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Maklumat Vaksinasi: Vaccination Details

This document is a digital COVID-19 vaccination certificate for Mihd Fauzi bin Mansur, a Malaysian citizen. It details that he received two initial doses of the Pfizer COVID-19 vaccine in April and May 2021 and a booster dose in December 2021. All doses were administered in Perlis, Malaysia and the certificate was issued by the Ministry of Health of Malaysia.

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fauzi mansur
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171 views2 pages

Maklumat Vaksinasi: Vaccination Details

This document is a digital COVID-19 vaccination certificate for Mihd Fauzi bin Mansur, a Malaysian citizen. It details that he received two initial doses of the Pfizer COVID-19 vaccine in April and May 2021 and a booster dose in December 2021. All doses were administered in Perlis, Malaysia and the certificate was issued by the Ministry of Health of Malaysia.

Uploaded by

fauzi mansur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
Mihd Fauzi bin Mansur
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
740810095165 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


10-Aug-1974
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
17-Dec-2021
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


14-Apr-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan 2020, Perlis
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
ET3045

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


05-May-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan 2020, Perlis
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
EX2405
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
Mihd Fauzi bin Mansur
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
740810095165 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


10-Aug-1974
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
17-Dec-2021
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


16-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK KESIHATAN BESERI
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
FH4750

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