1. Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF ILOCOS SUR
VACCINATION Monitoring Report for Students
STATUS OF VACCINATION REASON WHY
NOT
VACCINATED
NO. NAME OF STUDENTS AGE SEX TYPE OF
VACCINE
DATE OF
1ST
DOSE
DATE OF 2ND
DOSE
NOT YET
VACCINATED
1 Anga-angan, Marc Vallens I. 12 M Pfizer 11/30/21
2 Awingan, Ceasar B. M Moderna 12/09/21 1/6/22
3 Bagbagen, Renz Jerick M. M Moderna 12/6/21 12/28/22
4 Balbin, John Dave A. 12 M Moderna 12/09/21
5 Bonilla, Rafael G. 12 M Pfizer 12/02/21 12/23/21
6 Butangen, Viel Jasper B. 12 M Moderna 12/06/21 1/06/22
7 Camitog, Celestino L. M
8 Castro, Mark Edison A. M
10 Del Rosario, Ridley V. 12 M Pfizer 12/6/21 12/28/21
11 Gaburno, Reginald G. 12 M Pfizer 12/6/21
Name of School: Cervantes National High School School ID: 300046
Address of School: Rosario, Cervantes, Ilocos Sur Division: ILOCOS SUR
Grade &Section: 7-Malikhain Region: 1
Prepared by:
(Signature over
printed name) MARJOE P. MANUEL
Position: TEACHER I
2. Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF ILOCOS SUR
12 Galon, Christofer A. 12 M Pfizer 11/3021
13 Octaviano, Miel Gabriel T. 12 M Pfizer 12/1/21
15 Pingla, Ark A. 12 M Pfizer 12/17/21 1/7/22
16 Pitlongay, Renzo M
17 Rolando, Kevin Lee C. 12 M Moderna 12/09/21
18 Saldaen, Shan Stephen P. 12 M Pfizer 12/9/21
19 Tuangkay, Rojan A. 12 M Pfizer 12/2/21
FEMALE
1 Agcon, Anamie B. 12 F Pfizer 12/01/21
2 Alasco, Angelica May G. 12 F Moderna 12/09/21
3 Balisi, Shaina Marie 12 F
4 Bisyaken, Michelle G. 12 F Pfizer 12/06/21 12/28/21
5 Bonilla, Jherica F
6 Briones, Rhiane Joy M. F
7 Butangen, Chits D. 12 F Pfizer 11/30/21
8 Caugan, Adrielle Rexy O. 12 F Pfizer 11/29/21
9 Diano, Felice M. 12 F Pfizer 11/29/21
10 Duque, Jojielyn V. 12 F Pfizer 12/1/21
11 Gabatino, Lyza M. 12 F Pfizer 11/29/21 12/20/21
12 Galmote, Maureen 12 F Pfizer 11/29/21 12/20/21
13 Guimanga, Rhea Mae O. 12 F
14 Mariano, Ellen Joy V. 12 F Moderna 12/02/21 12/22/21
3. Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF ILOCOS SUR
15 Octaviano, Miel Gabriel T. 12 F Pfizer 12/01/21
16 Octaviano, Pathriz C. 12 F Pfizer 12/2/21
18 Oliseo, Zefiosa Beth T. 12 F Pfizer 12/6/21 12/27/21
19 Ramirez, Chat Raven B. 14 F Pfizer 11/29/21 12/20/21
20 Ramirez, Naiza C. 12 F Pfizer 11/29/21
21 Tamaken, Zyanne B. 12 F Pfizer 12/06/21
22 Verdadero, Feby A. 12 F Pfizer 12/01/21
PREPARED BY:
MARJOE P. MANUEL
Adviser