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Certificate

This document is a COVID-19 vaccination certificate issued in India for Harsh Kumar Saini, who is fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Supriya Singh at PHC Mahen, with the first dose on October 22, 2021, and the precaution dose on August 8, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.

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Harsh K Saini
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13 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for Harsh Kumar Saini, who is fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Supriya Singh at PHC Mahen, with the first dose on October 22, 2021, and the precaution dose on August 8, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.

Uploaded by

Harsh K Saini
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 24916704809

Beneficiary Details
Beneficiary Name Harsh Kumar Saini

Age 19

Gender Male

ID Verified Aadhaar # XXXXXXXX9678

Unique Health ID (UHID) 31-8783-0267-3803

Beneficiary Reference ID 65849389223070


Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By Supriya singh

Vaccination At PHC Mahen

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine, Serum Institute of India Pvt.


1/2 22 Oct 2021 COVISHIELD 4121MF017 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 22 Jan 2022 COVISHIELD 4121AA078M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 08 Aug 2022 COVISHIELD 4122AA003M non-replicating viral vector Ltd.

Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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