COVID-19 Vaccination Record CardPlease keep this report card, which includes medical information about the vaccines you have received. |
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HALAL | MIRIAM | BASHAR |
Last Name | First Name | Middle |
01-01-1992 | 0720920140 |
Date of Birth | Patient Number (Vaccine Registration Number) |
Vaccine | Product Name/ Manufacturer Lot Number | Date | Healthcare Professional or Clinical Site |
---|---|---|---|
Dose 3
Booster |
Pfizer (Booster Dose) - FL3208 | Oct 10, 2022 | Tarser Ziambo/Temporary Site |
Dose 1 | Pfizer - FL3208 | Jul 20, 2022 | Tarser Ziambo/Temporary Site |
Dose 2 | Pfizer - FM2959 | Aug 22, 2022 | Tarser Ziambo/Temporary Site |
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