COVID-19 Vaccination Record CardPlease keep this report card, which includes medical information about the vaccines you have received. |
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| Cooper | Annie | T.N |
| Last Name | First Name | Middle |
| 18-08-1979 | 1216790044 |
| Date of Birth | Patient Number (Vaccine Registration Number) |
| Vaccine | Product Name/ Manufacturer Lot Number | Date | Healthcare Professional or Clinical Site |
|---|---|---|---|
| Dose 2 | Pfizer - AB0017 | Dec 06, 2024 | /JFK Hospital |
| Dose 1 | Pfizer - AB0017 | Nov 06, 2024 | /JFK Hospital |
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