International COVID-19 Vaccination Certificate

Proof of Vaccination Issued by AUS Version 1 UVCI VA0051690280

Australian
Government
International Name of the holder: CHEN, QING YUAN
COVID- Date of birth: 1955-11-22
19
Vaccination
Sex: M
Certificate Passport number: PA5816365
Proof
of Visible Digital Seal (VDS-NC)
Authorities can verify that this document is true and
Vaccination unaltered with a QR reader that checks against Australia's
Issued ePassport Country Signing Certificate Authority public key.
by
AUS
Version
1
Unique
Vaccination
Protect the QR code from marks and damage
Certificate
Identifier
VA0051690280
VACCINATION EVENT
Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
XM68M6 (COVID-19) AstraZeneca Vaxzevria RA01.0 (COVID-19)

Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

2021-08-28 1 AUS General Practitioner 317706P

2021-10-07 2 AUS General Practitioner 319694P

This document bears a Visible Digital Seal for a Non-Constrained Environment (VDS-NC), as specified by the International
Civil Aviation Organization. UVCI means 'Unique Vaccination Certificate Identifier', XM68M6 and RA01.0 are World Health
Organization codes for COVID-19.

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