Name of School: GABI NATIONAL HIGH SCHOOL

District: Compostela West

Grade and Section: _12 - Aries_
Coverage Date: Ex. December 20 - 24, 2021

Name of Student Complete Address

Vaccinated with First dose? Vaccinated with Second Vaccinated with First Vaccinated with
Age Type of dose? dose? Second dose?

No. and vaccine / brand

AEFI or Side Parents' / Guardian's AEFI or Side effects
of vaccine effects Name
(Family Name, First Name Middle Initial)
Sex Date Date YES NO YES NO
(indicate Purok #)
Marites Dela Cruz / x
Ex. Juan Dela Cruz 16/M Pfizer 11/8/2021 12/3/2021 None P15, Poblacion, New Bataan
John Michael Dela Cruz x x
Marcial Glova x x NONE
1 18/M P8, Gabi, Compostela
GLOVA, VIMBOY LEJANO
Cresencia Graviles x x NONE
2 18/M Pfizer 11/15/2021 12/4/2021 NONE P-Marpuri, New Alegria, Compostela
GRAVILES, JEROME QUIÑO
Marcila Libron / / NONE
3 17/M Pfizer 11/1/2021 12/3/2021 NONE P-Marpuri, New Alegria, Compostela
LIBRON JR., RODRIGO BANAG
Juancho Quiño x x NONE
4 17/M New Alegria, Compostela
QUIÑO, JHON TALOTALO
Mildred Alboroto x x NONE
5 17/F P1, Gabi, Compostela
ALBOROTO, ALEXXA MIKAELA BESTRE
Lenie Bacoy x x NONE
6 18/F Sinovac 11/29/2021 NONE P14, Gabi, Compostela
BACOY, JEAN NISSA LENDIO
Arlene Bag-ao x x NONE
7 17/F P4, Batinao, New Bataan
BAG-AO, TIFFANY GRACE BALBIN
Marcos Baranda x x NONE
8 17/F P7, Inopawan, Panag, New Bataan
BARANDA, JEA LUMINGKIT Lolita Baranda x x NONE
Eliseo Baylosis / / NONE
9 17/F Pfizer 11/12/2021 12/3/2021 NONE P2, Siocon, Compostela
BAYLOSIS, ELEZANE MAE VIGONTE
Charlene Bulac / / NONE
10 17/F Pfizer 11/24/2021 NONE P10, Gabi, Compostela
BULAC, MECAH LACIA
Jean Pijo / / NONE
11 17/F Diagnosed with SLE P10, Gabi, Compostela
CALIMUTAN, REGINE
Arcelyn Devera x x NONE
12 17/F Pfizer 11/30/2021 NONE P1, Gabi, Compostela
DEVERA, NORJAN LEGASPINA
Jonathan Encarnacion / x NONE
13 18/F Sinovac 9/28/2021 10/28/2021 NONE P-Marpuri, New Alegria, Compostela
ENCARNACION, HIZELL PAYOSAN
Ramil Galarpe x x NONE
14 17/F Panag, New Bataan
GALARPE, MELISA HOMIGOP Luisa Galarpe x x NONE
Zaida Gornez / x Muscle Pain
15 17/F Pfizer 11/30/2021 NONE P-Madredijos, New Alegria, Compostela
GORNEZ, REGINE LASTIMOSO
Antonio Graciano / / NONE
16 17/F P8, Gabi, Compostela
GRACIANO, MARIA THERESA NAMOCOT
Aurelio Homigop x x NONE
17 17/F P12, Gabi, Compostela
HOMIGOP, CHARIZ DIGAWAN
Remedios Carreon / NONE
18 19/F J &J 12/20/2021 Muscle Pain P3, Gabi, Compostela
LASTIMOSO, CHRISTINE CARREON
Josephinea Lavente / / NONE
19 17/F P4, Batinao, New Bataan
LAVENTE, MARY JOY MENDOZA
 Eleno Lejano x x NONE
20 20/F P4, Gabi, Compostela
LEJANO, IVY JANE RADA
 Gaudiosa Libron x x NONE
21 18/F Sinovac 11/24/2021 NONE P2, Gabi, Compostela
LIBRON, SHAIRA LENDIO
Nelson Lodovice x x NONE
22 17/F Bukal, Nabunturan
LODOVICE, JULIA MALILA
Carmelita Omantod / / NONE
23 17/F Pfizer 11/16/2021 12/7/2021 NONE P14, Gabi, Compostela
OMANTOD, HAIA QUEEN ESPAÑOLA
Jeckier Panergo / / NONE
24 27/F Sinovac 9/8/2021 10/8/2021 Fever P1, San Jose Compostela
PANERGO, MARY CRIS NUGAL
Dedencia Quiño / / Fever
25 18/F Pfizer 10/10/2021 11/4/2021 Fever P1, Gabi, Compostela
QUIÑO, KRISTINE JAYE BANOSONG
Junbert Diaz / / NONE
26 30/F P15, Gabi, Compostela
RECEMIENTO, ROSEL DEALCA
Dioscora Vigonte / / NONE
27 17/F Pfizer 11/12/2021 12/13/2021 NONE P2, Siocon, Compostela
VIGONTE, RONALYN LENDIO

Prepared by:

ARGIE JOY MARIE G. AMPOL Noted by:

Class Adviser
RONALD A. DERANO
Assistant School Principal II