a reply to: deadlyhope
Doctors warranty Form for your doctor to complete. customise to suit your countiries/state law
Warranty of Vaccine Safety
I (doctor’s name, degree)__________________________________________, am a physician/medical doctor licensed to practice medicine in Queensland.
My registration 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 fully justify
the recommended vaccinations. The following is a list of said risk factors and the vaccinations that will protect against them:
I am aware that vaccines typically contain many of the following fillers and adjuvants:
• aluminium hydroxide
• aluminium phosphate
• ammonium sulphate
• amphotericin B
• animal tissues: pigs blood, horse blood, rabbits brain, broth of cows brain
• dog kidney, monkey kidney,
• chick embryo, chicken egg, duck egg
• calf (bovine) serum
• fetal bovine serum
• human diploid cells (originating from human aborted foetal tissue)
• hydrolized gelatin
• mercury (thimerosal/thiomersol)
• monosodium glutamate (MSG)
• neomycin sulphate
• phenol red indicator
• phenoxyethanol (anti-freeze)
• potassium diphosphate
• potassium monophosphate
• polymyxin B
• polysorbate 20
• polysorbate 80
• porcine (pig) pancreatic hydrolysate of casein
• residual MRC5 proteins
• 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 in thimerosal/thiomersal may cause 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 virus or other viruses pose no risk whatsoever 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 "foetuses").
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
I have personally and extensively investigated the causes for adverse vaccine reaction and I'm certain that the vaccines I am recommending are
completely safe for administration to a child under the age of 5 years.
I am aware that …………………………………………. (patient name) is a conscientious objector in the matter of vaccinations and has not
given valid consent1 as required by dot point 2, of section 1.3.3 [page 12] of The Australian Immunisation Handbook 9th Edition.
I also warrant that the mandated and forced vaccination/s by Queensland Health Department for …………………………………………(patient
name), will not cause ………………………………….. (patient name) any adverse reactions as listed in either section 1.5.22 [Adverse
events following immunisation] and Appendix 63 [Definitions of adverse events following immunisation] of The Australian Immunisation Handbook 9th
The following double blind, placebo, controlled studies have been performed to demonstrate the safety of vaccines in children under the age of 5
In Case of Hep B Vaccine.
"Physician’s reasons for determining the invalidity of adverse scientific opinions."
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 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.
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
I am issuing this physician’s/doctor’s Warranty of Vaccine Safety in my professional capacity as the attending physician/doctor, to (patient’s
Regardless of the legal entity under which I normally practice medicine, I am issuing this statement in both my business and individual, personal
capacities and hereby waive any statutory