IMMUNIZATION RECORD SAMPLES - gov.bc.ca

1 For more information visit: 1 IMMUNIZATION RECORD SAMPLES | CANADAIMMUNIZATION RECORD SAMPLESC anadaPaper RecordPaper RecordPaper RecordOnline RecordWallet-Size Card Alberta Manitoba New Brunswick Newfoundland and LabradorElectronic RecordFor more information visit: 2 IMMUNIZATION RECORD SAMPLES | CANADAP aper RecordElectronic RecordPaper RecordOnline RecordWallet-Size CardPaper RECORD Nova Scotia Ontario Northwest Territories NunavutPaper RecordElectronic RecordFor more information visit: 3 IMMUNIZATION RECORD SAMPLES | CANADACOVID-19 VACCINATION RECORDCOVID-19 VACCINATION RECORDP rovince of Saskatchewan, CANADAP rovince of Saskatchewan, CANADAP atientFull Name : FamilyName, GivenNameDate of Birth : 12-May-2000 Age: 21yrs Date : 27-Aug-2021 09:03 AM VaccinationsVaccinationVaccinationDateDa teVaccineVaccineLocationLocationSourceSo urceLot #Lot #26-Jun-2021 COVID-19 Pfizer-BioNTech mRNA BNT162b2- COVID-19 mRNAR egina - Evraz Hall C (Drive-Thru)Government ofSaskatchewan300254224-Jul-2021 COVID-19 Pfizer-BioNTech mRNA BNT162b2- COVID-19 mRNAR egina - Evraz Hall C (Drive-Thru)Government ofSaskatchewan3003746 PLEASE NOTE:PLEASE NOTE.

2 This document contains COVID-19 immunizations as recorded in the Saskatchewan IMMUNIZATION reflects only vaccine information entered into the registry at the time the report was printed, and may not represent all vaccines received by the HEALTH INFORMATION IS CONFIDENTIAL Page 1 / 1 Wallet-Size CardElectronic RecordPaper RecordElectronic RecordPaper RECORD Prince Edward Island Quebec SaskatchewanElectronic RecordFor more information visit: 4 IMMUNIZATION RECORD SAMPLES | CANADACO VI D- 19 Pr oof of vaccination / Pr euve de vaccination cont re la CO VI D- 19 Name / Nom : CHARLIE, ZUL UDate of birth / Date de naissance : 05 OCT / OCT 1999SM AR T H ea lth C ar ds QR C od eCode QR d e l a ca rte Sa nt SM AR TVaccinations ad min istered / Vaccins re us : 2 Date : 25 JAN / JAN 2021 Product / Produit : Moderna mRNA-1273 Lot : 3000489 Date : 06 MAY / MAI 2021 Product / Produit : Moderna mRNA-1273 Lot : 3001176 Issu ing Pro vin ce / Territ oryPro vin ce / Territ oire de d livra nceCo untry of issu ancePays d missio nThis docu ment co ntain s co nfid entia l in formatio n that is in tended only for use by the named in dividual or as authorized by la w.

3 Any unauthorizeddisclosu re, co pying, or dist rib utio n of the co ntents is st rict ly prohib it ed. Issued on 2021/08/31. If this docu ment is fold ed, ensu re the QR co de is notcr ease docu ment co ntie nt des rense ig nements co nfid entie ls qui so nt dest in s uniq uement l u sa ge de la perso nne nomm e ou l u sa ge autoris parla lo i. Toute divulg atio n, co pie ou dist rib utio n non autoris e de so n co ntenu est st rict ement in terdit e. D livr le 2021/08/31. Si ce docu ment est pli ,assurez- vo us que le co de QR ne l e st RecordWallet-Size Card YukonTemporary Identification Card NDIC anadian Forces Identification Card NDI Canadian Department of National DefenceWallet-Size CardFor more information visit: 5 IMMUNIZATION RECORD SAMPLES | CANADA Federal