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Vaccine Injury liability Agreement.

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Vaccine Injury liability Agreement. THIS VACCINE INJURY LIABILITY (this “Agreement”)

dated this ________ day of ________________, ________

____________________ (the vaccinator) of ________________________________________________________(address) and ____________________________ (patient) of ________________________________________________________(address) .

Despite many claims, Vaccines are neither safe nor effective to everyone. Even the manufacturers believe there is a risk to some people.

For that reason, I will never know whether or not the vaccine will be safe or effective to myself, so to ensure that I am looked after should anything untoward happen to me after receiving the vaccine, can you please fill out the form below.

I ____________________ (the vaccinator) the undersigned, hereby agree that the vaccination _________________________ (name of vaccine), I am about to administer to ____________________________ (the patient) is both safe and effective and carries no harmful effects of any kind.

As long term effects from _________________________ (name of vaccine) any vaccine remain an unknown entitiy, should ____________________________ (the patient) fall sick or die within 6 months of receiving the _________________________ (name of vaccine) vaccine, from any sickness or condition, I will be personally responsible for their complete health care as well as paying compensation of £500,000 from my own personal finances.

I believe it so strongly I am willing to put this money into escrow right now, so should ____________________________ (the patient) fall sick or die it will be there for them or their families to use as they see fit, no questions.

If after 6 months of having the vaccine, there are no side effects of any kind, the money will be returned to me.


Signed _______________________________

Address ______________________________


Name in Capitals __________________________

Signed _______________________________
Name in Capitals _______________________________
Date _______________________________
Signed _______________________________
Name in Capitals _______________________________
Date _______________________________



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