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COVID-19 VACCINATION CERTIFICATE

Full Name:
LOU DARWIN F SUAN

Date of Birth: Passport No.:


10-Jan-1979 P2802329B

Issuer:
Philippine Department of Health

Issuance Date and Time:


26-May-2022 08:32 AM

This is a secure QR code and can be


verified by using
the
scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 612156503

Date of Vaccine/
Brand,
Country of
Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

COVID-19 vaccine, non- Janssen Ad26.COV2.S,

1 26-Jul-2021
replicating viral vector Johnson & Johnson
212C21A Philippines

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