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| Expires(months) | |
| Issuer |
| Fam Name | |
| Given Name | |
| Std Family | |
| Std Given | |
| Birthdate |
| Include? | |
| Disease | |
| Type | |
| Test Name | |
| Manuf | |
| Date Colect | |
| Result | |
| Centre | |
| Country | |
| Issuer | |
| Cert ID |
| Include? | |
| Disease | |
| Prophylaxis | |
| Product | |
| Manuf | |
| Dose # | |
| Doses | |
| Date | |
| Country | |
| Issuer | |
| Cert ID |
| Include? | |
| Disease | |
| Date 1st Posistive | |
| Valid From | |
| Valid Until | |
| Country | |
| Issuer | |
| Cert ID |