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Ministry of Health

Covid 19 National Vaccination Certificate

Name Date of birth

MARIA TERESA UBATUBA ARARIPE 03.Oct.1951
Mother's Name Gender
ARLETTE UBATUBA Feminino
ID Nationality
791.456.397-87 Brasileira

Doses administered

Date Vaccine* Manufacturer Dose Lot Number CNES**

13.Oct.2021 COVID-19 PFIZER - COMIRNATY PFIZER Reforço 32016BD 2280795
COVID-19 SINOVAC/BUTANTAN - SINOVAC
28.Apr.2021 2/2 210139 2280795
CORONAVAC /BUTANTAN
COVID-19 SINOVAC/BUTANTAN - SINOVAC
31.Mar.2021 1/2 210083 2280795
CORONAVAC /BUTANTAN

* The name of the vaccine is presented from the information of the Prophylaxis Name, Manufacturer/License
Holder - Trade name of the product.
** CNES indicates the Identification Number, at the National Registry of Health Establishments (CNES), of the
one where the vaccine was administered.
CNES 2280795: SMS CMS JOAO BARROS BARRETO AP 21 - RIO DE JANEIRO/RJ

Date of the issue : 08.Dec.2021, at 04:39 PM

This certificate is issued free of charge by Conecte SUS

and the information was provided by the National
Health Data Network - DATASUS/Ministry of Health.

Its authenticity can be confirmed through the Conecte

SUS application QR Code reader or on the Valida
Certidao page on the Internet, at validacertidao.saude.
gov.br, entering the code:

W2S4.Z6CS.43MB.PUTO

Remarks: This certificate is valid throughout Brazil. It is not mandatory to hold one. It cannot be used for
discriminatory purposes.