type, category, person, date, source
| type |
category |
person |
date |
source |
| vaccine-card |
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).