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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
Noor Irzuana Binti Ismail
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
870905045094 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


05-Sep-1987
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
28-Dec-2021
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


30-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Jubli Intan Muar
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.
202106073N

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


20-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Jubli Intan Muar
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.
5019697
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
Noor Irzuana Binti Ismail
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
870905045094 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


05-Sep-1987
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
28-Dec-2021
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


17-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK ANDA
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.
FL3560

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