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COVID-19 VACCINATION CERTIFICATE

VACCINEE DETAILS
Full Name:
VILLENA, RANDY

Date of Birth: Passport No.:


19-Aug-1990 P7064998A

Issuer:
Philippine Department of Health

Issuance Date and Time:


22-Nov-2022 09:02 PM

This QR code is compliant with the framework of


European Union Digital COVID Certificate (EU DCC) Certificate ID: 970723933

Dose Date of Country of


Vaccine/ Prophylaxis Brand, Manufacturer Lot Number
Number Vaccination Vaccination

COVID-19 vaccine, CoronaVac,


1 17-Sep-2021
inactivated virus Sinovac
J202107048 Philippines

COVID-19 vaccine, CoronaVac,


2 19-Oct-2021
inactivated virus Sinovac
L202108102 Philippines

COVID-19 vaccine, RNA- Moderna,


3 01-Aug-2022
based Moderna
000129A Philippines

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