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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
Hazrin Bin Mohd Nor Shahar Rani
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
830227086287 830227086287

SIJIL DIGITAL Tarikh Lahir / Date of Birth


27-Feb-1983
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
25-Nov-2021
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


14-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Millenium Lubok Merbau, Kuala Kangsar
Nama Produk / Product name
CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
Inactivated
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated virus
No. Lot / Batch No.
C202105100

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


04-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Millenium Lubok Merbau, Kuala Kangsar
Nama Produk / Product name
CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
Inactivated 2 doses/vial
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated virus
No. Lot / Batch No.
202106057P
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
Hazrin Bin Mohd Nor Shahar Rani
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
830227086287 830227086287

SIJIL DIGITAL Tarikh Lahir / Date of Birth


27-Feb-1983
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
25-Nov-2021
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


25-Nov-2021
Pusat Pemberian Vaksin / Vaccination Center
Pejabat Kesihatan Daerah Kuala Kangsar
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.
FH4750

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