MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
TIYAS HENDERA IRAWAN BIN ABD RAHMAN
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
910308015237 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth

VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19
VACCINATION
08-Mar-1991
Kementerian Berkuasa / Authority Ministry
KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
30-Oct-2021

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination

04-Mar-2021
Pusat Pemberian Vaksin / Vaccination Center
809RSAT
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
EP2163

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination

25-Mar-2021
Pusat Pemberian Vaksin / Vaccination Center
809RSAT
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
EP2163