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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
ANDY ANDERSON ANAK MOI FAH
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
910604135217 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


04-Jul-1991
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
06-Dec-2023
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


25-Jun-2021
Pusat Pemberian Vaksin / Vaccination Center
LONGI SAMAJAYA, HCO A
Nama Produk / Product name
CoronaVac
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Biotech covid-19 vaccines
No. Lot / Batch No.
C202105076

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


15-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
LONGI SAMAJAYA, HCO A
Nama Produk / Product name
CoronaVac
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Biotech covid-19 vaccines
No. Lot / Batch No.
202105063K
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
ANDY ANDERSON ANAK MOI FAH
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
910604135217 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


04-Jul-1991
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
06-Dec-2023
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


01-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
Stadium Tertutup Samarahan
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FK6268

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