COVID-19 Vaccination Record CardPlease keep this report card, which includes medical information about the vaccines you have received. |
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| Gbozee-SaySay | Neresa | S. K. |
| Last Name | First Name | Middle |
| 19-05-1984 | 1011841221 |
| Date of Birth | Patient Number (Vaccine Registration Number) |
| Vaccine | Product Name/ Manufacturer Lot Number | Date | Healthcare Professional or Clinical Site |
|---|---|---|---|
| Dose 1 | Johnson & Johnson - 1822791 | Oct 11, 2022 | Montserrado County Health Team/Montserrado Health Team Mobile Team |
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Dose 2
Booster |
Pfizer (Booster Dose) - FL3208 | Feb 15, 2023 | Montserrado County Health Team/Montserrado Health Team Mobile Team |
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