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physician's warranty of vaccine safety - ha!

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This is pretty cool, next time your Pedi trys to get you to give your kids

vaccines and guarantees that they are safe, have them, fill out one of these

for assurance and watch their head spin around!

Chris

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

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

sucrose

tri(n)butylphosphate,

VERO cells, a continuous line of monkey kidney cells, and

washed sheep red blood

and, hereby, warrant that these ingredients are safe for injection into the

body of my patient. Reports to the contrary, such as reports that mercury

thimerosol causes severe neurological and immunological damage, 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 give my assurance that the vaccines I employ in my practice do not

contain SV 40 or any other live viruses. (Alternately, I hereby give my

assurance that said SV-40 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

cells 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 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: ________________________

A special thanks to Vaccine Truth<http://profile.

<http://profile.myspace.com/index.cfm?fuseaction=user.viewprofile & friendid=9

0931945 & MyToken=54125b99-1cdd-4122-81f1-f10bcff734df>

myspace.com/index.cfm?fuseaction=user.viewprofile & friendid=90931945 & MyToken=

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