BARANGAY MONTHLY INVENTORY OF VACCINATED POPULATION

REGION:
PROVINCE:
CITY/MUNICIPALITY:
BARANGAY:
A. TOTAL NO. OF BARANGAY INHABITANTS AGED 12-17
YEARS OLD, ELIGIBLE FOR VACCINATION:
B. TOTAL NO. OF BARANGAY INHABITANTS AGED 18 YRS &
ABOVE, ELIGIBLE FOR VACCINATION:
C. TOTAL NO. OF BARANGAY INHABITANTS AGED 12 YRS OLD
& ABOVE, ELIGIBLE FOR VACCINATION:
D. TOTAL NO. OF UNVACCINATED INDIVIDUALS AGED 12 YRS
&ABOVE:
E. PERCENTAGE OF UNVACCINATED INDIVIDUALS AGED 12
YRS & ABOVE:
F. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS AGED
12 YRS & ABOVE:
G. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS 12
YRS & ABOVE:
H. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS AGED 12-
17 YEARS :
I. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS AGED
12.17 YRS OLD:
J. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS AGED 18
YRS & ABOVE:
K. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS AGED
18 YRS & ABOVE:
L. TOTAL OF FULLY VACCINATED INDIVIDUALS AGED 12 YRS
OLD AND ABOVE:
M. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS AGED
12 YRS & ABOVE:
N. TOTAL NO. OF INDIVIDUALS AGED 18 YRD & ABOVE WITH
BOOSTER SHOT:
O. PERCENTAGE OF INDIVIDUALS AGED 18 YRS & ABOVE
WITH BOOSTER SHOT:
*Note: Input data for item A and B which may be sourced from the Registry of Barangay Inhabitants (RBI) which is updated
AS OF (insert date): every six months, or from the 2020 Census of Population and Housing (2020 CPH) of the Philippine Statistics Authority
(PSA).

Formula: C= A+B

Formula: D=C-(f+L)

Formula: E=D/cx100

Formula: G=F/Cx100

Formula: I=H/Ax100

Formula: K=J/Bx100

Formula: L=H+J

Formula: M=L/Cx100

Formula O=N/Jx100

Prepared by Approved by
Name and Signature of Barangay Secretary/Health Worker Name and Signature of Punong Barangay

PRIMARY SERIES OF COVID-19 VACCINE

Fully Vacinnated
(Note: 1. If brand is "Janssen, put NA in the column for "2nd Dose"; Partially Fully Vaccinated BOOSTER DOSE
18 years old &
Put "None" if unvaccinated) vacinnated? (Put 1 12-17 years old?
No. Full Name above? (Put 1 if
if Yes or Yes or Individuals 18 years old &
Date of Vaccination Yes or
Brand 0 if No) 0 if No) above w/Booster shot? (Type 1 Date of Vaccination Brand
0 if No)
1st Dose 2nd Dose if yes & O if No, NA if 12-17
Y/O
1 JOHNNY Q. ESLIT June 17, 2021 July 19, 2021 Sinovac 0 0 1 1 January 6, 2021 Moderna
2 RODELO T. SARONG October 20, 2021 NA Janssen 0 0 1 0
3 JOMAR L. LAMBOJON May 27, 2021 Pfizer 0 1 0 0
4 MERLYN B. TAPIA None None None 1 0 0 0
5 FLORDELITA A ALENO
6 CRISPOLO F. BENOYA JR
7 JUNJIE S. CASES
8 GLENN C. LOPEZ
9 EDUARDO P. CASES JR.
10 JESSA MAE P. ESLIT November 23, 2021 November 14, 2021 Pfizer
11 JESSA BA BENOYA
12 TALISIK, NELSON December 1, 2021 December 29,2021 Sinovac 1 0 1 0 None None
13 MAGNAOG, ANTHONY December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
14 ALIMOREN, JENESSA B. December 1, 2021 None Pfizer 0 0 1 0 None None
15 REDOBLADO, FELISA A. December 1, 2021 December 29,2021 Sinovac 1 0 1 0 None None
16 ALFEREZ, ROSITA A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
17 ALFEREZ, FELICIANO December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
18 OBERES, FLORENCIA December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
19 OBERES, AGAPITO December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
20 CALING, REYMUND December 1, 2021 December 28,2021 Sinovac 1 0 None ‘None
21 LUCASAN, EDDIE December 1,2021 December 28, 2021 Sinovac 1 0 1 0 None None
22 TURA, PHOEBE O. December1,2021 None Astrazenica 0 0 None None
23 BARORO, JOSEPHINE December 1, 2021 None Astrazenica 0 0 1 0 None None
24 BARORO, JEZLIE December, 1, 2021 None Moderna 0 0 1 0 None None
25 BARORO, JAREL December 1, 2021 None Moderna 0 0 1 0 None None
26 MAGHANOY, CHRISTOPHER December 12, 2021 None Moderna 0 0 1 0 None None
27 ORINGOT, KHIZIEL A. December 1,2021 None Moderna 0 0 None None
28 ORINGOT , ALONA A. December 1, 2021 None 0
29 ORINGOT, ALMA JOY B. December 1, 2021 None Sinovac 0 0 None None
30 LARANJO, ROSELYN D. December 1, 2021 None
31 LARANJO, BRENDAN December 1,2021 None
32 ARCAYAN, JELLY December 1, 2021 December 29, 2021 Sinovac 1 0 None None
33. BARORO, JERRY December 1, 2021 None Astrazenica 0 0 None None
34 ASOY, RYAN December 1, 2021 None 0
35 PANILAGAN, JENNELYN December 1, 2021 None 0
36 ELCARTE, RUEL December 1, 2021 None 0
37 ELCARTE, JHANREL S. December 1, 2021 None 0
38 ELCARTE, JOAN S. Decennber 1, 2021 None 0
39 CABALLERO, THRISTAN A. December 1, 2021 December 29, 2021 Moderna 1 0 1 0
40 CABALLERO, JOARIEL A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
41 ARCAYAN, CHANDIO A. December 1, 2021 December 29, 2021 Moderna 1 0 1 0 None None
42 BARORO, JAYLORD A. December 1, 2021 None Astrazenica 0 0 1 0 None None
43 BARORO, JEMER December 1, 2021 None Astrazenica 0 0 1 0 None None
44 MAGPAROC, GLEZEL December 1, 2021 None Astrazenica 0 0 1 0 None None
45 LEONARDO, RESAMAE B. December 1, 2021 None
46 SUPANG, FLORDELYN O. December 1, 2021 None
47 BROCA, LIEZEL E. December 1, 2021 None
48 BROCA, JONATHAN December 1, 2021 None
49 TAPIA, WILSA R. December 1, 2021 December 29,, Sinovac 1 0 None None
2021
50 TAPIA, JOSEPH December 1, 2021 December 29, 2021 Sinovac 1 0 None None
51 ROSALES, JONAH S. Dcember 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
52 ROSALES, RIEL M. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
53 ROSALES, MARK DARREL S. December 1, 2021 December 29, 2021 Moderna 1 0 1 0 None None
54 MISAL, JOVELYN L. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
55 MISAL, ROBERT A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
56 TAGURAN, VICTOR December 1, 2021 December 29, 2021 Sinovac 1 0 None None
57 CUERDA, ALFREDO December 1, 2021 December 29, 2021
58 BUENO, NELFE A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
59 BUENO, CHEQUITO A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
60 TUMULAC, ANGELINA December 1, 2021
61 ESCOTO, MIGUELA A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
62 ESCOTO, FONCIANO December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
63 ESCOTO, JESSEL December 1, 2021 None Moderna 0 0 1 0 None None
64 SERVIDOR, JERUIM December 1, 2021 December 29, 2021 Sinovac 1 None None
65 SERVIDOR, ELMIE T. December 1, 2021 December 29, 2021 Sinovac 0 None None
66 ORNOPIA, FE P. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
67 PIKITPIKIT,ELMA A. December 1, 2021 December 29,2021 Sinovac 1 0 1 0 None None
68. DAMOL, MELNE L. December 1, 2021 December 29, 2021 Sinovac 1 p 1 0 None None
69 GIMENO, ESMERALDA L. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
70 DAMOL, JUANITO December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None
71 REDOBLADO, JOSELITO A. December 1, 2021 December 29, 2021 Sinovac 1 0 1 0 None None

TOTAL 1 1 2 1