41055 71351
Republic of the Philippines
C I T Y OF M A N I L A
CERTIFICATE OF VACCINATION
This is to certify that MARK JON ABEDES GAZZINGAN, 23 years of age,
residing at BRGY 287 MUELLE DELA INDUSTRIA, FAROLA COMPOUND,
BINONDO MANILA Barangay 287, BINONDO was fully vaccinated by the Manila
t.
en
Health Department.
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1st Dose 2nd Dose
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Date Administered 07/05/2021 08/02/2021
Brand Sinovac Sinovac
Injection Site Deltoid, Left
ty Deltoid, Left
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Lot Number L202106034 H202106043
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Route IM IM
Expiration Date 06/12/2024 06/29/2024
by
Vaccinator/Site (1st) ALEXA . FRANCISCO
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COAST GUARD
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Vaccinator/Site (2nd) ROWENA . RUFINO
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irm
COAST GUARD
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on
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This certificate is issued this 03rd day of August 2021 for whatever legal
fo
purpose this may serve best.
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Arnold M. Pangan, MD, RSW
City Health Officer