Professional Documents
Culture Documents
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
Date of Vaccination
1st Dose 2nd Dose
1 JOEL B . BARTE 11/17/2021 1/18/2022
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
Date of Vaccination
1st Dose 2nd Dose
1 ROGELIO SELGA 7/27/2021 N/A
39 11/15/2021 12/9/2021
72 10/7/2021 10/28/2021
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
Date of Vaccination
1st Dose 2nd Dose
1 JULIUS ALLIEN DUMLAO 12/20/2021 N/A
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
Date of Vaccination
1st Dose 2nd Dose
1 VERONICA D. MAPALO 5/7/2021 6/9/2021
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
Date of Vaccination
1st Dose 2nd Dose
1 EDUARDO SAGUN 7/23/2021 N/A
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
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
Date of Vaccination
1st Dose 2nd Dose
1 EDDIE COJOTAN JR. 5/18/2021 8/6/2021
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
Date of Vaccination
1st Dose 2nd Dose
1 MARICEL PICO 11/17/2021 1/13/2022
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.
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
Date of Vaccination
1st Dose 2nd Dose
1 NERBERTO FLORES 6/11/2021 N/A
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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
Date of Vaccination
1st Dose 2nd Dose
1 JANUS ANN ANDRES 11/9/2021 12/2/2021
TOTAL
* Note: This shall only cover individuals 13 years old and above.
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