COVID-19 Vaccination Record
Zuzana Faltusova
Covid-19 Vaccination One
Date:
07/07/2021
Vaccine Manufacturer:
Pfizer BioNTech
Vaccine Target:
Covid 19
Vaccine / Prophylaxis:
SARS—CoV-2 antigen
Batch:
EL1284
Country of Vaccination:
Czech Republic
Covid-19 Vaccination Two
Date:
11/09/2021
Vaccine Manufacturer:
Pfizer BioNTech
Vaccine Target:
Covid 19
Vaccine / Prophylaxis:
SARS—CoV-2 antigen
Batch:
EH9899
Country of Vaccination:
Czech Republic
Covid-19 Booster
Date:
———-
Vaccine Manufacturer:
———-
Vaccine Target:
Covid 19
Vaccine / Prophylaxis:
SARS—CoV-2 antigen
Batch:
———-
Country of Vaccination:
———-
The information contained in this record is private and confidential.
All client Protected Health Information (PHI) – which includes client’s medical and financial information, employee records, financial and operating data of Boss International LP, and any other information of a private or sensitive nature are considered confidential.