Professional Documents
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Vaccine Form
Vaccine Form
Approved by
PUROK 6
MARK JOSEPTH F. TARUC November 9, 2021 December 7, 2021 MODERNA
MAYCA C. TABLADA November 25, 2021 January 7, 2022 SINOVAC
VIOLETA R. MANDI December 21, 2021 December 28, 2021 PFIZER
NELSON C. MANDI January 18, 2022 February 8, 2022 PFIZER
DANILO A. DULAY April 15, 2021 May 15, 2021 SINOVAC
MERITA U. DULAY April 15, 2021 May 15, 2021 SINOVAC
VICENTE ANTALAN NONE NONE NONE
VICMER Q. ANTALAN January 6, 2022 NA JANSSEN
MERCEDEZ Q. ANTALAN NONE NONE NONE
PATRICk JAY A. LUCAS November 18, 2021 December 10, 2021 PFIZER
JACQUILINE Q. ANTALAN January 6, 2022 NA JANSSEN
CRISTINE JOY A. LUCAS November 16, 2021 December 7, 2021 PFIZER
DANIEL JR JIMENEZ August 26, 2021 September 19, 2021 SINOVAC
JUSTINE REY JACOB November 22, 2021 January 6, 2022 SINOVAC
VANESS JOHN A. LUCAS November 19, 2021 December 14, 2021 PFIZER
ROGELIO ANTALAN August 26, 2021 December 7, 2021 PFIZER
ELSA D. TAGUBA June 17, 2021 July 15, 2021 SINOVAC
MANUEL TAGUBA June 17, 2021 July 15, 2021 SINOVAC
NATHALIE DULCE T. BAUSTISTA October 25, 2021 November 25, 2021 MODERNA
ANNALYN M. CARREON November 2, 2021 December 1, 2021 MODERNA
NIDA B. ULOG July 26, 2021 NA JANSSEN
CIRILO E. ULOG July 26, 2021 NA JANSSEN
MABY A. LURICH November 9, 2021 December 7, 2021 MODERNA
CASSANDRA U. RUIZ November 9, 2021 December 7, 2021 MODERNA
CLARINDA U. RUIZ October 27, 2021 November 16, 2021 PFIZER
JOSE L. DIZON August 10, 2021 September 15, 2021 SINOVAC
MELANIE E. GONZALES November 14, 2021 December 3, 2021 MODERNA
ELLA BREANNA E. GONZALES November 14, 2021 December 3, 2021 MODERNA
BRYAN E. GONZALES November 3, 2021 December 3, 2021 MODERNA
MARVIN P. QUIJADA December 21, 2021 NA JANSSEN
MARILYN Q. QUIJADA November 10,2021 December 9, 2021 MODERNA
ARLENE QUIJADA NONE NONE NONE
JERIC R. MANDI January 10, 2022 NA JANSSEN
MYLA B. VIVAS December 7, 2021 December 28, 2021 PFIZER
DESIREE ANNE D. DE LEON October 27, 2021 November 29,2021 MODERNA
LUIGEE KIM D. DE LEON November 10,2021 Deceber 9, 2021 MODERNA
ERMINIA S. DULAY August 31, 2021 NA JANSSEN
MARVIN A. DULAY August 31, 2021 NA JANSSEN
MERLY BACSA OXINIOLA December 1, 2021 January 3, 2022 SINOVAC
ERLINDA A. SUBARAN NONE NONE NONE
AGNES S. DELA CRUZ October 13, 2021 November 3,2021 PFIZER
JERRY MATIC DELA CRUZ October 13, 2021 November 3,2021 PFIZER
GERMACEL A. SUBARAN NONE NONE NONE
JORLINA C. SUBARAN NONE NONE NONE
CHARLES JEO M. DAVID October 11, 2021 November 11, 2021 PFIZER
VENUS C. MANDI September 3, 2021 October 4, 2021 PFIZER
HALLEY BENEDICT M. DAVID November 16, 2021 December 14, 2021 MODERNA
EMERSON Q. PASCUA August 31, 2021 September 28, 2021 SINOVAC
SHIRLEY V. PASCUA August 31, 2021 September 28, 2021 SINOVAC
NINA ERNESTINE P. SANCIO Nomber 15, 2021 December 6, 2021 PFIZER
ELMER P. SANCIO November 3, 2021 December 3, 2021 MODERNA
ERNESTO C. SANCIO JR. November 3, 2021 December 3, 2021 MODERNA
ESMERALDA M. DIZON August 18, 2021 January 4,2022 SINOVAC
PRAXIDO G. DUPITAS January 10, 2022 February 2, 2022 MODERNA
ANGELITO B. DUPITAS NONE NONE NONE
NEMIA B. VILLEGAS NONE NONE NONE
SARAH S. BUCAD July 26, 2021 NA JANSSEN
JOEL O. DAVID August 26, 2021 September 23, 2021 SINOVAC
CHERRELYN D. SERRANO Octobver 11,2021 November 2,2021 PFIZER
JOHN PATRICK D. SERRANO MAY 19,2021 AUGUST 21,2021 ASTRAZENECA
CHIARRA KHINE D. SERRANO JULY 26,2021 NA JANSSEN
KRIZTINE LOVELY T. BRIONES October 25,2021 November 13,2021 SINOVAC
KAREN T. BRONES January 3, 2022 PFIZER
CRIS G. GRAGASIN October 28, 2021 November 16, 2021 PFIZER
PUROK 4
JOMIELYN B. CABANG November 22, 2021 January 27, 2022 ASTRAZENECA
JERICK B. LABASAN November 22, 2021 January 27, 2022 ASTRAZENECA
EDGARDO C. LABASAN November 16, 2021 December 14, 2021 MODERNA
JAYNARD B. LABASAN December 14, 2021 January 12, 2022 SINOVAC
ALMA B. LABASAN November 16, 2021 December 14, 2021 MODERNA
JOANA MARIE I. LABASAN October 25, 2021 November 26, 2021 MODERNA
JUSTINE B. LABASAN
JALVIN B. LABASAN
KRISTLE JANE TORATO
DAEVON G. LABASAN
KINNEDY G. SALCEDO
MAXIMIANA G. SALCEDO
KENN KAZBY C. SALCEDO
LEOPOLDO P. SALCEDO
ANNE TRACIE N. PATAWARAN
ELVIE S. PATAWARAN
DAISY PATAWARAN
PAMELA S. PATAWARAN
PUROK#3
PUROK 5
ZENAIDA R. MELOCOTONES December 14, 1968 53 January 10, 2022 February 3, 2022 Pfizer
EMMANUEL R. MILOCOTONES September 28, 2005 16 November 10, 2021 December 9, 2021 Moderna
NEIL D. MELOCOTONES August 17, 1969 52 NONE NONE NONE
ZENEIL R. MELOCOTONES December 06, 1996 25
ARLAN C. IBANES March 11, 1975 46 NONE NONE NONE
LISETTE S. IBANES December 24, 1972 49 August 6, 2021 September 3, 2021 SINOVAC
ADRIAN LHOYD S. IBANES June 27, 2002 21 September 17, 2021 October 18, 2021 SINOVAC
ARNRL C. IBANES February 2, 1973 49 January 12, 2022 Pfizer
WINNIE L. IBANES October 30, 1976 45 October 13, 2021 Nonember 10, 2021 Pfizer
ANITA C. DUNGCA September 12, 1956 65 November 9, 2021 December 7, 2021 Moderna
ORLANDO M. DUNGCA SR. March 16, 1948 73 NONE NONE NONE
ORLANDO C. DUNGCA JR September 1, 1976 45 NONE NONE NONE
ROLNALD C. DUNGCA October 20, 1978 43 NONE NONE NONE
JAMES CLER C. DUNGCA November 23, 1990 31 NONE NONE NONE
BERNARD C. DUNGCA August 23 , 1985 36 February 14, 2022 Pfizer
CLASSIRA C. DUNGCA September 21, 1996 25 November 8, 2021 Decemebr 6, 2021 Pfizer
ALMA C. AGLUGUB January 3, 1971 51 October 6, 2021 November 5, 2021 SINOVAC
EDMARSON C. AGLUGUB MAY 04, 20227 14 NONE NONE NONE
JHON CARLO D. ESTOLANO September 30, 2003 18 Decembert 2, 2021 January 27, 2022 SINOVAC
JOANA T. DELA CRUZ March 03, 2006 16 November 10, 2021 December 10, 2021 Moderna
LILIA C. MAGAOAY January 04, 1972 50 Janaury 12, 2022 NA Janssen
CRISTINE M. GAROPIL May 05, 2007 14 January 14, 2022 Moderna
FLERIDA R. CUARESMA October 13, 1955 66 November 9, 2021 December 7, 2021 Moderna
EFIPANIO D. CUARESMA July 07, 1955 66 NONE NONE NONE
RANDY R. CUARESMA October 18, 1992 29 NONE NONE NONE
RICHARD R. CUARESMA JR. July 28, 2004 17 November 23, 2021 December 14, 2021 Pfizer
EDDIE T. TAGARO March 30, 1965 57 January 12, 2022 Moderna
EVILYN D. TAGARO February 07, 1966 56 NONE NONE NONE
JORDAN O. CUARESMA November 19, 1987 34 January 12, 2022 Moderna
LIZEL D. CUARESMA Febrary 21, 1986 36 NONE NONE NONE
LUCENA T. CUARESMA September 01, 1950 71 NONE NONE NONE
ERNESTO D. CUARESMA February 29, 1948 74 NONE NONE NONE
ARMENIO D. CUARESMA January 25, 1953 69 May 21, 2021 August 6, 2021 Astazenica
DUMINGA O. CUARESMA September 12, 1965 56 NONE NONE NONE
ERNESTO T. CUARESMA JR. March 12, 1992 30 July 13, 2021 August 3, 2021 Pfizer
NIKKA L. CUARESMA February 06, 2000 22 NONE NONE NONE
JHON ERWIN C. LASPINAS November 01, 1994 27 July 29, 2021 September 23, 2021 Astazenica
CHRISTIAN O. CUARESMA October 28, 1990 31 January 12, 2022 Moderna
MARY ANN D. CUARESMA September 06, 1991 30 NONE NONE NONE
LIDIA B. CUARESMA June 05, 1951 70 February 14, 2022 Pfizer
MARIA PRINCESS C. MOLINA October 18, 2008 13 November 16, 2021 December 7, 2021 Pfizer
MICHEAL ANGELO C. MOLINA January 07, 2003 19 October 12, 2021 November 3, 2021 Pfizer
JESSA M. CUARESMA October 23, 1993 28 January 11, 2022 February 14, 2022 Astazenica
RODEL GROTAS October 26, 1973 48 January 12, 2022 February 11, 2022 Moderna
JESSIE D. CUARESMA October 15, 1958 63 NONE NONE NONE
MARK ANTHONY M. CUARESMA May 09, 2003 18 NONE NONE NONE
JEFFREY M. CUARESMA November 29, 2008 13 NONE NONE NONE
RODRIGA C. DUPITAS April 30, 1945 76 NONE NONE NONE
CELIA E. DIPITAS December 09, 1947 74 NONE NONE NONE
ISAGANI A. MANZANO February 12, 1968 54 NONE NONE NONE
DAISY D. MANZANO December 13, 1967 53 NONE NONE NONE
HONORATA C. DUPITAS December 28, 1938 83 NONE NONE NONE
NIMPHA MAY D. MAZANO November 06, 2006 15 NONE NONE NONE
ISABELO C. DUPITAS SR. July 08, 1950 71 NONE NONE NONE
JOCELYN D. DUPITAS January 08, 1960 62 NONE NONE NONE
ISABELO D. DUPITAS JR. March 16, 1991 30 NONE NONE NONE
ROSE MARIE D. DUPITAS August 29, 1990 31 NONE NONE NONE
RODOLFO C. DUPITAS November 07, 1942 79 NONE NONE NONE
GERTUDES D. DUPITAS December 09, 1951 70 NONE NONE NONE
ROSE MARIE D. DUPITAS November 10, 1986 35 NONE NONE NONE
RODERICK D. DUOITAS May 05, 1984 37 NONE NONE NONE
PRINCESS A. DUPITAS July 08, 1986 36 December 3, 2021 January 31, 2022 SINOVAC
APPLE I. YERE January 26, 2003 19 November 5, 2021 December 3, 2001 Moderna
CHARLES D. TUGAY September 21, 2009 12 December 6, 2021 January 4, 2022 Moderna
JHON REY V. GUBAC September 07, 2005 16 November 17, 2021 December 9, 2021 Pfizer
ZENAIDA D. SOL July 30, 1966 55 October 27, 2021 November 8, 23021 Pfizer
FEMILYN B. CUARESMA June 26, 2005 16 November 29, 2021 December 21, 2021 Pfizer
FRANCO T. CUARESMA January 08, 1983 39 Novemner 29, 2021 December 21, 2021 Pfizer
RIZZABELL C. DELA CRUZ October 28, 2004 17 November 16, 2021 December 7, 2021 Pfizer
ANNABELL C. DELA CRUZ October 26, 1974 47 August 20, 2021 September 10, 1021 Pfizer
ASHIRA EIRIAN C. DELA CRUZ November 13, 2002 19 November 29, 2021 December 21, 2021 Pfizer
ALIVE D. SIOSAN October 29, 1974 47 NONE NONE NONE
MICHEAL DAVE D. SIOSAN June 18, 2003 17 November 19, 2021 December 23, 2021 Astazenica
DANILO Q. SIOSAN December 01, 1970 51 NONE NONE NONE
MARK DANIEL D. SIOSAN October 18, 2004 17 NONE NONE NONE
MARIA DEVINA D. SIOSAN December 10, 2007 14 NONE NONE NONE
LUZVIMINDA GRAGASIN March 26, 1956 65 NONE NONE NONE
LAARNIE PAREDES January 25, 1986 36 January 19, 2022 Pfizer
MARIA CRISTINA D. MASANGCAY April 20, 1974 47 October 29, 2021 November 18, 2021 Pfizer
SHERWIN D. MASANGCAY December 22, 1974 47 October 29 2021 November 18, 2021 Pfizer
CZARINA SHEINA D. MASANGCAY October 04, 1996 25 Septemebr 30, 2021 November 5, 2021 SINIVAC
ELIJA JACOB D. MASANGACAY July 25, 2002 19 October 2, 2021 December 1, 2021 Moderna
JULIUS GALAS July 10, 1998 23 NONE NONE NONE
MARILYN D. GRANIL May 03, 1966 55 January 8, 2022 Pfizer
MARVIN B. GRANIL March 08, 1984 38
JONATHAN B. GRANIL April 09 2009 12
NELSON B. GRANIL JR. February 05, 1993 29
JEREMIA E. GRANIL December 16, 1997 24 October 25, 2021 November 22, 2021 Moderna
JOSHUA B. GRANIL October 15, 1997 24 January 7, 2022 NA Janssen
CORAZON B. GRANIL November 20, 1972 49 August 25, 2021 October 8, 2021 SINOVAC
JEUS F. BUMAGAT December 24, 1958 63 NONE NONE NONE
NANCY B. BUMAGAT October 05, 1962 59 NONE NONE NONE
GILBEYS B. BUMAGAT July 26, 1996 25 October 19, 2021 November 9, 2021 Pfizer
JOSEPHIN L. BUMAGAT June 17, 1994 27 October 14, 2021 November 5, 2021 Pfizer
REYNAN B. BUMAGAT July 17, 1995 26 January 17, 2022 Pfizer
MICHEAL GRANIL November 25, 1973 48 January 2. 2022 NA Janssen
MICA ELLA B. GRANIL January 08, 2001 21 October 25, 2021 November 22, 2021 Moderna
KYLE JHUN O. PARAGELE November 22, 1998 23 January 24, 2022 Pfizer
DARWIN A. BAUTISTA April 20, 1999 22 January 12, 2022 February 14, 2022 Pfizer
LILLY R. SAVADOR September 14, 1970 51 NONE NONE NONE
ROLANDO B. PERALTA June 02, 1968 53 October 28, 2021 November 19, 2021 Pfizer
MICHELLE C. PERALTA October 19, 1975 46 October 27, 2021 November 18, 2021 Pfizer
NESTOR P. GRANDE December 10, 1971 50 September 9, 2021 October 7, 2021 SINOPHARM
APRIL D. GRANDE April 18, 1987 34 NONE NONE NONE
DONA MARIE C. TIJERO February 13, 1985 37 February 11, 2022 NA Janssen
SHEILA MAE A. BAUTISTA September 26, 2004 17 February 11, 2022 NA Janssen
BERNARDO M. TABUYO November 22, 1955 66 May 21, 2021 August 6, 2021 Astazenica
ARMAN I. YERE Septembere 25, 1993 28 October 27, 2021 November 18, 2021 Pfizer
MARICAR H. CORPUZ November 29, 1996 25 October 20, 2021 November 23, 2021 SINIOVAC
ALDRIN I. YERE November 18, 2006 15 November 5, 2021 November 26, 2021 Pfizer
JOANA ROSE R. TOMAS August 13, 2006 15 November 15, 2021 December 13, 2021 Moderna
MICHEAL OLIVER D. SULLA February 25, 1993 29 October 13, 2021 November 4, 2021 Pfizer
ARNEL J. ROQUE January 24, 1969 53 Octotber 29, 2021 November 22, 2021 Pfizer
CRIS MAGAOAY December 21, 1977 44 November 30, 2021 December 28, 2021 SINOVAC
NERIE E. MAGAOAY January 06, 1978 44 November 9, 2021 December 7, 2021 Moderna
ALBERT D. MAGAOAY April 14, 2004 17 January 18, 2022 February 8, 2022 Pfizer
FREDDIE L. DELA CRUZ June 25, 1971 50 December 10, 2021 NA Janssen
JESSICA T. DALA CRUZ August 08, 1980 41 January 7, 2022 Moderna
ALVIN D. MAGAOAY Sepetember 29, 2002 19 NONE NONE NONE
ADONIS D. RAMOS April 09, 1981 40 January 12, 2022 February 4, 2022 Moderna
FELITA D. RAMOS February 22, 1983 39 January 10, 2022 February 4, 2022 Pfizer
ALTHEA D. RAMOS September 28, 2007 14 January 10, 2022 February 4, 2022 Pfizer
ARMEL S. YALUNG August 13, 1982 39 October 15, 2021 November 5, 2021 Pfizer
JOEL A. GALIDO May 23, 1980 41
JESSA S. CABALTERA February 13, 1995 27
ARJAY NINO I. YERE Seotember 12, 1986 35
DELCE B. YERE September 30, 1980 41
JEFFERSON M. YERE October 29, 1993 28
CHARINE ANN C. YERE August 18, 1998 23
BENITA M. YERE August 04, 1968 53
JHON MICHEAL M. YERE Actober 20, 2001 20
VANESSA RHAIN M. YERE March 23, 2008 13
AIRINE M. YERE July 12, 1995
MARIA JESUSA Y. RAMOS
RELIMAR T. RAMOS
ANTHONY I. YERE
JENNY CLEAR CADAD
MARIANO G. DUPITAS
JULIET K. DUPITAS
MARICEL M. CABALLERO
ls 13 years old and above.
Fully
vacinnated 12- Fully
17 years old Vacinnated BOOSTER DOSE
Partially
Unvacinnated? 18 years old
vacinnated? (type 1 if yes 0
(Put 1 if Yes or if no) and above?
(Put 1 if Yes or
0 if No) (type 1 if With Booster
0 if No)
Yes or Shot?
0 if No) (Put 1 if Yes or Brand Date of Vaccine
0 if No)
0 0 0 1 0
1 0 0 0 0
1 0 0 0 0
1 0 0 0 0
1 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 1 1 Pfizer December 10,2021
1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 1 0 0
0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 1` 0 0
1 0 0 s 0
1 0 0 0 0
0 0 1 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
1 0 0 0 0
1 0 0 0 0
1 0 0 0 0
0 1 0
0 0 0 1 0
0 0 1 1 0
0 1 0 0 0
0 0 1 0
0 1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 1 Pfizer December 22, 2021
0 0 1 1 0
0 0 1 1 0
0 0 0 1 0
0 0 1 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 1 1 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 1 0 0 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
1 0 0 0
0 1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 1 0 0 0
0 1 0 0 0
1 0 0 0 0
1 0 0 0 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 0
0
1 0 0 0 0
1 0 0 0 0
0 0 1 0
0 0 1 1 0
0 0 1 1 0
0 0 0 1 0
0 0 1 0
0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 1 0 0 0
1 0 0 0 0
0 1 0 0
0 1 1 0 0
0 1 0 0
0 0 0 1 0
0 0 0 1 0
0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 1 1 0
1 0 1 0 0
0 0 0 1 0
0 0 0 1 0
0 0 1 0
1 0 0 0 0
0 1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
0 0 0 1 0
0 0 1 0
0 0 0 1 0
1 0 0 0 0
1 0 0 0 0
0 0 1 0
0 0 0 1 0
0 0 0 0 0
0 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 1 0
0 0 0 1 0
0 0 1 1 0
0 1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 1 0
0 0 1 0
1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0 0 0
0 0 0 1 0 0 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
1 0 0 0 0
0 0 0 `1 1 Pfizer December 3,2021
0 0 0 1 0
0 0 1 1 0
0 0 1 1 0
0 0 0 1 0
0 0 0 1 0
0 0 1 0
0 0 0 1 0
0 0 1 1 Pfizer DERCEMBER 2,2021
1 0 0 0 0
0 0 0 1 0
0 1 0 1 0
0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 0 0 1 0
0 1 0 0 0
1 1 Pfizer DECEMBER 2, 2021
0 0 0 1 1 Pfizer JANUARY 10,2022
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 1 PFIZER December 16, 2021
0 0 1 1 PFIZER December 16, 2021
1 0 0 0 0
0 0 1 0 0
1 0 0 0 0 0
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 1 PFIZER January 4, 2022
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 0 0 0
0 0 1 0
0 0 1 1 MODERNA January 6, 2022
0 0 1 1 MODERNA January 7, 2022
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
1 0 0 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
1 0 0 0
0 0 1 0
0 0 1 0
1 0 0 0
1 0 0 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
1 0 0 0
1 0 0 0
0 0 1 1 PFIZER December 7, 2021
0 0 1 0
0 0 1 0
0 0 1` 1` Pfizer January 10, 2022
0 0 1 1 Pfizer DECEMBER 2, 2021
0 0 1 0 0 0
0 1 0 0 0 0
0 0 1 0 0 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1 0
0 0 1
0 0 0 1
0 0 1 0
1 0 0
1 0 0 0
0 0 0 1 Janaury 11, 2022 PFIZER
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
1 0 0 1
1 0 0 1
1 0 0 0
1 0 0 0
0 1 0 1
0 0 1 0
0 0 0 1
0 0 1 0
0 0 0 1
0 0 1 0
0 0 0 1
0 0 1 0
0 0 0 1
1 0 0 0
0 0 0 1
0 0 1 0
0 0 0 1
1 0 0 0
1 0 0
1 0 0 0
1 0 0 0
1 0 0 0
0 0 0 1
1 0 0 0
0 0 0 1
1 0 0 0
0 0 0 1
0 1 0 0
1 0 0 0
0 1 0 0
0 0 1 0
0 0 0 1
0 0 0 1
0 0 0 1
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
0 0 1 0
0 0 0 1
0 0 1 0
0 0 1 0
0 0 0 1
0 0 0 1
0 0 0 1
0 0 1 0
0 0 0 1
0 0 0 1
1 0 0 0
0 0 1 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
0 1 0 0
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
1 0 0 0
0 1 0 0
0 0 0 1
0 0 1 0
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
1 0 0 0
1 0 0 0
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
1 0 0 0
0 0 0 1
0 0 0 1
0 0 0 1 1 January 27, 2022 Astrazenica
1 0 0 0
0 0 0 1
0 0 1 0
0 0 0 1
0 0 0 1
0 0 0 1
0 0 1 0
0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
0 0 0 1
0 0 1 0
0 0 0 1
0 0 0 1
1 0 0 0
0 0 0 1
0 0 0 1
0 0 1 0
0 0 0 1
CITY/MUNICIPAL MONTHLY INVENT
REGION:_________________
PROVINCE: ________________
CITY/MUNICIPALITY: __________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________
___________________________
Name and Signature of DILG C/MLGOO
REGION:_________________
PROVINCE: ________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________
Prepared by:
___________________________
Name and Signature of DILG Provincial Office Focal Person
340,000
Submitted by:
___________________________
Name and Signature of DILG Provincial Director
Percenta
Number Percentage Number Percentage Number Number
ge
280,000 24.14% 540,000 46.55% 340,000 29.31% 70,000
230,000 20.91% 420,000 38.18% 450,000 40.91% 100,000
340,000 18.89% 540,000 30.00% 920,000 51.11% 320,000
850,000 20.94% 1,500,000 36.95% 1,710,000 42.12% 490,000
Individuals with
Booster Shot
Percenta
ge
20.59%
22.22%
34.78%
28.65%
REGIONAL MONTHLY INVENTORY OF VACCINATED P
REGION:_________________
A. TOTAL NO. OF POPULATION (AS OF 2020)*:
B. TOTAL NO. OF UNVACCINATED INDIVIDUALS*:
C. PERCENTAGE OF UNVACCINATED INDIVIDUALS*:
D. TOTAL NO. OF PARTIALLY VACCINATED INDIVIDUALS*:
E. PERCENTAGE OF PARTIALLY VACCINATED INDIVIDUALS*:
F. TOTAL NO. OF FULLY VACCINATED INDIVIDUALS*:
G. PERCENTAGE OF FULLY VACCINATED INDIVIDUALS*:
H. TOTAL NO. OF INDIVIDUALS WITH BOOSTER SHOT*:
I. PERCENTAGE OF INDIVIDUALS WITH BOOSTER SHOT*:
AS OF (insert date): ___________________
Prepared by:
___________________________
Name and Signature of DILG Provincial Office Focal Person
Submitted by:
___________________________
Name and Signature of DILG Provincial Director
Percentag
Number Percentage Number Percentage Number Number
e
80,000 8.33% 540,000 56.25% 340,000 35.42% 50,000
130,000 13.00% 420,000 42.00% 450,000 45.00% 70,000
40,000 3.33% 240,000 20.00% 920,000 76.67% 320,000
340,000 18.89% 540,000 30.00% 920,000 51.11% 170,000
540,000 18.00% 1,140,000 38.00% 1,320,000 44.00% 420,000
1,130,000 14.20% 2,880,000 36.18% 3,950,000 49.62% 1,030,000
Individuals with
Booster Shot
Percentag
e
14.71%
15.56%
34.78%
18.48%
31.82%
26.08%