COVID-19 Vaccination Record CardPlease keep this report card, which includes medical information about the vaccines you have received. |
![]() ![]() |
Zayzay | Kebbeh | Gbawee |
Last Name | First Name | Middle |
27-08-1972 | 1124720116 |
Date of Birth | Patient Number (Vaccine Registration Number) |
Vaccine | Product Name/ Manufacturer Lot Number | Date | Healthcare Professional or Clinical Site |
---|---|---|---|
Dose 2
Booster |
Pfizer (Booster Dose) - FL3208 | Jan 30, 2023 | Montserrado County Health Team/Montserrado Health Team Mobile Team |
Dose 1 | Johnson & Johnson - 1822791 | Nov 24, 2022 | Montserrado County Health Team/Montserrado Health Team Mobile Team |
![]() |
|
![]() |