COVID-19 VACCINATION CERTIFICATE

VACCINEE DETAILS
Full Name:
JOSHUA TABAN UDANG

Date of Birth: Passport No.:

29-Sep-1989 P9302197B

Issuer:
Philippine Department of Health

Issuance Date and Time:

02-Sep-2022 01:16 PM

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

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 214198845

Dose Date of Country of

Vaccine/ Prophylaxis Brand, Manufacturer Lot Number
Number Vaccination Vaccination

COVID-19 vaccine, non- Janssen Ad26.COV2.S,

1 22-Dec-2021
replicating viral vector Johnson & Johnson
ACB3221 Philippines