The document referred to in 2° of Article D. 3111-6 contains the following details:
1° Full name, date of birth and address of the person vaccinated ;
2° Medical examinations and, where appropriate, biological tests carried out prior to vaccination;
3° Date of these examinations, date of vaccination;
4° Vaccine batch number and name of manufacturer;
5° Name and address of the vaccinator;
6° Date and signature of the vaccinator.