Physician's Warranty of Vaccine Safety

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 ___________________________________________

Risk Factor ____________________________________________

Vaccination ___________________________________________

Risk Factor ____________________________________________

Vaccination ___________________________________________

Risk Factor ____________________________________________

Vaccination ___________________________________________

Risk Factor ____________________________________________

Vaccination ___________________________________________

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(r))

* 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

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 thimerosol 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 percent 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 percent of patients who contract Hepatitis B
develop no symptoms after exposure. I understand that 30 percent will
develop only flu-like symptoms and will have lifetime immunity. I
understand that 20 percent will develop the symptoms of the disease,
but that 95 percent will fully recover and have lifetime immunity.

I understand that 5 percent of the patients who are exposed
to Hepatitis B will become chronic carriers of the disease. I
understand that 75 percent of the chronic carriers will live with
an asymptomatic infection and that only 25 percent 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:_________________








-----------------------------
I am encouraged that several articles on Mercola.com were the source
of much of the information used by one of our long-term, devoted
readers in writing this Physician's Warranty of Vaccine Safety. You
may read one such original article here. This demonstrates that
Mercola.com is making a difference.

< [link to search.mercola.com]


Dr. Mercola's Comments:


Although you likely won't find any physician anywhere willing to
sign this form, it could be a valuable learning lesson to simply
bring it with you and present it to him or her, if nothing else
just to observe the reaction.

Because the truth is, your pediatrician is not taking responsibility
for any adverse reactions or damage that happens to your child,
and neither are the pharmaceutical companies that manufacture the
vaccines that injure countless children each year.

Vaccine companies have long ago used political manipulation through
their strong lobbying efforts to created legislation that essentially
immunizes them against any law suit damages or awards. The Homeland
Security bill also contains a provision that protects manufacturers
of vaccines that contain thimerosal from liability in vaccine-related
lawsuits. Pro-vaccine-safety educators have long been saying that
vaccines can over-stimulate your child's immune system, sometimes
causing the very disease it's designed to protect against, or
worse. And, when several vaccines are administered together, or in
close succession, their interaction may completely overwhelm your
child's developing immune system.

Once that happens, what can you do? Where can you turn?

You're far better off doing your own research beforehand so that
you can make an educated decision about the health of your child,
than to blindly trust your pediatrician, who likely has not done
much research on it either, and is in turn trusting the information
they get directly from the vaccine manufacturer.

There's Little Help to Be Had Once Tragedy Strikes

President Reagan signed the National Childhood Vaccine Injury Act of
1986
into law on Nov. 14, 1986, which is the legislation I mentioned
above. However, in the two decades since, it has become obvious
that the vaccine injury compensation program is fatally flawed,
and so broken it should be repealed - something Barbara Loe Fisher
of the National Vaccine Information
Center (NVIC) is strongly advocating.

The NVIC is also currently petitioning the Obama Administration and
Congress to investigate the fast track licensure and universal use
recommendation of Gardasil; the HPV vaccine that has already caused
over 10,000 adverse event reports to be filed since its release
in 2006.

During the program's 22-year history, two out of three individuals
applying for federal vaccine injury compensation have been turned
away empty-handed.

As of October 2008, of a total of 12,746 claims that had been filed,
2,266
had been compensated to the tune of about $1.8 billion, while 4,755
had been dismissed.

And although the claims were supposed to be handled "quickly,
easily and with certainty and generosity," according to a House
report accompanying the 1986 legislation, many claims have taken
years -- more than 10 years
-- to
be settled.

Even the U.S. Health Resources and Services Administration state
that it takes an average of two to three years to adjudicate a
claim after it is filed.

How Does the Vaccine Injury Compensation Program Work?

Prior to October 1, 1988, you could pursue an unrestricted lawsuit
against a vaccine manufacturer if you, or your child were injured
by a vaccine. After that date, including currently, you are required
to apply for federal compensation prior to pursuing a lawsuit.

According to the program's guidelines:

a.. The system will offer to pay up to $250,000 for a
vaccine-associated death. b.. The system will offer to pay for
all past and future unreimbursed medical expenses, custodial and
nursing home care; up to $250,000 pain and suffering; and loss
of earned income.

These remedies surely fall far short of what is deserved and
required if your child is injured, or killed, by a vaccine. You
simply cannot put a price on a lost life, and a study by Harvard
professor Michael Ganz found that the lifetime cost of caring for
a child with autism is more than $3 million.

And yet, according to statistics from the U.S. Department of Health
and Human Services, not one case related to autism has been deemed
"compensable." Only last year did the government concede that
vaccines "significantly aggravated" an underlying disorder and caused
"autistic symptoms" in one 9-year-old girl named Hannah Poling.

So who is actually responsible for paying whatever meager
compensations that do get awarded?

Contrary to what you would think, it is NOT the vaccine
manufacturers.

The system is funded by a surcharge on each dose of vaccine sold. The
doctors pay the tax initially when they purchase the vaccines,
but this is passed right down to the parents of the child.

So not only are the vaccine manufacturers shielded from potential
lawsuits, they are not even responsible for paying one cent of the
claims filed against them -- you are!


What Options do You Have?

The government essentially forces children to get vaccines by
threatening to not let them into the school system otherwise. Well, a
growing network of parents have decided to homeschool their children,
in part because of their belief that mandated vaccinations for
public and private school children are a dangerous overreach by
state governments.

The trend toward not vaccinating has been growing for some time
now. Close to 70 percent of physicians say that the number of
concerns from parents have increased significantly in recent years.

And rightfully so.

If you read the form above, you saw a long list of potentially
toxic chemicals - fillers and adjuvants -- that are included in
various vaccines given to newborns and children.

If your child is vaccinated according to the CDC's recommended
schedule, by the time your child starts kindergarten he or she will
have received 48 doses of 14 vaccines. Of these, 36 doses will be
given during the first 18 months of life.

Public health officials have NEVER proven that it is indeed safe
to inject this number and volume of vaccines into infants. What's
more, they cannot explain why, concurrent with an increasing number
of vaccinations, there has been an explosion of neurological and
immune system disorders in American children.

As I've stated before, I'm not anti-vaccine, but rather pro-vaccine
safety, and homeschooling your children is not the only option
out there.

In the Related Links below, I have included the link to Dr. Donald
Miller's recommendations for a more sensible vaccination schedule.

If you have reviewed the evidence and still feel your child should
be inoculated to a certain degree, this is a far safer alternative to
the standard program. Your pediatrician will not like this schedule,
but he or she will probably be more apt to go along with a modified
schedule than signing the form above.

I'd also recommend you print out this NVIC flyer detailing how to
recognize a vaccine reaction, and review it after each and every
vaccination.

If you decide you do not want to vaccinate, know that all 50 states
have vaccination requirements but all states provide exemptions for
medical reasons while 48 states allow exemptions for sincerely held
religious beliefs. Another 18 states allow parents to opt out for
personal, conscientious or philosophical beliefs as well.

My previous article, How To Legally Avoid Unwanted Immunizations
Of All Kinds, spells out how you go about practicing this right,
as does an entire chapter in my book Take Control of Your Health.

Support Those Who Champion Vaccine Safety

My team has recently created a brand new web site for the NVIC,
which I urge you to visit for more information on all topics related
to vaccines and vaccine safety.