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Ministério da Saúde

Covid 19 National Vaccination Certificate

Name Date of birth

AMANDA SOARES DE SOUZA 01/17/1993
Birth mother Gender
ELIZABETH MOURA SOARES DE SOUZA Feminino
CPF ou CNS Nationality
095.842.114-55 Brasileira

Doses administered

Date Vaccine* Manufacturer Dose Lot Number CNES**

08/03/2021 COVID-19 PFIZER - COMIRNATY PFIZER 1/2 FD7219 2009765
10/04/2021 COVID-19 PFIZER - COMIRNATY PFIZER 2/2 31045BD 2009765

* The name of the vaccine is displayed from the information of the Prophylaxis Name, Manufacturer/License
Holder – Trade name of the product.
** CNES refers to the identifier of the health facility where the vaccine was administered within the National
Register of Health care provider.
CNES 2009765: DISTRITO SANITARIO - MACEIO/AL

Date of the issue : 10/11/2021, at 04:25 PM

This certificate is issued free of charge by Conecte SUS

and the information is provided by the National Health
Data Network – DATASUS/Ministry of Health.

The authenticity of this document may be verified by

the Valida QRCode reader at the Conecte SUS
application or at the Valida Certitude's website, through
the address: validacertidao.saude.gov.br, using the
code:

UHSI.1CHR.RPTK.SCMC

Obs.: This certificate is valid through all brazilian territory. The presentation of this certificate is not compulsory
and must not be used to discriminate against anyone.