COVID-19 (SARS-COV-19)
CERTIFICATE OF VACCINATION
(MBPVC)
MBPVC RECORD
PATIENT:
MICHAEL ALAN BAIRD 09/25/1981
PP-2279815-C
VACCINE:
PFIZER-BIONTECH (BNT162B2)
FIRST ADMINISTRATION:
07/21/2021
Scan for Hi-Res
For MBPVC Official Use
FRONT OF CARD
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BACK OF CARD
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For vaccination confirmations and resources visit
www.mbpvc.org/vaccinationcertification