWIFE
MORENO, JO ANN TH NURSE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN
ESTELLOSO, LERRY RM
QUINTO, ARCELYN R MIDWIFE
ESTELLOSO, LERRY RM
MORENO, JO ANN THERESE RN
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN
QUINTO, ARCELYN R MIDWIFE
MORENO, JO ANN TH NURSE
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM
NICOLAS, ROMER RN
NICOLAS, ROMER RN
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RN NURSE
ESTELLOSO, LERRY RM
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ESTELLOSO, LERRY RM
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RNNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN TH NURSE
QUINTO, ARCELYN RM MIDWIFE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN NURSE
ESTELLOSO, LERRY MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RNNURSE
MORENO, JO ANN THERESE RN
MORENO, JO ANN THERESE RN
NICOLAS, ROMER RN
MORENO, JO ANN THERESE RN
MORENO, JO ANN THERESE RN
NICOLAS, ROMER RN
ESTELLOSO, LERRY MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN
NICOLAS, ROMER RNNURSE
ESTELLOSO, LERRY RM
NICOLAS, ROMER RN
TOLIA, ZORAIDA RM
TOLIA, ZORAIDA RM
NICOLAS, ROMER RN
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN
ESTELLOSO, LERRY RM
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM
MORENO, JO ANN THERESE RN
MORENO, JO ANN TH NURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESE RN
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY MIDWIFE
QUINTO, ARCELYN R MIDWIFE
NICOLAS, ROMER RN NURSE
NICOLAS, ROMER RN
MORENO, JO ANN TH NURSE
MORENO, JO ANN THERESNURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_01_A1_H05_A1.5: Government Owned Community Based Primary Care Facilities
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_03_A3_Adult_with_ComorbidiMOMEK MARILOU GARCIA
_03_A3_Adult_with_ComorbiBUEN JOHN KARLO COLLADO
_03_A3_Adult_with_ComorbiEGARAN ARNOLD JONILAS
_03_A3_Adult_with_ComorbidiGESULGA JOVELYN FERNANDEZ
_03_A3_Adult_with_ComorbidiMAMADRA ALEXANDER
_03_A3_Adult_with_ComorbiEXENTOS LEONICO DUPA
_03_A3_Adult_with_ComorbiJAWOD MARY CRIS CATARONG
_03_A3_Adult_with_Comorbi VALENZUELA NORMA SIMBLANI
_03_A3_Adult_with_ComorbiVALENZUELA RONNIE B.
_03_A3_Adult_with_ComorbiCORPUZ REX LAPENA
_03_A3_Adult_with_ComorbiMIRANDA JUSTINE S.
_03_A3_Adult_with_Comorbi M IRANDA ROGER SABORNIDO
_03_A3_Adult_with_ComorbiTUPAS RAFF JOHN JALANDONI
_03_A3_Adult_with_ComorbiCABUDOL APRIL ROSE M.
_03_A3_Adult_with_ComorbiTAASAN JESSA MARIE TALINTING
_03_A3_Adult_with_Comorbi M ANIB KIZZA PASILAN
_03_A3_Adult_with_ComorbiBARRACA REYNALDO CONDES
_03_A3_Adult_with_ComorbiBAUTISTA GLENN LOFRANCO
_03_A3_Adult_with_ComorbiESTOLLOSO CHEZYL J.
_03_A3_Adult_with_ComorbiDELIMA FLORA MONTESA
_03_A3_Adult_with_ComorbiMAGONCIA CARMENETA LOZARETA
_03_A3_Adult_with_ComorbiSIAWAN WELSON
_03_A3_Adult_with_ComorbiTOQUERO MARILYN R.
_03_A3_Adult_with_ComorbiREYES DESIREE COLMO
_03_A3_Adult_with_ComorbiTINGCANG REGIN LUBGUBAN
_03_A3_Adult_with_ComorbiADANTE CHRISTOPHER D.
_03_A3_Adult_with_ComorbiADLAWAN JOHN REY G.
_03_A3_Adult_with_ComorbiALAYA-AY ARMANDO B
_03_A3_Adult_with_ComorbiALILAYA FADEL ZULITA
_03_A3_Adult_with_ComorbiALIPOON GLYN LLOYD
_03_A3_Adult_with_ComorbiALIPO-ON ELLA CARINO
_03_A3_Adult_with_ComorbiAVENA LEONARD REYNO
_03_A3_Adult_with_ComorbiAVENA MAXIMINO
_03_A3_Adult_with_ComorbiAVENA ROSALIE LUCENA
_03_A3_Adult_with_ComorbiAVENA JORGINA A.
_03_A3_Adult_with_ComorbiBULDA REY MARK SUPNET
_03_A3_Adult_with_ComorbiBUTARDO YHACIENTH KIE ROMARES
_03_A3_Adult_with_ComorbiCHRAFT JACKIELYN JAVIER
_03_A3_Adult_with_ComorbiCOMBORES JOANA MARIE JABLA
_03_A3_Adult_with_ComorbiCORPUZ ANGELYNNA MARED ADANTE
_03_A3_Adult_with_ComorbiCORPUZ MERILYN PAROLE
_03_A3_Adult_with_ComorbidiDACANAY RACHEL N.
_03_A3_Adult_with_ComorbiDAPAN EXEQUEL O.
_03_A3_Adult_with_ComorbiDELA FUENTE RONELO ESPANOLA
_03_A3_Adult_with_ComorbiDELA ROSA ROBERT
_03_A3_Adult_with_ComorbiDELA SAURA MELROSE TABAOSARES
_03_A3_Adult_with_ComorbiESMERO SILFIE
_03_A3_Adult_with_ComorbiESMERO CIRIANO SUBITO
_03_A3_Adult_with_ComorbiEUGENIO MARIVIC GARCIA
_03_A3_Adult_with_ComorbiGARCIA MELVIN BUCOG
_03_A3_Adult_with_ComorbiGUSENALEM AGAPITO E.
_03_A3_Adult_with_ComorbiHERMIDA JOHN BERT M.
_03_A3_Adult_with_ComorbiLACTAOTAO LOUIE ALIPOON
_03_A3_Adult_with_ComorbiLACTAOTAO RHYAN ANTHONY
_03_A3_Adult_with_ComorbiLALULAN BENJIE G.
_03_A3_Adult_with_ComorbiLAURENCE MARIBEL NEBRE
_03_A3_Adult_with_ComorbiMAHINAY DENNIS ASIHAS
_03_A3_Adult_with_ComorbiMALIGRO ALDE A.
_03_A3_Adult_with_ComorbiMAMADRA DANNY BOY
_03_A3_Adult_with_ComorbiPALENCIA TERESA GIMENA
_02_A2_Senior_Citizens PAQUIBOT RONALD L.
_03_A3_Adult_with_ComorbiPASCUAL MARY ANN DELA ROSA
_03_A3_Adult_with_ComorbiSU-IP MARILOU DAYADAY
_02_A2_Senior_Citizens SUMERA DIONISIO MERCADO
_03_A3_Adult_with_ComorbiCALANUGA JOHN MARK ISONGA
_03_A3_Adult_with_ComorbiNACILO-AN FRANKLIN O.
_03_A3_Adult_with_ComorbiQUIRANTE JESSEL DIOSMA
_03_A3_Adult_with_ComorbidiCABAYA ZYRELLE MAY LAPURA
_03_A3_Adult_with_ComorbidiCOMBONG RAMIL LANCITA
_03_A3_Adult_with_ComorbidiSUMAGAYSAY ROBERTO Q.
_03_A3_Adult_with_ComorbidiVALDEZ DESIREE DINSAY
_03_A3_Adult_with_ComorbiFLORENTINO JUDY ANDREE
_02_A2_Se09_A2.2: All Other NONESA ZOSIMA
_03_A3_Adult_with_ComorbidiROBLES JOSEL F.
_02_A2_Se09_A2.2: All Other SELIGBON NELLY VALDEZ
_03_A3_Adult_with_ComorbiVERGARA JUDELYN
_03_A3_Adult_with_ComorbiMINOSA WILLY M.
_03_A3_Adult_with_ComorbiBARCEBAL RUDISA ARZAGA
_03_A3_Adult_with_ComorbiDIMAMAY JOCEL CALAWOD
_03_A3_Adult_with_ComorbiGALANZA LEONARDO PALCONE
_03_A3_Adult_with_ComorbiGLORIBA MERVIN BEDANO
_03_A3_Adult_with_ComorbiGLORIBA CHARLY JOY B.
_03_A3_Adult_with_ComorbiGLORIBA MERCY BEDANO
_03_A3_Adult_with_ComorbiMISTERIO DOLLY JOY GLORIBA
_03_A3_Adult_with_ComorbiMISTERIO IGMEDIO
_01_A1_Health_Care_WorkeOPREN JINKY M
_03_A3_Adult_with_ComorbiPENDON ARNOLD V.
_03_A3_Adult_with_ComorbidiROPERO MICHAEL JOHN D
_03_A3_Adult_with_ComorbidiBALALAY RUEL MANDAOGAN
_03_A3_Adult_with_ComorbiCARUANA EDILYN B.
_03_A3_Adult_with_ComorbiCARUANA AIREEN SARDO
_03_A3_Adult_with_ComorbiIBLOGUEN RUBY JEAN ANDAM
_03_A3_Adult_with_ComorbiMAGDUGO MARJORIE ANDAM
_03_A3_Adult_with_ComorbiMAGDUGO JEMAR A.
_02_A2_Senior_Citizens MAGULLADO MARITA PRANDAS
_03_A3_Adult_with_ComorbiMAGULLADO HANNIE PRANDAS
_03_A3_Adult_with_ComorbiTASIC GERALD G.
_03_A3_Adult_with_ComorbiALMAZAN ALVIN CANARIA
_03_A3_Adult_with_ComorbiBORNASAL CYNTHIA HERMIDA
_03_A3_Adult_with_ComorbiCRISTOBAL LAARNI GREGORIO
_03_A3_Adult_with_ComorbiDELA CRUZ JEREMIAH G.
_02_A2_Senior_Citizens FRANCISCO MARTINA PASCUAL
_03_A3_Adult_with_ComorbiMALLORCA JAICA ABON
_03_A3_Adult_with_ComorbiMILLARE MARK DALLEGOS
_03_A3_Adult_with_ComorbiOYAO GILBERT TATOY
_03_A3_Adult_with_ComorbiSISON APPLE KAYE M.
_03_A3_Adult_with_ComorbiVIAJEDOR REMOND I
_03_A3_Adult_with_ComorbiVIAJEDOR ROXANE EROY
_03_A3_Adult_with_ComorbidiYDULZURA GENARA MONTERO
_03_A3_Adult_with_ComorbidiYDULZURA JAYSON MONTERO
_03_A3_Adult_with_ComorbiYGLORIA JEREMIE
_03_A3_Adult_with_ComorbiPERLA SPENCER BARRIENTOS
_03_A3_Adult_with_ComorbidiCASTILLO RANDY

_02_A2_Senior_Citizens DELA CRUZ GINA VALDESO


_03_A3_Adult_with_ComorbidiPOLLESCAS RICA CAMILLE
_03_A3_Adult_with_ComorbiAWAL JASMIN SALAZAR
_03_A3_Adult_with_ComorbiAWAL NORMA SALAZAR
_03_A3_Adult_with_ComorbiBUDAY ABDULLAH JABIR BEDIA
_03_A3_Adult_with_ComorbiGAPUZ ROLITO P
_02_A2_Senior_Citizens RAFAEL MERCY
_03_A3_Adult_with_ComorbiDORIMON JOYCEL TAGAYUNA
_03_A3_Adult_with_ComorbiALVARRO RANDY VINLUAN
_03_A3_Adult_with_ComorbiDALISAY APRIL JOY
Civi
Suffi Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x Barangay* dd/yyyy_* atu
s
F 07/14/1998
F 11/24/1994
M 04/03/1997
M 04/26/1968
M 05/20/1996
F 1/6/1972
M 10/26/1988
F 12/26/2000
F 04/28/1991
F 02/13/1956
M 7/2/1969
M 10/22/1966
M 09/24/1978
M 11/8/1993
F 7/8/1998
M 06/28/1946
F 8/8/1972
F 12/14/1959
02_Ma12-15-1965
M 10/26/1995
M 03/21/1980
M 6/12/1968
F 05/15/1995
M 11/30/1986
F 04/29/2000
F 08/30/1954
9484483267 MANUBUAN F 12/19/1990
KILADA M 11/2/1997
9679559082 KILADA M 12/20/1984
9479990092 KILADA F 09/23/1972
9700829375 KILADA M 01/12/1992
JR 9517910718 MANUPAL M 8/9/1992
9512667621 MANUPAL F 10/1/1997
9466517423 NEW ALIMODIAN F 03/21/1969
9466517423 NEW ALIMODIAN M 07/05/1965
9073040661 POBLACION M 1/9/1982
9669769438 POBLACION M 09/17/1995
JR 9277747294 POBLACION M 2/10/1991
9106860202 POBLACION M 9/7/1988
9670250273 ARAKAN F 5/4/1997
9129615153 ARAKAN F 5/6/1997
9700832670 CENTRAL MALAMOTE F 6/4/2001
9091003644 DALAPITAN M 10/4/1973
9270560760 DALAPITAN M 04/26/2000
9392729124 DALAPITAN F 11/7/1982
9058015853 ESTADO F 5/10/1976
9976902900 KIBUDOC F 01/21/1964
JR 9127365371 KIBUDOC M 2/9/1995
9098959379 KIBUDOC F 07/21/1965
9638174570 KIDAMA F 9/9/1999
9096319283 KIDAMA 06/26/1986
9770626716 KILADA M 3/10/1971
9465674828 KILADA M 4/3/1995
9169433453 KILADA M 06/26/1967
9770285078 KILADA M 10/13/1995
9104394066 KILADA M 07/29/1998
9630571016 KILADA F 8/6/1970
9184432327 KILADA M 02/18/1977
JR 9304978337 KILADA M 11/28/1981
9307776049 KILADA F 3/3/1990
9181432327 KILADA F 1/9/1981
9772740822 KILADA M 08/27/1992
9553166636 KILADA F 3/12/1995
9387157615 KILADA F 08/27/1986
9758107184 KILADA F 07/19/1988
9058022022 KILADA F 02/16/1998
9777966451 KILADA M 03/20/1972
9197234582 KILADA F 09/03/1973
9554531528 KILADA M 3/3/1962
9513059509 KILADA M 07/22/1986
9506198358 KILADA M 05/20/1978
9070854323 KILADA F 06/23/1988
9518075465 KILADA F 11/26/1980
JR 9518075465 KILADA M 5/2/1976
9075698072 KILADA F 11/20/1987
9071872733 KILADA M 01/29/2002
KILADA M 09/27/1972
9055538190 KILADA M 1/9/1993
9307544308 KILADA M 09/26/1992
9489113540 KILADA M 1/6/1990
9631243352 KILADA M 10/20/2000
9071600763 KILADA F 6/4/1980
KILADA M 9/12/1984
9124426028 KILADA M 08/26/1981
KILADA M 10/23/1987
9070949771 KILADA F 05/17/1964
9387157615 KILADA M 07/20/1961
9050810730 KILADA F 05/23/1973
9461285517 KILADA F 9/4/1985
KILADA M 07/22/1947
9534017233 LAMPAYAN M 06/23/2000
JR 9970840219 LAMPAYAN M 10/24/2001
9358933707 LAMPAYAN F 06/29/1994
9156049764 LATAGAN 01_Fe 9/13/2002 01_Single
9335024118 LATAGAN 01_Fe 12/10/1972 03_Widower
9776575672 LATAGAN 02_Ma 6/9/1973 01_Single
9164863397 LATAGAN 01_Fe 12/31/1983 02_Married
9101588370 LINAO F 08/25/1995
9068547469 LINAO FEMA11-30-57
9361983925 LINAO M 11/16/1988
LINAO FEMA06/24/1945
9237407827 LOWER MALAMOTE F 1/7/1985
9635066775 MANUBUAN M 11/30/1988
9383889843 MANUPAL F 11/21/1996
9514141446 MANUPAL F 07/14/1992
JR 9508973762 MANUPAL F 11/23/1974
9212063405 MANUPAL M 2/7/1991
9109092578 MANUPAL F 06/28/2000
9109092578 MANUPAL M 02/17/1970
9076776916 MANUPAL F 1/10/1995
JR 9076776916 MANUPAL M 09/24/1995
9122063405 MANUPAL FEMA06/30/1993
9514159020 MANUPAL F 1/3/1973
9564427247 MANUPAL M 07/25/1985
9308390332 MARBEL M 01/01/1982
9485116988 NEW ALIMODIAN F 01/27/1981
9108119709 NEW ALIMODIAN F 06/17/1984
9618348586 NEW ALIMODIAN F 11/02/1997
9123752778 NEW ALIMODIAN F 02/21/2002
9485875513 NEW ALIMODIAN M 04/04/2000
9101676807 NEW ALIMODIAN F 03/30/1959
9077800719 NEW ALIMODIAN F 6/8/1994
9469758031 NEW PANDAN M 8/1/1989
09506640241 POBLACION 02_Ma 09/27/1972
9958842760 POBLACION F 08/29/1989
9308524404 POBLACION F 01/20/1976
9156124232 POBLACION M 12/12/1998
9461761368 POBLACION F 01/13/1961
9151648341 POBLACION F 7/6/2001
9461793400 POBLACION M 01/20/1992
9095381444 POBLACION M 11/3/1970
9205199820 POBLACION F 09/20/1994
9514693432 POBLACION M 05/18/1993
9304982011 POBLACION F 5/2/1998
9076993226 POBLACION F 6/8/1967
9076993226 POBLACION M 8/20/1993
9517905772 POBLACION M 05/17/1984
9060019390 SALVACION M 09/15/2000
SR SANTA MARIA M 10/27/1966
9488717723 SANTA MARIA F 05/29/1959
9276053203 TACULEN F 11/8/1991
9276171886 WEST PATADON F 02/18/1990
9174276840 WEST PATADON F 8/2/1988
9204277555 WEST PATADON M 11/9/2000
9553720217 WEST PATADON M 7/1/2002
MANUPAL F 7/13/1953
9383704900 POBLACION F 7/22/1993
9510285110 KILADA M 7/3/1977
9501740005 MANUPAL F 4/11/2002
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

BARANGAY KAGAWAD
01_Single
03_Widower
01_Single
02_Married

UTILITY

TEACHER
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

08/23/2021 SINOVAC J202106037 J202106037


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Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

MORENO, JO ANN THERESNURSE


TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
QUINTO, ARCELYN RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
MORENO, JO ANN THERESNURSE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_ComorbidiBLANCES GUALBERTO ALVARO
_03_A3_Adult_with_ComorbidiBLANCES ADELFA BANDILAO
_03_A3_Adult_with_ComorbidiPORRAS RHEAN MICHELLE SAGAYEN
_03_A3_Adult_with_ComorbiESTELLOSO JANE SUZETTE CASUMPANG
_03_A3_Adult_with_ComorbiALIG ROVELYN INES
_03_A3_Adult_with_ComorbiANGEL CELESTINA ADLAON
_03_A3_Adult_with_ComorbiBAJADA JAY MICHAEL
_03_A3_Adult_with_ComorbiJONTILLA GENEMIEL BAJENTING
_03_A3_Adult_with_ComorbiJORGIO LEE ANJE LOU V.
_03_A3_Adult_with_ComorbiJUNTILLA ALFREDO CUENTO
_03_A3_Adult_with_ComorbiJUNTILLA ARLAN JAMES C.
_03_A3_Adult_with_ComorbiMONTALES JOFET NINO MAGBANUA
_03_A3_Adult_with_ComorbiPARCON SYR GUILLE LOUIE JONTILLA
_03_A3_Adult_with_ComorbiSUBEBE RUCHELLE IMBANG
_03_A3_Adult_with_ComorbiTADIYA JOEY JONTILLA
_03_A3_Adult_with_ComorbiSORONGON RONNIE JONTILLA
_01_A1_Health_Care_WorkeCABACANG ROY CALLATES
_03_A3_Adult_with_ComorbiESPEDES SHARON ROSE FUERTE
_03_A3_Adult_with_ComorbiDIGA REYNALDO DASARGO
_03_A3_Adult_with_ComorbiAMLON ELIZA JANE CASTILLO
_03_A3_Adult_with_ComorbiCOMAHIG ROMEL AREDIDON
_03_A3_Adult_with_ComorbiCRIZALDO NELYN ENERO
_03_A3_Adult_with_ComorbiFERRER JOHNNY VICTORY
_03_A3_Adult_with_ComorbiJARDIN ROBELLO ALLAGA
_03_A3_Adult_with_ComorbiLUBAT RYAN
_03_A3_Adult_with_ComorbiTAMBOGON NOEL AVENA
_03_A3_Adult_with_ComorbiMAPALO JIMBOY GEOLINGO
_03_A3_Adult_with_ComorbiMACALISANG GELYN GARCIA
_03_A3_Adult_with_ComorbiKUSA LYNEL CALISNAO
_03_A3_Adult_with_ComorbiMILAN DENNIS LIBONA
_03_A3_Ad_03_A3 TALLEDO KATHERINE JOY AMORIA
_03_A3_Adult_with_ComorbiARMADA JOHN DARYLL CAPULO
_03_A3_Adult_with_ComorbiBAUTISTA DIANE OPLE
_03_A3_Adult_with_ComorbiBITAMOR MARK GERALD ROMBINES
_03_A3_Adult_with_ComorbiCALOLING JR C
_03_A3_Adult_with_ComorbiESPIGAR RANDY OSTIQUE
_03_A3_Adult_with_ComorbiESTOCHE JYNKLAUDE CHARLYMANGE
_03_A3_Adult_with_ComorbiFANUNCIO PHEDDY DIAZ
_03_A3_Adult_with_ComorbiFANUNCIO RITCHEL B.
_03_A3_Adult_with_ComorbiFLORES CHRIS GLEAN DALE NERMAL
_03_A3_Adult_with_ComorbiMARTINEZ RENATO BALALA
_03_A3_Adult_with_ComorbiPANDOY SALVADOR GONZALES
_03_A3_Adult_with_ComorbiPEREZ MONRIO ARANETA
_03_A3_Adult_with_ComorbiYSON JULIET SANGLITAN
_03_A3_Adult_with_ComorbiACERO JEYMAR BARRIENTOS
_03_A3_Adult_with_ComorbidiACERO MARCELO BARRIENTOS JR
_03_A3_Adult_with_ComorbiACERO ZAYLA JANE
_03_A3_Adult_with_ComorbiADLAON ROCHELL DE AMBOY
_03_A3_Adult_with_ComorbiALCALDE DOMINGO QUINTINITA
_03_A3_Adult_with_ComorbiAQUINO MARICEL SANTIAGO
_03_A3_Adult_with_ComorbiBELANDRES WILLY DELOS SANTOS
_03_A3_Adult_with_ComorbiBELANDRES WHELBERT D.
_03_A3_Adult_with_ComorbiCABALUNA ELIZA JANE MINOZA
_03_A3_Adult_with_ComorbiCAJELO VICTORINO SILAO
_03_A3_Adult_with_ComorbiCAMPOS MAFFIE BUCAG
_03_A3_Adult_with_ComorbiCAMPOS JEFFER BUCAG
_03_A3_Adult_with_ComorbiCAMPOS FLORENCIA BUCAG
_03_A3_Adult_with_ComorbiCOLOMA MANUEL MACANAS
_03_A3_Adult_with_ComorbiCOPREROS JUANITO GUARDIANO
_03_A3_Adult_with_ComorbiCOPREROS SHEILLA MAE BIENE
_03_A3_Adult_with_ComorbiCOPREROS JOHN MARK B
_03_A3_Adult_with_ComorbiCOPREROS JAYDEE YAP
_03_A3_Adult_with_ComorbiCOPREROS JESIEL PILI
_03_A3_Adult_with_ComorbiCORPUZ LENI TUZON
_03_A3_Adult_with_ComorbiDARIA CRISTINA DALUMPINES
_03_A3_Adult_with_ComorbiDE VERA NORLY ANDRO
_03_A3_Adult_with_ComorbiDETABLAN LYNLYN ADOLACION
_03_A3_Adult_with_ComorbiDIMALALUAN JESSA MAE SARSE
_03_A3_Adult_with_ComorbiESPESOR JENNIE SAMILLANO
_03_A3_Adult_with_ComorbiFEBRERO ELY ANN Y.
_03_A3_Adult_with_ComorbiFEBRERO RICHARD J.
_03_A3_Adult_with_ComorbiJORGIO DEO GENESE VERGARA
_03_A3_Adult_with_ComorbiLUMATAC RANDY VENTURA
_03_A3_Adult_with_ComorbiLUMATAC REGIN REX LUMATAC
_03_A3_Adult_with_ComorbiLUPERA FLORIGENE SAMILLANO
_03_A3_Adult_with_ComorbiMALIAWAO RINSON MARTINEZ
_03_A3_Adult_with_ComorbiMARTINEZ ROSALIE GAWE
_03_A3_Adult_with_ComorbiMARTINEZ MARIA ELEONOR CATARONG
_03_A3_Adult_with_ComorbiMARTINEZ CRIS JEO CATARONG
_03_A3_Adult_with_ComorbiOLINTAD CARLO OPERIANO
_03_A3_Adult_with_ComorbiPALAMOR MARITES SARGUILLA
_03_A3_Adult_with_ComorbiSALDO JOHN MARK CENTINO
_03_A3_Adult_with_ComorbiSALDO LYCA MAE CENTINA
_03_A3_Adult_with_ComorbiSAMILLANO EMILY D.
_03_A3_Adult_with_ComorbiSAMILLANO EMILY BLANCO
_03_A3_Adult_with_ComorbiSAMILLANO ANA LIEZEL BLANCO
_03_A3_Adult_with_ComorbiSAN PEDRO JOAN RODRIGUES
_03_A3_Adult_with_ComorbiTUZON ELVIN ETOM
_03_A3_Adult_with_ComorbiVILLAROSA FELOYDE JOSHUA MANACAP
_01_A1_H05_A1.5: Governme ARGUILLES LUISITO MOSQUERA
_03_A3_Adult_with_ComorbiAMARGO SHIELA TAMBONG
_01_A1_Health_Care_WorkeCHUA DANNY GARIN
_03_A3_Adult_with_ComorbiDIGA MARISSA
_03_A3_Adult_with_ComorbiFERNANDEZ REX ALEJANDRO
_03_A3_Adult_with_ComorbiFERNANDEZ ANGEL MAE LLOBRERA
_03_A3_Adult_with_ComorbidiPADILLA PETRA LAMIGO
_03_A3_Adult_with_ComorbiALAGANO EVENGELINE TEOPIS
_03_A3_Adult_with_ComorbiALFECHE RICA MAE
_03_A3_Adult_with_ComorbiALIPIO BENNIE CORNELIO
_03_A3_Adult_with_ComorbiALIPIO ROY CORNELIO
_03_A3_Adult_with_ComorbiAQUINO GILBERT CORNELIO
_03_A3_Adult_with_ComorbiASUNCION REYGIE L.
_03_A3_Adult_with_ComorbiAVENA JONNSON TRAYA
_03_A3_Adult_with_ComorbiFERRER FELICIANO SALEM
_03_A3_Adult_with_ComorbiFERRER RICHARD SALEM
_03_A3_Adult_with_ComorbiGABITO AMADO CABILOS
_03_A3_Adult_with_ComorbiCORNELIO RENIE JORDAN
_03_A3_Adult_with_ComorbiLACIA GENARD ALMAZAN
_03_A3_Adult_with_ComorbiLAYAGAN JAYSON FERRER
_03_A3_Adult_with_ComorbiMAKANAUG MARTINOS TAHULENDING
_03_A3_Adult_with_ComorbiPALIGUTAN KENNETH MARK TIBILUNIA
_03_A3_Adult_with_ComorbiPARAS MELANIE T.
_03_A3_Adult_with_ComorbiPASCUA JOVANE CAOILE
_03_A3_Adult_with_ComorbiPASCUA RACHELL ANN YBANEZ
_03_A3_Adult_with_ComorbiSU-IP MANUELITO BARLAAN
_03_A3_Adult_with_ComorbiTAGAYUGA WEDDIE ESPIRIN
_03_A3_Adult_with_ComorbiALAGANO JYJIE RAMOS
_03_A3_Adult_with_ComorbiBELONCIO PERCIVAL ACUNA
_03_A3_Adult_with_ComorbiDERECHO IMEE MAGBANUA
_03_A3_Adult_with_ComorbiOPINALDO ROSEMARIE JARANILLO
_03_A3_Adult_with_ComorbiPORRAS MARISSA SAGAYCA
_03_A3_Adult_with_ComorbidiANUNSACION RYAN BERONILLA
_03_A3_Adult_with_ComorbidiC ASTADA LEONORA GUERZON
_03_A3_Adult_with_ComorbiEVANGELIO MITCHIE PAGAYON
_03_A3_Adult_with_ComorbiAMIGOS EMMY BENEDICTO
_03_A3_Adult_with_ComorbiAMIGOS JOMAR BENEDICTO
_03_A3_Adult_with_ComorbiANDRECIO DEONARDO ARATENO
_03_A3_Adult_with_ComorbiBENEDICTO CELESTINA NECESITO
_03_A3_Adult_with_ComorbiBENEDICTO APRIL DAVE NECESITO
_03_A3_Adult_with_ComorbiCORBET WILFREDO CAMIT
_03_A3_Adult_with_ComorbiCORBET ANTHONY BATALLONES
_03_A3_Adult_with_ComorbiCORBET CHENEE BATALLONES
_03_A3_Adult_with_ComorbiMUYCO EMEL DAVE LUCARIO
_03_A3_Adult_with_ComorbiMUYCO DEBBIE JOY LUCARIO
_03_A3_Adult_with_ComorbiMUYCO LLOYD MICHAEL LUCARIO
_03_A3_Adult_with_ComorbiMUYCO RHEA MAE LUCARIO
_03_A3_Adult_with_ComorbiNICOR RONA MAE ARAGON
_03_A3_Adult_with_ComorbidiDELA CRUZ EDUARDO PANELO
_03_A3_Adult_with_ComorbidiNENING FRANCIS ANNE MARGAREUNTALAN
_03_A3_Adult_with_ComorbiALAYON SAMMY DE VERA
_03_A3_Adult_with_ComorbidiALMIROL HANNAH JANE HECHANOVA
_03_A3_Adult_with_ComorbiAMORIA JOVEN YSON
_03_A3_Adult_with_ComorbiBATILARAN LOUIE MAE TABALANZA
_03_A3_Adult_with_ComorbiBENTAYAO RENIER NIETES
_03_A3_Adult_with_ComorbiDAQUILOS MELVIN TANGGARO
_03_A3_Adult_with_ComorbiFAELDONIA JIM BRYAN D.
_03_A3_Adult_with_ComorbiHECHANOVA JUDE NIETES
_03_A3_Adult_with_ComorbiHECHANOVA KYLE TOLENTINO
_03_A3_Adult_with_ComorbiHECHANOVA JOHN NIETES
_03_A3_Adult_with_ComorbiHECHANOVA LOVELY SHENA
_03_A3_Adult_with_ComorbiJULOTBA DESIREE
_03_A3_Adult_with_ComorbiLAGUARDIA ROBERT CAPACILLO
_03_A3_Adult_with_ComorbiLOCARIO MARIDEL JALANDONI
_03_A3_Adult_with_ComorbiLUCERO ANNIE SACAMAY
_03_A3_Adult_with_ComorbiORNOPIA MARY JANE ABORDO
_03_A3_Adult_with_ComorbidiREGOTIA REMIE DEROJA
_03_A3_Adult_with_ComorbidiSISON CHRISTIAN DANIEL RODRIGUEZ
_03_A3_Adult_with_Comorbidi TABALANZA JANETH SAMILLANO
_03_A3_Adult_with_ComorbiTABERNA KAREN TABALANZA
_03_A3_Adult_with_ComorbiTESORO REGINE FAILAGO
_03_A3_Adult_with_ComorbiTOLENTINO LEMUEL ENOC
_03_A3_Adult_with_ComorbiUMADHAY JULIUS REYES
_03_A3_Adult_with_ComorbiCAMBARIJAN HYDEE ANDRES
_03_A3_Adult_with_ComorbiCORPUZ RIZALINA NICOLAS
_03_A3_Adult_with_ComorbiGASMIN PRECIOUS GRACE ANDRES
_03_A3_Adult_with_ComorbiVITORILLO MIRAELLE DANE NICOLAS
_03_A3_Adult_with_ComorbiVITORILLO DARWIN NICOLAS
_03_A3_Adult_with_ComorbiDELA CRUZ SOLOMON PANELO
_03_A3_Adult_with_ComorbiGONO MARY ROSE CUARTEROS
_03_A3_Adult_with_ComorbiHUCAMIS ROLANDO NMBRANO
_03_A3_Adult_with_ComorbiCAMPANO LUCIA C
Civi
Suffi Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x Barangay* dd/yyyy_* atu
s
F 12/23/1996
M 10/25/1985
M 03/08/1978
F 12/25/1973
F 07/28/1991
F 07/18/1985
M 12/23/1997
M 10/08/2002
F 07/20/2001
M 03/29/1976
F 7/27/1949
M 06/12/1982
02_Ma 08/29/1987
F 03/15/2001
F 11/25/1989
F 07/24/1974
F 10/16/1993
M 06/06/1966
F 08/11/1996
M 06/30/2002
M 07/13/1973
M 06/22/1998
JR 9061952165 LATAGAN 02_Ma 4/5/1965 02_Married
9061952165 LATAGAN 01_Fe 7/4/1968 02_Married
9568216163 MANUBUAN F 04/27/2001
9562342395 POBLACION F 06/09/1985
9106847425 DALAPITAN F 07/25/1979
9091028127 DALAPITAN F 04/26/1966
9485020454 DALAPITAN M 07/25/1991
9700829313 DALAPITAN F 01/12/1998
9516569449 DALAPITAN M 08/25/2001
JR 9161211433 DALAPITAN M 04/09/1997
9097544814 DALAPITAN M 10/28/1998
9673965768 DALAPITAN M 01/15/1995
9975418295 DALAPITAN M 09/22/2000
9562057493 DALAPITAN F 10/26/1989
9384875790 DALAPITAN M 12/07/1998
9700776592 KABULACAN M 05/22/1999
909388568 KIBIA M 8/7/1984
9469758087 KIBIA F 04/29/1993
KIBUDOC M 04/13/1976
9682669286 KILADA F 12/26/1991
9100591899 KILADA M 02/13/1988
9773978392 KILADA F 02/02/1988
9304978407 KILADA M 11/10/1987
9387038364 KILADA M 11/18/1977
9074054316 KILADA M 09/29/1996
9301158005 KILADA M 06/09/1985
9102973156 LOWER MALAMOTE M 03/09/1989
9512489111 MANUBUAN F 03/19/2001
9483856542 NEW ALIMODIAN F 05/08/1988
9500304231 NEW PANDAN M 09/05/1987
09384914666 POBLACION 02/18/1979
9103296694 POBLACION M 06/28/1993
9381809235 POBLACION F 09/22/2002
9515363535 POBLACION M 02/18/1999
9062311936 POBLACION M 04/21/1996
9505118786 POBLACION M 11/09/1994
9090001966 POBLACION M 07/12/1994
9093418301 POBLACION M 10/09/1987
9309929404 POBLACION F 07/26/1990
9457338148 POBLACION M 12/28/1987
9507195292 POBLACION M 07/28/1986
JR 9568529707 POBLACION M 12/28/1993
9289186683 POBLACION M 07/06/1990
9382744155 POBLACION F 07/12/1980
9467609957 DALAPITAN M 04/10/1997
9469171600 DALAPITAN M 11/27/2000
9631058104 DALAPITAN F 03/20/2003
9309669793 DALAPITAN F 7/6/1983
9481724504 DALAPITAN M 04/10/1983
9686420410 DALAPITAN F 09/18/1989
9382734356 DALAPITAN M 05/21/1997
9630700261 DALAPITAN M 05/25/1990
9496951863 DALAPITAN F 04/27/1970
JR 9518299473 DALAPITAN M 08/14/1977
9309963654 DALAPITAN F 09/21/1999
9489880177 DALAPITAN M 07/09/1993
9317329215 DALAPITAN F 02/18/1970
JR 9631064809 DALAPITAN M 09/19/1978
9513053096 DALAPITAN M 04/10/1963
9485204702 DALAPITAN F 02/09/2001
9064601976 DALAPITAN M 12/19/1999
9464372332 DALAPITAN F 04/20/1965
9380304767 DALAPITAN F 06/06/1985
9093669671 DALAPITAN F 02/12/1975
9350388155 DALAPITAN F 09/19/1967
9076524130 DALAPITAN M 11/24/1993
9487772920 DALAPITAN F 09/19/1976
9501650421 DALAPITAN F 07/21/2002
9099828283 DALAPITAN F 03/16/1985
9486904514 DALAPITAN F 04/03/1980
9551391898 DALAPITAN M 01/30/1978
9074008037 DALAPITAN M 10/27/1997
JR 9517911038 DALAPITAN M 11/30/1997
9517910714 DALAPITAN M 02/12/2001
9097352183 DALAPITAN F 04/06/1980
9514104224 DALAPITAN M 01/12/2000
9487772920 DALAPITAN F 02/10/1976
9307787075 DALAPITAN F 11/18/2000
9631058597 DALAPITAN M 07/19/1999
9300327277 DALAPITAN M 01/18/2001
9300327871 DALAPITAN F 02/21/1974
9304981313 DALAPITAN M 01/30/2002
9096968569 DALAPITAN F 05/11/2000
DALAPITAN F 07/23/1967
9505289008 DALAPITAN F 09/26/1999
9500141084 DALAPITAN F 01/17/1977
9352965785 DALAPITAN F 11/16/1976
9306249169 DALAPITAN M 06/23/1972
9489878747 DALAPITAN M 05/08/2000
NA 9676977179 KIBIA 02_Ma
03/30/1977
9382769060 KIBIA F 11/29/1987
9485040056 KIBIA M 12/9/1978
9557961921 KIBUDOC F 04/16/1982
9109990883 KIBUDOC M 07/16/1994
9952263562 KIBUDOC F 03/27/1996
KIBUDOC F 12/04/1963
9477590792 KILADA F 02/07/1968
9978818288 KILADA F 07/13/1996
9516495507 KILADA M 10/25/1989
9120061881 KILADA M 10/21/1990
9266698836 KILADA M 02/28/1989
9101182049 KILADA M 10/16/1985
9307043198 KILADA M 05/30/1995
JR 9386822702 KILADA M 11/27/1987
9101775481 KILADA M 11/27/1981
9106532668 KILADA M 06/05/1993
9635788049 KILADA M 05/12/1997
9663012156 KILADA M 12/09/1992
9974306503 KILADA M 12/08/1996
9093884035 KILADA M 08/18/1986
9466812031 KILADA M 01/16/2000
KILADA F 02/24/1978
9070834608 KILADA M 10/24/1982
9496493324 KILADA F 01/16/1986
9461285517 KILADA M 08/06/1988
9771667009 KILADA M 05/24/1968
951207733 LINAO F 05/25/1977
9300298149 LOWER MALAMOTE M 12/31/1974
9076389791 MANUBUAN F 05/12/1969
9059683674 MANUBUAN F 08/28/1966
MANUBUAN F 04/02/1978
9100711650 MARBEL M 01/18/1978
9652078452
9465436053 MARBEL
MINAMAING FF 08/13/1972
05/14/2001
9658922152 NEW BUGASONG FEMA10/24/1974
9486922058 NEW BUGASONG M 12/05/1997
NEW BUGASONG M 06/15/1989
9264042262 NEW BUGASONG F 05/18/1979
9463134206 NEW BUGASONG M 04/04/2000
9126669916 NEW BUGASONG M 12/16/1967
9187220629 NEW BUGASONG M 12/15/1998
9071996052 NEW BUGASONG F 05/31/2001
9100579009 NEW BUGASONG M 12/30/1995
9302408179 NEW BUGASONG F 06/28/1994
9485589323 NEW BUGASONG M 06/14/1992
9501769712 NEW BUGASONG F 10/27/1999
9305898090 NEW BUGASONG F 05/16/1998
POBLACION M 03/05/1967
09278645713 POBLACION F 06/16/2001
9065825001 POBLACION M 01/10/1991
9663019350 POBLACION F 03/21/1986
9122346190 POBLACION M 11/28/1995
9482921440 POBLACION F 03/22/1990
9564095908 POBLACION M 07/30/1983
9673796397 POBLACION M 09/24/1991
9483115201 POBLACION M 03/18/1992
9482921440 POBLACION M 09/01/1984
9663049309 POBLACION M 01/22/1999
9957429789 POBLACION M 05/12/1992
9056666301 POBLACION F 09/21/1991
9096026775 POBLACION F 12/04/2002
9309278599 POBLACION M 06/26/1963
9489697183 POBLACION F 10/17/1977
9514800566 POBLACION F 08/14/1979
9124241604 POBLACION F 01/31/1984
9124397956 POBLACION M 06/02/1984
9501980610 POBLACION M 05/26/1994
09166019839 POBLACION 12/17/1980
9955153823 POBLACION F 11/19/1996
9489962604 POBLACION F 01/03/1999
9700804476 POBLACION M 02/03/1991
9517905750 POBLACION M 07/21/1983
9554055643 TACULEN F 04/26/1981
9309154973 TACULEN F 06/19/1965
9977225434 TACULEN F 06/09/1999
9466947404 TACULEN F 08/30/1992
9107518595 TACULEN M 08/11/1991
POBLACION M 07/13/1973
9105567985 POBLACION F
JR 9512648293 LOWER MALAMOTE M 6/12/1982
NEW ALIMODIAN F 12/14/1959
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

ELECTRIC DISTRIBUTION UTILITY

02_Married
02_Married

BPAT
BPAT

BPAT
AFP
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes
01_Yes
01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
8/25/2021 SINOVAC L202107062
J202106037
J202106037
J202106037
J202106037
8/25/2021 SINOVAC L202107062
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
8/25/2021 SINOVAC J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
L202107062
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

TOLIA, ZORAIDA RM MIDWIFE


ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEANMIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
NICOLAS, ROMER RNNURSE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RNNURSE
NICOLAS, ROMER RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN
TOLIA, ZORAIDA RM RM MIDWIFE
MIDWIFE
QUINTO, ARCELYN R MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
NICOLAS, ROMER RN NURSE
ROLDAN, MARY JEANMIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_H03_A1.3: Quarantine Isolation Facilities
_02_A2_Senior_Citizens
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_01_A1_Health_Care_WorkeSOLAIMAN MOHARIF GUIAMILIL
_03_A3_Adult_with_ComorbiLORENZO AMORSOLO C
_03_A3_Adult_with_ComorbiMAGOLLADO MARILYN DELA VEGA
_03_A3_Adult_with_ComorbiABAYATA RICARTE PENDON
_03_A3_Adult_with_ComorbiANTOY JUNAR
_03_A3_Adult_with_ComorbiBABOSO BAI HAMIDA HADJI OMAR
_03_A3_Adult_with_ComorbiCAJURAO JESTONI
_03_A3_Adult_with_ComorbiDAPILAGA ALEJANDRO MACMOD
_03_A3_Adult_with_ComorbiGUIAMPUTO JEHANA I
_03_A3_Adult_with_ComorbiIMBANG RUBYLYN
_03_A3_Adult_with_ComorbiIMBANG JOEL BENEDICTO
_03_A3_Adult_with_ComorbiIMBANG JOEMAR
_03_A3_Adult_with_ComorbiMAGBANUA JENNEL KYLE R.
_03_A3_Adult_with_ComorbiPAIDOMAMA ABUBAKAR AYOB
_03_A3_Adult_with_ComorbidiSENDAD JAY HAMIR G
_03_A3_Adult_with_ComorbidiURBANO MACARIO MALINAB
_03_A3_Adult_with_ComorbidiURBANO MAECRIS OLIVEROS
_03_A3_Adult_with_ComorbidiURBANO CRISTETA O
_03_A3_Adult_with_ComorbiUSMAN BENSAHOD CUMAMBAS
_03_A3_Adult_with_ComorbiUSMAN FAHIMA ANGKIL
_03_A3_Adult_with_ComorbiBAYANI JERRY POSADAS
_03_A3_Adult_with_ComorbiEBITA LETECIA A.
_02_A2_Se 09_A2.2: All Other ABIAN JESUS LABUGUEN
_03_A3_Adult_with_ComorbiCARPIN CHRISTOPHER CANJA
_03_A3_Adult_with_ComorbiCARPIN KENNY GLEN AMRGO
_03_A3_Adult_with_ComorbiCRISTOBAL BERNIE NARA
_03_A3_Adult_with_ComorbiCRISTOBAL ANNALYN ABIAN
_02_A2_Senior_Citizens ABIAN ANNABELLE ATUD
_03_A3_Adult_with_ComorbiMONDRAGON ANGELINO
_03_A3_Adult_with_ComorbiSISON MARGIE HEDORIO
_03_A3_Adult_with_ComorbiMANGEMLAS NORAINA
_03_A3_Adult_with_ComorbiARCENO LIZA L.
_03_A3_Adult_with_ComorbiCABUTAJE JOE
_03_A3_Adult_with_ComorbiDALINO JUDITH
_03_A3_Adult_with_ComorbiDAVAL ROTCHIE MAY BARAL
_03_A3_Adult_with_ComorbiESTANA PAUL JOHN DELA FUENTE
_03_A3_Adult_with_ComorbiFRANCISCO TENDER SWEET CONSTANTINO
_03_A3_Adult_with_ComorbiPORRAS ARTENIO CABARLES
_03_A3_Adult_with_ComorbiRENDON LORNA MEDIO
_03_A3_Adult_with_ComorbiTORRES ELEONOR JARABATA
_03_A3_Adult_with_ComorbiALCUEBA JENNIFER LANCITA
_03_A3_Adult_with_ComorbiALCUEBA REYGIE BRAGAT
_03_A3_Adult_with_ComorbiBLANCES RICHIE JAY
_03_A3_Adult_with_ComorbiBLANCES MARNELIE BUENAFLOR
_03_A3_Adult_with_ComorbiCOMBONG JOYLYN MOJANA
_03_A3_Adult_with_ComorbiCOMBONG MARIA ALTHEA ESPACIO
_03_A3_Adult_with_ComorbiDALAGAN ALMER FERNANDEZ
_03_A3_Adult_with_ComorbiDINSAY RIAMIEH
_03_A3_Adult_with_ComorbiDOMADIEGO JUDE ESCOMES
_03_A3_Adult_with_ComorbiESCOMES RECHEL SAQUIBAL
_03_A3_Adult_with_ComorbiGLORIBA CHRISTINE MAE BEDANO
_03_A3_Adult_with_ComorbiMAGSIPOC MARJORIE
_03_A3_Adult_with_ComorbidiSEPELINO MAYLINE BATION
_03_A3_Adult_with_ComorbiYABUT JERALYN
_03_A3_Adult_with_ComorbiYABUT JEFFREY EDIZA
_03_A3_Adult_with_ComorbiBALBIN DUDLEY ROSS A.
_03_A3_Adult_with_ComorbiPANIQUE JULIE ANN
_03_A3_Adult_with_ComorbiPANIQUE WILFREDO ACUPAN
_03_A3_Adult_with_ComorbiSUMILHIG JESUS APANCANA
_03_A3_Adult_with_ComorbidiSOMERA CLARITA MENDOZA
_03_A3_Adult_with_ComorbidiALAGANO GRACE GARCIA
_03_A3_Adult_with_ComorbiDAVAL EDGARDO M.
_03_A3_Adult_with_ComorbiSINAKING LLOYD WILLIAM ESTELLOSO
_03_A3_Adult_with_ComorbiSINAKING JOHNNY SEGUNDO
_03_A3_Adult_with_ComorbiANTIPUESTO PEDRO A.
_03_A3_Adult_with_ComorbiANTIPUESTO TEPRIEL JOHN D.
_03_A3_Adult_with_ComorbiDAGDAG DONNAVILLE VINLUAN
_03_A3_Adult_with_ComorbiARCE JOSEPHINE REYES
_03_A3_Adult_with_ComorbiAMORSOLO ANGELO CAMENO
_03_A3_Adult_with_ComorbiCABUNDUCAN CHERRY MAE ANDEA
_03_A3_Adult_with_ComorbidiCAMINO VINCE MARK TOLENTINO
_03_A3_Adult_with_ComorbiGABAO LUVISMINDA CABAGUA
_03_A3_Adult_with_ComorbiGABAO JOSELITO LOPEZ
_03_A3_Adult_with_ComorbiMIRANDA MARIVIC CABACANG
_03_A3_Adult_with_ComorbiREVILLAS FRANCISCO SARINO
_03_A3_Adult_with_ComorbiREVILLAS JOCELYN ANDIANO
_03_A3_Adult_with_ComorbiCANLOG ARLAN CORBETA
_03_A3_Adult_with_ComorbiNIETES ANALOU MADRID
_03_A3_Adult_with_ComorbiQUILLO RENE BOY BAYOG
_03_A3_Adult_with_ComorbiAHADAIN JOHN ALREY DIOLOSO
_03_A3_Adult_with_ComorbidiBILOG MARIVIC ABALOS
_03_A3_Adult_with_ComorbidiCAMRAL RANCEL CANDIDIER
_03_A3_Adult_with_ComorbiCASEL MIRRIAM COSTALES
_03_A3_Adult_with_ComorbiFAJERGA JIMMY LEGASPI
09_A2.2: All Other FLORES
_02_A2_Se RICARDO INFANTE
_03_A3_Adult_with_ComorbidiFLORES KAREN JOY VERONA
_03_A3_Adult_with_ComorbidiGONZALES VEDELL DAIS
_03_A3_Adult_with_ComorbiLACADEN CRISTINA RUIZ
_03_A3_Adult_with_ComorbiSAMULDE MELLENA OYCO
_03_A3_Adult_with_ComorbiSESBINO DONALD CASTILLO
_03_A3_Adult_with_ComorbiSESBINO RITCHELL F
_03_A3_Adult_with_ComorbiSOBRENO JHEAN ROY F.
_03_A3_Adult_with_ComorbiVERONA JOEFFREY QUINONES
_03_A3_Adult_with_ComorbiYGLORIA MARY EMIE
_03_A3_Adult_with_ComorbiAGUIRRE MARICEL DONASCO
_03_A3_Adult_with_ComorbiHUEVIA ELVIE BOCOBOG
_03_A3_Adult_with_ComorbiODONES REYNALDO MALAPITAN
_03_A3_Adult_with_ComorbiMANGGAYA ROWENA CABANGISAN
_03_A3_Adult_with_ComorbiABDULA ABAS E.
_03_A3_Adult_with_ComorbiBLANCO RENALDO
_03_A3_Adult_with_ComorbiHERBEDALLA TIM JESSAR CAMBONG
_03_A3_Adult_with_ComorbiDAGDAG OLIVA
_03_A3_Adult_with_ComorbiRUBIDY AIRISH
A2 CAMINO RODOLFO
Civi
Suffi Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x Barangay* dd/yyyy_* atu
s
M 09/26/1980
F 08/12/1996
M 12/05/1998
F 02/21/1985
F 01/12/1996
01_F 8/24/1989
F 6/26/1957
F 05/21/1969
M 07/11/1963
M 10/24/1999
02_Ma 9/19/1980 02_Married
M 11/09/1990
F 04/19/1962
F 01/04/1985
M 06/23/1996
F 08/09/1978
F 04/26/2002
NONE 9679568699 CENTRAL MALAMOTE MALE 8/12/1997 SINGL
NEW ALIMODIAN M 10/08/1974
9500262870 NEW ALIMODIAN F 01/08/1971
9667769387 CENTRAL MALAMOTE M 06/09/1980
9632338602 CENTRAL MALAMOTE M 06/16/1973
9498136584 CENTRAL MALAMOTE F 03/20/1991
9094001504 CENTRAL MALAMOTE M 10/23/1995
III 9265858919 CENTRAL MALAMOTE M 01/20/1982 MARRIED
9518239898 CENTRAL MALAMOTE F 07/14/1997
9109140178 CENTRAL MALAMOTE F 10/21/1998
9301115735 CENTRAL MALAMOTE M 12/19/1995
9127841055 CENTRAL MALAMOTE M 07/15/1988
CENTRAL MALAMOTE F 01/28/1997
9977358447 CENTRAL MALAMOTE M 03/07/1997 SINGLE
9556478289 CENTRAL MALAMOTE M 06/16/1982
9078585948 CENTRAL MALAMOTE M 05/23/1970
9514510922 CENTRAL MALAMOTE M 04/22/1999
9395649676 CENTRAL MALAMOTE F 05/29/1970
9632309895 CENTRAL MALAMOTE M 01/30/2000
9076106717 CENTRAL MALAMOTE F 03/07/2000
DALAPITAN M 06/01/2000
9486052137 DALAPITAN F 03/22/1962
9679608598 KIBUDOC M 4/19/1957
9382779551 KIBUDOC M 12/14/1983
9382779551 KIBUDOC F 11/19/1986
9362037093 KIBUDOC M 06/24/1981
9362037093 KIBUDOC F 01/06/1983
935459692 KIBUDOC F 8/14/1961
9301113889 KIBUDOC M 10/31/1992
KIBUDOC F 08/24/1963
9484186299 KIDAMA F 03/25/1997
9309970736 KILADA F 01/24/1976
9121822874 KILADA M 05/25/1990
9360410886 KILADA F 06/05/1991
9517905778 KILADA F 05/01/1993
9109889605 KILADA M 03/20/1985
9128533282 KILADA F 06/03/1999
9480160768 KILADA M 03/01/1971
9058035784 KILADA F 07/02/1970
9164160038 KILADA F 11/21/1973
9155131842 LATAGAN F 01/05/1984
9355316454 LATAGAN M 04/08/1985
9457080165 LATAGAN M 09/24/1988
9971462127 LATAGAN F 08/19/1987
9355654460 LATAGAN F 02/21/1977
9155430459 LATAGAN F 03/12/1998
9469783162 LATAGAN M 06/04/1996
9357455226 LATAGAN F 03/12/1998
9977800750 LATAGAN M 04/08/2002
9360279142 LATAGAN 07/20/1990
9074515692 LATAGAN F 09/16/1996
9659277798 LATAGAN 03/25/1993
9554529149 LATAGAN 01_Fe 6/14/1981 02_Married
9362136991 LATAGAN F 07/31/1992
9362136991 LATAGAN M 11/20/1985
9151892533 LINAO M 12/01/1972
9162592537 LINAO F 02/20/1991
9359047966 LINAO M 09/20/1986
LINAO M 12/25/1970
9302744050 LOWER MALAMOTE F 03/26/1967
9120190175 MANUBUAN F 09/03/1985
9296121848 MANUBUAN M 07/14/1992
9958924405 MANUBUAN M 06/25/2002
SR 9553589142 MANUBUAN F 06/15/1968
JR 9564074128 MARBEL M 08/18/1968
9365262370 MARBEL M 04/10/1995
9052953921 MARBEL F 09/28/1991
905527937 NEW ABRA F 07/13/1964
NEW ALIMODIAN M 10/02/1987
9489899875 NEW ALIMODIAN F 08/18/1993
NEW ALIMODIAN M 11/30/2000
9121958742 NEW ALIMODIAN F 02/10/1968
9121958742 NEW ALIMODIAN M 01/02/1967
9489170668 NEW ALIMODIAN F 03/07/1976
9122555318 NEW ALIMODIAN M 06/16/1966
9122555318 NEW ALIMODIAN F 06/11/1970
9631240979 NEW PANDAN M 01/31/1991
9124432779 NEW PANDAN F 09/09/1988
9300327176 NEW PANDAN M 05/01/1986
9128533282 POBLACION M 11/25/1996
9109232538 POBLACION F 07/16/1974
9574588403 POBLACION M 07/25/1996
9105523616 POBLACION F 11/22/1982
JR 9095521460 POBLACION M 09/15/1980
NA 09293137809 POBLACION 4/29/1953
02_Ma
9104162351 POBLACION F 07/25/1993
9389103527 POBLACION F 7/7/1975
POBLACION F 10/25/1977
POBLACION F 01/01/1963
9953992117 POBLACION M 10/23/1983
9505716825 POBLACION F 07/31/1989
951480206 POBLACION M 11/16/1988
POBLACION M 01/28/1968
9638197654 POBLACION F 03/20/1993
9687469756 SARAYAN F 06/10/1988
9106645511 SARAYAN F 12/31/1982
9094412185 SARAYAN M 05/04/1990
9514489135 TAGURANAO F 11/11/1997
9656809953 PATADON WEST M 03/23/1971
LATAGAN M 07/11/1963
9554551968 LATAGAN M 10/24/1999
9060239271 MARBEL F 04/19/1962
9517895175 POBLACION M 04/26/2002
NEW ALIMODIAN M 12/17/1958
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

06_Nurse

02_Married

SK MEMBER

MARRIED

SINGLE
02_Married
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
8/27/2021 SINOVAC J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
8/27/2021 SINOVAC J202106037
J202106037
J202106037
J202106037
8/27/2021 SINOVAC J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ESTELLOSO, LERRY MIDWIFE


ESTELLOSO, LERRY MIDWIFE
MORENO, JO ANN TH NURSE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN TH NURSE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN TH NURSE
MORENO, JO ANN TH NURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN TH NURSE
ESTELLOSO, LERRY MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
MORENO, JO ANN THERESNURSE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_Comorbidity
_03_A3_Adult_with_Comorbidity
_03_A3_AdA3
_03_A3_Adult_with_ComorbiCASEL MAE ANN JOY
_03_A3_Adult_with_ComorbidiABITONA JOHN NAMOC
_03_A3_Adult_with_ComorbiABITONA RIZA RUTH
_03_A3_Adult_with_ComorbiPASCUAL HAZEL JARABATA
_03_A3_Adult_with_ComorbiRODUTA THERESA B
_03_A3_Adult_with_ComorbiCORDERO CHERRY GIL ANTIS
_02_A2_Se 09_A2.2: All Other DELA TORRE EDUARDO PASIGUA
_03_A3_Adult_with_ComorbiPASCUAL PHILIP VERONA
_01_A1_Health_Care_WorkePACYAO EVELYN SORONGON
Civi
Current_Residence
Suffi Birthdate_mm/ l_St
Contact_No.* : Sex* Occupation*
x dd/yyyy_* atu
Barangay*
s
F 12/22/1990
F 12/09/1968
11/11/1966
9773179152 MARBEL F 9/18/1998
JR 9174688691 DALAPITAN M 11/4/1991
9989990317 DALAPITAN F 6/27/1993
09091931855 KILADA 01_F 04/16/1978 TEACHER
9266004986 NEW PANDAN 06/10/1972
9109903590 POBLACION F 08/29/1996 OFW
NA 9771675103 POBLACION 02_Ma9/10/1942
9512649133 POBLACION M 5/21/1981
9093418391 SALVACION FEMA 7/21/1987 PUROK PRESIDENT
Allergy to vaccines Pregnancy_status
or components of Drug_Allergy? Food_Allergy?
vaccines

PRESIDENT
Insect_Allergy? Latex_Allergy? Mold_Allergy? Pet_Allergy?
Pollen_Allergy? With_Comorbidity? Hypertension Heart_Disease

01_Yes
Immunodeficiency_S
Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
tatus
Date_of_first_positiv
Patient_was_diagnos e_result_/_specimen
Cancer Others
ed_with_COVID_19 _collection_mm/dd/y
yyy_
Classification_of_CO Willing
CONSENT Reason for Refusal
VID_19 to_be_Vaccinated?
Has no severe
Has no allergy to
Age more than Has no allergies to allergic reaction after
food, egg, medicines,
16 years old? PEG or polysorbate? the 1st dose of the
and no asthma?
vaccine?
Does not manifest
any of the following
symptoms:
* If with allergy or Fever/chills,
Has no history of * if with bleeding
asthma, will the Headache, Cough,
bleeding disorders or history, is a gauge 23
vaccinator able to Colds, Sore throat,
currently taking anti- - 25 syringe available
monitor the patient Myalgia, Fatigue,
coagulants? for injection?
for 30 minutes? Weakness, Loss of
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has no history of
* If manifesting any exposure to a Has not been
Has not received any
of the mentioned confirmed or previously treated for
vaccine in the past 2
symptom/s, specify suspected COVID-19 COVID-19 in the past
weeks?
all that apply case in the past 2 90 days?
weeks?
Does not have any of
the following: HIV,
Has not received Cancer/ Malignancy,
convalescent plasma Underwent
or monoclonal * if pregnant, 2nd or Transplant, Under
Not Pregnant?
antibodies for 3rd Trimester? Steroid Medication/
COVID-19 in the past Treatment, Bed
90 days? Ridden, terminal
illness, less than 6
months prognosis
* If with mentioned
condition, has
* If with mentioned
presented medical Deferral Date of Vaccination
condition/s, specify.
clearance prior to
vaccination day?

9/3/2021

9/3/2021

9/3/2021
Vaccine
Batch Number Lot Number Vaccinator Name
Manufacturer Name

J202106037 LUMACTOD, GENEFE RN


J202106037 ANGULO, JAYSON RN
J202106037 ANGULO, JAYSON RN
J202106037 ANGULO, JAYSON RN
SINOVAC J202106037 LUMACTOD, GENEFE
J202106037 LUMACTOD, GENEFE RN
J202106037 ANGULO, JAYSON RN
J202106037 ANGULO, JAYSON RN
J202106037 TOLIA, ZORAIDA RM
SINOVAC J202106037 ESTELLOSO, LERRY RM
J202106037 ANGULO, JAYSON RN
SINOVAC J202106037 TOLIA, ZORAIDA RM
Profession of
1st Dose 2nd Dose
Vaccinator

NURSE
NURSE
NURSE
NURSE
NURSE
NURSE
NURSE
NURSE
MIDWIFE
MIDWIFE
NURSE
MIDWIFE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_ComorbiCABANILLA JUSTINE MAE
_03_A3_Adult_with_ComorbiRECAROS JUVELYN ANDI
_03_A3_Adult_with_ComorbiANTIOLA ANGELOU PIODOS
_03_A3_Adult_with_ComorbiBARBERO FEDERICO T.
_03_A3_Adult_with_ComorbiBARBERO CHERRY MAE M.
_03_A3_Adult_with_ComorbiBISCARRA JOSEPH OPENA
_03_A3_Adult_with_ComorbiBISCARRA JHEMRELL HANGAD
_03_A3_Adult_with_ComorbiBISCARRA FLORELYN LIGASAN
_03_A3_Adult_with_ComorbiDANGUIS REBECCA VALDEZ
_03_A3_Adult_with_ComorbiDAROY ARIAN JANE
_03_A3_Adult_with_ComorbiGANGAN JESIERELL VALDEZ
_03_A3_Adult_with_ComorbiMALASAN ANGELIE BAGOL
_03_A3_Adult_with_ComorbiSUBIATE JAMES BRYAN GELILANG
_03_A3_Adult_with_ComorbiVALDEZ MAERCY BULDA
_03_A3_Adult_with_ComorbiVALDEZ JINKY U
_03_A3_Adult_with_ComorbiAGPALZA DAHREL JAY CUNA
_03_A3_Adult_with_ComorbiBERONILLA MYRAQUEL ZAMORA
_03_A3_Adult_with_ComorbiDEL ROSARIO RODRIGO CREDO
_03_A3_Adult_with_ComorbiFELECIANO ALVIN OGATIA
_03_A3_Adult_with_ComorbiFLORES TEDDIE TERNIO
_03_A3_Adult_with_ComorbiJAQUIAS LOUIE MARK POSADAS
_03_A3_Adult_with_ComorbiPACETE JENEFER SAMILLANO
_03_A3_Adult_with_ComorbiPERALTA CHRISTINE MAE D
_03_A3_Adult_with_ComorbiPLENARIO JONATHAN TARONA
_03_A3_Adult_with_ComorbiANGCOG ALINEL TRABUCO
_03_A3_Adult_with_ComorbiCABALING REGINE GUMABA
_03_A3_Adult_with_ComorbiCRIZALDO CHARLE MAGNE ALAGANO
_03_A3_Adult_with_ComorbiCRIZALDO MAVIE JOY
_03_A3_Adult_with_ComorbiLAURENCE BRYAN LUMANGKIBE
_03_A3_Adult_with_ComorbiMAKANAUNG JANET BUEN
_03_A3_Adult_with_ComorbiMEMBRERE PRINCES JOY CERVERA
_03_A3_Adult_with_ComorbiMEMBRERE RAZHEL MAGPALI
_03_A3_Adult_with_ComorbiPECATE BENJIE VECINA
_03_A3_Adult_with_ComorbiSINADON RINA MAE NOVAL
_03_A3_Adult_with_ComorbiCABALUNA YULALIA MIRABUENO
_03_A3_Adult_with_ComorbiINIEGO ROBERT SUELA
_03_A3_Adult_with_ComorbiMALLORCA BONYFE SUBLA
_03_A3_Adult_with_ComorbiQUIRANTE KRIZZIA KEREN
_03_A3_Adult_with_ComorbidiBAUTISTA MELANIE PARINAS
_03_A3_Adult_with_ComorbidiBAUTISTA GIL BABIENA
_01_A1_Health_Care_WorkeBUENTIPO AIRA ELOISE DAVID
_03_A3_Adult_with_ComorbiGANAS ELVIE JAVISON
_03_A3_Adult_with_ComorbiGANAS LOVELY N.
_03_A3_Adult_with_ComorbiJAWOD EDNA DALISAY
_03_A3_Adult_with_ComorbiJUADIONG CHRISTIAN SUALIBOS
_03_A3_Adult_with_ComorbiTOROBA MIKAELA TRIXIA BUENTIO
_03_A3_Adult_with_ComorbiTUMAODOS MA. ADELBIEN CHEMAPHJ.
_03_A3_Adult_with_ComorbiAGDUMA ANGELO R.
_03_A3_Adult_with_ComorbiGARCIA PINKY ROSE FLORES
_03_A3_Adult_with_ComorbiMADIO ROWEL P.
_03_A3_Adult_with_ComorbiBARCEBAL CHESTER ARZAGA
_03_A3_Adult_with_ComorbiBARCEBAL JESUSITA DAGOHOY
_03_A3_Adult_with_ComorbiBERDIN JOHNRELL ARSENIO
_01_A1_Health_Care_WorkeCASTILLON MARVIRLEN ARZAGA
_03_A3_Adult_with_ComorbiFELASOL IRISH BUSTILLO
_03_A3_Adult_with_ComorbiJAWOD MARIA DAGOHOY
_03_A3_Adult_with_ComorbiMARTIZANO MARY GRACE BARCEBAL
_03_A3_Adult_with_ComorbiOQUENDO ALLAN CASIA
_01_A1_Health_Care_WorkeROQUERO RACHEL C.
_03_A3_Adult_with_ComorbiSAGUT CHENY ROSE JAGONOB
_03_A3_Adult_with_ComorbiSALISE PHILIP BARCEBAL
_03_A3_Adult_with_ComorbiSOLIS DECERANTE ALQUEZA
_03_A3_Adult_with_ComorbiSORELLA GERRY BLANCIA
_03_A3_Adult_with_ComorbiSORELLA MAY ANNE LEONIDAS
_03_A3_Adult_with_ComorbiPASCUAL APRIL MAE BLAYA
_03_A3_Adult_with_ComorbiJORDAN WILMA MANDABONG
_03_A3_Adult_with_ComorbiAHADAIN ELYZER GALORAN
_03_A3_Adult_with_ComorbiAMORIA JOSELITO Y
_03_A3_Adult_with_ComorbiAMORIA ANALIZA MAPANAO
_03_A3_Adult_with_ComorbiBOLANTE NOVA MAE P.
_03_A3_Adult_with_ComorbiCAMADDO ARJELYN ESTOLLOSO
_03_A3_Adult_with_ComorbiFRANCISCO ARIANE ROSE TORRES
_03_A3_Adult_with_ComorbiFRANCISCO MARK ANTHONY
_03_A3_Adult_with_ComorbiGAMIDO ROMEO SUMERA
_03_A3_Adult_with_ComorbiGREGORIO RICKY GAROTE
_03_A3_Adult_with_ComorbiGUBATON CHRISTINE JOYCE RILAN
_03_A3_Adult_with_ComorbiGUIMITARAN JUNREL TOYUGON
_03_A3_Adult_with_ComorbiLANAYON MELANIE FEBRIO
_03_A3_Ad_03_A3 LAWANGEN RUTH BISCARRA
_03_A3_Adult_with_ComorbiMARANION JENIFER NICOLAS
_03_A3_Adult_with_ComorbiMARANION MILTON JAY PIORNATO
_03_A3_Adult_with_ComorbiMARIANON GINETON PIORNATO
_03_A3_Adult_with_ComorbiMENDOZA PEARL JHONE AGASER
_03_A3_Adult_with_ComorbiPACIO JAYNEIL ALLA
_03_A3_Adult_with_ComorbiPEQUIRO FEDERICO B.
_03_A3_Adult_with_ComorbiPIORNATO HANANI MACAIRAN
_03_A3_Adult_with_ComorbiPIORNATO IVY JOY BISCARRA
_03_A3_Adult_with_ComorbiPIORNATO GEDEON MACAIRAD
_03_A3_Adult_with_ComorbiPIORNATO JANICE ABALOS
_03_A3_Adult_with_ComorbiPUEBLO NONA ROSETE
_03_A3_Adult_with_ComorbiPUEBLO RICARDO VALENZUELA
_03_A3_Adult_with_ComorbiRAMOS JINEROSE G.
_03_A3_Adult_with_ComorbiSARMIENTO LALAINE GADIAZA
_03_A3_Adult_with_ComorbiTUA VIVIAN PIORNATO
_03_A3_Adult_with_ComorbiVELARDE EDLAIRE MAE A.
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
Suffi sid id nc Current_Residence: Birthdate_m l_St
Contact_No.* Sex*
x en en e: Barangay* m/dd/yyyy_* atu
ce: ce Mu s
9461220556 _R : nic ARAKAN F 06/29/2001
9092640095 egi Pr ipa ARAKAN F 08/28/2001
on ov lity
9105256589 in /Ci CENTRAL MALAMOTE F 08/25/1996
9518121339 ce ty* CENTRAL MALAMOTE M 01/15/1984
9096154977 * CENTRAL MALAMOTE F 10/16/1987
9977437465 CENTRAL MALAMOTE M 06/22/1962
9461250055 CENTRAL MALAMOTE M 03/11/1986
9488987297 CENTRAL MALAMOTE F 08/06/1975
9956597923 CENTRAL MALAMOTE F 12/02/1978
9307802199 CENTRAL MALAMOTE F 01/30/2002
9700829357 CENTRAL MALAMOTE F 07/09/1985
9389610793 CENTRAL MALAMOTE F 01/18/1997
9300377900 CENTRAL MALAMOTE M 07/25/1997
9104704377 CENTRAL MALAMOTE F 07/12/1987
9466663811 CENTRAL MALAMOTE F 04/29/1976
9384461507 DALAPITAN M 09/29/1996
9516499785 DALAPITAN F 05/26/1966
JR 9485204555 DALAPITAN M 03/10/2002
9465056708 DALAPITAN M 02/03/1994
9501456397 DALAPITAN F 10/24/1987
9518121581 DALAPITAN M 12/05/1993
9388647801 DALAPITAN F 06/26/1988
9104771681 DALAPITAN F 12/25/1990
9489841974 DALAPITAN M 06/19/1989
9365207831 KILADA M 10/15/1986
9351375916 KILADA F 10/12/2001
9073465005 KILADA M 04/06/1992
9557958332 KILADA F 02/19/1991
9071600763 KILADA M 01/07/1978
9093884035 KILADA F 01/28/1992
9058034059 KILADA F 09/03/2000
9121401731 KILADA M 09/30/1976
9510437806 KILADA M 10/01/1984
9050881326 KILADA F 10/11/2002
LAMPAYAN F 12/10/1973
9454912094 LAMPAYAN M 11/07/2001
9058149645 LAMPAYAN F 07/14/2001
9457146224 LAMPAYAN F 09/10/1996
967912947 LINAO F 09/29/1980
SR LINAO M 09/01/1964
9351356584 LINAO F 2/22/2000
9264031674 LINAO F 11/25/1964
926585960 LINAO F 08/14/1995
9163745737 LINAO F 07/07/1964
9386999231 LINAO M 12/28/1996
9553726180 LINAO F 06/16/2002
9658960145 LINAO F 07/07/2001
9950543006 MANUBUAN M 12/24/1986
9484483291 MANUBUAN F 04/10/1983
9484211844 MANUBUAN M 10/23/1986
9684252932 MANUPAL M 01/13/2000
9502230798 MANUPAL F 06/09/1974
9659285300 MANUPAL M 02/24/2001
9093722894 MANUPAL F 11/30/1999
9955301495 MANUPAL 04/01/2001
9097404302 MANUPAL F 03/15/1972
9464023327 MANUPAL F 07/24/2000
9467027527 MANUPAL M 11/12/1980
9489760095 MANUPAL FEMA 12/4/1999
9300327578 MANUPAL F 11/19/1999
9466291473 MANUPAL M 04/27/1989
9502236798 MANUPAL M 02/17/1995
MANUPAL M 10/09/1991
9302892414 MANUPAL F
9754885498 MARBEL F 04/05/1990
9534024158 NEW BUGASONG F 12/31/1987
9666858725 POBLACION F 08/23/2000
9309600398 POBLACION M 12/11/1993
9096974993 POBLACION F 01/31/1996
9513885899 POBLACION F 05/03/1997
None 09756865612 Socc_12_12 POBLACION 01_F 03/16/1999
9662215841 POBLACION F 04/17/1987
POBLACION 02/06/1983
JR 9307076937 POBLACION M 10/30/1976
9489759692 POBLACION M
9666919008 POBLACION F 06/10/1998
9383701792 POBLACION M 06/22/1984
9518259887 POBLACION F 05/23/1999
09103291115 POBLACION 12/04/1974
9630667458 POBLACION F 08/20/1994
9630667458 POBLACION F 05/20/1993
9124299405 POBLACION M 12/08/1990
9451842391 POBLACION F 01/27/2000
9666656220 POBLACION M 01/29/1997
9481624644 POBLACION M 08/24/1964
9483930332 POBLACION M 12/25/1967
9307060808 POBLACION F 01/04/1992
POBLACION M 02/18/1970
9632696149 POBLACION F 01/05/1985
09461643764 Socc_12_12 POBLACION 01_F 07/25/1970
JR 9469344458 POBLACION M 11/09/1966
9569775369 POBLACION F 03/01/1998
9385028014 POBLACION F 10/27/1990
9557961576 POBLACION F 05/06/1974
9666840332 POBLACION F 10/24/1999
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
SK

SK

TEACHER
TEACHER
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ESTELLOSO, LERRY RM MIDWIFE


ESTELLOSO, LERRY RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
QUINTO, ARCELYN RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
QUINTO, ARCELYN RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
Civi
Birthdate_mm/ l_St
Sex*
dd/yyyy_* atu
s
02_Ma12/04/1979
M 01/28/1997
F 11/05/1965
F 10/30/1970
F 5/7/1979
F 10/01/1992
F 06/06/1997
F 01/02/1969
F 07/09/1995
02_Ma 3/18/1980
F 02/24/1988
F 10/11/1996
M 03/10/1984
M 10/10/1990
01_F 07/05/1962
M 03/27/1987
M 04/19/1987
F 08/13/1985
01_Fe9/11/1963
F 06/20/1963
M 10/30/1999
M 03/05/1964
M 08/23/1988
F 10/25/1992
F 09/20/1989
F 02/02/2002
F 08/15/1999
F 04/06/1994
M 06/04/1981
02_Ma11/08/1989
F 03/07/1979
M 6/6/1974
FEMA 4/28/1977
F 03/18/1975
M 12/19/1975
F 01/17/1990
M 04/26/2001
M 04/14/2002
M 11/25/2000
M 08/14/2000
F 8/6/1974
F 1/8/1963
M 12/14/1972
7/18/1964
M 06/19/1994
M 1/29/1978
F 01/31/2000
M 11/28/1974
F 11/07/1995
FEMA 12/26/1984 MARRIED
F 09/29/1974
F 07/09/2000
M 10/20/2001
F 11/16/1971
M 12/20/1973
MALE05/08/1995
M 5/3/1999
M 6/8/2001
1/21/1992
F 9/26/1961
M 12/21/1973

F 03/03/1984
F 03/22/1988
M 07/26/1992
F 06/29/1962
M 06/20/1998
M 02/05/1976
F 02/09/2001
M 07/31/1999
F 03/11/2001
F 12/12/1994
M 10/05/1968
F 8/10/2002
8/9/1966
F 05/19/1992
01_Fe 5/18/1975
02_Ma 8/17/1977
01_F 11/9/1948
02_Ma 8/31/1981
01_Female 6/24/1973 SALES LADY MAE JOY GROCERY
02_Male 11/24/1974
F 12/25/2001
01_F 1/15/1943
M 09/13/2001
M 10/11/2000
M 04/07/1991
F 06/23/1996
F 10/29/1992
F 01/24/1990
M 01/20/1964
F 03/25/1973
M 02/15/1993
F 10/3/1979
F 03/13/1979
M 05/16/1996
F 10/21/1968
M 09/23/1963
F 10/29/1987
F 11/16/1977
F 1/11/1974
F 08/16/1960
M 09/18/1989
M 11/17/1991
M 12/10/2001
02_Male 7/22/1965
F 11/13/1989
M 06/21/1972
F 06/10/1978
M 07/22/1985
M 08/12/1996
F 07/08/1964
M 01/31/1995
F 02/12/2002
M 02/20/1981
M 05/04/1999
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
19_Others_

SALESLADY

DRIVER

NONE

MARKET VENDOR

19_Others_

DRIVER

DRIVER

MARRIED
ELECTRICIAN
DRIVER

DRIVER

DRIVER

MARRIED

SK CHAIRMAN
SK KAGAWAD
SK KAGAWAD
STUDENT

STUDENT
Store Owner

SARI SARI STORE

SALES LADY MAE JOY GROCERY


DRIVER
DRIVER
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes
01_Yes

01_Yes

01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
J202106037
J202106037
L202107062
L202107062
J202106037
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
9/7/2021 SINOVAC L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
J202106037
L202107062
L202107062
L202107062
J202106037
J202106037
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
J202106037
9/7/2021 SINOVAC L202107062
L202107062
9/7/2021 SINOVAC L202107062
L202107062
L202107062
9/7/2021 SINOVAC L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
J202106037
L202107062
L202107062
L202107062
J202106037
L202107062
L202107062
L202107062
L202107062
J202106037
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
J202106037
L202107062
L202107062
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ANGULO, JAYSON RN NURSE


LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
MORENO, JO ANN THERESNURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
ROLDAN, MARY JEAN RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
04_A4: Fron A4.2 ACINERO ROSAMARIE VALDESTAMON
04_A4: Fron A4.1 ASPACIO DANILO S
_03_A3_Adult_with_ComorbidiBERNABE PASTORIO JHON BIYO
04_A4: Fron A4.2 CABALUM GEMMA FRANCISCO
04_A4: Fron A4.2 CABALUM MARIA FE CASTRO
04_A4: Fron A4.2 CABALUM JOCELYN V
04_A4: Fron A4.1 CAMPOLLO JOELITO CAPITLE
04_A4: Fron A4.1 CATANYAG PAQUITO JR
_03_A3_Adult_with_ComorbidiDELOS SANTOS CHARLITO
04_A4: Fron A4.2 LACSAMANA JENETH CAMPOSANO
_03_A3_Adult_with_ComorbidiMACUTA PEPITO ANGELES
04_A4: Fron A4.1 NACION ALBERTO LUGAS
_03_A3_Adult_with_ComorbidiNECOR AMANTE CALUBAN
04_A4: Fron A4.2 PACETE ALBERTO C
04_A4: Fron A4.2 VALENCIA ELCA MACUJA
04_A4: Fron A4.1 YANSON GERONIMO
_03_A3_Adult_with_ComorbidiMENDOZA JULIUS RAUL BALGOS
_03_A3_Adult_with_ComorbidiANTOY JUNAR
_03_A3_Adult_with_ComorbidiBARRANCO ARIEL PIORNATO
_03_A3_Adult_with_ComorbidiBISCARRA DONALYN T
_03_A3_Adult_with_ComorbidiBOQUING GINA Z
_03_A3_Adult_with_ComorbidiBULDA ESTHER B
_03_A3_Adult_with_ComorbidiBULDA GERARDO
_03_A3_Adult_with_ComorbidiBULDA JESTHER
_03_A3_Adult_with_ComorbidiBULDA JAYSON
_03_A3_Adult_with_ComorbidiCANAVERAL MARIO
_03_A3_Adult_with_ComorbidiCAPECIO RODELYN L
_03_A3_Adult_with_ComorbidiCASAGAN PERLA
_03_A3_Adult_with_ComorbidiDARIANO NOLLY L
_03_A3_Adult_with_ComorbidiLAWANGEN RENATO ULEP
_03_A3_Adult_with_ComorbidiMARIANO PERLA PADUA
_03_A3_Adult_with_ComorbidiOPENA EDWIN
_03_A3_Adult_with_ComorbidiORTUOSTE MARICEL DARIANO
_03_A3_Adult_with_ComorbidiPASILAN EMMANUEL
_03_A3_Adult_with_ComorbidiVALDEZ MARK JISAM U
_03_A3_Adult_with_ComorbidiANSINO CLIFFORD JAY
_03_A3_Adult_with_ComorbidiCABATINGAN JUVY
04_A4: Fron
A4.1 LEGASAN RENATO RAMOS
_03_A3_Adult_with_ComorbiACERVO ROSALINA ORDANIZA
_03_A3_Adult_with_ComorbidiLUBON MARY JOY NADELA
_02_A2_Senior_Citizens LUMANTAS ANTONIO
_03_A3_Adult_with_ComorbidiALINGIG MERELYN MODOC
_03_A3_Adult_with_ComorbidiCANGQUE SHEDOLL MALLORCA
_02_A2_Se 09_A2.2: All Other CAPINDO ROQUE CAMARIOSA
04_A4: Fron
A4.2 BERNARDINO ALLAN LATUMBO
_03_A3_Adult_with_ComorbidiDELA CRUZ JULITA JINON
04_A4: Fron
A4.2 DELOS REYES LEAH
_03_A3_Adult_with_ComorbidiJINON CHRISTIAN MARIE
04_A4: Fron
A4.1 MANUEL FERNANDO A
_03_A3_Adult_with_ComorbidiMAYUGA IRISH PEARL C
04_A4: Fron
A4.2 MAYUGA NOE HAMIG
_03_A3_Adult_with_ComorbidiSEGUNDERA ALDRIN
_03_A3_Adult_with_ComorbidiTINGKANG JERELYN
_03_A3_Adult_with_ComorbidiBALMONTE JESSIE
_03_A3_Adult_with_ComorbidiCRISTOBAL FREDDIE
04_A4: Fron
A4.1 MAGONCIA ARNOLD
04_A4: Fron
24_A4_1_Commuter_t RODUTA LEO DASARGO
04_A4: Fron
24_A4_1_Commuter_t RUIZ JOSE ALVARO
_03_A3_Adult_with_ComorbidiLUBGUBAN DECIE CHRIS DOTE
_03_A3_Adult_with_ComorbidiLUBGUBAN JOEL
_03_A3_Adult_with_ComorbidiVALENCIA JHELMA
_03_A3_Adult_with_ComorbidiALAGANO REINEER JAY RABANES
_03_A3_Adult_with_ComorbidiARSAD SHELLEY TAUGO
_03_A3_Adult_with_ComorbiGALUPO NENA PENOL
_03_A3_Adult_with_ComorbidiMANAY MERCY A
_03_A3_Adult_with_ComorbidiMANAY JUNJUN
_03_A3_Adult_with_ComorbidiMIER ROMY
_03_A3_Adult_with_ComorbidiRENDON JORREN M
_03_A3_Adult_with_ComorbidiTABANAY OWEN TROY CABALUM
04_A4: Fron
A4.1 LABIAO ALYN CALLAR
04_A4: Fron
A4.2 LABIAO LEANIE VELONDRO
_03_A3_Adult_with_ComorbidiMAGPANGKAT NILO
_01_A1_Health_Care_WorkeMAGPANGKAT EVALYN
_03_A3_Adult_with_ComorbidiSEGOCIO ARLAN CEDREX S
_03_A3_Adult_with_ComorbidiVALDESCO MAE CAMARIOSA
04_A4: Fron
A4.1 ### VALDESCO JONATHAN AMARILLO
04_A4: Fron
A4.2 WACAY AMY PELAGO
04_A4: Fron A4.2 QUINOCHO MARITES MINTAR
04_A4: Fron A4.2 QUINOCHO ROY LUCING
04_A4: Fron
A4.2 BUNIEL HIMINA DE JUAN
04_A4: Fron
A4.2 Aquino Angelita Alqueza
04_A4: Fron
A4.1 Corpuz Onofre Tauro
04_A4: Fron
A4.2 DELFIN EDNA JAPAY
04_A4: Fron
A4.2 FRIGILLANA VICTORINA PRESTO
_03_A3_Adult_with_ComorbidiREYES JEHANA MAE BISCARRA
_03_A3_Adult_with_ComorbidiBRIONES EVELYN
_03_A3_Adult_with_ComorbidiBRIONES RONA MOSQUERA
_03_A3_Adult_with_ComorbidiLLAVADO ROLLY
04_A4: Fron A4.2 PADAGAS CRISTINE JOY LLABADA
04_A4: Fron A4.2 RIVERA JENIMEA PADAGAS
_03_A3_Adult_with_ComorbidiBAGAS PROMYSLOV TEJERO
04_A4: Fron
A4.2 BAGAS MARIEVEIC SOBERANO
_03_A3_AdA3 AHADAIN EMILY DIOLOSO
_03_A3_Adult_with_ComorbidiALBERTO ELMER
04_A4: Frontline Personnel in EARNAIZ RAMIE
_03_A3_Adult_with_ComorbidiBARRO JUDITH B
_03_A3_Adult_with_ComorbidiBARRO GENEBERT
_03_A3_Adult_with_ComorbidiDELA TORRE ERIKA HENTICA
_03_A3_Adult_with_ComorbidiGALENO MARK ANTHONY
_03_A3_Adult_with_ComorbidiJALA JANNAH GRACE
_03_A3_Adult_with_ComorbidiJAQUIAS STEPHANIE BALMORES
_03_A3_Adult_with_ComorbidiMAGBANUA JERICHO
_03_A3_Adult_with_ComorbidiMATALABAO ADAN BASIT
_03_A3_Adult_with_ComorbidiOREA JOANNA MARIE ORCAJADA
_03_A3_Adult_with_ComorbiSANQUE ANGELITO GABRIEL
_03_A3_Adult_with_ComorbidiSARMIENTO ANGEL DIANNE
_03_A3_Adult_with_ComorbidiSARMIENTO KEYSHA
04_A4: Fron A4.1 SELEDIO ARMANDO JAYAG
_03_A3_Adult_with_ComorbidiUBAT JOSELITO D
04_A4: Fron
A4.2 VANZUELA SHERWIN WEE
04_A4: Fron
A4.1 BUENAFLOR JAMES DESTREZA
_03_A3_Adult_with_ComorbidiLABAYEN JOEL
_03_A3_Adult_with_ComorbidiROSETE EDMUND ALPAS
04_A4: Fron
A4.2 AMAN MELANIE GUMPAD
04_A4: Fron
A4.2 GUMPAD ELENA QUIÑONES
04_A4: Fron
A4.2 KADEL JEANNETH AMAN
04_A4: Fron
A4.1 KADEL ALBERTO
_01_A1_Health_Care_WorkeMACALLAY EDDIE LAGIRONG
04_A4: Fron
A4.1 TOMINES EDUARDO GROMIO
_03_A3_Adult_with_ComorbidiOLQUIN REYNAN HABLADOR
_03_A3_Adult_with_ComorbidiPIO ANGELIE MAY LATUAB
_03_A3_Adult_with_ComorbidiTOTO JIMMY DORONILA
_03_A3_Adult_with_ComorbidiPENDUMA JUMMAR LINGAS
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
Suffi sid id nc Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x en en e: Barangay* dd/yyyy_* atu
ce: ce Mu s
_R : nic BANGBANG
9516498750 Socc_12_12 01_Fe 12/25/1965
egi Pr ipa BANGBANG
Socc_12_12 02_Ma 8/21/1970
on ov lity
9700706058 in /Ci BANGBANG M 08/03/1998
9095670046 Socc_12_12
ce ty* BANGBANG 01_Fe 10/14/1961
*
9306242845 Socc_12_12 BANGBANG 01_Fe 2/19/1962
9094507562 Socc_12_12 BANGBANG 01_Fe 7/20/1973
SR 9469192919 Socc_12_12 BANGBANG 02_Ma 7/7/1965
9502781919 Socc_12_12 BANGBANG 02_Ma 4/18/1981
BANGBANG M 10/11/1978
9485567363 Socc_12_12 BANGBANG 01_Fe 8/6/1981
BANGBANG M 12/09/1962
9108545065 Socc_12_12 BANGBANG 02_Ma 2/9/1974
Socc_12_12 BANGBANG M 07/31/1996
JR Socc_12_12 BANGBANG 02_Ma 10/22/1961
9302736369 Socc_12_12 BANGBANG 01_Fe 7/20/1975
9308023861 Socc_12_12 BANGBANG 02_Ma 8/8/1980
9338650307 BATO M 07/13/1987
9493251933 CENTRAL MALAMOTE M 03/11/2002
9639292828 CENTRAL MALAMOTE M 12/04/1985
CENTRAL MALAMOTE F 07/13/1987
CENTRAL MALAMOTE F 11/30/1980
9384918751 CENTRAL MALAMOTE F 06/25/1970
9384918751 CENTRAL MALAMOTE M 01/26/1969
9631050727 CENTRAL MALAMOTE M 07/21/1996
9389992480 CENTRAL MALAMOTE M 07/21/1996
CENTRAL MALAMOTE M 08/06/1966
CENTRAL MALAMOTE F 08/04/1986
9657696782 CENTRAL MALAMOTE F 11/29/1968
9070744077 CENTRAL MALAMOTE F 11/23/1966
9462516554 CENTRAL MALAMOTE M 08/14/1974
CENTRAL MALAMOTE F 08/03/1978
CENTRAL MALAMOTE M 11/15/1980
9075050834 CENTRAL MALAMOTE F 12/02/1985
CENTRAL MALAMOTE M 04/25/1984
9631076558 CENTRAL MALAMOTE M 03/20/2003
9505692879 DALAPITAN M 08/03/1999
9580852847 DALAPITAN F 03/21/1996
9100508534 DALAPITAN MALE 12/26/1975
Socc_12_12 ESTADO 01_F07/26/1962
9106615165 ESTADO F 12/23/1999
9120502546 ESTADO M 4/25/1939
9279621257 KABULACAN F 09/04/1975
9204857008 KABULACAN F 07/01/1996
Socc_12_12 KABULACAN M
9977813026 KIBIA MALE 4/17/1978
9213830931 KIBIA F 03/13/1980
9128403517 Socc_12_12 KIBIA F 1/21/1979
9107367592 KIBIA M 05/24/1996
NA 9505696468 Socc_12_12 KIBIA 02_Male 07/20/1976
04_Separated/Annulled
9090725973 KIBIA F 09/21/1994
9307776376 Socc_12_12 KIBIA M 4/12/1969
9071704574 KIBIA M 04/20/1990
9051866285 KIBIA F 09/02/1994
KIBUDOC M 07/15/1968
9679125677 KIBUDOC M 12/10/1979
Socc_12_12 KIBUDOC M 4/23/1970
Socc_12_12 KIBUDOC M 9/30/1973
JR 9389924952 Socc_12_12 KIBUDOC M 2/21/1980
9168444821 KIDAMA F 12/04/1986
9558006742 KIDAMA M 10/14/1983
KIDAMA F 02/03/2001
9091714830 KILADA M 10/24/1991
9703783669 KILADA F 03/27/1972
9194162954 Socc_12_12 KILADA F 03/07/1976
KILADA F 03/28/1980
KILADA M 06/12/1990
9197930116 KILADA M 08/10/1974
9632696289 KILADA M 12/10/1999
9955301464 KILADA M 06/20/1997
O9103002538 COTABATO
12 MATALAM LAMPAYAN M 1/17/1977 MARRIED
9361422768 LAMPAYAN F 2/22/1979
LAMPAYAN M 02/05/1983
LAMPAYAN F 12/31/1984
9289414671 LAMPAYAN M 08/17/2000
9512005794 LAMPAYAN F 05/07/1982
O9103002538 COTABATO
12 MATALAM LAMPAYAN M 4/10/1980 MARRIED
O9103002538 COTABATO
12 MATALAM LAMPAYAN F 3/14/1978 MARRIED
9169995560 Socc_12_12 LINAO F 8/1/1979
9169995556 Socc_12_12 LINAO M 10/17/1975
MANUBUAN F 10/18/1968
9555034030 Socc_12_12 MARBEL 01_Fe 11/10/1979 02_Married
Socc_12_12 MARBEL 02_Ma 3/7/1980 02_Married
9957019193 Socc_12_12 MARBEL F 3/27/1980 02_Married
9369548270 Socc_12_12 MARBEL 01_Fe 8/26/1978 02_Married
9279621751 MARBEL F 01/15/1996
9360932507 MINAMAING F 04/17/1973
9534311601 MINAMAING F 08/12/1995
9068334220 MINAMAING M 05/22/1981
9356911107 Socc_12_12 MINAMAING F 10/10/2000
9263522055 Socc_12_12 MINAMAING F 10/6/1999
9679562049 NEW ABRA M 08/24/1983
9957093324 NEW ABRA F 8/21/1983
9516844539 POBLACION F 10/9/1969
9468469166 POBLACION M 03/16/1984
9352840785 POBLACION M 6/16/1977
POBLACION F 04/15/1988
9514691060 POBLACION M 10/09/1985
9152106067 POBLACION F 04/12/2002
9511091453 POBLACION M 11/01/2001
9239902151 POBLACION F 01/11/1991
9650969475 POBLACION F 11/28/1996
9564492755 POBLACION M 06/13/2000
9678427484 POBLACION M 01/19/1994
9999431323 POBLACION F 04/02/1987
NA 9095212320 Socc_12_12 POBLACION M 11/04/1968
9383375253 POBLACION F 04/15/2002
9512510664 POBLACION F 04/19/2002
NA 9096299159 Socc_12_12 POBLACION 02_Male 5/18/1968
TRICYCLE DRIVER
POBLACION M 05/20/1967
9989500186 POBLACION M 6/20/1979
9056460900 Socc_12_12 SALVACION 02_Ma11/22/78
9076554070 SALVACION M 08/12/1985
SR 9163120460 SALVACION M 07/17/1962
9516575204 Socc_12_12 SANTA MARIA F 7/28/1981 FISH VENDOR
9127316877 Socc_12_12 SANTA MARIA F 10/26/1979 STORE OWNER
9554059790 Socc_12_12 SANTA MARIA F 7/7/1980 TINDERA
9554059790 SANTA MARIA MALE 5/30/1975
9519465778 SANTA MARIA M 9/4/1969
9073182796 SANTA MARIA MALE 4/10/1970
9518423172 TAGURANAO M 04/30/1993
9300980901 TAGURANAO F 5/5/2002
JR 9272420184 TAMPED M 07/01/1996
WEST PATADON M 05/06/1991
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

DRIVER
STORE OWNER

SARI-SARI STORE

DRIVER

SARI SARI

MARRIED

BHW

MARRIED
MARRIED

02_Married
02_Married
02_Married
02_Married
TRICYCLE DRIVER

DRIVER

FISH VENDOR
STORE OWNER
TINDERA
DRIVER

DRIVER
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes

01_Yes
01_Yes
01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202106037
J202107066
J202107066
J202107066
9/10/2021 SINOVAC J202107066 J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202106037
J202106037
J202107066
J202107066
J202107066
J202107066
J202106037
J202107066
J202106037
J202106037
J202107066
J202106037
J202106037
J202106037
J202106037
J202107066
J202106037
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
9/10/2021 SINOVAC J202107066 J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202107066
J202106037
J202106037
J202107066
J202106037
J202107066
J202107066
J202106037
J202106037
J202107066
J202107066
J202107066
J202107066
9/10/2021 SINOVAC J202107066 J202107066
J202107066
J202107066
9/10/2021 J202107066
J202107066
J202107066
J202107066
J202106037
J202107066
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Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

LUMACTOD, GENEFE RN NURSE


LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
MORENO, JO ANN THERESNURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
QUINTO, ARCELYN R MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
MORENO, JO ANN TH NURSE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE

DAYATO, ASRIA RM MIDWIFE


LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
MORENO, JO ANN THERESNURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
MORENO, JO ANN THERESNURSE
LUMACTOD, GENEFE RN NURSE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ROLDAN, MARY JEAN RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
MORENO, JO ANN THERESNURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
MORENO, JO ANN THERESNURSE
TOLIA, ZORAIDA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
DAYATO, ASRIA RM MIDWIFE
QUINTO, ARCELYN RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
LUMACTOD, GENEFE RN NURSE
DAYATO, ASRIA RM MIDWIFE
TOLIA, ZORAIDA RM MIDWIFE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
CAPAHO DANTE GENELAZO
BARRABA MICHAEL RULONA
DELA PEÑA JOHN JAVISON
BIOC EMAR MAYORMITA
ANAGAP JONI CAMPANO
COSTALES JAROLD REVILLA
AUTIDA ARTEMIO CORNITO
BERAME RUEL SALIGUMBA
BAULETE RENE DORDAS
BALSOMO JOHNREL CAPALIHAN
CORPUZ KATRINA JOY FONG FAR
DELA TORRE ELMER TANQUE
FONTANILLA BONNIE JAVILLONAR
BRAGA ROMEL NOVILLAS
OCHAVILLO SANNY BOY FRIOLA
ORENA FEBY DULDULAO
LOPEZ BENIGNO TOBIAS
PILLADO JOSHIR JORDAN
LARUAN ROBERTO FLORES
DIOSO ARCHEBAL TAYCO
AUÑGON ARLIE FUENTES
RICARDA ALEXANDER MENDOZA
SALIDO SANDY GANGILAN
PUING BENJIE PAYAO
QUINTAYO RUEL BAARDE
ESPIRITU MANUEL DACANAY
NATONTON RICHARD FERNANDEZ
ALOJADO REYNALDO CADIGAL
OLODIN JOEY ESTRELLA
RAMO RENATO LOZANO
PALCO MC NEIL RANOCO
SANGCO CLAUDIO ELENTORES
NACIN KIMBERLY ANN MANANGAN
DELA PEÑA CRISTINE ROSAROSO
GASQUE CARLITO INGUITO
PIORNATO SHEMUEL MACAIRAN
SERVANCIA FLORIVIE MAMA
MESIAS JUN MARK PACETE
PONTE ROY DACANAY
GUYA JARD WAYNE DAUZ
PASION SAGNI FARAI SIANDA
JADMAN SHELA MARIE ALIMOCON
ERASTE MICHAEL JAY QUITARA
TAGAMOLILA MELVIN HORCA
LONGAKIT WINDELL CABRILES
AREVALO REY GERONA
BALABAGAN DATUAN BADSULAT
LUMBAO DAVE KRISTAN DAGUING
MESIAS JOHNEL PACETE
PUIG WILFREDO PEDREGOSA
Tolia Zainodin Guimba
Lopez Raffy Balbin
Basilan Joseph Calipusan
Dorimon Angelito Quinones
Lizardo David Tangliben
Adame Jeffrey Cantarona
Colcol Mark Anthony Palma
Cariño James Cadawas
Perez Darwin Rio Bine
Laminares Jerald Carrera
Nabarty Almer Matullano
Gellegani Albert Virginia
Felipe Eujelle Santerva
Paracha Rene Acosta
Legaspi Erwin Nortega
SANTILLAN JOHN RYAN LOZADA
NICOR PHILIP JOSHUA DEGRACIA
Garbosa Ronald Gonzales
DALID ABDULMAUTI MAMASABULOD
DIAMA JOHNRY SAZON
LAVADA JARRY TUAREZ
Daguing Jhonard Sabanal
MARIANO JOHNNY LEE DEOCAMPO
GARATE PRINCESS ESCOBAR
MENIANO MELVIN CARMEL ORMILLADA
Englis Dennis Alido
Patarata Julie Estelloso
Dioso Elmer Marcellana
Montalva Romulo Serrano
VINLUAN FEDERICO BACUD
VILLEGAS RAFFY JOY CARTAGENA
VILLAFUERTE JAY SILVESTRE
CUIZON REYNALYN VILLANUEVA
MACAGBA TONG PALAKALA
BABAO PAOLA BIANCA FARALA
NABARTY JEROME TAMAYO
BARRACA JAMES GUADALUPE
GANTALA ANGELIE OCOL
Alelojo Elmer Nucellas
Taladtad Joel Doblero
ARANETA CARLO REYES
ABELGAS VIRGILIO BUDLAT
Cajelo Jonel Silao
Fajarito Arnel Rañesis
Ebacuado Ivan Tuscano
Heramis Tommy Tan
Belotindos Thomas Gaking
Arreola Segundino Rivera
Valdez Archie Milez
AREVALO ROLLY TROGILLO
Aujero Jefferson Serjas
Zamora Leo Umadhay
Capaho Prince Daryll Tagbo
Rala Jeter Palma
Ramos Norberto Daquinog
Gonzales Carlito Balboa
Bernasol Cejie Gellegani
Salido Nasser Kalamag
Rabaca Albert Abellera
Villanueva Mark Lemmuel Burgos
Marcelino Ramos Rapanot
Dela Cruz Kevin Rhey Guarin
Mesias Jeric Pacete
Fajarito Jay Vincent Ondovilla
DRAPEZA JIMMY ORONG
MARTINEZ JOSEPH BERO
Fajarito Ariel Rañesis
Piornato Aner
Guiabal Jerald Trabuco
Felipe Venz Lorin Santerva
Balani Efren Malig
Arevalo Micheal Sebastian
Yson RJ Serrano
Panigas Jamer Usman
Buat Wahabe Yburan
Pilapil Harold Roy
Silva James Garcia
DAJES VIOLETO LUCAÑAS
Katog Robin Palawikan
Mamangcas Albert Mansing
Narajos Ryan Lavelle
ZABALA FRANCISCO DOCTOLERO
NICOLAS MARVIN REY ALAGANO
Salido Saddam Panayaman
Soriano Jeffrey Marcellana
ABDUL MARK KEVIN MAGBANUA
Sorianosos Xyren Jay Tegero
ROBLES MICHAEL AGUILAR
Tagayuna Erick John Mata
Salido Mohamad Kalamag
BATILARAN JOY MIADAS
TACUKEN NORUDIN SALIDO
CABUYAO SAMOD SALIDO
Belmoro Felipe Magday
MANATAD NORMAN JUSTOL
PENDON ANGELICA TAGAYUNA
BALAJADIA RONNIE SONZA
Diaz Monchito Lubrino
TADO RICHARD VALDEZ
QUIRINO RONILO Luperia
PIORNATO GLEN BISCARA
BENTING DAMIAN CAMBAL-CAMBAL
Batacandolo Sairon Fabiano
FLORES RONNIE PALERMO
DIAZ ALVIN Presto
DORIMON JEFFREY MANOGURA
Taladtad John Frix Navarro
CASTEN REVIN ALEMANIA
AYA-AY Erick John SALUDES
SOLICAR RICHARD CABRILLOS
DAQUERA RANDY FUENTES
SALIDO WAHID KALAMAG
REMOTIGUE JULIE GORGONIO
USMAN PRIEZL KUMPA
SAGAYCA JOSE BAHALA
BATACANDOLO SAMSON ESPANO
LONGNO NOGAR ABROGAR
CABRILLOS ARMANDO AARON
Grana Jomarie Nambong
MACAGBA GAGA PALAKALA
FLORO HILARION BASANES
MONDRAGON ALBERT FUERTE
MAMBAYLA VILLAMOR BAAC
USMAN PUNDATU SALIDO
SALAZAR BENSON PAJARILLO
GALAMGAM CHARLY Patoc
QUIRINO RANDY Agustin
CASTILLON ARVIN DWIGHT MACULA
Glory Crisanto Masupat
Noble Eduardo Nim
Ligsay Edrig Flores
Matikango Nasser Sulay
Operiano Joseph Sampollo
Tiongson Anthony Laoagan
Pascua John Ube
FLORES ARCELI NOBLE
LIZARDO GENEFER TANGLIBEN
Tabanay Victor Genolos
Eguia Rey Pamagan
Sumampong Jenno Dahan
Cadungog Leonardo Quinanola
LUMAYNO DENNIS JAMES CARTAGENAS
Fernandez Eulogo Mancia
ENRIQUEZ APRIL LYN PANES
TANALLON SEVERINO TACLOBAN
DIEL JULIUS HELLADO
Esparar Roberto Dela Cruz
Comeros Norman Roy
Dorimon Jeezrel Manogura
TANALLON EDGAR CALAGUIO
PASCUA JAY ABELLERA
Ordoño Martin Opena
Labayo Norberto Robles
ALON SITTIE HAJAR MATIAGAL
Nim Jimmy Nagdaparan
Ortega Astero Manila
Pendon Jerwin Caguio
Morales Charito Pandoy
GREGORIO ANIE ROSE DELA PENA
ONGAY PANFILO SANCHEZ
Gonzales Bobby Estranero
Reusora Eric Molina
Quinlat Allan Langote
CALUB CLOYD MATEO
HOMEZ ANGELIE ARSENIO
GARCIA RUDY VIADO
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
Suffi sid id nc Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x en en e: Barangay* dd/yyyy_* atu
ce: ce Mu s
09302179257 _R : nic
REGI124124 KILADA M 9/9/1965
09389636537 egi 1Pr
REGI ipa INDANGAN
241247 M 6/5/1986
on ov lity
JR 09501453207 REGI1in
241247
/Ci POBLACION M 2/18/1992
III 09127672622 REGI1ce
241247
ty* POBLACION M 9/15/1994
094464521285 REGI1*24124 PUROK 2 KIBIA M 6/29/1979
09058729903 REGI124124 POBLACION M 9/21/1991
JR 09066435397 REG101101 NORTH POBLACION M 8/18/1976
09686185985 REGI124124 POBLACION M 2/21/1976
09122587872 REGI124124 MANUBUAN M 8/21/1981
09456653567 REGI124124 POBLACION M 3/17/1985
09075680620 REGI124124 OSIAS F 3/28/1990
09453915758 REGI124124 KILADA M 10/19/1988
09518036839 REGI124124 MANUBUAN M 11/30/1982
09333718557 REGI124124 KILADA M 12/17/1987
09653802060 REGI124124 NEW RIZAL M 2/6/1983
09306514614 REGI124124 POBLACION F 2/3/1996
09484651649 REGI1241247POBLACION M 8/21/1986
09513053738 REGI1241247BALINDOG M 11/10/1985
II 09392704613 REGI124124 POBLACION M 1/31/1981
09107663826 REGI124124 DALIPE M 8/13/1978
09162431807 REGI124124 POBLACION F 4/11/1975
09513885881 REGI124124 KILADA M 3/24/1973
09971439563 REGI124124 KILADA M 5/15/1962
09515039339 REGI1241247POBLACION M 6/25/1988
09618047230 REGI124124 DALAPITAN M 10/17/1982
09359039576 REGI124124 KILADA M 11/1/1976
09978815403 REGI124124 KILADA M 1/15/1980
09072282586 REGI124124 POBLACION M 4/27/1967
09207408818 REGI1241247POBLACION M 5/12/1995
JR 09104730234 REGI1241247POBLACION M 10/5/1996
09127732235 REGI1121123POBLACION M 4/25/1994
JR 09107094256 REGI124124 KIBIA M 11/21/1986
09952574952 REGI126126306000City of Koronadal (C
F 5/9/1994
09100202192 REGI1241247PUROK 7 PANABANG BIN F 5/21/1996
09088162129 REGI1241247POBLACION M 4/7/1965
09760270020 REGI124124 POBLACION M 5/25/1977
09569781827 REGI124124 POBLACION F 12/31/1996
09482380139 REGI124124 POBLACION M 7/22/1993
09630567568 REGI124124 KILADA M 1/5/1983
09075316303 REGI124124 POBLACION M 12/23/1993
09159824424 REGI124124 POBLACION F 2/9/1993
09287225788 REGI124124 KILADA F 12/21/1979
09630567749 REGI124124 POBLACION M 4/26/1987
09277739298 REGI124124 MALAMOTE M 8/26/1986
09092640234 REGI1241247MANONGOL M 5/3/1992
09098413938 REGI124124 LIKA M 11/26/1973
09169801663 REGI124124 KILADA M 4/4/1990
09076787395 REGI1241247POBLACION M 9/1/1989
09516555171 REGI124124 KILADA M 7/1/1991
I 09101667997 REGI124124 POBLACION M 5/9/1987
09670016688 REGI124124 KILADA M 6/30/1979
09512651540 REGI124124 POBLACION M 11/1/1991
0963057141 REGI1241247POBLACION M 10/11/1995
09071157383 REGI124124 LAMPAYAN M 4/22/1973
09104672747 REGI124124 KIDAMA M 5/25/1983
09206342961 REGI1241247POBLACION M 10/13/1995
09384917569 REGI124124 LOWER MALAMOTE M 1/20/1993
09279652824 REGI124124 KIDAMA M 1/2/1994
09639721909 REGI1241247POBLACION M 3/4/1999
09466425675 REGI124124 MAMBUAN M 11/5/1998
09058016765 REGI124124 KILADA M 1/25/1977
09125402948 REGI124124 POBLACION M 2/19/1986
09956226033 REGI124124 POBLACION M 8/8/2000
09107333016 REGI124124 INAS M 4/19/1972
09197544621 REGI124124 POBLACION M 11/25/1980
09569235731 REGI124124 POBLACION M 6/13/1997
09109139803 REGI124124 POBLACION M 2/18/1997
09123296588 REGI124124 POBLACION M 2/9/1990
09355873120 REGI1241247GOKOTAN M 1/20/1990
09090640397 REGI124124 POBLACION M 1/6/1988
09484735255 REGI124124 POBLACION M 5/18/1978
09099742250 REGI1241247POBLACION M 7/1/2000
09107366139 REGI124124 POBLACION M 7/6/1962
09270052109 REGI124124 LOWER GLAD F 4/6/1994
09391920444 REGI124124 POBLACION M 7/16/1975
09489380236 REGI1241247POBLACION M 5/11/1991
09068043896 REGI124124 POBLACION M 7/1/1994
09569235948 REGI124124 KILADA M 12/31/1997
09107371005 REGI124124 POBLACION M 4/22/1988
JR. I 09482911856 REGI124124 MARBEL M 5/30/1993
09756115814 REGI1241247POBLACION M 4/7/1989
09505910530 REGI124124 BIALONG M 8/3/1973
09387157618 REGI124124 LINAO F 10/29/1994
09569235741 REGI124124 KILADA M 6/28/1983
09638212482 REGI124124 SALUMAYAN F 9/9/1998
9124407364 REGI124124 POBLACION M 10/15/1991
09481335231 REGI124124 DALAPITAN M 3/25/1982
09094229637 REGI124124 KILAGASAN F 1/7/1998
09632325887 REGI124124 KATIDTUAN M 4/8/1970
09105488572 REGI124124 POBLACION M 4/7/1958
09059703574 REGI124124 KILADA M 7/28/2000
JR 09326651031 REGI1241247MASIBULIG M 8/30/1981
09466103118 REGI124124 POBLACION M 4/11/1974
09079912092 REGI124124 POBLACION M 10/6/1999
0920322072 REGI124124 POBLACION M 8/28/1990
09557982764 REGI124124 POBLACION M 3/21/1971
09389609133 REGI124124 KILADA M 8/28/1964
Jr 09303023015 REGI124124 KIDAMA M 2/1/1987
09206726006 REGI124124 BANGBANG M 1/6/1988
09104172250 REGI124124 LIKA M 8/13/1972
09125020205 REGI124124 KILADA M 3/5/1988
09512507735 REGI124124714000Tulunan M 1/24/1985
09509206732 REGI124124 POBLACION M 5/8/1998
09272500796 REGI124124 POBLACION M 4/29/1987
09639270751 REGI124124 TACULEN M 11/12/1994
09384870219 REGI124124 POBLACION M 9/27/1987
09515749922 REGI1241247PUROK POMELO ONIKA M 3/19/2000
09558438157 REGI124124 KILADA M 5/19/1987
09500286860 REGI124124 KATIDTUAN M 8/31/2000
09569206692 REGI1241247RIZAL STREET M 6/25/1985
09302128327 REGI124124 KIDAMA M 10/1/1963
9661455468 REGI124124 POBLACION M 3/23/1993
9512507725 REGI124124 KILADA M 12/23/1995
09124446199 REGI124124 POBLACION M 11/2/1988
09515368468 REGI124124 MARBEL M 6/12/1966
09076949550 REGI1241247POBLACION M 11/30/1975
09631472644 REGI124124 KILADA M 2/22/1998
9956223364 REGI124124 POBLACION M 5/26/1996
9569206604 REGI124124 KILADA M 6/22/1991
09327958733 REGI124124 POBLACION M 10/13/1997
09756748783 REGI124124 KILADA M 9/7/1984
090976-6245 REGI124124 POBLACION M 5/30/1986
9510380138 REGI124124 LIKA M 2/15/1989
09659277207 REGI124124 KILADA M 12/13/1992
Jr 09356526544 REGI124124 KILADA M 12/18/1994
09172071189 REGI124124 KILADA M 9/24/1996
09510386958 REGI124124 POBLACION M 4/29/2003
09673894212 REGI1241247POBLACION M 6/6/1975
09755005982 REGI124124 KILADA M 3/13/1989
09517894158 REGI1241247POBLACION M 1/19/1985
9298997682 REGI124124 BONIFACIO STREET M 1/13/1985
09508110673 REGI124124 MANUBUAN M 12/26/1964
9367813070 REGI124124 KIBUDOC M 5/2/1987
09653802362 REGI124124 POBLACION M 8/22/1991
09558416942 REGI124124 KILADA M 10/81992
09988437159 REGI124124 POBLACION M 4/25/1994
09974576279 REGI124124 KILADA M 6/19/1993
09752655312 REGI124124 NEW RIZAL M 9/29/1982
9487556919 REGI124124 KILADA M 11/26/1994
09553216084 REGI124124 POBLACION M 12/27/1995
091232977701 REGI124124 POBLACION M 12/13/1986
09056118503 REGI124124 KILADA M 12/10/1983
09977815951 REGI124124 POBLACION M 3/31/1988
9318873406 REGI124124 KILADA M 7/29/1988
JR 09162017458 REGI124124 POBLACION M 10/10/1995
09513762720 REGI124124 KILADA F 8/11/1997
09464107507 REGI124124 DALAPITAN M 12/12/1968
09555019984 REGI124124 POBLACION M 9/29/1980
JR 09383204549 REGI1241247POBLACION M 11/10/1985
09071622062 REGI124124 POBLACION M 1/16/1984
09974975577 REGI124124 POBLACION M 12/1/1998
JR 09487722164 REGI124124 DALAPITAN M 9/4/1986
09086029304 REGI124124 POBLACION M 9/20/2002
09487745071 REGI124124 MANUBUAN M 9/8/1968
09302567445 REGI1241247PACO M 1/29/1976
09107517726 REGI124124 POBLACION M 3/22/1992
09101283000 REGI124124 POBLACION M 1/4/2001
09464362219 REGI124124 POBLACION M 8/26/1996
09307839163 REGI1241247POBLACION M 2/15/1984
09501581522 REGI124124 KABULACA M 10/1/1981
09482379743 REGI124124 KIBIA M 6/27/1990
09653802506 REGI124124 POBLACION M 1/7/1993
09124403228 REGI124124 POBLACION M 7/18/1978
09976830169 REGI124124 POBLACION M 6/1/1981
JR 09071566640 REGI124124 POBLACION M 11/5/1968
09567496924 REGI124124 KILADA M 8/4/1977
09630700268 REGI124124 DALAPITAN M 10/28/1981
JR 09090019083 REGI124124 BUAYAN M 12/22/1989
09569206625 REGI1241247POBLACION M 1/16/1982
09263557401 REGI124124 POBLACION M 6/19/1985
JR 09634304759 REGI1261265POBLACION M 5/4/1985
09505685794 REGI124124 KIBIA M 6/1/1998
09534500012 REGI124124 KABULACAN M 9/24/1974
09351397652 REGI124124 KILADA M 1/31/1987
JR 09300231517 REGI1241247PACO M 9/24/1995
09480149868 REGI1241247POBLACION M 2/16/1989
09307856344 REGI124124 KILADA M 3/6/1990
09383820628 REGI124124 POBLACION M 2/27/1998
09500283818 REGI124124 KILADA M 4/12/1979
09466367264 REGI124124 POBLACION M 8/6/1977
09510865964 REGI124124 PATINDEGUEN M 8/8/1973
09066358285 REGI124124 MANUBUAN M 8/4/1987
09510463241 REGI124124 KIDAMA M 7/13/1971
09216544044 REGI124124 STA. MARIA M 3/15/1979
09465788492 REGI124124710000M'Lang M 2/15/1968
09487745071 REGI124124 MANUBUAN M 4/8/1966
09058022294 REGI124124 KIDAMA M 5/13/1979
09670014626 REGI1241247POBLACION M 2/23/1963
09067773680 REGI124124 POBLACION M 12/27/1972
09190660803 REGI124124 POBLACION M 8/21/1981
09073213379 REGI1241247LANAO M 10/24/1964
09101424819 REGI1241247AMAS M 8/17/1988
09101609519 REGI1241247NEW CEBU M 6/1/1967
09107402664 REGI1241247AMAS F 4/21/1988
09304920509 REGI124124 BAGUMBAYAN M 2/23/1968
09105884561 REGI124124 POBLACION M 7/17/1981
Jr 09307788948 REGI124124 NEW LAWAAN M 10/9/1991
Jr 09771670283 REGI124124 KILADA M 4/26/1976
09056315905 REGI124124 LAMPAYAN M 10/13/1993
09070120192 REGI124124 NEW PANAY M 11/16/1988
09125878759 REGI124124703000Kabacan M 2/21/1990
09473453577 REGI124124704000City of Kidapawan (M 3/19/1963
09101842879 REGI124124714000Tulunan M 12/13/1981
09466425564 REGI124124704000City of Kidapawan (F 6/2/1991
09486101912 REGI124124 NEW PANAY M 7/26/1975
JR 09070949759 REGI124124 KILADA M 8/31/1988
09095822011 REGI124124 KILADA M 5/13/1983
JR 09157972961 REGI124124 KILADA M 11/26/1989
09164529939 REGI124124 POBLACION F 7/3/1992
09510482739 REGI124112 GUIHING M 9/7/1965
09055823005 AUT153800TUNGGOL M 4/3/1984
09676938146 REGI124124 KILADA M 4/30/1980
09092501270 REGI124124 PAG-ASA M 9/26/1976
09512488967 REGI124124 OASIS M 8/23/1992
09305545428 REGI124124 POBLACION F 11/1/1998
09513052793 REGI124124 POBLACION M 12/2/1976
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
9/11/2021 AZ A1026
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ZORAIDA S. TOLIA Y N
ARCELYN QUINTO Y N
JO ANN THERESE CARUM Y N
ROMER P. NICOLAS Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
JO ANN THERESE CARUM Y N
ROMER P. NICOLAS Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ZORAIDA S. TOLIA Y N
ZORAIDA S. TOLIA Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ROMER P. NICOLAS Y N
JO ANN THERESE CARUM Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
ARCELYN QUINTO Y N
Su
b-
Pri Phi
PW
Priority ori lHe Suffi
D Last_Name* First_Name* Middle_Name*
Group* ty alth x
ID
Gr _ID
A4.2 ou CUIBAN MARY JANE MAHUSAY
A3 p* BORJA MARIETE ACID
A3 CAPECIO ROMMEL GANABAN
A4.1 LEGASAN ROGER RAMOS
_03_A3_Adult_with_Como
SOMERA WELFREDO
A3 BAGAS CHARLENE JOY TEJERO
A3 JAVISON JAMES ORIBIANA
A3 JAVISON CHERISH J JILL
A3 TOMONAS FRENZ ERN DAYO
A4.1 AGPALO JOEL REY POSADAS
A4.1 BERIC PABLO VIRANO
A3 DASARGO PRECILYN
A4.2 MERCADO NANCY PUGOY
A4 NICOLAS SATURNINA BELMONTE
A4.2 PARONABLE HELEN ABIAN
A4.1 PASARGO ARSENIO L SR.
A4.1 RUIZ JERRY DEUZ
A3 ALIPIO PAUL JOHN
A3 LUTAO KELVIN LEMUEL ALIPO-ON
A4.1 MAMADRA ALLAN SANO
A3 MIPARANUM HONEY ROSE
_03_A3_Adult_with_ComPALACIO LUMINADA
A4.1 PALACIO SIMM DEMAYO JR.
A4.2 ALCIO MELANIE
_03_A3_Adult_with_Como
CABROBIAS CHERRY ENRIQUEZ
_03_A3_Adult_with_Como
CADUNGON JO-ANN GONZALES
A4.2 CAJANDIG ROSALINA A.
A4.1 DELA PENA VICTOR PILINO
A2 ECHEGORIN PRIMITIVO ABELGOS
A4.1 ESPINOSA RENE VALDEZ
A4 ESPINOSA JULYN CARSOLIN
A4 JORQUIA MARITES VASQUEZ
_03_A3_Adult_with_Como
LAGUTING CHERRIE
A4.2 LEE JULIE ANN REDIL
A3 MAGSIPOC CANDIDA E.
A4 REDIL MANUEL TABILID
A4 SABADO FEBELYN
A4.2 SINCIL ANALIE AMBATA
_03_A3_Adult_with_ComVALDEZ MARICEL CAFÉ
A3 EDILLO HONEYLY CONJURADO
_03_A3_Adult_with_Como
MACALIMBOL MONIRA
A3 LIBRADO MARCELITO TOLPO SR.
A4 ASILDEQUE JHONNY PRADO
A4.2 CANGAS GIL REQUIJO
A4.1 DALISAY JOVANIE DELA CRUZ
A4 DALISAY HELEN CANGAS
A4 NUESCA DANILO PASTORES
A3 PADAGAS MARINA LLAVADO
A4.1 PAJARO JAIRUS MAGBANUA
A3 BARAWIDAN ELY VERGAS JR
A3 GAMIDO DORAVEL VERDIDA
A3 RELAMPAGOS ROLLIE JAN S
A3 UMADHAY ELVIS KNETH R.
_03_A3_Adult_with_Como VERGARA LORENA AVELINO
A3 GABALES DARLENE NAVIGAR
A2 GABALES ALFREDO TAMAYO
A4 CADEMIA ELLEN MONTON
A4.1 NONESA FERNANDO AJDAL
_03_A3_Adult_with_ComLOREDO TERESA ANCHETA
A3 MAGSANO ELAIZA MAE BRAGA
A3 PENDUMA JUNAIM L.
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
sid id nc Current_Residence: Birthdate_mm/dd l_St
Contact_No.* Sex*
en en e: Barangay* /yyyy_* atu
ce: ce Mu s
9634000703 _R : nic BATO F 3/5/1983
9351376128 egi Pr ipa CENTRAL MALAMOTE F 10/17/1981
on ov lity
9070908169 in /Ci CENTRAL MALAMOTE M 11/13/1985
9516875975 ce ty* CENTRAL MALAMOTE M 3/29/1972
9551040655 * CENTRAL MALAMOTE M 05/15/1987
9551379718 KABULACAN F 5/13/1993
9355742691 KIBIA M 6/28/1991
9355742691 KIBIA F 9/11/1990
9051478142 KIBIA M 10/23/1999
9514800551 KIBUDOC M 10/5/1972
KIBUDOC M 6/29/1973
955824577 KIBUDOC F 10/16/1972
9270292091 KIBUDOC F 06/11/1962
9564064056 KIBUDOC F 5/18/1973
9124246073 KIBUDOC F 8/26/1963
9554824577 KIBUDOC M 4/23/1965
KIBUDOC M 3/13/1969
9307906502 KILADA M 3/1/1988
9654630391 KILADA M 3/20/1991
9219825722 KILADA M 3/27/1968
9384806239 KILADA F 1/7/1996
9503271685 Socc_12_12 LAMPAYAN F 03/26/1973
9503271685 LAMPAYAN M 1/1/1970
9061706488 LINAO F 10/13/1971
9555936082 LINAO F 09/05/1998
9105582977 LINAO F 12/03/1981
9551386758 LINAO F 6/11/1962
LINAO M 4/23/1967
LINAO M 11/29/1945
9778045408 LINAO M 8/24/1968
9559522453 LINAO F 10/8/1969
9658956356 LINAO F 5/8/1977
9358633000 LINAO F 10/8/1992
9367422755 LINAO F 7/1/1981
LINAO F 7/27/1963
9656983448 LINAO M 3/10/1964
9658877430 LINAO F 2/6/1981
975086487 LINAO F 3/26/1972
9977386177 LINAO F 06/04/1982
9090932618 MANUBUAN F 20-Apr
9978812971 MANUBUAN F 02/18/1968
9354723512 MARBEL M 1/2/1967
9500271745 MINAMAING M 4/7/1978
9951865712 MINAMAING M 2/25/1969
9656196807 MINAMAING M 9/25/1976
9359023890 MINAMAING F 9/6/1971
9510880405 MINAMAING M 4/16/1975
9103223963 MINAMAING F 7/29/1963
MINAMAING M 7/24/1971
9120518342 NEW PANDAN M 7/31/1998
9285913860 POBLACION F 10/20/1976
9173519667 POBLACION M 1/12/1990
9099677341 POBLACION M 5/22/1992
09491605099 Socc_12_12 POBLACION F 04/10/1979
9382356608 SARAYAN F 10/25/1996
9382356602 SARAYAN M 24-Jul
9516844601 STA. MARIA F 9/28/1978
9101841334 STA. MARIA M 2/12/1963
9510205347 Socc_12_12 TACULEN 01_F05/19/1971
9955739063 TACULEN F 12/10/2000
9168664114 WEST PATADON F 8/14/1983
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

ARCELYN QUINTO MIDWIFE


ARCELYN QUINTO MIDWIFE
JANINE TIOAQUEN PASIN NURSE
GENEFE QUIRUBIN LUMA NURSE
ARCELYN QUINTO MIDWIFE
JANINE TIOAQUEN PASIN NURSE
JAYSON MOIKET ANGULONURSE
GENEFE QUIRUBIN LUMA NURSE
ARCELYN QUINTO MIDWIFE
GENEFE QUIRUBIN LUMA NURSE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
ZORAIDA TOLIA MIDWIFE
JAYSON MOIKET ANGULONURSE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
GENEFE QUIRUBIN LUMA NURSE
GENEFE QUIRUBIN LUMA NURSE
JAYSON MOIKET ANGULONURSE
JAYSON MOIKET ANGULONURSE
ZORAIDA TOLIA MIDWIFE
ZORAIDA TOLIA MIDWIFE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
JAYSON MOIKET ANGULONURSE
ARCELYN QUINTO MIDWIFE
ASRIA GUIAMAD DAYATONURSE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
ARCELYN QUINTO MIDWIFE
GENEFE QUIRUBIN LUMA NURSE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
JAYSON MOIKET ANGULONURSE
ZORAIDA TOLIA MIDWIFE
JANINE TIOAQUEN PASIN NURSE
ZORAIDA TOLIA MIDWIFE
GENEFE QUIRUBIN LUMA NURSE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
JAYSON MOIKET ANGULONURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
JAYSON MOIKET ANGULONURSE
ZORAIDA TOLIA MIDWIFE
ARCELYN QUINTO MIDWIFE
ZORAIDA TOLIA MIDWIFE
Su
b-
Pri Phi
PW
Priority ori lHe Suffi
D Last_Name* First_Name* Middle_Name*
Group* ty alth x
ID
Gr _ID
Aou
04_A4: Fron 4.1 BALMONTE JOSELITO CAPILLAN
A3 p* RIVERA CRISTY DELA CRUZ
A3 ALAGANO JUVY JR
_03_A3_Adult_with_ComGARCIA HERMOGENES A.
04_A4: Fron
A4.2 PECATE DEMY CRIS NAMBONG
04_A4: Fron
A4.2 PILAPIL ARLIN R.
A3 TATUNA ANADEL
04_A4: Fron
A4.1 BAYUGAN RENE BAGTIAN
04_A4: Fron
A4.2 BAYUGAN LIZA ESTUESTA
04_A4: Fron
A4.1 CALIS ANTHONY SARONA
04_A4: Fron
A4.1 DALISAY RENIE RAFISURA
04_A4: Fron
A4.1 ETOL RICARDO DAYAK
04_A4: Fron
A4.2 GACAL ARLENE CAYAO
04_A4: Fron
A4.1 MAG-ASO EJIN ESTUESTA
04_A4: Fron
A4.1 PANGANDOYON ROMY BENITO
04_A4: Fron
A4.2 TRAYLOR BRELIE ESTUESTA
04_A4: Fron
A4.1 CANGAS JOVANIE
04_A4: Fron
A4.1 DATO-ON DARWIN BALBUENA
A3 BATILARAN KLARO FEE ORBODA
CAMADDO
_03_A3_Adult_with_Como RUBILYN EBDANI
_03_A3_Adult_with_Como
ESCARLAN MARILYN
04_A4: Fron
A4.1 SAGUCOM ROGER ANTONIO
04_A4: Fron
A4.2 SAGUCOM MARRY JANE YSON
A3 SUMANGYAY JULIE ANN
A3 YGUINTO JUVUYLYN
04_A4: Fron
A4.2 VALLAR ANABELLA MIJARES
04_A4: Fron
A4.1 ESPARTERO JESUS MONILLA JR.
04_A4: Fron
A4.1 AMLON JONATHAN MANGIBIN
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
sid id nc Current_Residence: Birthdate_mm/dd l_St
Contact_No.* Sex*
en en e: Barangay* /yyyy_* atu
ce: ce Mu s
9069369622 _R : nic KIBUDOC M 9/25/1975
9101570912 egi Pr ipa KIDAMA F 4/10/1993
on ov lity
9755052927 in /Ci KILADA M 5/23/1994
ce ty* KILADA M 09/01/1979
9979482531 * KILADA M 5/17/1981
912661634 KILADA F 10/14/1973
9353649621 LAMPAYAN F 8/11/2002
9161848376 LINAO M 8/3/1974
9068445887 LINAO F 10/8/1977
9268310232 LINAO M 10/10/1982
9972780570 LINAO M 3/28/1979
LINAO M 10/29/1975
9269452365 LINAO F 3/28/1979
LINAO M 5/14/1974
LINAO M 8/13/1968
9156995169 LINAO F 11/26/1971
9161723169 MINAMAING M 4/18/1974
9512534166 NEW PANDAN M 4/10/1978
9564095907 POBLACION M 12/23/1997
09124492108 POBLACION 09/10/1987
9104554899 POBLACION 10/31/1980
9307561059 POBLACION M 2/8/1979
9467051241 POBLACION F 5/31/1978
928717719 POBLACION F 7/30/1986
9273595938 POBLACION F 5/10/1983
9481023299 SARAYAN F 4/28/1965
9752265644 STA. MARIA M 9/13/1970
TAMPED M 1/29/1973
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

MARY JANE ROLDAN MIDWIFE


MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
ROMER NICOLAS NURSE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
JANINE TIOAQUEN PASIN NURSE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
JO-ANN THERESE CARUMNURSE
MARY JANE ROLDAN MIDWIFE
GENEFE QUIRUBIN LUMA NURSE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
MARY JANE ROLDAN MIDWIFE
Su
b-
Pri Phi
PW
Priority ori lHe Suffi
D Last_Name* First_Name* Middle_Name*
Group* ty alth x
ID
Gr _ID
A3 ou JAVOD CHRISTIAN MAE T.
A3 p* MARZAN YPRIL ROSE RESMENA
A3 ORENPAIN MYCIL CASIMERO
A3 TUZON REY MARC V.
_03_A3_Adult_with_Com LADRILLO IVY CRISTY
A3 NOE JEAVELYN G.
_03_A3_Adult_with_Com NOE KIMUEL JADE GEMANGA
_04_A4_FroA4.2 PANES JENNY FLOR LEO
A3 RODUTA JULIET LADIA
A3 MALACAPAY REYMAR M.
_04_A4_FroA4.2 ATIENZA PERLITA BELMORO
A3 EJAR REYNANTE SOLIN
A3 GUINALING MARY JOY C.
A3 RAMONITO EJAR S. II
A3 TACUKEN STELLA JANE YBURAN
A3 ALAPAN MARLON
A3 BADAYOS JOMARIE S
A3 BADAYOS JHAN JHAN ABLAY
A3 BADAYOS MARJORIE MAE LUCINARIO
A3 BENIG ARJEN AUGREY
A3 DADIZON MARY CRIS
A3 DONAIRE GLAERTHY FAMADOR
A3 MANILA BRYAN BENIG
A3 MARQUEZ MAMENTO II
A3 PURUGGARAN RHENA BADAYOS
A3 PURUGGARAN FRANCES ABEL M.
A3 WARIO AILYN B.
_03_A3_Adult_with_Com ALEGRIA FAIRYLENE
_04_A4_FroA4.1 BELOTINDOS EDGAR DAYONDON JR.
_04_A4_FroA4.1 TED REYNALDO M.
_04_A4_FroA4.2 VASQUEZ JENE SELIM
_02_A2_Se 09_A2.2: All VITALES ARMANDO SACERTROPES
A3 SERAPION DAVID
A3 ZABALA PRINCESS ROMAY
_04_A4_FroA4.2 ZABALA NELIA ROMAY
A3 VARONA NIXSON B.
A3 CORNELIO JACKIELYN S
_04_A4_FroA4.1 CORNELIO DEMY T.
A3 FUERTE BEVERLY TUBILID
A3 MILAN CHRISTOPHER LIBONA
A1 ABAS JAYMON MALIPOT
A3 BARRERA MERVIN C
A3 BUENA JOSELITA
A3 DELFIN CARLO
_04_A4_Fro
A4.2 ENCALLADO CRISANTO CATIGAN
A3 GANZON ROGER
A2 MAYUGA CRISTINA BERNADES
A3 NOVISTEROS NARCISO C.
_03_A3_Adult_MAAM BAIPALMA EDGINA C
A3 PEREZ CHARMAINE DELA PENA
_03_A3_Adult_with_Como
ROXAS JENNIFER
A3 SERIOSA JULIET PALMA
A3 YBANEZ DIOBEN TIO
A3 YBANEZ MARIVIC NICOR
_04_A4_Fro
A4.2 BURGOS MARIANITA GALAGATE
_03_A3_Adult_with_Como
DEVELOS SHANE
A3 DEVELOS ANABEL S.
_04_A4_Fro
A4.1 DEVELOS ROBERTO DAQUILOS
_04_A4_Fro
A4.1 PROSPEROSO EDWIN PORRAS
_04_A4_Fro
A4.2 PROSPEROSO JOCELYN PAJES
A1 ULAD ELIZALDE ASIO
_04_A4_Fro
A4.2 ULOD EVELYN PAJES
A3 BRILLO FRENZ ADAM SARCENA
A3 AVELURA DANILO NACION
_04_A4_Fro
A4.2 MOCALLY CAROL MECATE
_04_A4_Fro
A4.2 TOMENIS FELY G
_04_A4_Fro
A4.1 TOMINES RODOLFO MECATE
A3 TABALAN ALADEN DE ROMA
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
sid id nc Current_Residence: Birthdate_mm/dd l_St
Contact_No.* Sex*
en en e: Barangay* /yyyy_* atu
ce: ce Mu s
9567358256 _R : nic CENTRAL MALAMOTE M 8/22/2003
9700647848 egi Pr ipa CENTRAL MALAMOTE F 4/8/2003
on ov lity
9518067735 in /Ci CENTRAL MALAMOTE F 4/13/1996
9514687514 ce ty* DALAPITAN M 3/10/2003
9105774022 * KABULACAN F 10/22/1995
9094124792 KABULACAN F 8/18/2002
KABULACAN F 02/25/1999
9277747641 KIBUDOC F 10/16/1976
9453995258 KIBUDOC M 1/6/1994
9464059980 KIDAMA M 5/31/2001
9154584350 KILADA F 5/21/1977
9568133972 KILADA M 8/28/1984
9512005658 KILADA F 3/24/1977
9997440223 KILADA M 1/6/1988
9056118503 KILADA F 4/3/1994
9077909863 LAMPAYAN M 6/15/1999
9382020598 LAMPAYAN F 12/30/1995
9673970112 LAMPAYAN M 12/22/1999
9482378322 LAMPAYAN F 10/23/1993
9407281093 LAMPAYAN M 8/12/2000
9381989107 LAMPAYAN F 7/23/2000
9502206708 LAMPAYAN F 11/19/1991
9076963947 LAMPAYAN M 7/5/1999
9089232943 LAMPAYAN M 9/12/1991
9093477090 LAMPAYAN F 4/25/1982
9639316910 LAMPAYAN M 11/9/1983
9564039080 LAMPAYAN F 4/18/1995
9360319214 LINAO F 10/21/1990
9510623506 LINAO M 3/20/1980
9261301259 LINAO M 8/7/1972
9500298704 LOWER MALAMOTE F 12/1/1975
Socc_12_12 MANUBUAN 02_Ma3/17/1960
9558730235 MANUBUAN M 6/13/1988
9129599684 MANUBUAN F 12/4/1994
9387038418 MANUBUAN F 2/14/1965
9072466425 MANUPAL M 7/19/1988
9061762311 MARBEL F 8/15/1988
9061762311 MARBEL M 5/6/1964
975185096 NEW PANDAN M 1/6/1986
9515230540 NEW PANDAN M 9/29/1991
9327093110 POBLACION M 7/7/1991
9513959835 POBLACION M Nov-95
9970841174 POBLACION F 4/27/1968
9106470663 POBLACION M 12/15/1994
90731903138 POBLACION M 6/8/1977
9700726817 POBLACION M 9/10/1980
9058034885 POBLACION F 11/12/1932
9105439415 POBLACION M 10/28/1969
9519481689 POBLACION F 2/1/1981
9567703211 POBLACION F 6/14/2000
9384923414 POBLACION F 2/3/1985
9469113039 POBLACION F 7/5/1983
9304979882 POBLACION M 9/26/1985
9465790277 POBLACION F 5/11/1981
9095219113 SARAYAN F 8/6/1963
SARAYAN F 12/16/2000
9075269288 SARAYAN F 8/18/1973
9305099892 SARAYAN M 7/6/1993
9095219113 SARAYAN M 1/17/1971
9095219113 SARAYAN F 8/18/1969
9104020032 SARAYAN M 10/28/1973
9104020037 SARAYAN F 10/31/1970
9754948591 SOUTH COTABATO M 3/14/1998
STA. MARIA M 1/21/1970
9307790293 STA. MARIA F 12/20/1969
9206282033 STA. MARIA F 6/8/1964
9534023005 STA. MARIA M 7/14/1974
9553969170 SULTAN KUDARAT M 6/6/1996
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

JANINE TIOAQUEN PASIN NURSE


ROMER NICOLAS NURSE
ASRIA GUIAMAD DAYATONURSE
ROMER NICOLAS NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
ROMER NICOLAS NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
ROMER NICOLAS NURSE
JANINE TIOAQUEN PASIN NURSE
ROMER NICOLAS NURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ROMER NICOLAS NURSE
ROMER NICOLAS NURSE
ROMER NICOLAS NURSE
ASRIA GUIAMAD DAYATONURSE
ROMER NICOLAS NURSE
ROMER NICOLAS NURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
ROMER NICOLAS NURSE
JANINE TIOAQUEN PASIN NURSE
ROMER NICOLAS NURSE
ROMER NICOLAS NURSE
ROMER NICOLAS NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
ASRIA GUIAMAD DAYATONURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
JANINE TIOAQUEN PASIN NURSE
ASRIA GUIAMAD DAYATONURSE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
04_A4: Fron
A4.1 ABSIN JELLY BOY PRESBETIRO
A4.1
04_A4: Fron ALAD-AD ROGER SAPALLEDA
04_A4: Fron
A4.2 ALAD-AD LANIE JANGCO
04_A4: Fron
A4.2 ALOJADO ANALYN DOMINGO
A4.1
04_A4: Fron AMBAT NESTOR ATAN
04_A4: Fron
A4.2 BALOLO GINA VALDEZ
_03_A3_Adult_with_ComorbidiBAUTISTA ANGELITA LIGAYA
A4.1
04_A4: Fron BAUTISTA REYMAR B
A4.1
04_A4: Fron BIYO MELVIN B
04_A4: Fron
A4.2 DUBRIA VICTORIA A
_02_A2_Senior_Citizens EPIFANIO LOVELYN
A4.1
04_A4: Fron LIM JOSE V
_01_A1_H05_A1.5: Governme NECOR JOENEFER CALUBAN
_03_A3_Adult_with_ComorbidiPAGANPAN YVONNE M
_01_A1_Health_Care_WorkePERASOL JAMES DELOS SANTOS
_01_A1_H05_A1.5: Governme NUNEZ FLORAMY RUFINO
_03_A3_Adult_with_ComorbidiMARANION NELLY BISCARRA
_03_A3_Adult_with_ComorbidiOSANO CYRA J
_03_A3_Adult_with_ComorbidiARELLANO JOHN ACE

_03_A3_Adult_with_ComorbidiPAGUNSAN CHINIE TASIC

_03_A3_Adult_with_ComorbidiASUPLE MERJIE LAJATO


_01_A1_Health_Care_WorkeBAUTISTA SHIELA MAE ANASCO
04_A4: Fron
A4.2 LOMBORES MARNES M.
04_A4: Fron
A4.1 RAYON JEMUEL M
_03_A3_Adult_with_ComorbiTEODOSIO MIGUEL GANUHAY
04_A4: Fron
A4.1 ALEGRIA LINDON VALDEZ
_03_A3_Adult_with_ComorbidiALOJADO ELGELYN HEGUINTO
04_A4: Fron
A4.2 DALISAY MERCY FE GACAL
_03_A3_Adult_with_ComorbiFLORENTINO HERNY MANUCAN
_03_A3_Adult_with_ComorbiFLORENTINO JENNY A.
04_A4: Fron
A4.2 NAVARRO LILYBETH VALDEZ
04_A4: Fron
A4.1 PAGANPAN RODIL CAMARINAS
A4.1
04_A4: Fron PANES RONNIE CASTROVERDE
04_A4: Fron
A4.1 RIZADA FELIX C
_03_A3_Adult_with_ComorbidiVALDEZ NONITA
_03_A3_Adult_with_ComorbidiTALANIA RONALD MEJAZA
04_A4: Fron
A4.2 VALENIA SUSANITA PAGULONG
_01_A1_H05_A1.5: Governme GARCIA CHRISTINE LARIOSA
_01_A1_H05_A1.5: Governme RAMIREZ GERLIE DELA FUENTE
_03_A3_Adult_with_ComorbidiBIYO ALICIA P
_03_A3_Adult_with_ComorbidiESTANCIA MELODY AROYO
_01_A1_Health_Care_WorkeGANCIONAL REZA CAMISO
_03_A3_Adult_with_ComorbidiDECIPULO REY JEAN ESPANOLA
_03_A3_Adult_with_ComorbidiAGMATA KAYE P
_01_A1_Health_Care_WorkeBANAS LYRA TULLAO
A4.1
04_A4: Fron DAIS ADELIO FLORES
_03_A3_Ad_03_A3 DAIS BERNADETTE OCTAVIO
_02_A2_Senior_Citizens GIERZA ADELFA
04_A4: Fron
A4.1 LUBON RONIE YAGONG
04_A4: Fron
A4.2 LUBON CHERRY ANN M
_03_A3_Adult_with_ComorbiQUIMOT NANCY
_03_A3_Adult_with_ComorbiQUIMOT WILLY
_03_A3_Adult_with_ComorbidiATONDUCAN JESSA MAE TAMONDE
_03_A3_Adult_with_ComorbidiJUANITEZ RYAN E.
_03_A3_Adult_with_ComorbidiPEPINO JAMES RYAN
_03_A3_Adult_with_ComorbidiPOLINES ERWIN MACAYA
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Birth
Re es de Civi
date_
Suffi sid id nc Current_Residence: l_St
Contact_No.* Sex* mm/d
x en en e: Barangay* atu
d/yyy
ce: ce Mu s
y_*
9389631592 _R : nic BANGBANG M ###
egi Pr ipa
9679557940 Socc_12_12 BANGBANG M ### driver
on ov lity
9679557940 Socc_12_12
in /Ci BANGBANG F ###
9360537288 ce ty* BANGBANG F ###
*
9360537288 Socc_12_12 BANGBANG M ### driver
9101010781 Socc_12_12 BANGBANG F ###
9472483043 BANGBANG F ###
9472483043 Socc_12_12 BANGBANG M ### driver
9467255962 Socc_12_12 BANGBANG M ### driver
9122055114 Socc_12_12 BANGBANG F ###
9504916160 BANGBANG F ###
JR 9069660272 Socc_12_12 BANGBANG M ### driver
9105067606 BANGBANG ###
9101506855 BANGBANG F ###
BANGBANG M ###
9631048421 Socc_12_12 BATO 01_F###
9263767285 CENTRAL MALAMOTE F ###
9307490524 KABULACAN F ###
9107455622 Soccs_12 _124 KIBIA M ###
9121324335 Soccs_12 _124 KIBIA F ###
9124407034 KILADA F ###
9094582829 KILADA F ###
9975644591 KILADA M ###
9469760005 KILADA M ###
9486886165 KILADA M ###
9970845981 Socc_12_12 LINAO M ###
9198690983 LINAO F ###
9067656090 LINAO F ###
9973970086 LINAO M ###
9669749876 LINAO F ###
9363120152 LINAO F ###
9101506855 LINAO M ###
9268673031 LINAO F ###
Socc_12_12 LINAO M ###
9061807872 LINAO F ###
9387038402 MANUBUAN M ###
9125022752 MANUBUAN F ###
9461169653 Socc_12_12 MINAMAING FEMA###
9467391494 MINAMAING F ###
9467255962 NEW ALIMODIAN F ###
9106264625 NEW ALIMODIAN F ###
9505690576 NEW ALIMODIAN F ###
9103331173 PINAMATON M ###
9109044064 POBLACION F ###
9954201157 POBLACION F ###
NA Socc_12_12 POBLACION 02_Male ###DRIVER
9460140177 POBLACION M 05/04/1981
9464253094 POBLACION F ###
9387668985 POBLACION M ###
9076290291 POBLACION F ###
POBLACION F ###
9487292544 POBLACION M ###
9505913231 SARAYAN F ###
9631022407 SARAYAN M ###
9121512291 SARAYAN M ###
9631249416 SARAYAN M ###
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines

driver

driver

driver
driver

driver
BPAT

19_Others_

NURSING STUDENT

BARANGAY TREASURER
SK KAGAWAD

GOV'T EMPLOYEE
NURSING STUDENT
DRIVER
05/04/1981
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
Date of Vaccination Batch Number Lot Number
Manufacturer Name

9/20/2021 SINOVAC J202108081 J202108081


9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/21/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
9/20/2021 SINOVAC J202108081 J202108081
9/20/2021 SINOVAC J202106037 J202106037
Profession of
Vaccinator Name 1st Dose 2nd Dose
Vaccinator

TOLIA, ZORAIDA RM MIDWIFE


PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RNNURSE
ESTELLOSO, LERRY MIDWIFE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
ANGULO, JAYSON RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
TOLIA, ZORAIDA RM MIDWIFE
ESTELLOSO, LERRY RM MIDWIFE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
PASINABO, JANINE RN NURSE
ANGULO, JAYSON RN NURSE
PASINABO, JANINE RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
PASINABO, JANINE RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
Phi
Sub- PW
Priority lHe
Priority D Last_Name* First_Name* Middle_Name*
Group* alth
Group* ID
_ID
_03_A3_Adult_with_ComorbidiARCENO ROLAND ENORIO
04_A4: Fron
A4.1 DUPA ROMEL BOLIVAR
04_A4: Fron
A4.1 JAMOTUYA ROBERT NICER
04_A4: Fron
A4.1 PENDON XERCES DUPA
_03_A3_Adult_with_ComorbidiSAMBRANO SANTOS ABALOS
04_A4: Fron
A4.2 SAMBRANO DOLORES MARIANO
_03_A3_Adult_with_ComorbidiTRAYA LUZVIMINDA
04_A4: Fron
A4.1 ALQUIZA JOEL PADILLA
_03_A3_Adult_with_ComorbidiASILDO EDDIE ONGCOY
04_A4: Fron
A4.1 BARNIDO JOMEL COLON
04_A4: Fron
A4.2 CASTILLO LILIA AGOSTO
_03_A3_Adult_with_ComorbiCHATO ESTHER SANCHEZ
04_A4: Fron
A4.2 LAGANG LIEZEL TANSIONGCO
04_A4: Fron
A4.1 LIMBAGA HERACLEO CANDONTOL
_03_A3_Adult_with_ComorbiSANCHEZ NONITO RATILLA
_03_A3_Adult_with_ComorbidiPATARAY MARIEL AGDEPPA
_03_A3_Adult_with_ComorbidiDENOSTA BRIAN FEOLOG
_03_A3_Adult_with_ComorbidiLAROZA LILIBETH ADORACIA
_03_A3_Adult_with_ComorbidiSANGLAP JOCELYN ALPANGITE
_03_A3_Adult_with_ComorbidiALAGANO RONALD JEOPIZ
_03_A3_Adult_with_ComorbidiALIPOON JANETTE DIAZ
_03_A3_Adult_with_ComorbidiDELA TORRE CIRILO TANGUE
_03_A3_Adult_with_ComorbidiDOMINGO MARY JOY DE VERA
_03_A3_Adult_with_ComorbidiEDIS ABDUL MAUG
04_A4: Fron
A4.1 MAGLINTE RICKY ONDI
_03_A3_Adult_with_ComorbidiOLAYAN ALJOE INTONG
_03_A3_Adult_with_ComorbidiPALINGCOD ALJUN JAMES
_03_A3_Adult_with_ComorbidiSABAL ALBASIR KATUGAN
_03_A3_Adult_with_ComorbidiTAGAYUNA ROLANDO
_03_A3_Adult_with_ComorbidiTAGAYUNA RONEL MAGLINTE
_03_A3_Adult_with_ComorbidiTAGAYUNA URBANITA MAGLINTE
_03_A3_Adult_with_ComorbidiTAGAYUNA WEDDIE ESPIRIN
_03_A3_Adult_with_ComorbidiQUINONES FAMELA DANOSOS
04_A4: Fron
A4.1 BIYO HERBERT VINTE
_01_A1_Health_Care_WorkeJORIDICO IVY JEAN DALISAY
04_A4: Fron
A4.1 NAVAIRA ROLLY EPISTOLA
04_A4: Fron
A4.1 SORIANO SOPRIMO MAHULAYON
_03_A3_Adult_with_ComorbiZERNA RONILO PAGLINAWAN
_03_A3_Adult_with_ComorbidiGLANG CYRUS JOHN
_03_A3_Adult_with_ComorbidiCORPUZ JOSEPH KLAIRE ALMARINES
_03_A3_Adult_with_ComorbidiHOMEZ MARISSA ARSENIO
_03_A3_Adult_with_ComorbidiLEE ALGELYN TUNGOL
04_A4: Fron
A4.2 LEE LITA TANGOL
_03_A3_Adult_with_ComorbidiTANGALIN JESSA MAE CORPUZ
_03_A3_Adult_with_ComorbidiTANGALIN EMILY CORPUZ
_03_A3_Adult_with_ComorbidiTANGALIN MARC ANGELO CORPUZ
04_A4: Fron
A4.2 YANGURIN LARRY NARAL
04_A4: Fron
A4.2 YANGURIN EMMA ALADO
A4.1
04_A4: Fron CABAYA GLENN BERGANTE
04_A4: Fron
A4.2 CABAYA JOVERISSA BARSUBIA
04_A4: Fron
A4.1 ATONDUCAN JOEMAR BADARAN
04_A4: Fron
A4.2 ATONDUCAN DIVINA PAGAYON
_03_A3_Adult_with_ComorbidiENGALLADO IVY JEAN ATONDUCAN
_03_A3_Adult_with_ComorbidiENGALLADO ELMER CORELIO
_03_A3_Adult_with_ComorbidiJASPE JEFFREY PARRENO
_03_A3_Adult_with_ComorbidiJASPE AILEEN MIANDO
_03_A3_Adult_with_ComorbidiMAYORMENTE JOEY BANDOY
_03_A3_Adult_with_ComorbidiPAGAYON JINELYN ATONDUCAN
04_A4: Fron
A4.2 PAGAYON JUVY ATONDUCAN
04_A4: Fron
A4.1 BEDONILLA RICKY TEJERO
_01_A1_H05_A1.5: Governme NICOLAS MARVIN JOHN QUINONES
_03_A3_Adult_with_ComorbidiDALISAY ARMANDO RUFISURA
ur Cu
re rre
Cu nt nt
rre _ _R
nt_ R esi
Re es de Civi
Suffi sid id nc Current_Residence: Birthdate_mm/ l_St
Contact_No.* Sex*
x en en e: Barangay* dd/yyyy_* atu
ce: ce Mu s
9517910727 _R : nic DALAPITAN M 09/21/1991
9505558967 egi Pr ipa DALAPITAN M 9/8/1972
on ov lity
9500298944 in /Ci DALAPITAN M 9/14/1979
ce ty* DALAPITAN M 7/17/1976
9185598348 * DALAPITAN M 11/02/1961
9164871171 DALAPITAN F 1/14/1966
9094116454 DALAPITAN F 11/08/1977
9056658935 ESTADO M 1/8/1979
ESTADO 05/18/1977
9061181204 ESTADO M 6/3/1978
9631050736 ESTADO F 1/9/1974
9976384351 Socc_12_12 ESTADO 01_F01/26/1981
9955159959 ESTADO F 1/19/1973
9355266091 ESTADO M 12/4/1969
0929-415-8822 Socc_12_12 ESTADO 02_Ma06/11/1978
9550718686 KABULACAN F 05/14/2000
9457492694 KIBIA 01/04/2001
9207777090 KIBIA 08/20/1969
9066656244 KIBIA F 07/26/1963
9101755944 KILADA M 08/23/1988
9129585002 KILADA F 01/27/1978
9554632393 KILADA M 02/09/1980
9483136165 KILADA F 07/31/1984
9675070829 KILADA M 05/07/1997
9096318456 KILADA M 4/24/1977
9518037646 KILADA M 07/11/1982
9685704902 KILADA M 08/18/1998
9558407301 KILADA M 04/17/1998
KILADA M 11/21/1961
9096852627 KILADA M 01/12/1986
9096852627 KILADA F 04/28/1962
9096852627 KILADA M 01/12/1986
9261143423 LAMPAYAN F 01/17/2000
Socc_12_12 LINAO 10/27/1976
9564455416 LINAO M 03/14/2000
9454228271 Socc_12_12 LINAO M 8/13/1964
9129192076 Socc_12_12 LINAO M 7/25/1981
SR 9658944479 LINAO M 11/09/1963
9959650554 MANUBUAN M 12/03/1990
9493547821 POBLACION M 11/23/1998
9505647829 POBLACION F 08/11/1969
9302125760 POBLACION F 02/10/2000
9631058039 POBLACION F 9/8/1971
9383701701 POBLACION F 07/20/1990
9307048421 POBLACION F 03/28/2000
9635667820 POBLACION M 02/11/2003
9075432908 POBLACION F 9/27/1969
9216189747 POBLACION M 4/7/1972
9503441862 Socc_12_12 SALVACION 02_Ma 9/8/1977
9503441862 Socc_12_12 SALVACION 01_Fe08/21/76
9382357463 SARAYAN M 9/30/1986
9382357463 SARAYAN F 6/10/1981
9123687420 SARAYAN F 06/07/1986
9123687420 SARAYAN M 11/12/1995
9093537141 SARAYAN M 03/29/1982
9093537141 SARAYAN F 11/24/1984
9094594582 SARAYAN M 11/18/1988
9103566883 SARAYAN F 11/07/1999
SARAYAN F 9/17/1972
9297042429 TACULEN M 3/10/1971
9071285835 Socc_12_12 TACULEN M 03/03/1976
9652071572 M 02/15/1974
Allergy to vaccines Pregnancy_status
Occupation* or components of Drug_Allergy?
vaccines
DRIVER
VENDOR
Food_Allergy? Insect_Allergy? Latex_Allergy? Mold_Allergy?
Pet_Allergy? Pollen_Allergy? With_Comorbidity? Hypertension

01_Yes

01_Yes
Heart_Disease Kidney_Disease Diabetes_Mellitus Bronchial_Asthma
Immunodeficiency_S Patient_was_diagnos
Cancer Others
tatus ed_with_COVID_19
Date_of_first_positiv
e_result_/_specimen Classification_of_CO Willing
CONSENT
_collection_mm/dd/y VID_19 to_be_Vaccinated?
yyy_
Has no severe
Age more than Has no allergies to allergic reaction after
Reason for Refusal
16 years old? PEG or polysorbate? the 1st dose of the
vaccine?
* If with allergy or
Has no history of * if with bleeding
Has no allergy to asthma, will the
bleeding disorders or history, is a gauge 23
food, egg, medicines, vaccinator able to
currently taking anti- - 25 syringe available
and no asthma? monitor the patient
coagulants? for injection?
for 30 minutes?
Does not manifest
any of the following
symptoms:
Has no history of
Fever/chills,
* If manifesting any exposure to a Has not been
Headache, Cough,
of the mentioned confirmed or previously treated for
Colds, Sore throat,
symptom/s, specify suspected COVID-19 COVID-19 in the past
Myalgia, Fatigue,
all that apply case in the past 2 90 days?
Weakness, Loss of
weeks?
smell/taste, Diarrhea,
Shortness of breath/
difficulty in breathing
Has not received
convalescent plasma
Has not received any
or monoclonal * if pregnant, 2nd or
vaccine in the past 2 Not Pregnant?
antibodies for 3rd Trimester?
weeks?
COVID-19 in the past
90 days?
Does not have any of
the following: HIV,
Cancer/ Malignancy,
* If with mentioned
Underwent
condition, has
Transplant, Under * If with mentioned
presented medical Deferral
Steroid Medication/ condition/s, specify.
clearance prior to
Treatment, Bed
vaccination day?
Ridden, terminal
illness, less than 6
months prognosis
Vaccine
FIRST DOSE Date of Vaccination Batch Number
Manufacturer Name

L202107062
L202107062
L202107062
L202107062
J202108081
J202108081
L202107062
L202107062
9/22/2021 SINOVAC J202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
J202106037
L202107062
L202107062
L202107062
L202107062
J202108081
L202107062
L202107062
L202107062
J202108081
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
L202107062
9/22/2021 SINOVAC J202107062
J202108081 J202108081
L202107062
L202107062
J202108081
L202107062
J202108081
L202107062
J202108081
J202108081
J202108081
L202107062
L202107062
J202108081
J202108081
L202107062
L202107062
J202108081
J202108081
J202108081
J202108081
J202108081
J202108081
J202108081
L202107062
L202107062
L202107062
9/22/2021 SINOVAC J202107062 L202107062
J202108081
Profession of
Lot Number Vaccinator Name 2nd Dose
Vaccinator

L202107062 NICOLAS, ROMER RN NURSE


L202107062 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RNNURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RNNURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 ESTELLOSO, LERRY MIDWIFE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
J202106037 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
J202108081 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 NICOLAS, ROMER RN NURSE
J202108081 NICOLAS, ROMER RN NURSE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
L202107062 NICOLAS, ROMER RN NURSE
ESTELLOSO, LERRY RM MIDWIFE
J202108081 ESTELLOSO, LERRY RM MIDWIFE

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