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type, category, person, date, source
type
category
person
date
source
vaccine
medical
Xuewei Jiang
2021
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).