61237 95013

Republic of the Philippines

C I T Y OF M A N I L A

CERTIFICATE OF VACCINATION

This is to certify that JULLIET FERRER TANQUEZON, 30 years of age,

residing at 2474 JUAN LUNA ST.GAGALANGIN TONDO MANILA Barangay
164, TONDO I / II was fully vaccinated by the Manila Health Department.

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1st Dose 2nd Dose

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Date Administered 08/16/2021 09/13/2021
Brand Sinovac Sinovac

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Injection Site Deltoid, Left Deltoid, Left

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Lot Number L202106044 ci L202108100
Route IM IM
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Expiration Date 06/23/2024 08/18/2023
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Vaccinator/Site (1st) MARILYN D. DADAYA

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ISABELO DELOS REYES ELEMENTARY SCHOOL

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Vaccinator/Site (2nd) ROSEMARIE B. BARTOLO

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ISABELO DELOS REYES ELEMENTARY SCHOOL

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This certificate is issued this 07th day of October 2021 for whatever legal
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purpose this may serve best.

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Arnold M. Pangan, MD, RSW

City Health Officer