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INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 JOEL B . BARTE 11/17/2021 1/18/2022

2 FLORENCIA C. BARTE 12/1/2021 1/18/2022

3 JAIME V. CARDONA 11/29/2021 12/20/2021

4 HAZEL M. CARIG 10/14/2021 11/12/2021

5 GEORGE V. CARDONA 1/18/2022 N/A

6 CLARK GEORGE P. CARDONA 11/12/2021 12/15/2021

7 CLARISSA MAE P. CARDONA 10/26/2021 11/24/2021


8 MATT PLAZIONS E. SIGUE 11/17/2021 12/9/2021

9 MELITA M. DELA CRUZ 11/17/2021 12/9/2021

10 VINCENT R. SELGA 11/17/2021 12/9/2021

11 FE D. CATALO 11/17/2021 12/9/2021

12 PIPITO DELA CRUZ 11/17/2021 12/9/2021

13 APRIL C. GUITING 11/17/2021 12/9/2021

14 ARVIN G. ROSALES 11/15/2021 12/9/2021

15 DEMETRIA A. VIRAY 2/11/2022 N/A

16 JUANITO A. LAJERA 1/13/2022

17 MA. GINA V. ABAN 1/13/2022

18 MARY ROSE V. ABAN 11/29/2021 1/13/2022

19 ALEX J. AQUINO 7/21/2021 9/3/2021

20 JINKY V. AQUINO 7/21/21/ 9/3/2021

21 CHRISTIAN JESSIE V. ISIDRO 11/29/2021 1/13/2022

22 GENARO L. ILASIN 11/19/2021 12/15/2021

23 GENARO G. ILASIN 9/30/2021 11/26/2021

24 JESSICA D. PATIO 11/29/2021 1/13/2022

25 GECELL G. ILASIN 11/19/2021 12/15/2021

26 JESUS A. VIRAY 8/5/2021 9/19/2021

27 FREDIE S. DAYAG 11/29/2021 1/7/2022

28 TERESA A. DAYAG 10/15/2021 11/8/2021

29 ADRIANN MARCO A. DAYAG 11/29/2021 1/13/2022

30 DALE ALFRED A. DAYAG 11/29/2021 12/20/2021

31 MARJORIE M. CALUB 11/16/2021 12/9/2021

32 ADRIAN C. BADUA 11/16/2021 12/9/2021

33 PABLO D. BADUA 8/8/2021 11/9/2021

34 RIMARK B. LAZARO 1/28/2021

35 FELIZA C. HIDALGO 8/5/2021 9/3/2021

36 RIMAJOHN C. LAZARO 8/26/2021 9/23/2021


37 DEISERY C. HIDALGO 11/22/2021 12/20/2021

38 LARENCE H. DELOS SANTOS 11/19/2021 12/20/2021

39 PINKY OLYN GRACE DELOS SANTOS 11/19/2021 12/15/2021

40 RONEL A. VISUYAN 12/20/2021 N/A

41 MARIO Z. SANDOVAL 7/23/2021 N/A

42 TERESITA C. SANDOVAL 11/17/2021 12/15/2021

43 MARCELO P. PIDO 11/23/2021 1/13/2022

44 CORAZON D. PIDO 11/24/2021 1/13/2022

45 GERALD D. PIDO 10/17/2021 11/30/2021

46 CHARLIE D. PIDO 11/23/2021 12/16/2021

47 LYNDON M. SENESAN 10/8/2021 10/29/2021

48 LEONIDA M. DELA CRUZ 2/18/2022 N/A

49 ANGEL A. CABRERA 9/7/2021 10/5/2021

50 MANUELA D. CALUB NONE NONE

51 MARCELA A. DAYAG NONE NONE

52 PASTOR VIRAY NONE NONE

53 FLORY GANITUIN NONE NONE

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

PFIZER 0 0 1

MODERNA 0 0 1

SPUTNIK 0 0 1

MODERNA 0 0 1

JANSSEN 0 0 1

MODERNA 0 0 1

MODERNA 0 0 1
PFIZER 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

JANSSEN 0 0 1

SINOVAC 0 1 0

SINOVAC 0 1

PFIZER 0 0

SINOVAC 0 0 1

SINOVAC 0 0 1

PFIZER 0 0 1

SINOVAC 0 0 1

ASTRAZENECA 0 0 1

SINOVAC 0 0 1

PFIZER 0 0 1

SINOVAC 0 0 1

SINOVAC 0 0 1

PFIZER 0 0 1

SINOVAC 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

SINOVAC 0 0 1

MODERNA 0 0 0

SINOVAC 0 0 1

SINOVAC 0 0 1 1
SINOVAC 0 0 1

MODERNA 0 0 1

PFIZER 0 0 1

JANSSEN 0 0 1

JANSSEN 0 0

MODERNA 0 0 1

SINOVAC 0 0 1

SINOVAC 0 0 1

SINOVAC 0 0 1

PFIZER 0 0 1

PFIZER 0 0 1

JANSSEN 0 0 1

SINOVAC 0 0 1 1
NONE 1 0 0 0
NONE 1 0 0 0
NONE 1 0 0 0
NONE 1 0 0 0
Date of Vaccination Brand
1/4/2021 MODERNA
1/21/2022 ASTRAZENECA
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 ROGELIO SELGA 7/27/2021 N/A

2 AMELIA SELGA 7/27/2021 N/A

3 ROCHELLE SELGA 8/12/2021 10/26/2021

4 MICHAEL JOHN SANCHEZ 7/6/2021 10/6/2021

5 ROWIE SELGA 7/6/2021 10/6/2021

6 NICANOR SAMONTE 8/5/2021 11/20/2021

7 FELIZA SAMONTE 8/5/2021 11/20/2021


8 GLORIA SOBERANO 8/5/2021 11/20/2021

9 DANIELA JEAN SABADO 11/15/2021 12/9/2021

10 CHRISTIAN JAY ASUNCION 11/15/2021 12/9/2021

11 ERIKA SOBERANO 11/12/2021 12/9/2021

12 SHANE NICOLE ASUNCION 11/12/2021 12/9/2021

13 APOL GRACE ASUNCION 11/12/2021 12/9/2021

14 MARITES MABALI 11/22/2021 12/20/2021

15 JEVEE MABALI 1/13/2021 NONE

16 ROSALINDA SELGA 9/17/2021 10/15/2021

17 NOEL DAGSON 9/17/2021 10/15/2021

18 ADELLA VENTURA 7/27/2021 N/A

19 EDWIN VENTURA 7/26/2021 9/20/2021

20 DELIA VIRAY 7/27/2021 N/A

21 ALLAN VIRAY 7/29/2021 8/26/2021

22 CELESTINE JOY VENTURA 11/19/2021 12/20/2021

23 JUDITH VIRAY 10/15/2021 11/5/2021

24 DEXTER JEAVI NIONES 8/11/2021 10-Sep

25 JOSEPHINE MONES 11/29/2021 1/7/2021

26 JHON MATTHEW LAPITAN 2/4/2022 NONE

27 MARY ANN SOBERANO 11/17/2021 12/9/2021

28 CATHERINE SOBERANO 11/17/2021 12/9/2021

29 LOLITA DUMLAO NONE NONE

30 PRECY VENTURA 7/27/2021 N/A

31 JUSTINE VENTURA 10/28/2021 11/29/2021

32 JONNY BOY VENTURA 11/9/2021 12/20/2021

33 LOVELY FAYE VENTURA 11/19/2021 12/20/2021

34 KAREN ABERION 11/12/2021 12/22/2021

35 SIMPLICIO ABERION 5/25/2021 6/22/2021

36 KATE LOREN ABERION 11/12/2021 12/22/2021


37 ALDWIN LACERNA 8/6/2021 9/3/2021

38 ANNA LIZA VERGARA 10/15/2021 11/6/2021

39 11/15/2021 12/9/2021

40 ARTURO VERGARA 7/27/2021 N/A

41 ERMILANDO VERGARA 7/27/2021 N/A

42 NATIVIDAD VERGARA 7/27/2021 N/A

43 RENALYN DUMLAO 10/26/2021 12/22/2021

44 ANTONIO BAUTISTA 11/17/2021 12/9/2021

45 JONATHAN DUMLAO 11/8/2021 12/22/2021

46 NATHALIA DUMLAO 12/22/2021 NONE

47 GODOFREDO ABERION 11/17/2021 12/9/2021

48 JEFFRY PULA 8/5/2021 NONE

49 CRISANTA ROSARIO 11/29/2021 12/20/2021

50 CHRISTOPHER ROSARIO 11/24/2021 1/13/2022

51 DANICO CALUB 8/5/2021 NONE

52 ROSIE DAYAG 7/31/2021 N/A

53 LEIZEL DUMLAO 11/8/2021 12/22/2021

54 ALFREDO PULA 7/27/2021 N/A

55 SUSANA PULA 11/17/2021 12/9/2021

56 JOHNGLEAN GUITING 11/15/2021 12/9/2021

57 ARNOLD GUITING 11/15/2021 12/9/2021

58 MYRA MONES 11/17/2021 12/9/2021

59 LEONARD MONES 11/17/2021 12/15/2021

60 RAFFY AQUINO 11/17/2021 12/15/2021

61 JB PULA 11/17/2021 12/9/2021

62 ROSANNA AQUINO 11/19/2021 12/17/2021

63 ABRIL ANN BAROTILLA 11/19/2021 12/17/2021

64 RYNARD MONES 11/17/2021 12/9/2021

65 CHARIE MAE RAMOS 11/23/2021 12/17/2021


66 ROSE MARIE RAMOS 11/29/2021 1/18/2022

67 JULIE DELA CRUZ 11/29/2021 1/18/2022

68 ROMA JENN FLORES 11/4/2021 12/17/2021

69 DARIO DELA CRUZ 8/6/2021 9/3/2021

70 ALELI VERSOLA 10/4/2021 10/28/2021

71 MARION RAMOS 8/5/2021 11/20/2021

72 10/7/2021 10/28/2021

73 MORRIE LAPITAN 11/16/2021 12/9/2021

74 JOHN MARK LAPITAN 11/16/2021 12/9/2021

75 PRINCESS DUMLAO NONE NONE

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

JANSEN 0 0 1 0
JANSEN 0 0 1 1
ASTRAZENECA 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 1 0

SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
JANSEN 0 0 1 0
ASTRAZENECA 0 0 1 0
JANSEN 0 0 1 0
SINOVAC 0 0 1 1
MODERNA 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 1 0 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
1 0 0 0
JANSEN 0 0 1 1
MODERNA 0 0 1 0
MODERNA 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
JANSEN 0 0 1 1
JANSEN 0 0 1 0
JANSEN 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 1 0 0
PFIZER 0 0 1 0
SINOVAC 0 1 0 0
SPUTNIK 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 1 0 0
JANSEN 0 0 1 0
PFIZER 0 0 1 0

JANSEN 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 0 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

MODERNA 0 0 1 0

MODERNA 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0
SINOVAC 0 0 1 0

SPUTNIK 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

1 5 67 4
Date of Vaccination Brand

1/13/2022 MODERNA
SN.FERNAND
1/17/2022 SINOVAC
O

12/15/2021 ASTRAZENECA
12/20/2021 ASTRAZENECA
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 JULIUS ALLIEN DUMLAO 12/20/2021 N/A

2 MARK DUMLAO 12/20/2021 N/A

3 ANN MARIE DUMLAO 12/15/2021 1/18/2022

4 ARA MAE DUMLAO 12/9/2021 1/18/2022

5 WILFREDO DUMLAO 1/18/2022 N/A

6 AIMY RIVERA 11/17/2021 12/15/2021

7 JOEL RIVERA 1/28/2022 N/A


8 JHON EDISON RIVERA 12/15/2021 1/18/2022

9 RONALD DULAY 11/3/2021 11/24/2021

10 VIOLETA DULAY 11/17/2021 12/15/2021

11 ORLANDO CADA 11/9/2021 11/30/2021

12 BRENDALYN CADA 8/11/2021 9/10/2021

13 MHEAKA ELLA CADA 11/19/2021 12/15/2021

14 KOTARO KAKIUCHI 11/5/2021 12/17/2021

15 NANAKO KAKIUCHI 11/5/2021 12/17/2021

16 CATHERINE KAKIUCHI 11/12/2021 12/15/2021

17 HERMEGILDO ESPIRITU 6/18/2021 7/18/2021

18 ANASTACIA ESPIRITU 6/18/2021 7/18/2021

19 RODERICK REGACHO 2/4/2021

20 JOAN JOY REGACHO 11/12/2021 12/17/2021

21 JERICHO REGACHO 11/25/2021 12/17/2021

22 PRINCESS REGACHO 11/25/2021 12/17/2021

23 KRISMEL JOY MAPALO 11/16/2021 12/9/2021

24 JAY MARK MAPALO 11/9/2021 30-Nov

25 CRISANTA MAPALO 11/9/2021 11/30/2021

26 JULIUS C. MAPALO 8/11/2021 9/10/2021

27 MELICIO MAPALO 8/6/2021 3-Sep

28 FELISIMA CASILANG 10/8/2021 10/29/2021

29 TEOFILO MAPALO 10/8/2021 10/29/2021

30 MILAGROS MAGSISI 11/12/2021 12/9/2021

31 JANELLE MAGSISI 11/29/2021 12/22/2021

32 GEORGE MAGSISI 12/29/2021

33 NOEMIE CARDONA 11/29/2021 1/13/2022

34 JOEL CARDONA 12/9/2021 1/13/2021

35 TERESITA DUMLAO 8/11/2021 9/10/2021

36 EDWIN DUMLAO 10/5/2021 11/3/2021


37 NESTOR DUMLAO 8/24/2021 10/1/2021

38 CLARISSA JANE COLOMA 8/24/2021 10/1/2021

39 RAUL MONES 5/15/2021 6/22/2021

40 GLENDA QUIMING 8/7/2021 10/1/2021

41 MARLON QUIMING 8/2/2021 8/31/2021

42 SANTA VIRGEN DULAY 10/23/2021 11/20/2021

43 MARK HILL DULAY 11/25/2021 12/17/2021

44 ELIZABETH ANDRES 11/17/2021 12/9/2021

45 JONALYN ANDRES 11/17/2021 12/9/2021

46 MILAGROS DELA CRUZ 11/16/2021 12/9/2021

47 MICAH BAUTISTA 11/16/2021 12/9/2021

48 ROMEO DELA CRUZ 11/16/2021 12/9/2021

49 ROBIN DELA CRUZ 11/16/2021 12/9/2021

50 RONIE DELA CRUZ 11/16/2021 12/9/2021

51 KATLYN PULA 11/12/2021 1/13/2022

52 FERNANDO PULA 11/12/2021 1/13/2022

53 FERDINAND PARRO JR 11/29/2021 1/13/2022

54 CRISTINE SORIANO 9/7/2021 10/8/2021

55 MARIO SORIANO 7/27/2021 N/A

56 KENEITH ABRIA 9/8/2021 11/17/2021

57 ELMIRA PULA 11/9/2021 11/30/2021

58 ELMER SELGA 11/17/2021 12/9/2021

59 MARIANO MAPALO 6/6/2021 7/3/2021

60 CHATIRENE MAPALO 7/27/2021 N/A

61 MARK LUIS MAPALO 7/27/2021 N/A

62 MARIANO MAPALO III 9/6/2021 10/11/2021

63 RENANTE MAPALO 7/27/2021 N/A

64 REYNALD MONTEDE RAMOS 11/29/2021 1/4/2022

65 SHAIRA MONTE DERAMOS 11/29/2021 2/18/2022


66 YOLANDA MONTE DE RAMOS 11/29/2021 2/18/2022

67 KIETH JHON ABRIA 11/12/2021 12/9/2021

68 JOSELITO ABRIA 11/12/2021 12/9/2021

69 GEORGE LEYGA 10/1/2021 10/23/2021

70 CRISTY LEYGA 10/1/2021 10/23/2021

71 PRECIOUS LOVE MAPALO 2/14/2022

72 RAYMOND DULAY 2/18/2022 N/A

73 JHUN RED MAPALO 11/19/2021 12/16/2021

74 FERDINAND PARRO JR 2/18/2022 N/A

75 GIAN JILLIAN SORIANO 11/29/2021 12/20/2021

76 JUSTINE BRIAN RAFANAN 11/29/2021 12/20/2021

77 ALEXANDREA KATE MEJIA 11/29/2021 12/20/2021

78 MARIANO REGACHO NONE NONE

79 MELBA ISAAC NONE NONE

80 REYNALDO REGACHO NONE NONE

81 RONALD MAPALO NONE NONE

82 DIRECK DULAY NONE NONE

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Unvacinnated? Partially Vacinnated?
(Put 1 if Yes or vacinnated (put 1 (Put 1 if Yes BOOSTER DOSE
0 if No) if Yes or 0 if No) or
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
MODERNA 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 0 0
PFIZER 0 1 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1

PFIZER 0 0 1 1

PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SPUTNIK 0 1 0 0
SINOVAC 1 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1

ASTRAZENECA 0 0 1 1

SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 1

JANSSEN 0 0 1 1

JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

6 3 74 6
Date of Vaccination Brand
2/14/2022 PFIZER

2/14/2022 PFIZER

2/14/2022 PFIZER
1/31/2022 ASTAZENECA

1/25/2022 PFIZER

1/3/2022 MODERNA
1/3/2022 MODERNA
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 VERONICA D. MAPALO 5/7/2021 6/9/2021

2 ROMULO J. MAPALO 8/31/2021 11/30/2021

3 CRYSTAL JANE D. MAPALO 11/5/2021 11/30/2021

4 MARY GRACE D. MAPALO 11/19/2021 12/15/2021

5 GEMMA R. PULA 10/15/2021 11/5/2021

6 JIMMY V.JACOB 11/29/2021 1/13/2022

7 JESUS V.JACOB Jr. 11/15/2021 12/13/2021


8 JESUS JACOB Sr. 11/24/2021 1/13/2022

9 AMALIA V. JACOB 11/24/2021 1/13/2022

10 JOEL V. JACOB 12/9/2021 1/13/2022

11 ROSALINDA CRAME 6/23/2021 7/23/2021

12 JONATHAN PALMA 10/15/2021 11/5/2021

13 BLANCA NISSA SARMIENTO 10/15/2021 11/5/2021

14 TERESITA T. JACOB 11/24/2021 1/13/2022

15 CHRISTIAN C. HERRERO 10/25/2021 11/20/2021

16 PERLA OBEDOZA 7/27/2021 N/A

17 YEEHON LEE 11/29/2021

18 MERWIN R. OBEDOZA 11/29/2021 1/7/2022

19 MA. CHRISTINA JACOB 11/24/2021 1/13/2022

20 ARMANDO T. JACOB 12/9/2021 2/4/2022

21 JOVAN PAUL REBOLA 11/24/2021 1/13/2022

22 GEOFFREY REBOLA 12/9/2021 1/13/2022

23 DOMINADOR JACOB Sr. 11/29/2021 2/4/2022

24 ONAJAN A. JACOB 9/7/2021 5-Oct

25 MARIEBHEL MAINES 8/11/2021 9/10/2021

26 NICOLE DELA CRUZ 11/15/2021 12/13/2021

27 VERLYN ESPIRITU 11/9/2021 12/2/2021

28 FRINCES MAE REPOYO 11/19/2021 12/15/2021

29 JHON CARL REPOYO 11/19/2021 12/15/2021

30 NHAYMA CASEM 11/17/2021 12/16/2021

31 REYNON TEODORO Sr. 11/23/2021 12/16/2021

32 RONNIE JACOB 5/15/2021 6/22/2021

33 GARY JAY NASAM 11/9/2021 1/13/2022

34 DARMELITO REYNON 7/18/2021 9/19/2021

35 JESSA D. REGACHO 11/29/2021 1/13/2022

36 LORNA R. REGACHO 1/13/2022


37 AILEEN GABALEO 11/29/2021 1/13/2022

38 GODWIN CHRISTIAN PITPITAN 11/19/2021 12/15/2021

39 GLAIZA ALVARADO 11/26/2021 12/20/2021

40 MA.QUENCY XYZERLYN DALUZ 9/17/2021 10/15/2021

41 CRESENCIA SONACO 8/10/2021 9/10/2021

42 MARCELO SONACO 12/23/2021 1/24/2022

43 JUDITH REGACHO 9/17/2021 11/9/2021

44 CHARWIN REGACHO 8/31/2021 10/1/2021

45 MARK REGACHO 11/22/2021 12/10/2021

46 MICHELLE JOY REGACHO 11/24/2021 12/22/2021

47 ADELAIDA REGACHO 7/27/2021 N/A

48 PITPITAN CRISANTA 7/15/2021 8/30/2021

49 GENRICK GATDULA 12/20/2021

50 RODOLFO GATDULA 12/23/2021 N/A

51 DIANE GATDULA 11/23/2021 12/15/2021

52 RODEL GATDULA 11/9/2021 12/22/2021

53 LAWRENCE GATDULA 11/19/2021 12/15/2021

54 VIDA REYNON 7/27/2021 N/A

55 JOSEPHINE R. GATDULA 8/11/2021 9/10/2021

56 MARVIN SONACO 11/19/2021 12/15/2021

57 MERLY SONOCO 11/23/2021 12/22/2021

58 MARLYN REBOLA 11/26/2021 12/27/2021

59 RUFINA ALMONTE 5/7/2021 6/9/2021

60 CARLOS ALMONTE Sr. 11/25/2021 12/17/2021

61 CARLOS ALMONTE Jr. 1/11/2022 2/11/2022

62 MANOLO MAGADIA 6/11/2021 7/9/2021

63 ARLENE MAGADIA 6/11/2021 7/9/2021

64 JOHN LEE DUCULAN 10/18/2021 11/8/2021

65 ROXANNE DUCULAN 12/20/2021 1/18/2022


66 ALDRIN P. PANAGA 5/25/2021 6/22/2021

67 MYLYN R. PANAGA 8/24/2021 10/1/2021

68 MILDRED M. REGACHO 10/6/2021 10/29/2021

69 JOHN MC. CAINE PANAGA 11/15/2021 12/9/2021

70 GENARO CATABAY 7/13/2021 8/13/2021

71 LUCILA CATABAY 7/27/2021 N/A

72 GENALYN CATABAY 10/19/2021 12/16/2021

73 RIZALINO ALMONTE 8/12/2021 10/21/2021

74 JASTINE ALMONTE 8/13/2021 9/10/2021

75 NUMERIANO PULA 1/13/2022 n/a

76 MARINA PULA 11/12/2021 1/29/2022

77 MELECIO GATCHALIAN 7/27/2021 N/A

78 PATRICIA LACHICA 11/16/2021 12/9/2021

79 GEMMA R. PULA 10/15/2021 11/5/2021

80 MARJORIE R. PULA 11/5/2021 12/2/2021

81 KIM GILMAR PULA 11/16/2021 12/9/2021

82 MARILYN PULA 10/15/2021 11/12/2021

83 GLENN ANDRIE GATDULA 11/17/2021 12/16/2021

84 MARIVIC REGACHO NONE NONE

85 PETER TAN NONE NONE

86 FREDDIE REGACHO NONE NONE

87 ANGELICA REGACHO NONE NONE

88 SYNAL MAGEDALA NONE NONE

89 RONALDO REGACHO NONE NONE

90 FELECIANA JACOB NONE NONE

91 SOFIA JACOB NONE NONE

92 FRANCISCO REPOYO NONE NONE

93 MARGARITA REPOYO NONE NONE


94 RINGO ESPIRITU NONE NONE

95 VIOLETA ESPIRITU NONE NONE

96 GRINGO ESPIRITU NONE NONE

97 CONSUELO ALVARADO NONE NONE

98 ROMEO JACOB Sr. misplace N/A

99 RAYMUND PITPITAN 11/9/2021 12/9/2021

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

SINOVAC 0 0 1 1
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
MODERNA 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
JANSSEN NONE 0 1 0
PFIZER 0 1 0 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1
SINOVAC 0 0 1 1
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 1
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SPUTNIK V 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 1 0 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SPUTNIK 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN NONE 0 1 0
SINOVAC 0 0 1 0
SINOVAC 1 0 0
JANSSEN NONE 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
JANSSEN NONE 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1

PFIZER 0 0 1 0

ASTRAZENECA 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0
SINOVAC 0 0 1 1

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

JANSSEN NONE 0 1 0

ASTRAZENECA 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 1

SINOVAC 0 1 0 0

PFIZER 0 0 1 0

JANSSEN NONE 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

MODERNA 0 0 1 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0
NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

NONE 1 0 0 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

14 4 81 7
Date of Vaccination Brand

2/4/2022 PFIZER
1/7/2022 PFIZER

1/7/2022 PFIZER

1/31/2022 PFIZER
2/4/2022 PFIZER
1/7/2022 PFIZER

1/17/2022 MODERNA

12/15/2021 ASTRAZENECA
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 EDUARDO SAGUN 7/23/2021 N/A

2 YOLANDA SORIANO 7/27/2021 N/A

3 BENEDICTA GUMALLAOE 7/27/2021 N/A

4 RAFFY GUMALLAO 8/11/2021 9/10/2021

5 RACQUEL GUMALLAOE 11/22/2021 12/22/2021

6 LUCENA ESTRADA 7/27/2021 N/A

7 ERNESTO ESTRADA 7/27/2021 N/A


8 JOCELYN MAPALO 12/15/2021 1/21/2021

9 MARIBEL RICAMARA 7/22/2021 8/20/2021

10 BENEDICK DELA CRUZ 12/15/2021 1/21/2022

11 MARK RAVEN DELA CRUZ 11/23/2021 12/15/2021

12 ANITA MARIANO 7/27/2021 N/A

13 MARTINA ALCANTARA 7/27/2021 N/A

14 ANA MADE ALCANTARA 9/18/2021 10/26/2021

15 MARISSA CABILDO 5/16/2021 6/6/2021

16 JULIETA CABILDO none none

17 CESAR REPOYO 7/27/2021 N/A

18 LUCRENA DIANITO none none

19 CHRISTINE ANGEL REPOYO none none

20 JASMIN LOVINA 7/27/2021 N/A

21 WHELHILMINA LOBINA 7/27/2021 N/A

22 RODRIGO RIVERA none none

23 ELENITA RIVERA none none

24 ROSSANA RIVERA none none

25 MARISOL RIVERA none none

26 MOISES RIVERA 11/23/2021 12/15/2021

27 RODRIGO RIVERA JR. none none

28 CHRISTIAN CARIAZO none none

29 EVELYN CARIAZO none none

30 JEFFREY RIVERA 1/25/2022 N/A

31 MARK JEFFERSON RIVERA none none

32 GEMMA RIVERA 11/25/2021 1/25/2022

33 JASMIN LOVINA 1/27/2021 N/A

34 GARY GARCIA 1/28/2022 N/A

35 GINA RIVERA 1/25/2022 N/A

36 GWEN GAIL GARCIA 1/25/2022


37 MERLINA RIVERA 11/12/2021 12/6/2021

38 MARLO TINAZA 12/20/2021 2/4/2022

39 JOBCELYN TINAZA 11/25/2021 2/4/2022

40 MARJORIE TINAZA 11/25/2021 1/25/2022

41 JOEL RIVERA 11/23/2021 12/15/2022

42 CATHY EDITHA RIVERA none none

43 JUSTINE KEY RIVERA 11/23/2021 12/15/2021

44 CONRADO RIVERA none none

45 JOSEFINA RIVERA none none

46 FLORENCIO ACAIN none none

47 EMELDA ACAIN 4/23/2021 5/26/2021

48 CENJIN ACAIN 11/21/2021 12/15/2021

49 SHARMAINE ACAIN none none

50 ARVIN ACAIN 10/25/2021 11/20/2021

51 KAREN MAE ABALAHIN none none

52 BRIGIDA CABRERA 1/18/2022 N/A

53 IRWIN CABRERA 1/18/2022 N/A

54 REMEDIOS BIAGTAN 8/10/2021 1/25/2022

55 RAILE JHAIZE DE GUZMAN 11/19/2021 12/22/2021

56 JENEDY GATEB 1/13/2022 N/A

57 JOLLY BOY GATEB 1/13/2022 N/A

58 FREDA MAPALO none none

59 TEODORO MAPALO 1/13/2022 N/A

60 MELCHOR LACERNA JR. none none

61 MERLITA LACERNA none none

62 RODOLFO CAÑAVERAL none none

63 LUCILA CAÑAVERAL 1/7/2022 2/4/2022

64 RONA CAÑAVERAL none none

65 RENZ CAÑAVERAL 11/29/2021 12/20/2021


66 RODRIGO APIGO SR. none none

67 NOEMI DISTOR 1/13/2022

68 RODRIGO APIGO JR. none none

69 EMAR LACERNA 1/13/2022 N/A

70 GERALD LACERNA none none

71 NIMITCHER LACERNA none none

72 ARSENIA LACERNA none none

73 ARMEL LACERNA none none

74 JANE LACERNA 4/23/2021 5/26/2021

75 JENNIFER BERMUDEZ none none

76 REYNALDO REPOYO none none

77 NELINDA REPOYO none none

78 REYNALDO REPOYO JR. none none

79 ROMMEL REPOYO none none

80 NORIE REPOYO 11/17/2021 1/13/2022

81 REYNALDO JACOB none none

82 MEYDE JACOB none none

83 REYMUNDO REYNON none none

84 JOCELYN MAPALO 12/15/2021 1/21/2021

85 ROBERTO MAPALO none none

86 MODESTO MAPALO 12/9/2021

87 HELARIA MAPALO 12/9/2021

88 ROBERTO MAPALO none none

89 MELITA BALITON 7/7/2021 N/A

90 CHARMAINE BALITON 10/6/2021 10/28/2021

91 LEA BALITON 11/25/2021 N/A

92 MA. JOSEFINA BALLITON 11/25/2021 N/A

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

JANSSEN 0 0 1 1
JANSSEN 0 0 1 1
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 1
JANSSEN 0 0 1 1
MODERNA 0 0 1 0
SINOVAC 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1

JANSSEN 0 0 1

SINOVAC 0 0 1

PFIZER 0 0 1 1
none 1 0 0 0

JANSSEN 0 0 1 1
none 1 0 0 0

none 1 0 0 0

JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

PFIZER 0 0 1 0
none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

JANSSEN 0 0 1 0
none 1 0 0 0

PFIZER 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 O
PFIZER 0 0 1 0
SPUTNIK 0 0 1 0
none 1 0 0 0

PFIZER 1 0 1 0
none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

SINOVAC 0 0 1 1
PFIZER 0 0 1 0
none 1 0 0 0

PFIZER 0 0 1 1
none 1 0 0 0

JANSSEN 0 0 1 0
JANSSEN 0 0 1 0

SINOVAC 0 0 1 0

MODERNA 0 0 1 0

JANSSEN 0 0 1 0

JANSSEN 0 0 1 0

none 1 0 0 0

JANSSEN 0 0 1 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

MODERNA 0 0 1 0

none 1 0 0 0

PFIZER 0 0 1 0
none 1 0 0 0

MODERNA 0 1 0 0

none 1 0 0 0

JANSSEN 0 0 1

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

SINOVAC 0 0 1 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

ASTRAZENECA 0 0 1 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

MODERNA 0 0 1 0

none 1 0 0 0

SINOVAC 0 1 0 0

SINOVAC 0 1 0 0

none 1 0 0 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 1 0 0

PFIZER 0 1 0 0

39 6 48 8
Date of Vaccination Brand

1/18/2022 MODERNA

1/18/2022 MODERNA

1/18/2022 ASTRAZENECA

18-Jan ASTRAZENECA
11/6/2021 PFIZER SINGAPORE

1/13/2021 MODERNA
1/4/2022 PFIZER
PRIMARY SERIES OF COVID-
Fully
19 VACCINE Partially
Unvacinnated? Vacinnated?
(Note: 1. If brand is "Janssen, vacinnated? (Put 1
No. Full Name (Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
put NA in the column for "2nd if Yes or
0 if No) or
Dose"; Put "None" if 0 if No)
0 if No)
unvaccinated)
With Booster Shot?
Date of Vaccination Brand (Put 1 if Yes or Date of Vaccination Brand
0 if No)
1st Dose 2nd Dose
1 SERVILLANO C. MARIANO 5/18/2021 8/6/2021 ASTRA ZENECA 0 0 1 0
2 LORNA MARIANO 5/7/2021 6/9/2021 SINOVAC 0 0 1 0
3 ANTONIO LUMANDAS 9/10/2021 8/13/2021 SINOVAC 0 0 1 1 2/7/2022 PFIZER

4 BRIGIDA LUMANDAS 10/7/2021 10/28/2021 PFIZER 0 0 1 1 2/7/2022 PFIZER

5 ANGELITO QUINTO 7/31/2021 9/10/2021 SINOVAC 0 0 1 1 1/31/2022 PFIZER

6 JEAN QUINTO 7/31/2021 9/3/2021 SINOVAC 0 0 1 1 1/31/2022 PFIZER

7 EVELYN QUINTO 7/31/2021 9/17/2021 SINOVAC 0 0 1 1 4-Feb PFIZER

8 ERICA QUINTO 7/31/2021 9/11/2021 SINOVAC 0 0 1 1 2/7/2022 PFIZER

9 JEFFREY S. MARIANO 7/31/2021 N/A JANSSEN NONE 0 1 0


10 GINA C. MARIANO 12/2/2021 1/24/2022 PFIZER 0 0 1 0
11 MARLON TARLIT 1/24/2022 N/A JANSSEN NONE 0 1 0
12 FREGIE TARLIT 12/1/2021 1/24/2022 MODERNA 0 0 1 0
13 ELDIE MERCADO 1/5/2022 N/A JANSSEN NONE 0 1 0
14 JOCYLYN MERCADO 10/25/2021 11/26/2021 MODERNA 0 0 1 0
15 EFREN EDILLO 6/23/2021 7/23/2021 SINOVAC 0 0 1 0
16 EFRELENE EDILLO 10/25/2021 12/15/2021 PFIZER 0 0 1 0
17 GLAIZA EDILLO 11/19/2021 12/10/2021 PFIZER 0 0 1 0
18 MARIANO DELA CRUZ 8/18/2021 9/18/2021 PFIZER 0 0 1 0
19 GILMAK DELA CRUZ 11/17/2021 12/15/2021 MODERNA 0 0 1 0
20 WILLIAM DELA CRUZ 8/16/2021 11/5/2021 ASTRA ZENECA 0 0 1 0
21 MARILYN DELA CRUZ 8/24/2021 11/9/2021 SINOVAC 0 0 1 0
22 ANGELICA DELA CRUZ 10/8/2021 10/9/2021 SINOVAC 0 0 1 0
23 ANGEL MAE DELA CRUZ 11/9/2021 12/15/2021 PFIZER 0 0 1 0
24 SHEILA MAE DELA CRUZ 1/13/2022 10-Feb SINOVAC 0 0 1 0
25 JEROME ALBEZA 1/6/2022 2/8/2022 SINOVAC 0 0 1 0
26 REYNALDO DELA CRUZ 1/24/2022 N/A SINOVAC 0 1 0 0
27 ROSALINDA T. DELA CRUZ 8/31/2021 N/A JANSSEN NONE 0 1 0
28 FERNANDO DELA CRUZ 8/11/2021 1/13/2022 SINOVAC 0 0 1 0
29 ARIEL DELA CRUZ 10/14/2021 1/13/2022 MODERNA 0 0 1 0
30 ALEXIS DELA CRUZ 11/16/2021 12/9/2021 PFIZER 0 0 1 0
31 APPLE MAE DELA CRUZ 11/16/2021 12/9/2021 PFIZER 0 0 1 0
32 FREDIE DELA CRUZ 11/10/2021 12/2/2021 MODERNA 0 0 1 0
33 MARITES DELA CRUZ 3/7/2021 9/8/2021 PFIZER 0 0 1 0
34 MARK FLORENCE GOMEZ 11/17/2021 1/24/2022 MODERNA 0 0 1 0
35 MARCO D. GOMEZ 11/17/2021 1/24/2022 MODERNA 0 0 1 0
36 MACLIN ANDIO 11/10/2021 12/2/2021 PFIZER 0 0 1 0
37 JERECHO ANDIO 1/12/2021 2/11/2022 SINOVAC 0 0 1 0
38 MARCIRS DELA CRUZ 8/16/2021 11/12/2021 SINOVAC 0 0 1 0
39 ARMAN VILORIA 9/9/2021 10/8/2021 SINOVAC 0 0 1 0
40 ERWIN MARIANO 6/10/2021 7/16/2021 SINOVAC 0 0 1 0
41 MARIVIC MARIANO 10/7/2021 11/21/2021 SINOVAC 0 0 1 0
42 JOVITA MARIANO 7/23/2021 N/A JANSSEN NONE 0 1 1 11/13/2022 MODERNA

43 NOEL BARGO 1/13/2022 N/A JANSSEN NONE 0 1 0


44 MYLENE BARGO 11/12/2021 12/9/2021 PFIZER 0 0 1 0
45 NASH BARGO 11/15/2021 12/9/2021 PFIZER 0 0 1 0
46 FELICIDAD BARGO 7/21/2021 N/A JANSSEN NONE 0 1 1 1/13/2022 MODERNA

47 RONALD BARGO 1/28/2022 N/A JANSSEN NONE 0 1 0


48 ROGELIO BARGO none none none 1 0 0 0

49 ROGER BARGO 9/2/2021 9/27/2021

50 ELMER BARGO 11/15/2021 12/9/2021 PFIZER 0 0 1 0


51 JERRY PEÑARANDA 7/27/2021 N/A JANSSEN NONE 0 1 1 12/23/2021 MODERNA
52 JOSEPHINE PEÑARANDA 7/27/2021 N/A JANSSEN NONE 0 1 1 1/13/2022 MODERNA

53 DARYLL PEÑARANDA 12/9/2021 1/28/2022 SINOVAC 0 0 1 0

54 MA. SANN ESPERANZA 12/9/2021 1/4/2022 PFIZER 0 0 1 0

55 TYRON ASUR ESPERANZA 7/23/2021 N/A JANSSEN NONE 0 1 1 1/3/2022 MODERNA


56 YRA MARU ESPERANZA 11/17/2021 12/9/2021 PFIZER O O 1 O

57 CRISPINIANO DELA CRUZ 1/20/2022 N/A JANSSEN NONE 0 1 0

58 CARMELITA DELA CRUZ 8/10/2021 11/12/2021 SINOVAC 0 0 1 0

59 CRIZZA DELA CRUZ 11/15/2021 12/9/2021 PFIZER 0 0 1 0

60 JOSEPH FRANCISCO 1/13/2022 N/A JANSSEN NONE 0 1 0

61 MARGARITA FRANCISCO 10/10/2021 11/12/2021 SINOVAC 0 0 1 0

62 JULIPA FRANCISCO 11/19/2021 12/15/2021 PFIZER 0 0 1 0

63 JASON FRANCISCO 12/9/2021 1/13/2022 PFIZER 0 0 1 0

64 JOJIT DELA CRUZ 11/17/2021 MODERNA 0 1 0 0

65 RODOLFO DELA CRUZ JR. 1/31/2022 N/A JANSSEN NONE 1 1 0

66 JONALYN DELA CRUZ 6/15/2021 7/13/2021 SINOVAC 0 0 1 1 2/11/2022 ASTRA ZENECA


67 JAMES NATINO 11/23/2021 12/15/2021 PFIZER 0 0 1 0

68 DOLLY ISLA 10/24/2021 11/22/2021 SINOVAC 0 0 1 0

69 ROLANDO ISLA 8/24/2021 10/21/2021 SINOVAC 0 0 1 0

70 JESEL ISLA 11/23/2021 12/15/2021 PFIZER 0 0 1 0

71 GEMALYN MARIANO 11/23/2021 12/15/2021 PFIZER 0 0 1 0

72 ERIC JOHN BASA 11/15/2021 12/9/2021 PFIZER 0 0 1 0

73 ERICA BASA 12/1/2021 12/23/2021 PFIZER 0 0 1 0

74 NATHANIEL PEÑARANDA 11/15/2021 12/9/2021 PFIZER 0 0 1 0

75 DESIRIE DELA CRUZ 12/2/2021 1/24/2022 PFIZER 0 0 1 0

76 EVELYN TARLIT none none none 1 0 0 0

77 GLORIA DELA CUZ none none none 1 0 0 0

78 ERLINDA DELA CRUZ none none none 1 0 0 0

79 MARILYN ANDAL none none none 1 0 0 0


80 JUSTINE BOLNIO none none none 1 0 0 0

81 FELIPE DELA CRUZ none none none 1 0 0 0

82 POTENCIANA DELA CRUZ none none none 1 0 0 0

83 ESTEPHANIE PEÑARANDA 1/26/2022 N/A JANSSEN NONE 0

84 JENELYN ESTIPULAR 2/9/2022 N/A JANSSEN NONE 0 1 0

85 SAMILBY ESTIPULAR none none none 1 0 0 0

86 KRISHA ESTIPULAR 12/1/2021 12/23/2021 PFIZER 0 0 1 0

87 MA. MARCELINA DE DIOS 7/13/2021 8/13/2021 SINOVAC 0 0 1 1 2/4/2022 PFIZER


88 SAMMY ESTIPULAR 2/11/2022 N/A JANSSEN NONE 0 1 0

89 JOEY PEÑARANDA 12/9/2021 1/28/2022 PFIZER 0 0 1 0

90 ELLA MAE PEÑARANDA 9/17/2021 10/23/2021 SINOVAC 0 0 1 0

91 VERONICA PEÑARANDA 8/6/2021 9/3/2021 SINOVAC 0 0 1 0

92 GLORIA PEÑARANDA 7/13/2021 8/13/2021 SINOVAC 0 0 1 1 2/4/2022 PFIZER


93 FELESA MARIANO none none none 1 0 0 0

94 MIGUEL PEÑARANDA 12/23/2021 1/28/2022 MODERNA 0 0 1

95 MAXXINE DELA CRUZ 2/21/2022 PFIZER 0 1 0

96 BILLY JEAN GANALONGGO 2/9/2022 N/A JANSSEN NONE 0 1 0

TOTAL 10 4 71 8
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 EDDIE COJOTAN JR. 5/18/2021 8/6/2021

2 BELLA COJOTAN 7/27/2021 N/A

3 JOSEPH ERROL COJOTAN 7--27-21 N/A

4 REY MARK BOSTERO 11/15/2021 12/9/2021

5 EVELYN MARIANO 4/23/2021 5/26/2021

6 GREGORIO MARIANO 5/18/2021 8/6/2021

7 AUBREY GAIL MARIANO 11/16/2021 12/9/2021


8 EDDIE SALDUA 12/14/2021 2/4/2022

9 VIRGIE SALDUA 8/6/2021 10/1/2021

10 MARK KEVIN SALDUA 10/1/2021 11/5/2021

11 MARY GRACE SALDUA 11/16/2021 11/14/2021

12 LUCENA COJOTAN 6/23/2021 7/23/2021

13 TERESITA COJOTAN 7/29/2021 N/A

14 ROSIE JOY SALDUA 8/6/2021 10/1/2021

15 YUMI NCOLE SALDUA 11/25/2021 1/13/2022

16 MERCY YANES 10/8/2021 10/29/2021

17 OLIVIA ORBILLO 10/15/2021 11/5/2021

18 RAMIL YANES JR. 10/18/2021 11/9/2021

19 RHONA LYN RAPOSAS 8/6/2021 9/8/821

20 LITO RAPOSAS 7/27/2021 N/A

21 JUSHTYNE MEE CINCO 10/28/2021 11/30/2021

22 KATHRINA BOLLESER 7/22/2021 8/21/2021

23 RUPERTO BOLLESER JR. 5/18/2021 8/6/2021

24 DARWIN BOLLESER 7/29/2021 N/A

25 NOEL CADALIG 6/11/2021 7/9/2021

26 ALTA GRACE CERA 7/29/2021 8/6/2021

27 JOEMAR CERA 7/30/2021 N/A

28 JEAN JOSHUA ALBEZA 12/13/2021 1/3/2022

29 DONALYN MAE BALDONADO 5/12/2021 6/23/2021

30 RODRIGO APIGO JR. 11/17/2021 1/13/2022

31 MERNA ORBILLO 7/31/2021 8/31/2021

32 LETECIA SEGUNDO 5/7/2021 6/9/2021

33 EUGENIO SEGUNDO 5/21/2021 8/26/2021

34 HAZEL SEGUNDO 8/6/2021 10/1/2021

35 EMILY CINCO 7/31/2021 10/1/2021

36 MARK JOSHUA CINCO 11/15/2021 12/9/2021


37 RIO JOHN ISLA 11/26/2021 N/A

38 GREGORIO ASTUDILLO 11/16/2021 12/9/2021

39 CYNIE ISLA 10/7/2021 10/29/2021

40 ROLANDO ISLA 7/27/2021 N/A

41 EVANGELINE ISLA 11/12/2021 12/9/2021

42 JAIME ALBEZA 5/21/2021 8/6/2021

43 ANNIE PEREZ 12/2/2021 1/13/2022

44 ROBERTO CABUGAO 11/17/2021 1/7/2022

45 JENNIFER TABAYOYONG 11/17/2021 12/22/2021

46 JAYSON PABLO 1/13/2022 N/A

47 OLISA PABLO 2/11/2022 N/A

48 DANTE MERCADO 12/9/2021

49 MADELYN BARGO 12/15/2021

50 JOCKEY MERCADO 12/6/2021 1/13/2022

51 CONCHITA TABAYOYONG 8/11/2021 1/3/2022

52 CAROLYN SARION 1/30/2022 N/A

53 JULIET VALDEZ 1/13/2022 N/A

54 LUCITA MARIANO 1/13/2022 N/A

55 JOHN MARK CABUGAO 11/17/2021

56 LEONIDA ORDOÑA 7/27/2021 N/A

57 NIKKO LORENE CAUSON 11/23/2021 12/18/2021

58 CARL JOVINCE CAUSON 11/23/2021 12/18/2021

59 TRESALINA PAGUYO 5/7/2021 6/9/2021

60 LEOPOLDO PAGUYO 7/13/2021 8/13/2021

61 LEOVELYN REYES 8/16/2021 9/3/2021

62 MARK JB REYES 11/15/2021 12/9/2021

63 BERNARD TABAYOYONG none none

64 DANILO TABAYOYONG none none

65 TERESITA MERCADO none none


66 KRISTINE MERCADO none none

67 ROSELYN MERCADO none none

68 MERCEDES TABAYOYONG none none

69 TEOFILO TABAYOYONG none none

70 ANGELINA JACOB none none

71 WARREN JACOB none none

72 JOHN CEDRICK ALBEZA 12/13/2021 1/3/2022

73 MARGIE ALBEZA 7/27/2021

74 HELEN JOY ALBEZA 7/20/2021 11/10/2021

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

ASTRAZENECA 0 0 1 1
JANSSEN NONE 0 1
JANSSEN NONE 0 1
PFIZER 0 0 1 0
SINOVAC 0 0 1 1
ASTRAZENECA 0 0 1 1
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
MODERNA 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 1
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1
ASTRAZENECA 0 0 1 1
JANSSEN 0 0 1 0
SINOVAC 0 0 1 1
SINOVAC 0 0 1 1
JANSSEN 0 0 1 1
PFIZER 0 0 1 0
PFIZER 0 0 1 1
ASTRAZENECA 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1
ASTRAZENECA 0 0 1 1
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
ASTRAZENECA 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
ASTRAZENECA 0 1 0 0
MODERNA 0 1 0 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
ASTRAZENECA 0 1 0 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0
none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

none 1 0 0 0

PFIZER 1 0 0 0

JANSSEN 0 0 1 0

SPUTNIK 0 0 1 0

10 3 45 8
Date of Vaccination Brand

1/6/2022 PFIZER

12/15/2021 PFIZER

1/13/2022 PFIZER

2/4/2022 PFIZER
1/3/2022 PFIZER

1/30/2022 MODERNA

1/6/2022 PFIZER

1/10/2022 SINOVAC

1/22/2022 PFIZER

1/5/2022 PFIZER

12/23/2021 PFIZER

2/4/2022 PFIZER

1/21/2022 ASTRAZENECA
1/16/2022 PFIZER
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 MARICEL PICO 11/17/2021 1/13/2022

2 WILFREDO JACOB SR. NONE NONE

3 WILFREDO JACOB JR. NONE NONE

4 VALERIO SAMILIN 1/31/2022 N/A

5 NARDO JACOB 11/17/2021 1/13/2022

6 TERESITA JACOB 8/11/2021

7 ALBERT ACOSTA 11/17/2021 1/13/2022


8 JAMES BRYAN GUILLARDE 11/15/2021 12/14/2021

9 VIRGILIO JACOB JR. 11/29/2021 1/13/2022

10 CATHERINE JACOB 11/15/2021 12/6/2021

11 JUVELYN SAMILYN 11/5/2021 1/31/2022

12 ARSENIA REGACHO 8/5/2021 10/6/2021

13 VIRGINIA REGACHO 10/28/2021 11/20/2021

14 KIMBERLY VALEÑA 10/28/2021 11/20/2021

15 VIC VALEÑA JR. 10/26/2021 11/17/2021

16 MARISSA ANCHETA 8/10/2021 9/17/2021

17 WEXEQUEL BOSIGRO 8/10/2021 9/17/2021

18 RANDY TABAYOYONG 11/23/2021 12/17/2021

19 ALONA TABAYOYONG 12/9/2021 1/13/2022

20 JOEL DIONISIO 11/17/2021 12/9/2021

21 HILDA DIONISIO 1/18/2022 N/A

22 ELENA JACOB 11/15/2021 12/6/2021

23 ORLINDA ESTRADA 7/27/2021 N/A

24 MAGDALINA ORBILLO 7/27/2021 N/A

25 URSULA ORBILLO 7/31/2021 8/31/2021

26 JENNET CABUGAO 1/28/2022 N/A

27 MERLY MANLINCON 12/9/2021 1/13/2022

28 MONIQUEL MANLINCON 11/23/2021 1/13/2022

29 SERVILLANO REGACHO 7/27/2021 N/A

30 MARIO GATCHALIAN 8/11/2021 11/12/2021

31 ELADIO ELASIN 12/1/2021 12/23/2021

32 LYDIA ELASIN 12/15/2002 1/25/2022

33 ALVIN ELASIN 11/17/2021 12/15/2021

34 RUBEN ELASIN 11/9/2021 12/9/2021

35 DONITA ROSE ILASIN 10/8/2021 10/29/2021

36 JOHN BRANDO ELASIN 7/19/2021 9/20/2021


37 SOL ELASIN 7/22/2021 9/30/2021

38 JEFFERSON ELASIN 9/1/2021 10/1/2021

39 JOHN VANDAMME ELASIN 8/20/2021 9/24/2021

40 JOHNABELLE ELASIN 6/18/2021 7/16/2021

41 DOMINGO GATCHALIAN 11/17/2021 12/9/2021

42 ERLINDA GATCHALIAN 11/10/2021 12/2/2021

43 ANABELLE GATCHALIAN 11/3/2021 11/24/2021

44 JESSIE GATCHALIAN 11/10/2021 12/2/2021

45 JEFF GATCHALIAN 11/19/2021 12/10/2021

46 SATURNINO SAPITULA 11/22/2021 12/20/2021

47 MARINA SAPITULA 11/16/2021 12/9/2021

48 MARJORIE SAPITULA 8/11/2021 10/15/2021

49 LUZVIMINDA SAPITULA 11/22/2021 12/20/2021

50 SONNY ADUCA 11/17/2021 12/9/2021

51 CHRISTINE JOY AMBROSIO 11/16/2021 12/9/2021

52 MERCEDES REGACHO 8/20/2021 11/17/2021

53 JOEL REGACHO NONE NONE

54 JOYOME REGACHO 9/8/2021 10/7/2021

55 JONATHAN REGACHO 10/5/2021 11/9/2021

56 JOVITA ORBILLO 7/27/2021 N/A

57 JUSTINE CRUZ ULAT 11/15/2021 12/6/2021

58 WARREN JACOB 11/15/2021 12/6/2021

59 VIRLYN JACOB 11/15/2021 12/6/2021

60 VIRGLIO JACOB III 11/29/2021 1/13/2022

61 ALDHINA TABAYOYONG 11/15/2021 12/15/2021

62 MERCY FE TABAYOYONG 11/23/2021 12/23/2021

63 EMERALD TABAYOYONG 11/15/2021 12/6/2021

64 SANE TABAYOYONG 1/13/2022 2/11/2022

65 HONEY DIONISIO 1/18/2022


66 ANGELINA JACOB 11/15/2021 12/6/2021

67 KIMBERLY ANNE ROBLES 11/16/2021 12/7/2021

68 CHRISTIAN ANDRE ROBLES 11/16/2021 12/7/2021

69 CLARK ADAM ROBLES 11/16/2021 12/7/2021

70 KRISTINE JOY ROBLES 11/16/2021 12/7/2021

71 PEPITO ROBLES 11/16/2021 12/7/2021

72 CONCEPTION PERALTA 7/27/2021 N/A

73 CARLITO PERALTA 7/27/2021 N/A

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93
94

95

96

97

98

99

100

101

102

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

PFIZER 0 0 1 0
NONE 1 0 0 0
NONE 1 0 0 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 1 0 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SPUTNIK 0 0 1 0
SPUTNIK 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 1
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
ASTRAZENECA 0 0 1 1
ASTRAZENECA 0 0 1 1
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 1
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
NONE 1 0 0 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

MODERNA 0 0 1 0

MODERNA 0 0 1 0

PFIZER 0 0 1 0

MODERNA 0 0 1 0

MODERNA 0 1 0 0
PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

JANSSEN 0 0 1 0

JANSSEN 0 0 1 0
1 1 55 4
Date of Vaccination Brand
1/13/2022 MODERNA

1/15/2022 PFIZER(MANILA)
PFIZER(BINALO
1/5/2022
NAN)

(BINALONAN)
MODERNA(MANI
1/11/2022
LA)
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 NERBERTO FLORES 6/11/2021 N/A

2 ALBINA FLORES 7/27/2021 N/A

3 ALBERT FLORES 11/22/2021 12/15/2021

4 WINNIE FLORES 9/8/2021 10/6/2021

5 LORENZO TABISAURA 11/29/2021 1/13/2022

6 VICTORIA TABISAURA 11/5/2021 11/29/2021

7 TAMON TABISAURA 11/29/2021 12/1/2021


8 EUGENIO GATCHALIAN 7/14/2021 10/28/2021

9 ARLYN GATCHALIAN 11/9/2021 11/30/2021

10 CHRIS GATCHALIAN 11/29/2021 1/13/2022

11 ALTHEA GATCHALIAN 11/5/2021 11/29/2021

12 EUGENIO GATCHALIAN 7/27/2021 N/A

13 ROSALINDA GATCHALIAN NONE NONE

14 DENIS GATCHALIAN 11/25/2021 12/23/2021

15 DENIECHELLE GATCHALIAN 11/25/2021 12/23/2021

16 MELODY REPOYO 5/18/2021 8/6/2021

17 OSCAR TOMBOC 11/29/2021 1/13/2022

18 LORENA TOMBOC 7/27/2021 N/A

19 MARK JASON TOMBOK 11/29/2021 1/13/2022

20 LEONARDA GATCHALIAN 7/27/2021 N/A

21 BRENDALIE GATCHALIAN 7/27/2021 N/A

22 MICHEAL GATCHALIAN 12/9/2021 1/13/2022

23 LEO GATCHALIAN 9/8/2021 10/6/2021

24 LEOMAR ATENDIDO 12/2/2021 23-Dec

25 FRANCISCO DELA CRUZ 2/4/2022 N/A

26 ELZIE DELA CRUZ NONE NONE

27 CESAR FLORES 7/27/2021 N/A

28 CHRISTIAN FLORES 10/28/2021 11/20/2021

29 RAFAEL FLORES 1/25/2022 N/A

30 R-JAY FLORES NONE NONE

31 ZENAIDA MAPALO 6/11/2021 7/9/2021

32 KAYE ANSON OMBAC 9/14/2021 10/14/2021

33 CRESENCIA DELA CRUZ NONE NONE

34 CONRADO GATCHALIAN 7/27/2021 N/A

35 IMELDA GATCHALIAN 7/27/2021 N/A

36 MARY JOY GATCHALIAN 7/27/2021 8/20/2021


37 JAMIE GATCHALIAN 10/19/2021 11/19/2021

38 JOHN REY ALVARADO 11/21/2021 1/13/2022

39 GEORGE RIVERA NONE NONE

40 JENNIFER RIVERA 7/27/2021 N/A

41 GEJHENRY RIVERA 10/26/2021 11/26/2021

42 GEAN RIVERA 11/16/2021 12/16/2021

43 JOEL GATCHALIAN 8/6/2021 9/10/2021

44 MANRIO TOREJAS 7/13/2021 8/13/2021

45 NELIA TOREJAS 7/13/2021 8/13/2021

46 CARLO TOREJAS 7/26/2021 N/A

47 FELESA TOREJAS 7/27/2021 N/A

48 EMIL GATCHALIAN 10/5/2021 10/26/2021

49 KIMBERLY GATCHALIAN 9/8/2021 10/6/2021

50 EDZEL GATCHALIAN 11/29/2021 1/3/2022

51 BERNABE DUMUGDOG 6/8/2021 7/9/2021

52 SUSANA DAYAG 7/27/2021 N/A

53 MAHALIA ESABEL JACOB 11/29/2021 1/13/2022

54 DOMINADOR JACOB 11/29/2021 1/13/2022

55 CHRISTINE ALMA MENDIOLA 11/29/2021 2/4/2022

56 MARCELIANO DAYAG Sr. 6/11/2021 7/9/2021

57 ROSITA DAYAG 8/20/2021 9/17/2021

58 JOHN NASHTIE DAYAG 8/21/2021 9/18/2021

59 KATE KAYLA DAYAG 8/22/2021 9/19/2021

60 SEGUNDO DAYAG 8/11/2021 12/9/2021

61 LAURIANO DAYAG 7/27/2021 N/A

62 MARGARITA DAYAG 7/27/2021 N/A

63 RAFAEL DAYAG 11/16/2021 12/9/2021

64 RIMUEL DAYAG 11/16/2021 12/9/2021

65 AMADO DELA CRUZ 11/29/2021 1/13/2022


66 LORETA DELA CRUZ 11/16/2021 12/9/2021

67 MELESSA DELA CRUZ 11/17/2021 12/9/2021

68 MICHELLE DELA CRUZ 11/16/2021 12/9/2021

69 NEOFITA DAYAG 7/27/2021 N/A

70 CHRISTOPHER CORPUZ NONE NONE

71 CHRISTINA BASAS 1/26/2022 N/A

72 ALTHEA DUMLAO 11/16/2021 12/9/2021

73 LORETO MAPALO NONE NONE

74 CONRADO MAPALO 8/31/2021 10/1/2021

75 KIM YVONNE MAPALO 11/15/2021 12/9/2021

76 TITO MAPALO 12/9/2021 1/13/2022

77 TYRON MAPALO 11/15/2021 12/9/2021

78 JIMMY MAPALO 8/10/2021 9/10/2021

79 MARK JAMES MAPALO NONE NONE

80 JINEMY MAPALO 9/6/2021 10/5/2021

81 JEMUEL CAACBAY 9/4/2021 10/1/2021

82 GEORGE BILANDO 9/2/2021 12/2/2021

83 BEATREZ SECRETARIO NONE NONE

84 VILLAMOR SECRETARIO 9/7/2021 11/20/2021

85 MARINA SECRETARIO 7/27/2021 N/A

86 MARIEVEL SECRETARIO 9/7/2021 12/2/2021

87 JHON REX SECRETARIO 2/4/2022 N/A

88 PRINCESS MARIE SECRETARIO 10/19/2021 11/20/2021

89 MARTIN COJOTAN 8/24/2021 2/4/2022

90 BEATRIZ COJOTAN 8/24/2021 2/4/2022

91 ERLINDA COJOTAN 2/14/2022 N/A

92 JESSIE COJOTAN 11/17/2021 12/9/2021

93 REYMUNDO COJOTAN 1/13/2022


94 JUNIE COJOTAN NONE NONE

95 JHONREY COJOTAN NONE NONE

96 JHONNY COJOTAN 12/2/2021 12/23/2021

97 BENITA AQUINDE NONE NONE

98 ROSALINDA AQUINDE 11/19/2021 12/17/2021

99 MATT DAVID AQUINDE 11/19/2021 12/17/2021

100 MARVIN MARIANO 11/19/2021 12/17/2021

101 JULIAN REBECCA MARIANO 12/2/2021 12/23/2021

102 SUNDANCE MARIANO 12/2/2021 12/23/2021

103 RONIE BRAVO 8/11/2021 11/29/2021

104 MARILYN BRAVO 10/15/2021 11/10/2021

105 JELLIAN PAUL BRAVO 11/29/2021 12/20/2021

106 DARIO JACOB 12/23/2021 1/18/2022

107 ALMA JACOB 7/27/2021 N/A

108 JANEE JACOB 5/21/2021 6/18/2021

109 CHRISTINE ANGEL JACOB 10/15/2021 11/5/2021

110 SATURNINA JACOB NONE NONE

111 ORLANDO JACOB 10/15/2021 11/5/2021

112 GLENN JACOB 10/26/2021 11/17/2021

113 MICHAEL RAY JACOB 11/29/2021

114 ELESA JACOB 9/18/2021 11/8/2021

115 CHRISTOPHER JACOB 11/5/2021 11/30/2021

116 HAZEL JACOB 9/6/2021 10/18/2021

117 OSCAR JACOB 7/27/2021 N/A

118 MARICRIS JACOB 11/29/2021 1/12/2022

119 MICHAEL CHRISTIAN JACOB 11/29/2021 20-Dec

120 KARISH JACOB 11/29/2021 12/20/2021

121 JERRY JACOB 8/11/2021 11/22/2021


122 JOSE JACOB JR. 11/30/2021 1/12/2022

123 JUANITO COJOTAN NONE NONE

124 BRYAN VIRAY 8/7/2021 9/4/2021

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
SPUTNIK 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
SPUTNIK 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
NONE 1 0 0 0
SINOVAC 0 0 1 0
MODERNA 0 0 1 0
ASTRAZENECA 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
NONE 1 0 0 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
NONE 1 0 0 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
NONE 1 0 0 0
JANSSEN 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
NONE 1 0 0 0
JANSSEN 0 0 1 0
MODERNA 0 0 1 0
MODERNA 0 0 1 0
SINOVAC 0 0 1 1
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 1
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
SINOVAC 0 0 1 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

JANSSEN 0 0 1 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0
PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

JANSSEN 0 0 1 0

NONE 1 0 0 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

NONE 1 0 0 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

NONE 1 0 0 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

NONE 1 0 0 0

SINOVAC 0 0 1 0

JANSSEN 0 0 1 1

SINOVAC 0 0 1 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

MODERNA 0 1 0 0
NONE 1 0 0 0

NONE 1 0 0 0

PFIZER 0 0 1 0

NONE 1 0 0 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

JANSSEN 0 0 1 0

SINOVAC 0 0 1 1

PFIZER 0 0 1 0

NONE 1 0 0 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

JANSSEN 0 0 1 1

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0
SINOVAC 0 0 1 0

NONE 1 0 0 0

SINOVAC 0 0 1 1

10 1 75 6
Date of Vaccination Brand
1 PFIZER
1/7/2022 SINOVAC

1/28/2022 PFIZER
2/4/2022 PFIZER
1/25/2022 MODERNA

1/6/2022 PFIZER
1/10/2022 PFIZER
INVENTORY OF VACCINATED POPULATION

REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
BARANGAY: _________________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________

Prepared by Approved by

Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong B

PRIMARY SERIES OF COVID-


19 VACCINE
(Note: 1. If brand is "Janssen,
No. Full Name
put NA in the column for "2nd
Dose"; Put "None" if
unvaccinated)

Date of Vaccination
1st Dose 2nd Dose
1 JANUS ANN ANDRES 11/9/2021 12/2/2021

2 HANAH JOY OCHOCO 11/23/2021 12/15/2021

3 ROSALIA OCHOCO 5/7/2021 6/8/2021

4 ROSARIO SOBERANO 11/12/2021 12/9/2021

5 RONALYN SOBERANO 11/19/2021 12/17/2021

6 MELJON SOBERANO 11/25/2021 12/17/2021

7 MELCHOR SOBERANO 2/4/2022


8 ERNESTO RETUTA 12/1/2021 12/22/2021

9 MARY JANE RETUTA 12/1/2021 12/22/2021

10 ABEGAIL RADIMA 11/19/2021 12/17/2021

11 ANGELINE RADIMA 11/25/2021

12 ROGER RADIMA 1/13/2022

13 KING ALEXANDER RADIMA 1/13/2022

14 MARY JOY ARMAS 12/1/2021 12/21/2021

15 MARK JEFFERSON BALMOJA 11/15/2021 12/9/2021

16 GHYL ASHLY BALMOJA 11/17/2021 12/17/2021

17 JOHN PAUL BALMOJA 11/20/2021

18 JENELYN BALMOJA 11/12/2021 12/6/2021

19 REMEDIOS RIVERA 12/6/2021 1/13/2021

20 ROGEL REGLOS 2/4/2022

21 LEBERITA RIVERA 2/4/2022

22 CIPRIANO CALICDAN 7/27/2021

23 EHLEX PADAMA 8/27/2021 10/1/2021

24 FE REPOYO 11/15/2021 12/9/2021

25 PAULINE REPOYO 11/15/2021 12/9/2021

26 BALBINITA REPOYO 11/9/2021 12/2/2021

27 JOMAR OCHOCO 11/10/2021 12/2/2021

28 GEMMA OCHOCO 11/17/2021 12/9/2021

29 LERMA ANDRES 11/10/2021 12/9/2021

30 PERCIVAL ANDRES 11/9/2021 12/2/2021

31 JUNO ALLIYAH ANDRES 11/19/2021 12/15/2021

32 JULIE ANN OCHOCO 11/17/2021 12/9/2021

33 DOMINGO OCHOCO JR. 11/12/2021 12/9/2021

34 EDWIN REPOYO 11/17/2021 12/17/2021

35 LADYVON REPOYO 11/17/2021 12/20/2021

36 LIEZLE ANN REPOYO 11/19/2021 12/14/2021


37 LEZLEY JANE REPOYO 11/19/2021 12/14/2021

38 FELICIDAD GUITANG 11/10/2021 12/2/2021

39 ROLANDO GUITANG 11/15/2021 12/9/2021

40 FELICITY GUITANG 11/15/2021 12/9/2021

41 ROAN GUITANG 11/19/2021 12/10/2021

42 REYNALDA DELOS SANTOS 11/16/2021 12/9/2021

43 DOMINADOR DELOS SANTOS 2/4/2022

44 JASFER DOMOLON 11/16/2022 12/9/2021

45 FERNANDO REPOYO 12/22/2021

46 MARYJANE REPOYO 11/15/2021 12/9/2021

47 MELODY REPOYO 11/15/2021 12/9/2021

48 CAARLO REPOYO 11/15/2021 12/9/2021

49 NATY REPOYO 11/17/2021 12/15/2021

50 JULIUS REPOYO 11/17/2021 12/15/2021

51 JIMBOY REPOYO 2/4/2022

52 TERESITA REGLOS 11/12/2021 12/9/2021

53 GEMIMAH REGLOS 11/15/2021 12/9/2021

54 MARICAR REGLOS 11/29/2021 1/13/2022

55 DIONISIO REGLOS JR. 2/4/2021

56 JOHN HIDALGO 11/17/2021 12/16/2021

57 PATRICIA LEONES 11/15/2021 10/9/2021

58 JESUS LEONES 2/4/2021

59 TREXIE LEONES 11/15/2021 12/9/2021

60 MARLON REGLOS 1/7/2021

61 REGINE REGLOS 12/9/2021 1/7/2022

62 CRISINCIA ABALANZA 12/9/2002 1/13/2022

63 JONATHAN CALICDAN 11/12/2021 1/6/2022

64 JENEFER REGLOS 11/29/2021 1/13/2022

65 DARYLL REGLOS 12/9/2021


66 MICA ELLA RECUDAN 12/9/2021

67 JUSTNE NERISH REGLOS 11/29/2021 1/13/2022

68 LORNA JACOB 12/9/2021 1/13/2022

69 JABEN BLUE REGLOS 11/25/2021 1/13/2022

70 FEDIRICO REGLOS 11/29/2021

71 EDITHA REGLOS 11/12/2021 12/9/2021

72 WILFRED REGLOS 11/12/2021 12/9/2021

73 JIMMY REPOYO REGLOS 2/4/2022

74 ANGELICA RARYL HIDALGO 11/16/2021 12/9/2021

75 LEONIDA DELOS SANTOS 8/6/2021 9/3/2021

76 JOHN DELOS SANTOS 11/10/2021 12/2/2021

77 HENRIE REGLOS 11/29/2021 1/13/2021

78 JENEFFER REPOYO 10/7/2021 10/28/2021

79 JORDAN REPOYO 10/12/2021 11/10/2021

80 ROCHELLE BANDERADA 2/4/2022

81 JAYSON REPOYO 11/22/2021 1/13/2022

82 AICA AMOROSO 1/13/2022

83 JIMMY S. REGLOS 2/4/2022

84 PAUL MATHEW REPOYO 11/19/2021 12/15/2021

85 DIONISIO REGLOS 2/4/2022

86 MARK REGLOS 12/29/2021 1/13/2022

87 MARCJIM REGLOS 12/9/2021 1/13/2022

88 GLYNES REGLOS 11/29/2021 1/13/2022

89 ZANDRO JACOB SR. 1/18/2022

90 MARICHO JACOB 11/29/2021 1/18/2022

91 SANDRO JACOB JR. 12/29/2021 1/13/2022

92 MAXIMA REPOYO 12/1/2021 12/22/2021

93 EMMA BALMOJA 12/1/2021 12/22/2021


94 MA. JANELLA TAPAT 12/21/2021 1/13/2022

95 DOMINGO OCHOCO SR. 11/10/2021 12/2/2021

96 ARLENE REGLOS 11/12/2021 12/9/2021

97 WILMAR DELOS SANTOS 1/22/2021 1/13/2022

98 OLIVIA CALICDAN 1/7/2022 2/4/2022

99 JERRY S. REGLOS 1/24/2022

100 LADESMA OCHOCO 8/2/2021

101 ARVIN DELFINADO 11/25/2021 1/13/2022

102 ANGELIA DELFINADO 11/19/2021

103 VIRGINIA DELFINADO 11/19/2021

104 LEOVELYN REYES 8/6/2021 9/3/2021

105 CARLITO LACERNA 1/13/2021

106 MEKAELA ORBITO 11/29/2021 1/28/2022

107 APRIL ANN ORBITO 112/1/21 1/28/2022

108 MARGELYN REGLOS 10/21/2021 2/10/2022

109 JOVELYN MUSADA 1/2/2021 12/6/2021

110 JERRY C. REPOYO 11/15/2021 12/9/2021

111 CHRISTIAN REPOYO 11/15/2021 12/9/2021

112 MARILYN DELOS SANTOS 11/19/2021 12/10/2021

TOTAL
* Note: This shall only cover individuals 13 years old and above.

Formula: B/A x 100

Formula: D/A x 100

Formula: F/A x 100

Formula: H/F x 100

d Signature of Punong Barangay

Fully
Partially
Unvacinnated? Vacinnated?
vacinnated? (Put 1
(Put 1 if Yes or (Put 1 if Yes BOOSTER DOSE
if Yes or
0 if No) or
0 if No)
0 if No)
With Booster Shot?
Brand (Put 1 if Yes or
0 if No)

PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 0 1 1
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 1 0 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
SINOVAC 0 1 0 0
JANSSEN 0 1 0
PFIZER 0 1 0 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
ASTRA 0 1 0 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 1 0 0
JANSSEN 0 0 1 0
SINOVAC 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
MODERNA 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
JANSSEN 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0
MODERNA 0 0 1 0
MODERNA 0 0 1 0
MODERNA 1 0
PFIZER 0 0 1 0
PFIZER 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 1 0

MODERNA 0 0 1 0

PFIZER 0 0 1 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

ASTRA 0 1 0
SINOVAC 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

JANSSEN 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 1 0

JANSSEN 0 1 0

PFIZER 0 0 1 0

JANSSEN 0 0 1 0

SINOVAC 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 1 0 0

SPUTNIK 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0
PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

JANSSEN 0 0 1 0

SINOVAC 0 1 0 0

PFIZER 0 0 1 0

PFIZER 0 1 0 0

PFIZER 0 1 0 0

SINOVAC 0 0 1 0

SINOVAC 0 1 0 0

SINOVAC 0 0 1 0

SINOVAC 0 0 1 0

ASTRA 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

PFIZER 0 0 1 0

0 13 73 0
Date of Vaccination Brand

1/13/2022 ASTRA

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