NHS COVID Pass - Vaccinated
Name
2D barcode expiry 28 December 2022
M ARIANNE JONES
Please check against the bearer's identity. To protect your data privacy the 2D barcode
Date of birth expires on the stated expiry date. Please generate
28 September 1956 a new COVID-19 Pass to renew the barcode.
Pfizer/BioNTech COVID-19 vaccine [Booster]
Dose 3 of 3
Date of vaccination 5 December 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS Cov-2 mRNA Vaccine
Batch number FK9712
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administering Centre RIVERSIDE - COVID VACCINATION CENTRE
This document is important. Keep it safe. It is a PDF copy of your vaccination records.
Find out about COVID-19 symptoms, testing, vaccination and self-isolation on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19
Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy Notice is
available within the guidance at: www.gov.uk/guidance/demonstrating-your-covid-19-status
Page: 1 of 3
NHS COVID Pass - Vaccinated
Name
2D barcode expiry 28 December 2022
M ARIANNE JONES
Please check against the bearer's identity. To protect your data privacy the 2D barcode
Date of birth expires on the stated expiry date. Please generate
28 September 1956 a new COVID-19 Pass to renew the barcode.
COVID-19 Vaccine AstraZeneca
Dose 2 of 2
Date of vaccination 16 May 2021
Vaccine product Vaxzevria
Manufacturer AstraZeneca AB
Vaccine SARS CoV-2 Antigen Vaccine
Batch number PV46689
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administering Centre RIVERSIDE - COVID VACCINATION CENTRE
This document is important. Keep it safe. It is a PDF copy of your vaccination records.
Find out about COVID-19 symptoms, testing, vaccination and self-isolation on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19
Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy Notice is
available within the guidance at: www.gov.uk/guidance/demonstrating-your-covid-19-status
Page: 2 of 3
NHS COVID Pass - Vaccinated
Name
2D barcode expiry 28 December 2022
M ARIANNE JONES
Please check against the bearer's identity. To protect your data privacy the 2D barcode
Date of birth expires on the stated expiry date. Please generate
28 September 1956 a new COVID-19 Pass to renew the barcode.
COVID-19 Vaccine AstraZeneca
Dose 1 of 2
Date of vaccination 28 February 2021
Vaccine product Vaxzevria
Manufacturer AstraZeneca AB
Vaccine SARS CoV-2 Antigen Vaccine
Batch number PV46664
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administering Centre RIVERSIDE - COVID VACCINATION CENTRE
This document is important. Keep it safe. It is a PDF copy of your vaccination records.
Find out about COVID-19 symptoms, testing, vaccination and self-isolation on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19
Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy Notice is
available within the guidance at: www.gov.uk/guidance/demonstrating-your-covid-19-status
Page: 3 of 3
