International COVID-19 Vaccination Certificate

Proof of Vaccination Issued by AUS Version 1 UVCI VA0018616423

Australian
Government
International Name of the holder: PEREIRA MENEZES, ALLANA
COVID- LUIZA
19
Vaccination
Date of birth: 1990-06-30
Certificate Sex: F
Proof Passport number: FO300333
of
Vaccination Visible Digital Seal (VDS-NC)
Issued Authorities can verify that this document is true and
unaltered with a QR reader that checks against Australia's
by ePassport Country Signing Certificate Authority public key.
AUS
Version
1
Unique
Vaccination
Protect the QR code from marks and damage
Certificate
Identifier
VA0018616423
VACCINATION EVENT
Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
XM68M6 (COVID-19) Pfizer Comirnaty RA01.0 (COVID-19)

Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

2021-09-03 1 AUS General Practitioner FE7051

2021-09-24 2 AUS General Practitioner FF8222

This document bears a Visible Digital Seal for a Non-Constrained Environment (VDS-NC), as specified by the International
Civil Aviation Organization. UVCI means 'Unique Vaccination Certificate Identifier', XM68M6 and RA01.0 are World Health
Organization codes for COVID-19.

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