---
type: vaccine
category: medical
person: Xuewei Jiang
date: 2021
source: jiang_vaccine_covid.jpg
---

# COVID-19 Vaccination Record Card - Xuewei Jiang

## Patient Information

| Field | Value |
|---|---|
| **Last Name** | Jiang |
| **First Name** | Erica |
| **MI** | |
| **Date of Birth** | 03/13/1993 |
| **Patient Number** | |

## Vaccination Details

| Dose | Product Name/Manufacturer | Lot Number | Date | Healthcare Professional / Clinic Site |
|---|---|---|---|---|
| 1st Dose COVID-19 | Pfizer | ER8729 | 4/6/21 | LAFD USC |
| 2nd Dose COVID-19 | Pfizer | EW 0171 | 4/27/21 | LAFD - USC |
| Other | | | | |
| Other | | | | |

## Notes

- This image shows the front of the COVID-19 vaccination record card with 2 doses recorded.
- Compare with `jiang_vaccine_3rd_shot.jpg` which includes the 3rd (booster) dose added on 11/24/21 at USC Pharmacy.
- The 1st dose date on this card reads 4/6/21 (compared to 04/10/2021 in the PDF version `jiang_covid_vaccine.pdf`).