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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
ADDELENNOOR BINTI ABU
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
840310045186 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


10-Mar-1984
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
05-Jan-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


01-Apr-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Juasseh
Nama Produk / Product name
COMIRNATY * Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
PFIZER MANUFACTURING COVID-19 vaccine, RNA based
BELGIUM NV
No. Lot / Batch No.
EP9605

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


22-Apr-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Juasseh
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
ET3045
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
ADDELENNOOR BINTI ABU
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
840310045186 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


10-Mar-1984
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
05-Jan-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


17-Nov-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik kesihatan kuala pilah
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
FK6858

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