1 /1

Ministry of Health

Covid 19 National Vaccination Certificate

Name
Date of birth
ANA CARLA DE SOUZA UCHOA
28.Mar.2001
VASCONCELOS Gender
Mother's Name Feminino
ANA MARIA DE SOUZA Nationality
ID Brasileira
015.952.511-03

Doses administered

Date Vaccine* Manufacturer Dose Lot Number CNES**

COVID-19 SINOVAC/BUTANTAN - SINOVAC
09.Oct.2021 2/2 210465 9686940
CORONAVAC /BUTANTAN
COVID-19 SINOVAC/BUTANTAN - SINOVAC
16.Sep.2021 1/2 210455 9686940
CORONAVAC /BUTANTAN

* The name of the vaccine is presented from the information of the Prophylaxis Name, Manufacturer/License
Holder - Trade name of the product.
** CNES indicates the Identification Number, at the National Registry of Health Establishments (CNES), of the
one where the vaccine was administered.
CNES 9686940: UBS MARTINS - UBERLANDIA/MG

Date of the issue : 01.Mar.2022, at 11:40 AM

This certificate is issued free of charge by Conecte SUS

and the information was provided by the National
Health Data Network - DATASUS/Ministry of Health.

Its authenticity can be confirmed through the Conecte

SUS application QR Code reader or on the Valida
Certidao page on the Internet, at validacertidao.saude.
gov.br, entering the code:

6Z3G.N9K1.JCCH.SAWM

Remarks: This certificate is valid throughout Brazil. It is not mandatory to hold one. It cannot be used for
discriminatory purposes.