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  • Covid-19 Vaccination Card: History of Covid-19 Vaccine Administration

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    Amri Doank
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    This document is a COVID-19 vaccination card for Indri Febriyani that contains 3 sentences summarizing their vaccination history. It lists that they received their initial Pfizer vaccine on May 14, 2022 at the Anjatan location, their second AstraZeneca vaccine on August 3, 2022 at the Juntinyuat location, and their third Pfizer booster vaccine on January 3, 2023 at the Cibiber location. Contact information is provided should any symptoms arise after vaccination.

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    This document is a COVID-19 vaccination card for Indri Febriyani that contains 3 sentences summarizing their vaccination history. It lists that they received their initial Pfizer vaccine on May 14, 2022 at the Anjatan location, their second AstraZeneca vaccine on August 3, 2022 at the Juntinyuat location, and their third Pfizer booster vaccine on January 3, 2023 at the Cibiber location. Contact information is provided should any symptoms arise after vaccination.

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    © All Rights Reserved
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    5 views1 page

    Covid-19 Vaccination Card: History of Covid-19 Vaccine Administration

    Uploaded by

    Amri Doank
    This document is a COVID-19 vaccination card for Indri Febriyani that contains 3 sentences summarizing their vaccination history. It lists that they received their initial Pfizer vaccine on May 14, 2022 at the Anjatan location, their second AstraZeneca vaccine on August 3, 2022 at the Juntinyuat location, and their third Pfizer booster vaccine on January 3, 2023 at the Cibiber location. Contact information is provided should any symptoms arise after vaccination.

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    © All Rights Reserved
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    COVID-19 VACCINATION CARD

    No. Tickets : UU-0M5EN2W No. NIK : 3212234402910001


    Full Name : INDRI FEBRIYANI
    Date of Birth : 1988-02-04
    Contact : 082315313141
    Address : ANJATAN BARU
    Receiving : CIBEBER - 10111001
    location

    History of Covid-19 Vaccine Administration

    Vaccine Vaccine Name No.Batch Receiving location Information


    Date

    2022-05-14 COVID-19 Vaccine FL4789 ANJATAN - 10211601 ALREADY VACCINATED


    16:25:00 Pfizer

    2022-08-03 Astra Zeneca D202109011A JUNTINYUAT - Vaccine


    07:21:00 10210601

    2023-01-03 COVID-19 Vaccine FX2761 CIBEBER - 10111001 The 3rd vaccine, the 1st
    15:23:00 Pfizer booster, is complete

    Notes:
    If there are symptoms after vaccination, you can contact :
    Name : Muldani
    Contact : 082316618624

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