COVID-19 VACCINATION CERTIFICATE

Full Name:
IAN MITZI FAJARDO CRISOSTOMO

Date of Birth:
27-Jan-1998

Issuer:
Philippine Department of Health

Issuance Date and Time:

04-Dec-2021 04:06 PM

This is a secure QR code and can be verified by using the

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 742831301

Date of Vaccine/ Brand, Country of

Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

COVID-19 vaccine, CoronaVac,

1 21-Sep-2021
inactivated virus Sinovac
J202108082 Philippines

COVID-19 vaccine, CoronaVac,

2 19-Oct-2021
inactivated virus Sinovac
C202109176 Philippines