No.

DepEd Email Address

1 [email protected]
2 [email protected]
3 [email protected]
4 [email protected]
FULL NAME (FIRST, MIDDLE, LAST AND SUFFIX) AGE SEX CELLPHONE
NUMBER

CRISANTO C. CAUGUIRAN 39 MALE 91613329912

SIR JOHN MANUEL BESANA BALTAZAR 32 MALE 9094463813
PETER JOHN ROSALIN CALIBO 31 MALE 9514627922
JEANIE GARCIA ITABLE 40 FEMALE9477718586
Unit/ Bldg./ House BARANGAY MUNICIPALITY PROVINCE
No./ Street Name/
Purok

POBLACION KALAMANSIG KALAMANSIG SULTAN KUDARAT

115 LIGAYA STREET STA. MARIA KALAMANSIG SULTAN KUDARAT
TIPUDOS OBIAL KALAMANSIG SULTAN KUDARAT
SITIO BANIGAN SABANAL KALAMANSIG SULTAN KUDARAT
EMPLOYER STATION DISTRICT

DEPED DIVISION OF SULTAN K SABANAL ELEMENTARY SCHOOL KALAMANSIG I

DEPED DIVISION OF SULTAN K SABANAL ELEMENTARY SCHOOL KALAMANSIG I
DEPED DIVISION OF SULTAN K SABANAL ELEMENTARY SCHOOL KALAMANSIG I
DEPED DIVISION OF SULTAN K SABANAL ELEMENTARY SCHOOL KALAMANSIG I
LEVEL EMPLOYMENT STATUS POSITION (NO CLASSIFICATION
ABBREVIATION)

ELEMENTARY SCHOOL REGULAR/ PERMANENT TEACHER II TEACHING

ELEMENTARY SCHOOL REGULAR/ PERMANENT TEACHER I TEACHING
ELEMENTARY SCHOOL REGULAR/ PERMANENT TEACHER I TEACHING
ELEMENTARY SCHOOL REGULAR/ PERMANENT TEACHER I TEACHING
PhilHealth ID Number Experiencing SIGNS AND COMORBIDITY
UNUSUAL signs or SYMPTOMS
symptoms before EXPERIENCED
receiving COVID-19 PRIOR TO
vaccine? VACCINATION

17-000064389-3 NO NONE NONE

17-000085589-0 NO NONE NONE
16-200927970-9 NO NONE NONE
17-025194890-1 NO NONE NONE
OTHER MEDICAL Previously diagnosed DATE OF RT-PCR IF UNVACCINATED,
CONDITION with COVID-19 (based TEST RESULT (For STATE REASON OF
on RT-PCR Test Previously diagnosed NOT RECEIVING THE
Result)? with COVID-19 ONLY) VACCINE

NONE NO N/A
NONE NO N/A
NONE NO N/A
NONE NO N/A
PRIORITY GROUP TYPE OF COVID-19 VACCINE PLACE OF MUNICIPALITY
PROVIDER VACCINATION
(BLDG. OR BRGY.)

A3 MUNICIPAL HEALTH OFFICE (RHU) POBLACION KALAMANSIG

A3 MUNICIPAL HEALTH OFFICE (RHU) DUMANGAS/STA CLARKALAMANSIG
A3 MUNICIPAL HEALTH OFFICE (RHU) POBLACION/CADIZ KALAMANSIG
A3 MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
PROVINCE COVID-19 VACCINE FIRST DOSE VACCINE BATCH NO.
RECIEVED RECIEVED (ENTER N/A IF NOT
(MM/DD/YYYY) APPLICABLE)

SULTAN KUDARAT JOHNSON & JOHNSON' 8/2/2021 N/A

SULTAN KUDARAT SINOVAC CORONAVA 8/26/2021 N/A
SULTAN KUDARAT SINOVAC CORONAVA 8/9/2021 N/A
SULTAN KUDARAT JOHNSON & JOHNSON' 8/6/2021 N/A
VACCINE LOT NO. SECOND DOSE VACCINE BATCH NO. VACCINE LOT NO.
(ENTER N/A IF NOT RECEIVED (IF (ENTER N/A IF NOT (ENTER N/A IF NOT
APPLICABLE) JANSSEN, SAME APPLICABLE) APPLICABLE)
DATE WITH FIRST
DOSE)
(MM/DD/YYYY)
N/A 8/2/2021 N/A N/A
N/A 10/12/2021 N/A N/A
N/A 9/7/2021 N/A N/A
N/A 8/6/2021 N/A N/A
SIDE EFFECT/ INTERVENTION CURRENT HEALTH COVID-19 VACCINE
ADVERSE REACTION GIVEN STATUS BOOSTER DOSE
EXPERIENCED RECEIVED

NONE NONE NO SIDE EFFECT OR PFIZER BIONTECH

NONE NONE NO SIDE EFFECT OR ADVERSE REACTION
FEVER NONE NO SIDE EFFECT OR ADVERSE REACTION
NONE NONE NO SIDE EFFECT OR ADVERSE REACTION
DATE OF BOOSTER
VACCINATION
(MM/DD/YYYY)

12/21/2021
NONE
NONE
NONE
No. LEARNER'S FULL NAME (FIRST, MIDDLE, LAST AND AGE SEX
SUFFIX)

ARVIE CARREON ABILA 9 MALE

JAN LAWRENCE SOJERO SAY 10 MALE
RICA MALARAN ARADO 10 FEMALE
RIZA MAE BATABA ARADO 10 FEMALE
JASLYN ALCAYDE OLINO 11 FEMALE
BALTAZAR LUGPIT PAGLINAWAN 11 FEMALE
JERIC PAGLINAWAN RENDOQUE 11 FEMALE
 CELLPHONE BARANGAY MUNICIPALITY PROVINCE
NUMBER

SABANAL KALAMANSIG SULTAN KUDARAT

SABANAL KALAMANSIG SULTAN KUDARAT
FEMALE SABANAL KALAMANSIG SULTAN KUDARAT
FEMALE SABANAL KALAMANSIG SULTAN KUDARAT
FEMALE SABANAL KALAMANSIG SULTAN KUDARAT
FEMALE SABANAL KALAMANSIG SULTAN KUDARAT
FEMALE SABANAL KALAMANSIG SULTAN KUDARAT
SCHOOL GRADE SECTION DISTRICT

SABANAL ELEMENTARY SCHOOL GRADE 4 EMERALD KALAMANSIG I

SABANAL ELEMENTARY SCHOOL GRADE 5 DIAMOND KALAMANSIG I
SABANAL ELEMENTARY SCHOOL GRADE 5 DIAMOND KALAMANSIG I
SABANAL ELEMENTARY SCHOOL GRADE 5 DIAMOND KALAMANSIG I
SABANAL ELEMENTARY SCHOOL GRADE 5 DIAMOND KALAMANSIG I
SABANAL ELEMENTARY SCHOOL GRADE 6 SAPPHIRE KALAMANSIG I
SABANAL ELEMENTARY SCHOOL GRADE 6 SAPPHIRE KALAMANSIG I
LEVEL Experiencing SIGNS AND COMORBIDITY
UNUSUAL signs or SYMPTOMS
symptoms before EXPERIENCED
receiving COVID-19 PRIOR TO
vaccine? VACCINATION

ELEMENTARY SCHOOL NO NONE NONE

ELEMENTARY SCHOOL NO NONE NONE
ELEMENTARY SCHOOL NO NONE NONE
ELEMENTARY SCHOOL NO NONE NONE
ELEMENTARY SCHOOL NO NONE NONE
ELEMENTARY SCHOOL NO NONE NONE
ELEMENTARY SCHOOL NO NONE NONE
OTHER MEDICAL Previously diagnosed DATE OF RT-PCR IF UNVACCINATED,
CONDITION with COVID-19 (based TEST RESULT (For STATE REASON OF
on RT-PCR Test Previously diagnosed NOT RECEIVING THE
Result)? with COVID-19 ONLY) VACCINE

NONE NO
NONE NO
NONE NO
NONE NO
NONE NO
NONE NO
NONE NO
PRIORITY GROUP TYPE OF COVID-19 VACCINE PLACE OF MUNICIPALITY
PROVIDER VACCINATION
(BLDG. OR BRGY.)

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG

MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
MUNICIPAL HEALTH OFFICE (RHU) SABANAL KALAMANSIG
PROVINCE COVID-19 VACCINE FIRST DOSE SECOND DOSE
RECIEVED RECIEVED RECEIVED (IF
(MM/DD/YYYY) JANSSEN, SAME
DATE WITH FIRST
DOSE)
(MM/DD/YYYY)
SULTAN KUDARAT
SULTAN KUDARAT
SULTAN KUDARAT
SULTAN KUDARAT
SULTAN KUDARAT
SULTAN KUDARAT
SULTAN KUDARAT
SIDE EFFECT/ INTERVENTION CURRENT HEALTH COVID-19 VACCINE
ADVERSE REACTION GIVEN STATUS BOOSTER DOSE
EXPERIENCED RECEIVED
DATE OF BOOSTER
VACCINATION
(MM/DD/YYYY)
 CONSOLIDATED COVID-19 VACCINATION REPORT (PERSONNEL)
July 20, 2022

Data
EMPLOYER DISTRICT STATION 1ST DOSE 2ND DOSE
DEPED DIVISION OF SULTAN KUDARAT 4 4
KALAMANSIG I 4 4
SABANAL EL 4 4
(empty)
(empty)
(empty)
Total Result 4 4

Prepared by:

NAME
Position

Noted by:

NAME
School Head
BOOSTER
4
4
4

4
 CONSOLIDATED COVID-19 VACCINATION REPORT (LEARNER)
July 20, 2022

Data
DISTRICT SCHOOL GRADE SECTION 1ST DOSE
KALAMANSIG I
SABANAL ELEMENTARY SCHOOL
GRADE 4
EMERALD
GRADE 5
DIAMOND
GRADE 6
SAPPHIRE
(empty)
(empty)
(empty)
(empty)
Total Result

Prepared by:

NAME
Position

Noted by:

NAME
School Head
2ND DOSE BOOSTER
No. DepEd FULL AGE SEX CELLPHO Unit/ Bldg./ BARANGAY MUNICIPALI
Email NAME NE House No./ TY
Address (LAST, NUMBER Street
FIRST, Name/
MIDDLE Purok
AND
SUFFIX)

MALE
FEMALE
PROVINCE EMPLOYER STATION DISTRICT LEVEL EMPLOY POSITION CLASSIFIC
MENT (NO ATION
STATUS ABBREVI
ATION)

SULTAN KUDADEPED REGION

SCHOOLS DIVISCHOOLS DIELEMENTARREGULAR/ ADMINISTRA
TEACHING
SOUTH COTA DEPED DIVIS ABANG ELEMEBAGUMBAYA SECONDARYCASUAL ADMINISTRA NONTEACHING
NORTH COTALGU (IF LGU PADALLA ELEMBAGUMBAYA INTEGRATEJOB ORDERADMINISTRA OTHERS
SARANGGANIOTHERS AGUIL ELEMEBAGUMBAYA DIVISION OLGU PAID ADMINISTRATIVE AIDE IV
MAGUINDAN NOT APPLICA ALA CENTRALCOLUMBIO I VOLUNTEERADMINISTRATIVE AIDE V
OTHERS ALAMADA SACOLUMBIO II OTHERS ADMINISTRATIVE AIDE VI
ALAS-AS LOWESPERANZA I NOT APPLICADMINISTRATIVE ASSISTANT I
ALAS-AS UPP ESPERANZA II ADMINISTRATIVE ASSISTANT II
ALFREDO ANCESPERANZA III ADMINISTRATIVE ASSISTANT III
ALHAMBRA-GISULAN CENTRAL ADMINISTRATIVE ASSISTANT IV
AMPAD-GUIAB ISULAN EAST ADMINISTRATIVE ASSISTANT V
ANTONG INTEISULAN SOUTH ADMINISTRATIVE ASSISTANT VI
ARSENIO ELE ISULAN WEST ADMINISTRATIVE OFFICER I
ARTEMIO L. KALAMANSIG I ADMINISTRATIVE OFFICER II
B. VENUS EL KALAMANSIG II ADMINISTRATIVE OFFICER III
BABATO ELEMKULAMAN (SNA) I ADMINISTRATIVE OFFICER IV
BACALTO ELE KULAMAN (SNA) II ADMINISTRATIVE OFFICER V
BADIANGON ELAMBAYONG I ASSISTANT SCHOOL PRINCIPAL I
BAGSING PRI LAMBAYONG II ASSISTANT SCHOOL PRINCIPAL II
BAGUMBAYAN LAMBAYONG III ASSISTANT SCHOOL PRINCIPAL III
BAGUMBAYAN LEBAK CENTRAL ASSISTANT SCHOOLS DIVISION SUPERINTENDE
BAGUMBAYAN LEBAK EAST CHIEF EDUCATION SUPERVISOR
BAI SARIPIN LEBAK WEST DENTAL AIDE
BAI SARIPIN LUTAYAN I DENTIST II
BALIANGO EL LUTAYAN II EDUCATION PROGRAM SPECIALIST
BALISAN ELE PALIMBANG I EDUCATION PROGRAM SUPERVISOR
BALITE ELEM PALIMBANG II GUIDANCE COUNSELOR I
BALNATE ELE PALIMBANG III GUIDANCE COUNSELOR II
BALUAN CENTPRES. QUIRINO NORTH GUIDANCE COUNSELOR II
BALUAN NATIPRES. QUIRINO SOUTH HEAD TEACHER I
BAMBAD CENT PRES. QUIRINO SOUTH HEAD TEACHER II
BAMBAD NATIONAL HIGH SCHOOL HEAD TEACHER III
BANALI ELEMENTARY SCHOOL HEAD TEACHER IV
BANNAWAG ELEMENTARY SCHOOL INSTRUCTOR I
BARANAYAN ELEMENTARY SCHOOL INSTRUCTOR II
BARONGIS ELEMENTARY SCHOOL INSTRUCTOR III
BASAG ELEMENTARY SCHOOL MASTER TEACHER I
BASAG ELEMENTARY SCHOOL MASTER TEACHER II
BAUMOL ELEMENTARY SCHOOL MASTER TEACHER III
BAYASONG ELEMENTARY SCHOOL MEDICAL OFFICER III
BAYAWA ELEMENTARY SCHOOL NURSE II
BENEBOL PRIMARY SCHOOL PRINCIPAL I
BILUMIN ELEMENTARY SCHOOL PRINCIPAL II
BITOGEN ELEMENTARY SCHOOL PRINCIPAL III
BIWANG CENTRAL SCHOOL PRINCIPAL IV
BIWANG NATIONAL HIGH SCHOOL PUBLIC SCHOOLS DISTRICT SUPERVISOR
BLACOL ELEMENTARY SCHOOL REGISTRAR
BLANGA ELEMENTARY SCHOOL SCHOOLS DIVISION SUPERINTENDENT
BLINGKONG CENTRAL SCHOOL SECURITY GUARD
BOLEBAK INTEGRATED SCHOOL SPECIAL EDUCATION TEACHER I
BONGO-BONGO ELEMENTARY SCHOOL SPECIAL EDUCATION TEACHER II
BONGO-BONGO INTEGRATED SCHOOL SPECIAL EDUCATION TEACHER III
BONIFACIO M. DIFUNTORUM SR. ELEMENTARY SPECIAL SCHOOLS PRINCIPAL
BONITA ELEMENTARY SCHOOL SPECIAL SCIENCE TEACHER I
BUAL ELEMENTARY SCHOOL TEACHER I
BUENAFLORES ELEMENTARY SCHOOL TEACHER II
BUGSO ELEMENTARY SCHOOL TEACHER III
BUGSO NATIONAL HIGH SCHOOL TECH-VOC SCHOOL ADMINISTRATOR
BUKLOD ELEMENTARY SCHOOL WATCHMAN I
BULULAWAN ELEMENTARY SCHOOL OTHERS
BUNAY PRIMARY SCHOOL NOT APPLICABLE
BUSOK ELEMENTARY SCHOOL
BUSOK NATIONAL HIGH SCHOOL
CAMPO 3 ELEMENTARY SCHOOL
CAPILAN INTEGRATED SCHOOL
CARIDAD ELEMENTARY SCHOOL
CELESTE CENTRAL ELEMENTARY SCHOOL
CENTRAL MANGILALA HIGH SCHOOL
CHRISTIANUEVO ELEMENTARY SCHOOL
CHUA INTEGRATED SCHOOL
COLUMBIO CENTRAL SCHOOL
COLUMBIO NATIONAL HIGH SCHOOL
D. LEAL ELEMENTARY SCHOOL
D. LOTILLA ELEMENTARY SCHOOL
D. MOISES ELEMENTARY SCHOOL
DAGUMA ELEMENTARY SCHOOL
DALADAP ELEMENTARY SCHOOL
DALUGA ELEMENTARY SCHOOL
DANSULI ELEMENTARY SCHOOL
DANTE INTEGRATED SCHOOL
DAPULAN ELEMENTARY SCHOOL
DATALBLAO ELEMENTARY SCHOOL
DATALBLAO NATIONAL HIGH SCHOOL
DATU AMPAK KAWAN NATIONAL HIGH SCHOOL
DATU BAGO LEBEG ELEMENTARY SCHOOL
DATU BAKBAK APANG INTEGRATED SCHOOL
DATU BANGBANGJUMBO ELEMENTARY SCHOOL
DATU ETANG INTEGRATED SCHOOL
DATU GAMBANGAN SALILING ELEMENTARY SCHOOL
DATU GAS TUBO ELEMENTARY SCHOOL
DATU GIBEL BATILAN ELEMENTARY SCHOOL
DATU GUIABAR PILOT SCHOOL
DATU INA CAPITAN INTEGRATED SCHOOL
DATU ITO ANDONG INTEGRATED SCHOOL
DATU KARON ELEMENTARY SCHOOL
DATU MALAYAT INTEGRATED SCHOOL
DATU MANGGONG PRIMARY SCHOOL
DATU MANGUDA CAPITAN ELEMENTARY SCHOOL
DATU NAKAN MEMORIAL ELEMENTARY SCHOOL
DATU SAMBILAN ELEMENTARY SCHOOL
DATU SANGKI AKOY ELEMENTARY SCHOOL
DATU SIPOT ELEMENTARY SCHOOL
DATU TALIPASAN IMPAO ELEMENTARY SCHOOL
DATU UMBOL ELEMENTARY SCHOOL
DATU WASAY ELEMENTARY SCHOOL
DATU WASAY NATIONAL HIGH SCHOOL
DAWING ELEMENTARY SCHOOL
DIDTARAS ELEMENTARY SCHOOL
DIMAPITAN ELEMENTARY SCHOOL
DIONISIO CAGADOC SR. MEMORIAL ELEMENTARY SCHOOL
DON ARTEMIO C. JACALAN ELEMENTARY SCHOOL
DON JOSE BUENCAMINO PRIMARY SCHOOL
DON JUAN P. GARCIA SR. MEMORIAL ELEMENTARY SCHOOL
DON MARCELINO CONCHA MEMORIAL ELEMENTARY SCHOOL
DON MODESTO BUENAFLOR SR. ELEMENTARY SCHOOL
DONA CATALINA INTEGRATED SCHOOL
DORIN ELEMENTARY SCHOOL
DOROTEO PASTOR MEMORIAL ELEMENTARY SCHOOL
DUMOLOL INTEGRATED SCHOOL
E. ARCAÑO MEMORIAL NATIONAL HIGH SCHOOL
EDAY ELEMENTARY SCHOOL
ELEM ELEMENTARY SCHOOL
ESPERANZA CENTRAL SCHOOL
ESPERANZA NATIONAL HIGH SCHOOL
ESTRELLA INTEGRATED SCHOOL
F. PAROHINOG SR. MEMORIAL ELEMENTARY SCHOOL
FRANCISCO BALUYOT CONCHA MEMORIAL ELEMENTARY SCHOOL
GAPOK CENTRAL SCHOOL
GAPOK NATIONAL HIGH SCHOOL
GENZOLA ELEMENTARY SCHOOL
GESTOSANI MEMORIAL ELEMENTARY SCHOOL
GUIAMALIA ELEMENTARY SCHOOL
GUINTALES ELEMENTARY SCHOOL
HINALAAN ELEMENTARY SCHOOL
IMAM ADIL MEMORIAL ELEM SCHOOL
IMAM ADIL MEMORIAL INTEGRATED SCHOOL
IMPAO ELEMENTARY SCHOOL
ISUKO INTEGRATED SCHOOL
ISULAN CENTRAL SCHOOL SPED CENTER
ISULAN NATIONAL HIGH SCHOOL
KABANALIAN ELEMENTARY SCHOOL
KABULAKAN ELEMENTARY SCHOOL
KABULANAN INTEGRATED SCHOOL
KADI ELEMENTARY SCHOOL
KALAMANSIG NATIONAL HIGH SCHOOL
KALANAWE II NATIONAL HIGH SCHOOL
KALANAWI 1 ELEMENTARY SCHOOL
KALANAWI 2 ELEMENTARY SCHOOL
KALAWAG CENTRAL SCHOOL
KALAWAG III ELEMENTARY SCHOOL
KALIBUHAN ELEMENTARY SCHOOL
KALIBUHAN NATIONAL HIGH SCHOOL
KAMANGA ELEMENTARY SCHOOL
KANALAN ELEMENTARY SCHOOL
KANGKONG ELEMENTARY SCHOOL
KANIPAAN ELEMENTARY SCHOOL
KANULAY ELEMENTARY SCHOOL
KAPATAGAN ELEMENTARY SCHOOL
KAPAYA ELEMENTARY SCHOOL
KAPAYA NATIONAL HIGH SCHOOL
KAPINGKONG CENTRAL ELEMENTARY SCHOOL
KAPINGKONG ELEMENTARY SCHOOL
KAPINGKONG NATIONAL HIGH SCHOOL
KATIKU CENTRAL SCHOOL
KATITISAN ELEMENTARY SCHOOL
KEYTODAC CENTRAL SCHOOL
KEYTODAC NATIONAL HIGH SCHOOL
KIADSAM ELEMENTARY SCHOOL
KILBOG ELEMENTARY SCHOOL
KIMAKANG ELEMENTARY SCHOOL
KINAYAO ELEMENTARY SCHOOL
KINUDALAN ELEMENTARY SCHOOL
KIPONGET ELEMENTARY SCHOOL
KIPUSO ELEMENTARY SCHOOL
KISADAY ELEMENTARY SCHOOL
KITAKAL ELEMENTARY SCHOOL
KOLAMBOG ELEMENTARY SCHOOL
KOLONG-KOLONG INTEGRATED SCHOOL
KRAAN ELEMENTARY SCHOOL
KUBO BANDAY ELEMENTARY SCHOOL
KUDANDING ELEMENTARY SCHOOL
KUDEN ELEMENTARY SCHOOL
KULAMAN CENTRAL ELEMENTARY SCHOOL
LAGANDANG ELEMENTARY SCHOOL
LAGANDANG ELEMENTARY SCHOOL
LAGETEN PRIMARY SCHOOL
LAGUBANG ELEMENARY SCHOOL
LAGUILAYAN CENTRAL ELEMENTARY SCHOOL
LAGUILAYAN NATIONAL HIGH SCHOOL
LAGUINDING ELEMENTARY SCHOOL
LAM-ALIS ELEMENTARY SCHOOL
LAMASAN ELEMENTARY SCHOOL
LAMBAYONG CENTRAL ELEMENTARY SCHOOL
LAMBAYONG NATIONAL HIGH SCHOOL
LANGALI INTEGRATED SCHOOL
LANGGAL ELEMENTARY SCHOOL
LANGGAL NATIONAL HIGH SCHOOL
LAQUICON ELEMENTARY SCHOOL
LASAK ELEMENTARY SCHOOL
LEBAK LEGISLATED NATIONAL HIGH SCHOOL
LEBAK NATIONAL HIGH SCHOOL
LEGODON ELEMENTARY SCHOOL
LIBERTAD ELEMENTARY SCHOOL
LIFI-LIFIAN ELEMENTARY SCHOOL
LILIT ELEMENTARY SCHOOL
LIMONZO PRIMARY SCHOOL
LIMUHAY ELEMENTARY SCHOOL
LIMULAN INTEGRATED SCHOOL
LUPOKEN ELEMENTARY SCHOOL
LUTAYAN NATIONAL HIGH SCHOOL
MAAT ELEMENTARY SCHOOL
MADANDING ELEMENTARY SCHOOL
MADANDING NATIONAL HIGH SCHOOL
MAGANAO ELEMENTARY SCHOOL
MAGSAYSAY ELEMENTARY SCHOOL
MAGUID ELEMENTARY SCHOOL
MAINDANG ELEMENTARY SCHOOL
MAKAT ELEMENTARY SCHOOL
MALEGDEG ELEMENTARY SCHOOL
MALIGAYA CENTRAL SCHOOL
MALIGAYA INTEGRATED SCHOOL
MALIGAYA NATIONAL HIGH SCHOOL
MALINGON ELEMENTARY SCHOOL
MALISBONG ELEMENTARY SCHOOL
MAMALI ELEMENTARY SCHOOL
MAMALI ELEMENTARY SCHOOL
MAMALI NATIONAL HIGH SCHOOL
MAMANSUAL ABDUL NATIONAL HIGH SCHOOL
MANDOD ELEMENTARY SCHOOL
MANGANDOG ELEMENTARY SCHOOL
MANGELEN ELEMENTARY SCHOOL
MANGILALA ELEMENTARY SCHOOL
MANGUDADATU ELEMENTARY SCHOOL
MANGUDADATU NATIONAL HIGH SCHOOL
MANILI ELEMENTARY SCHOOL
MANIRUB INTEGRATED SCHOOL
MANOBO VILLAGE ELEMENTARY SCHOOL
MANTIL ELEMENTARY SCHOOL
MANTISAO ELEMENTARY SCHOOL
MAPANTIG ELEMENTARY SCHOOL
MARAWIR INTEGRATED SCHOOL
MAREMCO ELEMENTARY SCHOOL
MASIAG CENTRAL SCHOOL
MASIAG NATIONAL HIGH SCHOOL
MATABAI NAMIL ELEMENTARY SCHOOL
MATANAO ELEMENTARY SCHOOL
MATIOMPONG ELEMENTARY SCHOOL
MAUNO ELEMENTARY SCHOOL
MAYO INTEGRATED SCHOOL
MIDTAPOK ELEMENTARY SCHOOL
MIDTUNGOK ELEMENTARY SCHOOL
MILBUK CENTRAL ELEMENTARY SCHOOL
MILBUK NATIONAL HIGH SCHOOL
MINDEVASISON ELEMENTARY SCHOOL
MINOROK ELEMENTARY SCHOOL
MONTANI PELANGKING MEMORIAL PRIMARY SCHOOL
NABAGBAG ELEMENTARY SCHOOL
NALILIDAN ELEMENTARY SCHOOL
NALUM ELEMENTARY SCHOOL
NATI ELEMENTARY SCHOOL
NEW BANTANGAN ELEMENTARY SCHOOL
NEW CALINOG ELEMENTARY SCHOOL
NEW CEBU ELEMENTARY SCHOOL
NEW DATAL ELEMENTARY SCHOOL
NEW EGANA ELEMENTARY SCHOOL
NEW ILOCOS ELEMENTARY SCHOOL
NEW NATIVIDAD INTEGRATED SCHOOL
NEW PANAY ELEMENTARY SCHOOL
NEW PANAY NATIONAL HIGH SCHOOL
NEW PANGASINAN ELEMENTARY SCHOOL
NEW PANGASINAN NATIONAL HIGH SCHOOL
NEW TARLAC ELEMENTARY SCHOOL
NULING ELEMENTARY SCHOOL
NULING INTEGRATED SCHOOL
NUMO ELEMENTARY SCHOOL
OLD BANTANGAN ELEMENTARY SCHOOL
P.C. BAYANIHAN ELEMENTARY SCHOOL
PAG-ASA ELEMENTARY SCHOOL
PAITAN ELEMENTARY SCHOOL
PAKIL ELEMENTARY SCHOOL
PALAVILLA INTEGRATED SCHOOL
PALIMBANG CENTRAL SCHOOL
PALIMBANG NATIONAL HIGH SCHOOL
PALUMBE INTEGRATED SCHOOL
PAMANTINGAN ELEMENTARY SCHOOL
PANAGAS-DEVERA ELEMENTARY SCHOOL
PANSUD ELEMENTARY SCHOOL
PARAISO PRIMARY SCHOOL
PASANDALAN ELEMENTARY SCHOOL
PEDRO P. SANTOS MEMORIAL ELEMENTARY SCHOOL
PEDTUBO ELEMENTARY SCHOOL
PIDTIGUIAN ELEMENTARY SCHOOL
PIGEL ELEMENTARY SCHOOL
PIMBALAYAN ELEMENTARY SCHOOL
PIMBALAYAN NATIONAL HIGH SCHOOL
PINANDIAN ELEMENTARY SCHOOL
PINGUIAMAN ELEMENTARY SCHOOL
PLAMANGO INTEGRATED SCHOOL
POLOMOLOK ELEMENTARY SCHOOL
POSADAS ELEMENTARY SCHOOL
PRESIDENT QUIRINO CENTRAL SCHOOL
PRESIDENT QUIRINO NATIONAL HIGH SCHOOL
PRIMITIVO R. GACAYAN SR. MEMORIAL ELEMENTARY SCHOOL
PURIKAY NATIONAL HIGH SCHOOL
PUROK 4 ELEMENTARY SCHOOL
PUSOT ELEMENTARY SCHOOL
QUESTION TYPE
QUEVEDO-BAPTISTA ELEMENTARY SCHOOL
R. LACAMENTO ELEMENTARY SCHOOL
RAJA MUDA ELEMENTARY SCHOOL
RICARDO CABALUNA MEMORIAL ELEMENTARY SCHOOL
ROMULO L. LATOG, SR. ELEMENTARY SCHOOL
ROQUILDO D. TALAPIAN SR. MEMORIAL ELEMENTARY SCHOOL
S. NILONG ELEMENTARY SCHOOL
S.A. BALABAGAN ELEMENTARY SCHOOL
SABANAL ELEMENTARY SCHOOL
SABANAL NATIONAL HIGH SCHOOL
SAGASA ELEMENTARY SCHOOL
SAINT ANDREWS MISSION SCHOOL MAIN
SALABACA ELEMENTARY SCHOOL
SALABACA NATIONAL HIGH SCHOOL
SALAMAN CENTRAL ELEMENTARY SCHOOL
SALANGSANG ELEMENTARY SCHOOL
SALIAO ELEMENTARY SCHOOL
SALNAONG PRIMARY SCHOOL
SALUMPING ELEMENTARY SCHOOL
SALUMPING NATIONAL HIGH SCHOOL
SAMPAO ELEMENTARY SCHOOL
SAN JOSE ELEMENTARY SCHOOL
SAN MARTIN ELEMENTARY SCHOOL
SAN ROQUE ELEMENTARY SCHOOL
SAN VICENTE ELEMENTARY SCHOOL
SANGAY NATIONAL HIGH SCHOOL
SANTO NINO ELEMENTARY SCHOOL
SAPALE ELEMENTARY SCHOOL
SARILING SIKAP ELEMENTARY SCHOOL
S'DAF PANAMIN PRIMARY SCHOOL
SEGUYA PRIMARY SCHOOL
SENAGANDAL ELEMENTARY SCHOOL
SENATOR NINOY AQUINO NATIONAL HIGH SCHOOL
SEWAL ELEMENTARY SCHOOL
SEWOD ELEMENTARY SCHOOL
SEWOD NATIONAL HIGH SCHOOL
SIA-AN PRIMARY SCHOOL
SIGAYAN ELEMENTARY SCHOOL
SIGAYAN INTEGRATED SCHOOL
SINAKULAY ELEMENTARY SCHOOL
SINAPULAN ELEMENTARY SCHOOL
SISIMAN ELEMENTARY SCHOOL
SOUTH SEPAKA ELEMENTARY SCHOOL
SPUR 2 ELEMENTARY SCHOOL
ST. ANDREW'S MISSION ES ANNEX
STA. CLARA CENTRAL SCHOOL
STA. CLARA NATIONAL HIGH SCHOOL
STA. MARIA ELEMENTARY SCHOOL
SUBEN ELEMENTARY SCHOOL
SUCOB ELEMENTARY SCHOOL
SULTAN ALI AKBAR SINENGGAYAN NATIONAL HIGH SCHOOL
SULTAN SINANGGAYAN INTEGRATED SCHOOL
SULTAN TIBONG INTEGRATED SCHOOL
SUMAPAL ELEMENTARY SCHOOL
SUMILALAO ELEMENTARY SCHOOL
SUMILIL ELEMENTARY SCHOOL
SUMILIL NATIONAL HIGH SCHOOL
TACUPIS ELEMENTARY SCHOOL
TAGADTAL INTEGRATED SCHOOL
TAMANGAN ELEMENTARY SCHOOL
TAMNAG CENTRAL SCHOOL
TANANZANG ELEMENTARY SCHOOL
TAPUDI ELEMENTARY SCHOOL
TAPUDI INTEGRATED SCHOOL
TAYUGO ELEMENTARY SCHOOL
TELAFAS CENTRAL SCHOOL
TELAFAS NATIONAL HIGH SCHOOL
TERESITA PATALINJUG MEMORIAL ELEMENTARY SCHOOL
TIBONG-TIBONG ELEMENTARY SCHOOL
TIBONG-TIBONG INTEGRATED SCHOOL
TIBUHOL ELEMENTARY SCHOOL
TIGER ELEMENTARY SCHOOL
TINALON ELEMENTARY SCHOOL
TINAUNGAN ELEMENTARY SCHOOL
TINONGGOS ELEMENTARY SCHOOL
TINUMIGUES ELEMENTARY SCHOOL
TRAN ELEMENTARY SCHOOL
TRAN NATIONAL HIGH SCHOOL
TUAL ELEMENTARY SCHOOL
TUDOG PRIMARY SCHOOL
TULALE ELEMENTARY SCHOOL
TUMIAO ELEMENTARY SCHOOL
UDTONG ELEMENTARY SCHOOL
UGIS ELEMENTARY SCHOOL
UPPER BUNAWAN INTEGRATED SCHOOL
USMAN ELEMENTARY SCHOOL
VILLA CLARA ELEMENTARY SCHOOL
VILLAMONTE ELEMENTARY SCHOOL
VILLAMOR ELEMENTARY SCHOOL
WAL ELEMENTARY SCHOOL
WASAG ELEMENTARY SCHOOL
ZENEBEN ELEMENTARY SCHOOL
 PhilHealt Experienc SIGNS COMORBI OTHER Previousl DATE OF VACCINA
h ID ing AND DITY MEDICAL y RT-PCR TION
Number UNUSUA SYMPTO CONDITI diagnose TEST STATUS
L signs or MS ON d with RESULT
symptom EXPERIE COVID-19 (For
s before NCED (based on Previousl
receiving PRIOR TO RT-PCR y
COVID-19 VACCINA Test diagnose
vaccine? TION Result)? d with
COVID-19
ONLY)
YES YES NONE NONE YES FULLY VAC
ONTEACHING NO NO HYPERTENSPREGNANTNO PARTIALLY
DIABETES MBREASTFEEDING UNVACCINA
TIVE AIDE IV CANCER ON CHEMOTHERAPY
TIVE AIDE V HEMOPHILION STEROID THERAPY
TIVE AIDE VI LOW IMMUON BLOOD THINNER THERAPY (ASPIRIN, CAUMADIN, ETC.)
TIVE ASSISTANT I DISEASES OON ANTIRETROVIRAL THERAPY OR ART
TIVE ASSISTANT II OTHERS
TIVE ASSISTANT III
TIVE ASSISTANT IV
TIVE ASSISTANT V
TIVE ASSISTANT VI
TIVE OFFICER I
TIVE OFFICER II
TIVE OFFICER III
TIVE OFFICER IV
TIVE OFFICER V
CHOOL PRINCIPAL I
CHOOL PRINCIPAL II
CHOOL PRINCIPAL III
CHOOLS DIVISION SUPERINTENDENT
TION SUPERVISOR

PROGRAM SPECIALIST
PROGRAM SUPERVISOR
OUNSELOR I
OUNSELOR II
OUNSELOR II
OLS DISTRICT SUPERVISOR

ISION SUPERINTENDENT

CATION TEACHER I
CATION TEACHER II
CATION TEACHER III
OOLS PRINCIPAL
NCE TEACHER I

HOOL ADMINISTRATOR
 IF UNVACCINATED, PRIORITY TYPE OF PLACE MUNICIP PROVINC COVID-19 FIRST
STATE REASON OF GROUP COVID-19 OF ALITY E VACCINE DOSE
NOT RECEIVING THE VACCINE VACCINA RECIEVE RECIEVE
VACCINE PROVIDE TION D D (IF
R (BLDG. APPLICA
OR BLE)
BRGY.)

DISQUALIFIED BY ATTE A1 MUNICIPAL HEALTH OFFICE (RHU) BHARAT BIOTECH

LACK OF TRUST IN THE A2 PUBLIC HOSPITAL GAMALEYA SPUTNIK V
WAITING FOR PREFERR A3 OTHER PROVATE HEALTH PROVIDER JOHNSON & JOHNSON'S JANSSEN (SINGLE
OTHER REASONS A4 MODERNA
NO CITED REASON A5 NOVAVAX
SPIRIN, CAUMADIN, ETC.) ROAP (REST OF ADULT POPULATION) OXFORD ASTRAZENECA
ROPP (REST OF PEDIATRIC POPULATION) PFIZER BIONTECH
SINOVAC CORONAVAC
 VACCINE VACCINE SECOND VACCINE VACCINE SIDE INTERVE CURREN GRADE
LOT NO. LOT NO. DOSE BATCH LOT NO. EFFECT/ NTION T
(ENTER (ENTER RECEIVE NO. (ENTER ADVERSE GIVEN HEALTH
N/A IF N/A IF D (IF (ENTER N/A IF REACTIO STATUS
NOT NOT JANSSEN N/A IF NOT N
APPLICABL APPLICABL , SAME NOT APPLICABL EXPERIE
E) E) DATE APPLICABL E) NCED
WITH E)
FIRST
DOSE)

NOT APPLICABLE NOT APPLICNO SIDE EFKINDER

A SPUTNIK V GIVEN FIRST AID AT THE VACCINATION CENT GIVEN FIRSEXPERIENCIGRADE 1
& JOHNSON'S JANSSEN (SINGLE DOREFERRED TO THE HOSPITAL REFERRED TEXPERIENCIGRADE 2
NONE NONE GRADE 3
GRADE 4
STRAZENECA GRADE 5
GRADE 6
ORONAVAC GRADE 7
GRADE 8
GRADE 9
GRADE 10
GRADE 11
GRADE 12
ALS