COVID-19 VACCINATION CERTIFICATE

Full Name:
LAWRENCE PO PANGANIBAN

Date of Birth: Passport No.:

16-Jan-1990 P9835151A

Issuer:
Philippine Department of Health

Issuance Date and Time:

30-May-2022 01:49 PM

This is a secure QR code and can be

verified by using
the
scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 299481737

Date of Vaccine/
Brand,
Country of
Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

COVID-19 vaccine, RNA- Moderna,

1 22-Oct-2021
based Moderna
3005784 Philippines

COVID-19 vaccine, RNA- Moderna,

2 19-Nov-2021
based Moderna
083F21B Philippines

COVID-19 vaccine, RNA- Moderna,

3 27-May-2022
based Moderna
000097A Philippines