The Warranty of Vaccine Safety For Pediatricians

For a printable version, click HERE.

Physician’s Warranty of Vaccine Safety
 
I (Physician’s name, degree)_________________________, _____ am a physician licensed to practice medicine in the State of ________________ . My State license number is _______________ , and my DEA number is _______________. My medical specialty is ________________________
I have a thorough understanding of the risks and benefits of all the medications that I prescribe for or administer to my patients.  In the case of (Patient’s name) ___________________________ ,
age _________ , whom I have examined, I find that certain risk factors exist that justify the recommended vaccinations. The following is a list of said risk factors and the vaccinations that will protect against them:
Risk Factor                                               Vaccination
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________
_____________________________________________________ _______________________________

I am aware that vaccines typically contain many of the following fillers:

•         aluminum hydroxide
•         aluminum phosphate
•         ammonium sulfate
•         amphotericin B
•         animal tissues: pig blood, horse blood, rabbit brain,
•         dog kidney, monkey kidney,
•         chick embryo, chicken egg, duck egg

•         calf (bovine) serum
•         betapropiolactone
•         fetal bovine serum
•         formaldehyde
•         formalin
•         gelatin
•         glycerol
•         human diploid cells (originating from human aborted fetal tissue)
•         hydrolized gelatin
•         mercury thimerosol (thimerosal, Merthiolate®)
•         monosodium glutamate (MSG)
•         neomycin
•         neomycin sulfate
•         phenol red indicator
•         phenoxyethanol (antifreeze)
•         potassium diphosphate
•         potassium monophosphate
•         polymyxin B
•         polysorbate 20
•         polysorbate 80
•         porcine (pig) pancreatic hydrolysate of casein
•         residual MRC5 proteins
•         sorbitol
•         tri(n)butylphosphate,
•         VERO cells, a continuous line of monkey kidney cells, and
•         washed sheep red blood

(www.wellnessshow.blogspot.com,  http://www.909shot.com,  http://www.cbn.com/CBNnews/204991.aspx)

and, hereby, warrant that these ingredients are safe for injection into the body of my patient.  I have researched reports to the contrary, such as reports that mercury thimerosal causes severe neurological and immunological damage, and find that they are not credible.

I am aware that some vaccines have been found to have been contaminated with Simian Virus 40 (SV 40) and that SV 40 is causally linked by some researchers to non-Hodgkin’s lymphoma and mesotheliomas in humans as well as in experimental animals. I hereby warrant that the vaccines I employ in my practice do not contain SV 40 or any other live viruses. (Alternately, I hereby warrant that said SV-40 virus or other viruses pose no substantive risk to my patient.)

I hereby warrant that the vaccines I am recommending for the care of (Patient’s name) _______________ _______________________ do not contain any tissue from aborted human babies (also known as “fetuses”).

In order to protect my patient’s well being, I have taken the following steps to guarantee that the vaccines I will use will contain no damaging contaminants.

STEPS TAKEN: ____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
 
I have personally investigated the reports made to the VAERS (Vaccine Adverse Event Reporting System) and state that it is my professional opinion that the vaccines I am recommending are safe for administration to a child under the age of 5 years.

The bases for my opinion are itemized on Exhibit A , attached hereto, – “Physician’s Bases for Professional Opinion of Vaccine Safety.” (Please itemize each recommended vaccine separately along with the bases for arriving at the conclusion that the vaccine is safe for administration to a child under the age of 5 years.)

The professional journal articles I have relied upon in the issuance of this Physician’s Warranty of Vaccine Safety are itemized on Exhibit B , attached hereto, – “Scientific Articles in Support of Physician’s Warranty of Vaccine Safety.”

The professional journal articles that I have read which contain opinions adverse to my opinion are itemized on Exhibit C , attached hereto, – “Scientific Articles Contrary to Physician’s Opinion of Vaccine Safety.”

The reasons for my determining that the articles in Exhibit C were invalid are delineated in Attachment D , attached hereto, – “Physician’s Reasons for Determining the Invalidity of Adverse Scientific Opinions.”

Hepatitis B

I understand that 60% of patients who are vaccinated for Hepatitis B will lose detectable antibodies to Hepatitis B within 12 years.

I understand that in 1996 only 54 cases of Hepatitis B were reported to the CDC in the 0-1 year age group.

I understand that in the VAERS, there were 1,080 total reports of adverse reactions from Hepatitis B vaccine in 1996 in the 0-1 year age group, with 47 deaths reported.

I understand that 50% of patients who contract Hepatitis B develop no symptoms after exposure.

I understand that 30% will develop only flu-like symptoms and will have lifetime immunity.

I understand that 20% will develop the symptoms of the disease, but that 95% will fully recover and have lifetime immunity.

I understand that 5% of the patients who are exposed to Hepatitis B will become chronic carriers of the disease.

I understand that 75% of the chronic carriers will live with an asymptomatic infection and that only 25% of the chronic carriers will develop chronic liver disease or liver cancer, 10-30 years after the acute infection.

The following scientific studies have been performed to demonstrate the safety of the Hepatitis B vaccine in children under the age of 5 years.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
 
In addition to the recommended vaccinations as protections against the above cited risk factors, I have recommended other non-vaccine measures to protect the health of my patient and have enumerated said non-vaccine measures on Exhibit D , attached hereto, “Non-vaccine Measures to Protect Against Risk Factors.”

I am issuing this Physician’s Warranty of Vaccine Safety in my professional capacity as the attending physician to (Patient’s name) ________________________________. Regardless of the legal entity under which I normally practice medicine, I am issuing this statement in both my business and individual capacities and hereby waive any statutory, Common Law, Constitutional, UCC, international treaty, and any other legal immunities from liability lawsuits in the instant case.

I issue this document of my own free will after consultation with competent legal counsel whose name is _____________________________, an attorney admitted to the Bar in the State of __________________ .

__________________________________ (Name of Attending Physician)
 
 
__________________________________ L.S. (Signature of Attending Physician)
Signed on this _______ day of ______________ A.D. ________
 
Witness: ___________________________________ Date: ________________________
 
Notary Public: ______________________________  Date: ________________________
 

 

Comments

[Theresa]

Stacy, I think you were reading the comment below mine. I know that several vaccines are cultured in cell lines derived from aborted fetal tissue. You're preaching to the choir.

My comment about SV-40 was aimed at Ali, who said that only anti-abortion people would care about vaccines being cultured in aborted fetal tissue. I wanted Ali to know that aborted fetal tissue could also be spreading other diseases, the way monkey kidney tissue spread SV-40 to people receiving the polio virus.

[Stacy]

This document, written by Ken Andersen at his blog, makemeyounger, is somewhat irresponsible.

I get that it is, in essence, a piece of satire that is meant to provoke serious discussion of the real issues surrounding vaccines. But, written such as it is, people think this is a "real" document, when it is NOT.

BTW, re: the comment by "Theresa" above who seems to think that vaccines are NOT manufactured from aborted fetal tissue...well, I hate to break the truth to you:

http://www.cogforlife.org/thevaccinationquestion.htm

This article is written by a Navy doc and documents the entire sordid history of it.

[Theresa]

Hey, Ali, you don't have to be anti-abortion to be concerned about potential transmission of human diseases through vaccines cultured in cell lines from aborted fetuses. SV-40 (from monkey tissue) causes mesothelioma; what human diseases are we spreading through vaccines cultured in aborted fetal tissue?

[Ali]

" I hereby warrant that the vaccines I am recommending for the care of (Patient’s name) _______________ _______________________ do not contain any tissue from aborted human babies (also known as “fetuses”)."

Where did this come from? This smells a lot like someone snuck in some anti-choice/anti-women's rights rhetoric. Up until reading this, I was very excited at this possible advocacy tool and excited to share it, especially with my parent-to-be friends. Now I'm offended and shocked that no one else caught this. Spreading misinformation is the job of the vaccine industry, and advocates would be wise to wisen up to propaganda and call it out when they see it.

[Alison]

I wonder how many physicians, CDC officials, Big Pharma vaccine manufacturers, etc. vaccinate their children according to the recommended vaccine schedule. If it's safe for us, is it safe for them and their children?

[jen]

let's just say that a certain major city convention and shopping centre has been educated as to vaccine ingredients. I think tomorrow the same thing might happen at a few community centres and hockey rinks. He he...

[CamJam]

I wished I had this during 48 months the 40 vaccines were given to our twin boys (one regressed around 34 months old, dx'd with ASD at 48 months old)

But I know if I had, our pediatrician would not have signed this. I still find it all frustrating that on the very day the dr admitted Cameron had autism, she proceeded to give our twins 8 more vaccines on this very same day -- when they COULD have been spread out FROM ages 4 TO 6 years old! Nooo she gave them ALL on that very day before we even had a chance to know what the heck Autism was. Now they don't need another until they are 11 years old. (yea like that's going to happen now!)

IMHO, I think this letter should be made into a MANDATED LAW. If they can mandate ALL these nasty cocktail mixed vaccines and shove them down our throats in such a short time whether we want them or not, then Dr's and even the messed up government who has a big part in all this, should be MANDATED to SIGN THIS LETTER.

[Concerned Parent]

All I can say is WOW. What pediatrician (or any doctor in his right mind) would sign this???

And to say that if they do not sign is evidence that you are right is totally bogus. Its like answering the question "Did you beat your wife today?" If you say NO, I did not, you imply that you have in the past.

There is enough spam in this world, please dont add to it.

[Cassandra]

I LOVE THIS!!!!!!!!!!!

I am going to share far and wide!

[Shauna Layton]

I too wish that I had this years ago. I agree with the earlier comment about creating a movement with this form. We should print these out and send one to everyone we know, tell them to make copies and keep the cycle going. This is the truth, this is what is in our vaccines. If a doctor gets upset or claims it is false information, this only strengthens our case. I truly believe this could be a wonderful thing!

Sincerely,
Shauna Layton-Founder
Together In Autism
www.togetherinautism.org
togetherinautism@aol.com