Coronavirus (COVID-19) Records

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NHS COVID Pass - Vaccinated

Name
2D barcode expiry 10 November 2022
M atylda Tokarska
Please check against the bearer's identity. To protect your data privacy the 2D barcode
Date of birth expires on the stated expiry date. Please generate
5 M ay 1999 a new COVID-19 Pass to renew the barcode.

Pfizer/BioNTech COVID-19 vaccine

Dose 2 of 2
Date of vaccination 2 September 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS Cov-2 mRNA Vaccine
Batch number FE3380
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
ST SWITHUN'S COMMUNITY CENTRE - COVID LOCAL
Administrating centre
VACCINATION SERVICE

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

Find out about COVID-19 symptoms, testing, vaccination and self-isolation 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: www.gov.uk/guidance/demonstrating-your-covid-19-status
Page: 1 of 3
NHS COVID Pass - Vaccinated

Name
2D barcode expiry 10 November 2022
M atylda Tokarska
Please check against the bearer's identity. To protect your data privacy the 2D barcode
Date of birth expires on the stated expiry date. Please generate
5 M ay 1999 a new COVID-19 Pass to renew the barcode.

Pfizer/BioNTech COVID-19 vaccine

Dose 1 of 2
Date of vaccination 2 July 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS Cov-2 mRNA Vaccine
Batch number FC9001
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administrating centre BOOTS UK - COVID LOCAL VACCINATION SERVICE

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

Find out about COVID-19 symptoms, testing, vaccination and self-isolation 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: www.gov.uk/guidance/demonstrating-your-covid-19-status
Page: 2 of 3
NHS COVID Pass - Recovery

Name 2D barcode expiry 1 August 2022

M atylda Tokarska
To protect your data privacy the 2D barcode
Please check against the bearer's identity. expires on the stated expiry date. Please
Date of birth generate a new COVID-19 Pass to renew the
5 M ay 1999 barcode.

Proof of recovery

Date of positive test 2 February 2022


Test type PCR
Disease targeted COVID-19
Country of test GB
Issuer NHS Digital
Date valid from 14 May 2022
Date valid until 1 August 2022

This document is important. Keep it safe.

Find out about COVID-19 symptoms, testing, vaccination and self-isolation 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: www.gov.uk/guidance/demonstrating-your-covid-19-status
Page: 3 of 3

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