---
type: vaccine-record
category: travel
person: Xuewei Jiang
date: 2021-11-24
source: jiang_vaccine_3rd_shot.jpg
---

# COVID-19 Vaccination Record Card — Jiang Erica (Xuewei)

> **Note:** This file is a duplicate of the same image archived in `medical/covid/jiang_vaccine_3rd_shot.jpg`. It is retained here because it was used as a supporting document for China travel in 2021-2022.

| Field | Value |
|-------|-------|
| Last Name | Jiang |
| First Name | Erica (Xuewei) |
| MI | — |
| Date of Birth | 03/13/1993 |
| Patient Number | — |

## Vaccination Records

| Dose | Vaccine | Product Name/Manufacturer | Lot Number | Date | Healthcare Professional or Clinic Site |
|------|---------|--------------------------|------------|------|---------------------------------------|
| 1st Dose COVID-19 | Pfizer | Pfizer | ER8729 | 4/6/21 | LAFD USC |
| 2nd Dose COVID-19 | Pfizer | Pfizer | EW 0171 | 4/27/21 | LAFD - USC |
| Other | Pfizer | Pfizer | FJ1620 | 11/24/21 | USC Pharmacy |
| Other | — | — | — | — | — |

Scanned by TapScanner.