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  • Maklumat Vaksinasi: Vaccination Details

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    12 views2 pages

    Maklumat Vaksinasi: Vaccination Details

    Uploaded by

    Derek Reggie

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

    Nama / Name
    Derek Reggie Adai
    Warganegara / Nationality
    Malaysian

    MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
    840612135101 840612135101

    SIJIL DIGITAL Tarikh Lahir / Date of Birth


    12-Jun-1984
    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
    17-Dec-2021
    Page 1 of 2

    MAKLUMAT VAKSINASI / VACCINATION DETAILS

    Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


    12-Aug-2021
    Pusat Pemberian Vaksin / Vaccination Center
    DESARU COAST CONFERENCE CENTRE
    Nama Produk / Product name
    CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
    Inactivated 2 doses/vial
    Nama Umum / Common Name
    Sinovac
    Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
    Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated
    virus
    No. Lot / Batch No.
    202106082K

    Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


    02-Sep-2021
    Pusat Pemberian Vaksin / Vaccination Center
    DESARU COAST CONFERENCE CENTRE
    Nama Produk / Product name
    CoronaVac Suspension for Injection COVID-19 Vaccine (Vero Cell),
    Inactivated 2 doses/vial
    Nama Umum / Common Name
    Sinovac
    Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
    Pharmaniaga Lifescience Sdn. Bhd.COVID-19 vaccine, inactivated
    virus
    No. Lot / Batch No.
    5020086
    MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
    Nama / Name
    Derek Reggie Adai
    Warganegara / Nationality
    Malaysian

    MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
    840612135101 840612135101

    SIJIL DIGITAL Tarikh Lahir / Date of Birth


    12-Jun-1984
    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
    17-Dec-2021
    Page 2 of 2

    MAKLUMAT VAKSINASI / VACCINATION DETAILS

    Booster Dose Tarikh Divaksin / Date of Vaccination


    08-Dec-2021
    Pusat Pemberian Vaksin / Vaccination Center
    POLIKLINIK PENAWAR
    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.
    FH4752

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