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    CoVid 19 Vaccine Masterlisting (Template v.2023)

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    Feb
    This document contains a masterlist of COVID-19 vaccine recipients in Barangay 5, Pio Duran, Albay, Philippines. It includes the recipient's name, age, date of birth, vaccine category, brand of vaccine received, and dates for the 1st and 2nd doses. Population statistics are also provided showing the number of residents vaccinated by category and gender, as well as the total population vaccinated with at least two doses.

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    CoVid 19 Vaccine Masterlisting (Template v.2023)

    Uploaded by

    Feb
    13 views11 pages
    This document contains a masterlist of COVID-19 vaccine recipients in Barangay 5, Pio Duran, Albay, Philippines. It includes the recipient's name, age, date of birth, vaccine category, brand of vaccine received, and dates for the 1st and 2nd doses. Population statistics are also provided showing the number of residents vaccinated by category and gender, as well as the total population vaccinated with at least two doses.

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    This document contains a masterlist of COVID-19 vaccine recipients in Barangay 5, Pio Duran, Albay, Philippines. It includes the recipient's name, age, date of birth, vaccine category, brand of vaccine received, and dates for the 1st and 2nd doses. Population statistics are also provided showing the number of residents vaccinated by category and gender, as well as the total population vaccinated with at least two doses.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    13 views11 pages

    CoVid 19 Vaccine Masterlisting (Template v.2023)

    Uploaded by

    Feb
    This document contains a masterlist of COVID-19 vaccine recipients in Barangay 5, Pio Duran, Albay, Philippines. It includes the recipient's name, age, date of birth, vaccine category, brand of vaccine received, and dates for the 1st and 2nd doses. Population statistics are also provided showing the number of residents vaccinated by category and gender, as well as the total population vaccinated with at least two doses.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
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    Republic of the Philippines

    Province of Albay
    Municipality of Pio Duran
    BARANGAY 5

    MASTERLIST OF COVID-19 VACCINE RECIPIENTS


    As of ____________________
    Purok: __________ CY: _______________
    Age Group: _______________
    Total Eligible Population for Vaccination: _______________

    COVID 19 Primary Vaccines


    No. Complete Name Age Date of Birth Category Vaccine Brand/ REMARKS
    (Last Name, First Name, Middle Name) (mm/dd/yyyy) Manufacturer 1st Dose 2nd Dose
    Purok: __________ CY: _______________
    Age Group: _______________

    No. COVID 19 Primary Vaccines


    Complete Name Age Date of Birth Category Vaccine Brand/ REMARKS
    (Last Name, First Name, Middle Name) (mm/dd/yyyy) Manufacturer
    1st Dose 2nd Dose
    Purok: __________ CY: _______________
    Age Group: _______________

    Complete Name Date of Birth Category COVID 19 Primary Vaccines


    No. (Last Name, First Name, Middle Name)
    Age (mm/dd/yyyy)
    Vaccine Brand/ REMARKS
    Manufacturer 1st Dose 2nd Dose

    Population Vaccinated with atleast two (2) doses of Primary Vaccine (by Category):___________________________

    A1: _______________

    A2: _______________

    A3: _______________

    A4: _______________

    A5: _______________

    Population Vaccinated (with atleast two (2) doses of Primary Vaccine (by gender): ___________________
    Male: _____________

    Female:___________

    Total Population Vaccinated (with atleast two (2) doses of Primary Vaccine):___________________________
    BARANGAY 5

    Purok _______
    Total Population:
    Total No. of HH:
    Total No. of Families

    COVID-19 Vaccination Coverage


    Age Bracket Target Accomplished %
    5-11 years old
    12-17 yo
    18-59 yo
    69 yo

    Age/ Sex Distribution


    Purok
    INDICATORS
    M F
    0-11 months old
    1-4 years old
    5-11 years old
    12-17 years old
    18-59 years old
    60 y/o and above
    TOTAL

    PREPARED BY:
    _________________________
    BNS/ BHW
    BARANGAY 5
    Total Population:
    Projected Population:
    No. of Household:
    No. of Families:

    Purok 1 Purok 2 Purok 3 Purok 4


    INDICATORS
    M F M F M F M F
    0-11 months old
    1-4 years old
    5-11 years old
    12-17 years old
    18-59 years old
    60 y/o and above

    COVID-19 Vaccination Coverage


    Purok _______
    Accomp
    Age Bracket Target %
    lished
    5-11 years old
    12-17 yo
    18-59 yo
    69 yo
    Purok 5 Purok 6 Purok 7
    M F M F M F
    Republic of the Philippines
    Province of Albay
    Municipality of Pio Duran
    BARANGAY MARIGONDON

    MASTERLIST OF COVID-19 VACCINE RECIPIENTS


    As of ____________________
    Purok: __________ CY: _______________
    Age Group: _______________
    Total Eligible Population for Vaccination: _______________

    COVID 19 Primary Vaccines


    No. Complete Name Age Date of Birth Category Vaccine Brand/ REMARKS
    (Last Name, First Name, Middle Name) (mm/dd/yyyy) Manufacturer 1st Dose 2nd Dose
    Purok: __________ CY: _______________
    Age Group: _______________

    No. COVID 19 Primary Vaccines


    Complete Name Age Date of Birth Category Vaccine Brand/ REMARKS
    (Last Name, First Name, Middle Name) (mm/dd/yyyy) Manufacturer
    1st Dose 2nd Dose
    Purok: __________ CY: _______________
    Age Group: _______________

    Complete Name Date of Birth Category COVID 19 Primary Vaccines


    No. (Last Name, First Name, Middle Name)
    Age (mm/dd/yyyy)
    Vaccine Brand/ REMARKS
    Manufacturer 1st Dose 2nd Dose

    Population Vaccinated with atleast two (2) doses of Primary Vaccine (by Category):___________________________

    A1: _______________

    A2: _______________

    A3: _______________

    A4: _______________

    A5: _______________

    Population Vaccinated (with atleast two (2) doses of Primary Vaccine (by gender): ___________________
    Male: _____________

    Female:___________

    Total Population Vaccinated (with atleast two (2) doses of Primary Vaccine):___________________________

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