BARANGAY MONTHLY INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________

SUMMARY

A. TOTAL NO. OF BARANGAY INHABITANTS

AGED 12 -17 YEARS OLD, ELIGIBLE FOR VACCINATION: Input Brgy Data Here

B. TOTAL NO. OF BARANGAY INHABITANTS

AGED 18 YEARS AND ABOVE, ELIGIBLE FOR VACCINATION: Input Brgy Data Here

C. TOTAL NO. OF BARANGAY INHABITANTS

AGED 12 YEARS AND ABOVE, ELIGIBLE FOR VACCINATION: 0

D. TOTAL NO. OF UNVACCINATED INDIVIDUALS AGED

12 YEARS AND ABOVE: -10

E. PERCENTAGE OF UNVACCINATED INDIVIDUALS AGED

12 YEARS AND ABOVE: #DIV/0!

F. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS

AGED 12 YEARS AND ABOVE: 3

G. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS

AGED 12 YEARS AND ABOVE: #DIV/0!
H. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS
AGED 12-17 YEARS: 1
I. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS
AGED 12-17 YEARS: #VALUE!
J. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS
AGED 18 YEARS AND ABOVE 6
K. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS
AGED 18 YEARS AND ABOVE: #VALUE!
L. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS
AGED 12 YEARS AND ABOVE: 7
M. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS
AGED 12 YEARS AND ABOVE: #DIV/0!
N. TOTAL NO. OF INDIVIDUALS AGED 18 YEARS AND ABOVE WITH
BOOSTER SHOT: 3
O. PERCENTAGE OF INDIVIDUALS AGED 18 YEARS AND ABOVE
WITH BOOSTER SHOT: 50.00%

AS OF (insert date): ___________________

Prepared by

Name and Signature of Barangay Secretary/Health Worker

Full Name of Partially or Fully Vaccinated Barangay Inhabitants

No. Birthday Age
Aged 12 Y/O and Above

1 EX: JUAN DELA CRUZ January 4, 1960 62

2 EX: JANE DOE November 11, 1978 43
3 EX: MARIA SANTOS April 1, 1983 38
 4 EX. JUANA DELA CRUZ October 13, 1999 22
5 EX. JOHN DOE December 5, 2004 17
6 EX. MARK SANTOS February 6, 2008 13
7 EX. ISAY REYES August 20, 1955 66
8 EX. ANA REYES May 1, 1954 67
9 EX. ISKO SANTIAGO June 24, 2001 20
10 EX. MARY SANTIAGO September 29, 1968 53
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

TOTAL
* Note: Input data for items A and B which may be sourced from the Registry of Barangay Inhabitants (RBI) which is updated every six months,
or from the 2020 Census of Population and Housing (2020 CPH) of the Philippine Statistics Authority (PSA).

Formula: C = A + B

Formula: D = C - (F + L)

Formula: E = D/C x 100

Formula: G = F/C x 100

Formula: I= H/A x 100

Formula: K= J/B x 100

Formula: L = H + J

Formula: M = L/C x 100

Formula: O = N/J x 100

Approved by

Name and Signature of Punong Barangay

PRIMARY SERIES OF COVID-19 VACCINE

(Note: 1. If brand is "Janssen, put NA in the column for "2nd
Dose"; Put "None" if unvaccinated) Fully
Vaccinated
Partially Fully Vaccinated
18 years old
Date of Vaccination vaccinated? 12-17 years old?
and above?
(Type 1 if Yes ; (Type 1 if Yes ;
(Type 1 if Yes
0 if No) 0 if No)
Brand ;
1st Dose 2nd Dose 0 if No)

June 17, 2021 September 19, 2021 Pfizer 0 0 1

October 20, 2021 NA Janssen 0 0 1
May 27, 2021 None Moderna 1 0 0
 April 19, 2021 June 21, 2021 Sinovac 0 0 1
October 10, 2021 January 17, 2022 Sputnik V 0 1 0
November 7, 2021 None Sinopharm 1 0 0
September 25, 2021 NA Janssen 0 0 1
September 25, 2021 NA Janssen 0 0 1
August 1, 2021 January 6, 2022 Moderna 0 0 1
July 18, 2021 None Pfizer 1 0 0
3 1 6
dated every six months,
 BOOSTER DOSE

Individuals 18 years
old and above with
Date of Vaccination
Booster Shot? Brand
(Booster Shot)
(Type 1 if Yes;
0 if No; NA if 12-17
Y/O)
1 January 6, 2021 Pfizer
0 None
0 None
 0 None
NA NA
NA NA
1 January 12, 2021 Janssen
1 January 12, 2021 Janssen
0 None
0 None
3
CITY/MUNICIPAL MONTHLY INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________

SUMMARY

A. TOTAL NO. OF BARANGAY INHABITANTS 260,000

AGED 12 -17 YEARS:

B. TOTAL NO. OF BARANGAY INHABITANTS 345,000

AGED 18 YEARS AND ABOVE:

C. TOTAL NO. OF BARANGAY INHABITANTS 605,000

AGED 12 YEARS AND ABOVE:

D. TOTAL NO. OF UNVACCINATED INDIVIDUALS AGED 150,000

12 YEARS AND ABOVE:

E. PERCENTAGE OF UNVACCINATED INDIVIDUALS AGED 24.79%

12 YEARS AND ABOVE:

F. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS 155,000

AGED 12 YEARS AND ABOVE:

G. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS 25.62%

AGED 12 YEARS AND ABOVE:
H. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 125,000
AGED 12-17 YEARS:
I. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 48.08%
AGED 12-17 YEARS:
J. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 175,000
AGED 18 YEARS AND ABOVE
K. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 50.72%
AGED 18 YEARS AND ABOVE:
L. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 300,000
AGED 12 YEARS AND ABOVE:
M. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 49.59%
AGED 12 YEARS AND ABOVE:
N. TOTAL NO. OF INDIVIDUALS AGED 18 YEARS AND ABOVE WITH 40,000
BOOSTER SHOT:
O. PERCENTAGE OF INDIVIDUALS AGED 18 YEARS AND ABOVE 22.86%
WITH BOOSTER SHOT:

AS OF (insert date): ___________________

Prepared and Submitted by

___________________________
Name and Signature of DILG C/MLGOO

Total No. of Total No. of

Total No. of
Barangay Barangay
Barangay
No. Name of Barangay Inhabitants Aged Inhabitants Aged
Inhabitants Aged
18 Y/O and 12 Y/O and
12 - 17 Y/O
Above Above
1 EX: BARANGAY A 160,000 260,000 420,000
2 EX: BARANGAY B 100,000 85,000 185,000
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
TOTAL 260,000 345,000 605,000
 Unvaccinated Individuals Partially Vaccinated Individuals Fully Vaccinated Individuals Aged Fully Vaccinated Individuals Aged
Aged 12 Y/O and Above Aged 12 Y/O and Above 12 -17 Y/O 18 Y/O and Above

Number Percentage Number Percentage Number Percentage Number

100,000 23.81% 120,000 28.57% 75,000 46.88% 125,000
50,000 27.03% 35,000 18.92% 50,000 50.00% 50,000
150,000 24.79% 155,000 25.62% 125,000 48.08% 175,000
cinated Individuals Aged Fully Vaccinated Individuals Aged Individuals Aged 18 Y/O and
8 Y/O and Above 12 Y/O and Above Above with Booster Shot

Percentage Number Percentage Number Percentage

48.08% 200,000 47.62% 30,000 24.00%
58.82% 100,000 54.05% 10,000 20.00%
50.72% 300,000 49.59% 40,000 22.86%
PROVINCIAL MONTHLY INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________

SUMMARY

A. TOTAL NO. OF CITY/MUNICIPALITY INHABITANTS 2,960,000

AGED 12 -17 YEARS:

B. TOTAL NO. OF CITY/MUNICIPALITY INHABITANTS 2,560,000

AGED 18 YEARS AND ABOVE:

C. TOTAL NO. OF CITY/MUNICIPALITY INHABITANTS 5,520,000

AGED 12 YEARS AND ABOVE:

D. TOTAL NO. OF UNVACCINATED INDIVIDUALS AGED 1,000,000

12 YEARS AND ABOVE:

E. PERCENTAGE OF UNVACCINATED INDIVIDUALS AGED 18.12%

12 YEARS AND ABOVE:

F. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS 1,900,000

AGED 12 YEARS AND ABOVE:

G. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS 34.42%

AGED 12 YEARS AND ABOVE:
H. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 620,000
AGED 12-17 YEARS:
I. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 20.95%
AGED 12-17 YEARS:
J. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 2,000,000
AGED 18 YEARS AND ABOVE
K. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 78.13%
AGED 18 YEARS AND ABOVE:
L. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 2,620,000
AGED 12 YEARS AND ABOVE:
M. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 47.46%
AGED 12 YEARS AND ABOVE:
N. TOTAL NO. OF INDIVIDUALS AGED 18 YEARS AND ABOVE WITH 700,000
BOOSTER SHOT:
O. PERCENTAGE OF INDIVIDUALS AGED 18 YEARS AND ABOVE 35.00%
WITH BOOSTER SHOT:

AS OF (insert date): ___________________

Prepared by: Submitted by:

___________________________ ___________________________
Name and Signature of DILG Provincial Focal Person Name and Signature of DILG Provincial Director

Total No. of
Total No. of Total No. of
City/Municipality
City/Municipality City/Municipality
No. Name of City/Municipality Inhabitants Aged
Inhabitants Aged Inhabitants Aged
12 Y/O and
12 - 17 Y/O 18 Y/O and Above
Above
1 EX: CITY A 1,160,000 1,260,000 2,420,000
2 EX: MUNICIPALITY A 1,100,000 500,000 1,600,000
3 EX: MUNICIPALITY B 700,000 800,000 1,500,000
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

TOTAL 2,960,000 2,560,000 5,520,000

LG Provincial Director

Fully Vaccinated Fully Vaccinated

Unvaccinated Individuals Partially Vaccinated Individuals Fully Vaccinated Individuals
Individuals Aged 18 Y/O Individuals Aged 12 Y/O
Aged 12 Y/O and Above Aged 12 Y/O and Above Aged 12 -17 Y/O
and Above and Above

Number Percentage Number Percentage Number Percentage Number Percentage Number

500,000 20.66% 700,000 28.93% 220,000 18.97% 1,000,000 79.37% 1,220,000
300,000 18.75% 800,000 50.00% 100,000 9.09% 400,000 80.00% 500,000
200,000 13.33% 400,000 26.67% 300,000 42.86% 600,000 75.00% 900,000
1,000,000 18.12% 1,900,000 34.42% 620,000 20.95% 2,000,000 78.13% 2,620,000
 Fully Vaccinated Individuals Aged 18 Y/O
ndividuals Aged 12 Y/O and Above with Booster
and Above Shot

Percentage Number Percentage

50.41% 400,000 40.00%
31.25% 100,000 25.00%
60.00% 200,000 33.33%
47.46% 700,000 35.00%
REGIONAL MONTHLY INVENTORY OF VACCINATED POPULATION

REGION:_________________

SUMMARY

A. TOTAL NO. OF PROVINCE/HUC/ICC INHABITANTS 6,060,000

AGED 12 -17 YEARS:

B. TOTAL NO. OF PROVINCE/HUC/ICC INHABITANTS 6,560,000

AGED 18 YEARS AND ABOVE:

C. TOTAL NO. OF PROVINCE/HUC/ICC INHABITANTS 12,620,000

AGED 12 YEARS AND ABOVE:

D. TOTAL NO. OF UNVACCINATED INDIVIDUALS AGED 2,000,000

12 YEARS AND ABOVE:

E. PERCENTAGE OF UNVACCINATED INDIVIDUALS AGED 15.85%

12 YEARS AND ABOVE:

F. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS 3,800,000

AGED 12 YEARS AND ABOVE:

G. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS 30.11%

AGED 12 YEARS AND ABOVE:
H. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 1,770,000
AGED 12-17 YEARS:
I. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 29.21%
AGED 12-17 YEARS:
J. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 5,050,000
AGED 18 YEARS AND ABOVE
K. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 76.98%
AGED 18 YEARS AND ABOVE:
L. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS 6,820,000
AGED 12 YEARS AND ABOVE:
M. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS 54.04%
AGED 12 YEARS AND ABOVE:
N. TOTAL NO. OF INDIVIDUALS AGED 18 YEARS AND ABOVE WITH 1,200,000
BOOSTER SHOT:
O. PERCENTAGE OF INDIVIDUALS AGED 18 YEARS AND ABOVE 23.76%
WITH BOOSTER SHOT:

AS OF (insert date): ___________________

Prepared by: Submitted by:

___________________________ ___________________________
Name and Signature of DILG Regional Focal Person Name and Signature of DILG Regional Director

Total No. of Total No. of

Province/HUC/ICC Province/HUC/ICC
No. Name of Province/HUC/ICC
Inhabitants Aged 12 - Inhabitants Aged 18
17 Y/O Y/O and Above

1 EX: HUC A 1,560,000 1,260,000

2 EX: HUC B 1,200,000 500,000
3 EX: ICC A 800,000 1,000,000
4 EX: Province A 1,500,000 2,000,000
5 EX: Province B 1,000,000 1,800,000
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
TOTAL 6,060,000 6,560,000
__________________
Signature of DILG Regional Director

Total No. of Fully Vaccinated

Unvaccinated Individuals Partially Vaccinated Individuals Fully Vaccinated Individuals
Province/HUC/ICC Individuals Aged 18 Y/O
Aged 12 Y/O and Above Aged 12 Y/O and Above Aged 12 -17 Y/O
Inhabitants Aged 12 and Above
Y/O and Above
Number Percentage Number Percentage Number Percentage Number
2,820,000 600,000 21.28% 900,000 31.91% 320,000 20.51% 1,000,000
1,700,000 400,000 23.53% 800,000 47.06% 100,000 8.33% 400,000
1,800,000 200,000 11.11% 400,000 22.22% 500,000 62.50% 700,000
3,500,000 400,000 11.43% 700,000 20.00% 450,000 30.00% 1,950,000
2,800,000 400,000 14.29% 1,000,000 35.71% 400,000 40.00% 1,000,000
12,620,000 2,000,000 15.85% 3,800,000 30.11% 1,770,000 29.21% 5,050,000
 Fully Vaccinated Fully Vaccinated Individuals Aged 18 Y/O
ndividuals Aged 18 Y/O Individuals Aged 12 Y/O and Above with Booster
and Above and Above Shot

Percentage Number Percentage Number Percentage

79.37% 1,320,000 46.81% 300,000 30.00%
80.00% 500,000 29.41% 150,000 37.50%
70.00% 1,200,000 66.67% 250,000 35.71%
97.50% 2,400,000 68.57% 300,000 15.38%
55.56% 1,400,000 50.00% 200,000 20.00%
76.98% 6,820,000 54.04% 1,200,000 23.76%