Coronavirus (COVID-19) Records

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NHS COVID Pass - Vaccinated

2D barcode expiry 18 August 2023


Name
NATALIA FUSCO To protect your data privacy the 2D barcode
Please check against
expires on the stated expiry date. Please
the bearer's identity. generate a new NHS COVID Pass to renew the
Date of birth
barcode.
22 June 1987

Pfizer/BioNTech COVID-19 vaccine

Dose 2 of 2
Date of vaccination 14 July 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS-CoV-2 mRNA Vaccine
Batch number FE1510
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
ESSEX HOUSE SURGERY - COVID LOCAL VACCINATION
Administering Centre
SERVICE

This document is important. Keep it safe. It is a PDF copy of your vaccination records.

Page: 1 of 2

Find out about COVID-19 symptoms, testing, vaccination and staying at home on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19

Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy
Notice is available within the guidance at: https://covid-status.service.nhsx.nhs.uk/help/privacy-notice
NHS COVID Pass - Vaccinated

2D barcode expiry 18 August 2023


Name
NATALIA FUSCO To protect your data privacy the 2D barcode
Please check against
expires on the stated expiry date. Please
the bearer's identity. generate a new NHS COVID Pass to renew the
Date of birth
barcode.
22 June 1987

Pfizer/BioNTech COVID-19 vaccine

Dose 1 of 2
Date of vaccination 19 May 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS-CoV-2 mRNA Vaccine
Batch number EW4109
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
ESSEX HOUSE SURGERY - COVID LOCAL VACCINATION
Administering Centre
SERVICE

This document is important. Keep it safe. It is a PDF copy of your vaccination records.

Page: 2 of 2

Find out about COVID-19 symptoms, testing, vaccination and staying at home on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19

Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy
Notice is available within the guidance at: https://covid-status.service.nhsx.nhs.uk/help/privacy-notice

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