COVID-19 VACCINATION CERTIFICATE

Full Name:
MERRY MELODGEN PAGLALUNAN
MIRADOR

Date of Birth: Passport No.:

03-Jul-1990 P8088331B

Issuer:
Philippine Department of Health

Issuance Date and Time:

20-Dec-2021 12:39 PM

This is a secure QR code and can be verified by using the

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 643795828

Date of Vaccine/ Brand, Country of

Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

ChAdOx1-S
COVID-19 vaccine, non- [recombinant]
1 20-Jul-2021
replicating viral vector (AstraZeneca),
KOO2A Philippines
AstraZeneca

ChAdOx1-S
COVID-19 vaccine, non- [recombinant]
2 28-Sep-2021
replicating viral vector (AstraZeneca),
A1076 Philippines
AstraZeneca