type, category, person, date, source
type
category
person
date
source
vaccine
medical
Yanxin Lu
2021
lu_vaccine_covid.jpg
COVID-19 Vaccination Record Card - Yanxin Lu
This image shows two physical COVID-19 vaccination record cards side by side for Yanxin Lu.
Patient Information
Field
Value
Last Name
Lu
First Name
Yanxin
MI
Date of Birth
10/17/1989 (written as 10-17-1989 on top card, 10/17/1989 on bottom card)
Patient Number
Card 1 (Top)
Dose
Product Name/Manufacturer
Lot Number
Date
Expiration
Healthcare Professional / Clinic Site
1st Dose COVID-19
Pfizer
EW0161
4/15/21
Forum
2nd Dose COVID-19
(printed sticker) Pfizer COVID-19 Vaccine
EW0173
5/6/2021
08/31/2021
Forum
Other
Other
Vaccine date printed at top: Date: 4/15/2021
Card 2 (Bottom)
Dose
Product Name/Manufacturer
Lot Number
Date
Expiration
Healthcare Professional / Clinic Site
1st Dose COVID-19
(printed sticker) Pfizer COVID-19 Vaccine
EW0161
4/15/21
07/31/2021
Forum
2nd Dose COVID-19
Other
Other
Vaccine date printed at top: Date: 4/15/2021
Professional field at top: Forum
The bottom card only has the 1st dose filled in.
Notes
Two physical cards are visible in this photo. Both belong to Yanxin Lu.
Card 1 (top) has both doses recorded. Card 2 (bottom) has only the 1st dose recorded.
The 1st dose lot number (EW0161) and date (4/15/21) are consistent across both cards.
Compare with lu_vaccine_2nd_shot.jpg which appears to be a cleaner scan of the same cards.