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Ministério da Saúde
Covid 19 National Vaccination Certificate
Name Date of birth
JORGE MARCELINO DA SILVA FILHO 12/08/1988
Birth mother Gender
FRANCISCA DO MONTE DA SILVA Masculino
CPF ou CNS Nationality
364.212.168-38 Brasileiro
Doses administered
Date Vaccine* Manufacturer Dose Lot Number CNES**
COVID-19 ASTRAZENECA/FIOCRUZ ASTRAZENECA
06/10/2021 1/2 ABX0529 2751216
- COVISHIELD /FIOCRUZ
COVID-19 ASTRAZENECA/FIOCRUZ ASTRAZENECA
09/10/2021 2/2 216VCD185W 2751216
- COVISHIELD /FIOCRUZ
* The name of the vaccine is displayed from the information of the Prophylaxis Name, Manufacturer/License
Holder – Trade name of the product.
** CNES refers to the identifier of the health facility where the vaccine was administered within the National
Register of Health care provider.
CNES 2751216: UBS MARCIA CRISTIANE DA SILVA DE OURO VERDE - OURO VERDE/SP
Date of the issue : 09/12/2021, at 06:18 AM
This certificate is issued free of charge by Conecte SUS
and the information is provided by the National Health
Data Network – DATASUS/Ministry of Health.
The authenticity of this document may be verified by
the Valida QRCode reader at the Conecte SUS
application or at the Valida Certitude's website, through
the address: validacertidao.saude.gov.br, using the
code:
S6B4.EDG7.P018.DNG2
Obs.: This certificate is valid through all brazilian territory. The presentation of this certificate is not compulsory
and must not be used to discriminate against anyone.