‫ﺷ ﻬ ﺎ د ة اﻟ ﺘ ﻄ ﻌ ﻴ ﻢ‬

Vaccination Certificate
Full Name ---- ‫و ﺳ ﻦ ﻗ ﺎﺑ ﻞ ﻓ ﺮ ج ا ﻟ ﺒ ﺸ ﺮ ي‬ ‫ا ﻻ ﺳ ﻢ ا ﻟ ﻜﺎ ﻣ ﻞ‬

National ID/Iqama 1125752491 1125752491 ‫ا ﻹ ﻗ ﺎ ﻣ ﺔ‬/ ‫ر ﻗ ﻢ ا ﻟ ﻬ ﻮﻳ ﺔ‬

Date of Birth 16 Jul 2001 2001 ‫ ​ ﻳﻮﻟﻴﻮ‬16 ‫ﺗﺎرﻳﺦ اﳌﻴﻼد‬

Passport Number ‫ر ﻗ ﻢ ﺟ ﻮاز ا ﻟ ﺴ ﻔ ﺮ‬

Nationality Saudi Arabia ‫ا ﻟ ﺴ ﻌ ﻮ دﻳ ﺔ‬ ‫اﻟ ﺠﻨ ﺴﻴ ﺔ‬

Batch Number ‫رﻗﻢ اﻟﺘﺸﻐﻴﻠﺔ‬ Vaccine Date ‫ﺗﺎرﻳﺦ اﻟﺘﻄﻌﻴﻢ‬ Vaccine Type ‫ﻧﻮع اﻟﺘﻄﻌﻴﻢ‬

4120Z019 2021-03-24 AstraZeneca (VAXZEVRIA®, COVISHIELD™) ‫أﺳﺘﺮاز ﻳﻨﻴﻜﺎ‬

2021 ‫ ​ ﻣﺎرس‬24

FE8236 2021-08-04 Pfizer-BionTech (COMIRNATY®) ‫ﺑﻴﻮﻧﺘﻚ‬-‫ﻓﺎﻳﺰر‬

2021 ‫ ​ أﻏﺴﻄﺲ‬04

FP0265 2022-02-07 Pfizer-BionTech (COMIRNATY®) ‫ﺑﻴﻮﻧﺘﻚ‬-‫ﻓﺎﻳﺰر‬

2022 ‫ ​ ﻓﺒﺮاﻳﺮ‬07

AHBVD56AD 2023-07-06 Hepatitis B for Adults ‫ﻟﻘﺎح اﻻﻟﺘﻬﺎب اﻟﻜﺒﺪي )ب( ﻟﻠﺒﺎﻟﻐﻴﻦ‬
2023 ‫ ​ ﻳﻮﻟﻴﻮ‬06

W3F51 2023-07-06 Influenza vaccine ‫ﻟﻘﺎح اﻻﻧﻔﻠﻮﻧﺰا‬

2023 ‫ ​ ﻳﻮﻟﻴﻮ‬06

AMJRE6AA 2024-01-04 MMR ‫ﻟﻘﺎح اﻟﺜﻼﺛﻲ اﻟﻔﻴﺮوﳼ‬

2024 ‫ ​ ﻳﻨﺎﻳﺮ‬04

XVARC181A1 2024-01-04 Varicella ‫ﻟﻘﺎح اﻟﺠﺪﻳﺮي اﳌﺎﺋﻲ‬

2024 ‫ ​ ﻳﻨﺎﻳﺮ‬04

‫ ا ﳌ ﻤ ﻠ ﻜ ﺔ ا ﻟ ﻌ ﺮﺑ ﻴ ﺔ ا ﻟ ﺴ ﻌ ﻮ دﻳ ﺔ‬،‫ﺗ ﻢ إ ﺻ ﺪ ا ر ﻫ ﺬ ه ا ﻟ ﻮﺛ ﻴ ﻘ ﺔ ﻣ ﻦ ﻗ ﺒ ﻞ و ز ا ر ة ا ﻟ ﺼ ﺤ ﺔ‬

This Document has been issued by the Ministry of Health, Kingdom of Saudi Arabia

Scan the QR code to electronically validate this Certificate No. ‫رﻗﻢ‬ ‫ او ﻋﻦ‬,‫ﻗﻢ ﺑﻤﺴﺢ اﻟﺒﺎرﻛﻮد ﻟﻠﺘﺤﻘﻖ ﻣﻦ ﻫﺬه اﻟﻮﺛﻴﻘﺔ اﻟﻜﺘﺮوﻧﻴﺎ‬
document or visit the following URL: ‫ا ﻟ ﺸ ﻬﺎ د ة‬ ‫ﻃﺮ ﻳﻖ ز ﻳﺎرة اﻟﺮاﺑﻂ‬:

https://www.seha.sa/VaccinationCertificate VCC040821205442 https://www.seha.sa/VaccinationCertificate

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