COVID-19 VACCINATION CERTIFICATE

Full Name:
LIEZL GABO JORDAN

Date of Birth:
02-Oct-1975

Issuer:
Philippine Department of Health

Issuance Date and Time:

11-Apr-2022 08:25 PM

This is a secure QR code and can be

verified by using
the
scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 233941087

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

COVID-19 vaccine, CoronaVac,

1 17-Jun-2021
inactivated virus Sinovac
C202105092 Philippines

COVID-19 vaccine, CoronaVac,

2 15-Jul-2021
inactivated virus Sinovac
L202106034 Philippines

COVID-19 vaccine, CoronaVac,

3 02-Mar-2022
inactivated virus Sinovac
C202109201 Philippines