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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
DANIAL ERHAM SYAZANI BIN MOHD HAMIZAN
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
010618060451 010618060451

SIJIL DIGITAL Tarikh Lahir / Date of Birth


18-Jun-2001
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
21-Feb-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


07-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan ADTEC, Jerantut
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FH2528

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


28-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan ADTEC, Jerantut
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FG6272
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
DANIAL ERHAM SYAZANI BIN MOHD HAMIZAN
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
010618060451 010618060451

SIJIL DIGITAL Tarikh Lahir / Date of Birth


18-Jun-2001
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
21-Feb-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


20-Feb-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV BERGERAK NCSM SELANGOR
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
1K077-1A

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