COVID-19 VACCINATION CERTIFICATE

VACCINEE DETAILS
Full Name:
MABINI MEDIADO GARCIA JR

Date of Birth: Passport No.:

09-May-1974 P9919372B

Issuer:
Philippine Department of Health

Issuance Date and Time:

16-Sep-2022 05:58 PM

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

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 119735342

Dose Date of Country of

Vaccine/ Prophylaxis Brand, Manufacturer Lot Number
Number Vaccination Vaccination

COVID-19 vaccine, RNA- BNT162b2 (Pfizer-BioNTech),

3 10-Jun-2022
based Pfizer-BioNTech
FM9090 Philippines