COVID-19 Vaccination
Excelsior Pass Plus
FIRST NAME
Ehab
LAST NAME
AlQtam
D.O.B
05/31/2003
Always keep the Pass Plus secure and only share/present with trusted
entities.
Please have photo ID available when presenting your Pass Plus for
verification.
Initial Vaccination Series
DATE
DOSE 1 of 2
VACCINE TYPE
Moderna COVID-19 Vaccine
VACCINE SITE
NYC Health +
LOT NUMBER
038C21A
08/16/2021
Hospitals/Got...
DOSE 2 of 2
Moderna COVID-19 Vaccine
Kinney Drugs, Inc #039
09/17/2021
Tup...
037F21A