INFORMED REFUSAL OF RECOMMENDED VACCINES
As
the parent/guardian of________________, birthdate___________ ,
I
have investigated the risks and benefits of the following vaccines and
diseases. I am aware that there are documented cases of people contracting
diseases for which they are clinically fully immunized and that the
manufacturers of the vaccines do not guarantee I 00% efficacy.
I
am also aware that VAERS (Vaccine Adverse Events Reporting System) documented
cases of over 54,000 adverse reactions from vaccines in a 20-month period. The
National Vaccine Injury Fund, created in 1986 to compensate those damaged by
vaccines, has paid out over one billion dollars in compensation to date.
POLIO: I have been informed of the risk of my child
developing paralytic disease and meningitis associated with poliomyelitis. I
understand that even under epidemic conditions, natural polio produces no
symptoms in over 90% of those exposed to it (1). I understand that there have
been no cases of wild polio in the US in the last 20 years and that those cases
which have been documented have been caused by the vaccine (2). I understand
the following side effects for the vaccine are possible:
Killed virus polio: temperature of 102' in up
to 38%, sleepiness, fussiness, crying, decreased appetite, vomiting,
Guillian-Barre syndrome and allergic reaction in those allergic to neomycin,
polymyxin and streptomycin. Precautions include those who have had a previous
negative reaction, pregnant women, and possibly those with HIV/AIDS or
otherwise compromised immune systems.
Live virus polio: Reactions include
contraction of polio by those who have received the virus and by those who have
come into contact with body fluids and wastes of the immunized person.
Paralytic symptoms may follow contraction of polio. Live virus is reportedly shed for up to eight weeks after
the inoculation. Guillian-Barre syndrome has also been noted. Not recommended
for use in households where someone has a compromised Immune system, for
pregnant women, or where a previous reaction has been reported (3).
Killed
polio virus vaccine is grown on monkey kidney cells, contains formaldehyde, and
triple antibiotics. Poliovax is grown on celIs from an aborted, baby, contains
formaldehyde, cow serum and triple antibiotic solution (4). The monkey kidney
cells used In the onglnal killed polio vaccine contains SV-40 virus and has
been found in tumor cells of children whose parent's were vaccinated against
polio using the contaminated virus (5). The live vaccine is grown on monkey
kidney cells, antibiotics and calf serum.
Initial_____ Date_____
HEMOPHILUS
INFLUENZAE B: I have been informed of the risk of my child
developing meningitis (although this vaccine will not protect the child from
meningitis from all other forms such as pneumococcus, and meningococcus,
viruses, and fungi), pneumonia, and infections of the blood, joints, bone, and
soft tissue associated with Hemophilus Influenzae B. I understand that this
disease is most likely in children up to 15 months of age and is fatal in 3-6%
of children who contract it. Incidence of this disease today is low and the
vaccine has not proven to be highly effective in 41 % of cases, according to
some studies (6).
Treatment
is available. The vaccine is often combined with the DPT, which has the highest
reaction rate of any vaccine available today. Reactions include: contracting
HIB, localized pain, erithema and induration, fever up to 100.6', irritability,
lethargy, anorexia, rhinorrhea, diarrhea, vomiting, cough, when administered alone.
Reactions occurred in up to 30% of patients. When administered in conjunction
with the DPT, reactions include local tenderness erythema and induration, fever
up to 100.811, irritability, drowsiness, anorexia, diarrhea, vomiting,
persistent crying, seizures, urticaria, hives, renal failure, Guillian-Barre
syndrome and death. Reactions occurred in up to 77.9% of patients (7).
The
vaccine contains yeast, thimerosal (mercury derivative), and diphtheria toxoid
when given alone (8).
Initial_____ Date_____
PERTUSSIS:
I have been informed of the risk of my child-developing whooping
cough, pneumonia, convulsions, inflammation of the brain, and death associated
with pertussis. I understand the disease is rarely fatal, with a 99.8% recovery
rate, it is most serious and life-threatening in children under 6 months old,
but there are adequate methods of treatment available (9). The vaccine is most
often given in conjunction with diphtheria and tetanus as the DPT or as the
DAPT. Pertussis vaccine may cause: fevers up to 106 degrees, pain swelling,
diarrhea, projectile vomiting, excessive sleepiness, high-pitched screaming,
inconsolable crying bouts, seizures, convulsions, collapse, shock, breathing
problems, brain damage and SIDS. One in 600 suffer a severe reaction. In one study (10) and I in 875 suffered
shock-collapse and convulsions(ll). Those in the 2nd study were only tracked
for the first 48 hours following immunization. A more recent study indicates
that 1 in 100 react with convulsions, collapse, or high-pitched screaming and 1
in 3 of those cases sustained permanent brain damage (12). In a study of 103
children who died of SIDS, 70% died within 3 weeks of the DPT vaccine and 37%
of those died within the first week (13). The DAPT is recommended as a safer
option for vaccination. Side effects of the DAPT were only tracked for 72 hours
and included: tenderness, erythema, induration, fever up to 102.2 degrees,
drowsiness, fretfulness, vomiting, upper respiratory infection, diarrhea, rash,
febrile seizures, persistent or unusual crying, lethargy, hypronic or
hyporesponslve episode, urticaria, anaphylactic shock, convulsions,
encephalopathy, mono and polyneuropathies and death (14).
Not
recommended for children under 15 months or for those who have not had 3
injections of the DPT. Either form
of the vaccine contains thimerosal (mercury derivative), formaldehyde, and
aluminum phosphate (IS).
Initial_____ Date_____
DIPHTHERIA:
I have been informed of the risk of my child developing paralysis,
heart failure, or respiratory failure associated with diphtheria. I have also
been informed that there have only been 5 cases reported
annually since 1980 (16). I
am also aware that diphtheria is rarely fatal and treated with antibiotics and
bed rest (17). The Diphtheria component is most often given within the DPT or
DAPT and includes the same side effects and reactions as those listed for
pertussis.
Initial_____
Date_____
TETANUS:
I have been informed of the risk of my child developing fatal
neuro-muscular disease related to tetanus. I understand that the incidence of tetanus is low, and there
is an antitoxin, should we decline the immunization. I understand that
contracting tetanus does not provide life-long immunity, and neither does the
vaccine. I understand that to prevent more severe reactions from the vaccine,
the tetanus component has been so significantly "diluted" that it is
clinically ineffective (I 8). 1 understand that the death rate for properly
treated cases of tetanus may be as high as 20% (19). Side effects of the
tetanus vaccine alone include: high fever, pain, recurrent abscess formation,
inner ear nerve damage, demyelinating neuropathy, anaphylactic shock and loss
of consciousness (20). Tetanus given in the DPT or DAPT shot include the same
side effects and reactions as those listed for pertussis.
Initial_____
Date_____
RUBEOLA
(MEASLES): I have been informed of the risk of my child developing pneumonia,
encephalitis (inflammation of the brain), degenerative disease of the nervous
system with convulsions (subacute sclerosing panencephalitis) related to
rubeola. I understand the death rate for measles is .03 in 100,000 (21). I
understand that since 1984, over 55% of documented, confirmed cases of measles
have been in fully immunized persons (22). I understand that the greatest risk
of the measles vaccine may be to push the incidence of this disease into the
late teens and adulthood where it is more likely to be fatal or cause more
adverse and long-term effects (23). The measles vaccine is a live vaccine, and
carries the risk that it will cause the patient to contract measles. Other
adverse reactions include: stinging or burning at the injection site,
anaphylaxis, fever up to one month following injection, rash, cough, rhinitis,
erythema multiforme, lymphadenopathy, urticaria, diarrhea, febrile convulsions,
seizures, thrombocytopenia, purpura, vasculitis, optic neuritis, retrobulbar
neuritis, papillitis, retinitis, encephalitis and encephalopathy, ocular
palsies, Guillain-Barre syndrome, ataxia, and subacute sclerosing
panencephalitis (24).
Measles
vaccine is most often given as a part of the MMR which includes the following
side effects: burning or stinging at injection site, malaise, sore throat,
cough, rhinitis, headache, dizziness, fever, rash, nausea, vomiting, diarrhea,
erythema, induration, tenderness, lymphadenopathy, parotitis, orchitis, nerve
deafness, thrombocytopenia, purpura, allergic reactions, urticaria,
polyneuritis, arthralgia, arthritis, anaphylaxis, vasculitis, otitis media,
conjunctivitis, febrile convulsions, seizures, syncope, erythema multiforme,
optic neuritis, retrobulbar neuritis, papillitis, retinitis, encephalitis and
encephalopathy, ocular palsies, Guillain- Barre syndrome, ataxia, subacute
sclerosing panencephalitis (25), and a recent study from Europe indicates that
there may be a link between the MMR (measles/ mumps/rubella) vaccine and autism
and irritable bowel syndrome (26).
Measles
vaccine contains chick embryo cells, neomycin, sorbitol and hydrolyzed gelatin.
MMR contains all live vaccines, chick embryo, cells from aborted babies,
neomycin, sorbitol and hydrolyzed gelatin(27).
Initial_____
Date_____
MUMPS:
I have been informed of the risk of my child developing
inflammation of the testicles, joints, kidneys, and/or thyroid, and hearing
impairment related to mumps. I understand that mumps is rarely harmful in
childhood, and that most of the above risks occur when mumps is contracted in
adolescence or adulthood (28). I understand that there is a Mumps vaccine which
poses the following risks: contraction of mumps from the live vaccine, burning
or stinging at the injection site, anaphylaxis, cough, rhinitis, fever,
diarrhea, vasculitis, parotitis, orchitis, purpura, urticaria, erythema multiforme,
optic neuritis, retrobulbar neuritis, syncope, encephalitis, febrile seizures,
and nerve deafness (29).
Mumps
is usually given in the MMR and may cause those side effects and adverse
reactions as noted in the measles section above. Mumps vaccine is live and
should hot be given to pregnant women. It is cultured in chick embryos and
contains sorbitol and hydrolyzed gelatin (30).
Initial_____
Date_____
RUBELLA
(GERMAN MEASLES): I have been informed of the risk of my child developing
inflammation of the brain or joints, and of the risk of birth defects
(including eye defects, heart defects, deafness, mental retardation, growth
failure, jaundice, and disorders of blood clotting) in infants born to mothers
who contract rubella during pregnancy, related to rubella. Therefore, I
understand that the greatest risk to my child may be if she never contracts
rubella as a child, but when she is pregnant and it damages her unborn child.
If she contracts rubella in child-hood, she is immune for life, and prior to the
vaccine, 85% of the population was immune (31). I understand that if she is not
immune as an adult, she can choose to take the vaccine prior to becoming
pregnant. I understand that many of those who contract rubella have been
immunized (up to 80%) (32). Adverse reactions among teenage girls is 5-10% and
30% in adult women (33). Adverse reactions include: contracting rubella from
the live virus in the vaccine, burning or stinging at the site,
lymphadenopathy, urticaria, rash, malaise, sore throat, fever, headache,
dizziness, nausea, vomiting, diarrhea, polyneuritis, arthralgia, arthritis,
local pain and inflammation, erythema multiforme, cough, rhinitis, vasculitis,
anaphy- laxis, syncope, optic neuritis, retrobulbar neuritis, papillitis,
Guillain-Barre syndrome, encephalitis, thrombocytopenia, purpura, and chronic
fatigue syndrome (34).
Rubella
is most often administered in the MMR and may cause those side effects and
adverse reactions listed under measles. Rubella is cultured on the tissue of an
aborted child; the 27th child aborted and tested due to exposure by his mother
when she was Pregnant. It contains neomycin, sorbitol and hydrolyzed gelatin
(35).
Initial_____
Date_____
HEPATITIS
B: I have been informed of the risk of my child developing Hepatitis
B viral infection, which can cause chronic inflammation of the liver leading to
cirrhosis, liver cancer and possibly death. I understand that my child's risk
of developing hepatitis B is low if I am not a carrier or infected, if my child
does not engage in promiscuous sex or use drugs. I understand that there is
antibiotic treatment for hepatitis B and that most of those who contract it
recover (36). I understand that the HepB vaccine only contains strains of HepB
and is not effective against Hep A, C, D, E, F, or G.
I
understand that the HepB vaccine has the following side effect and adverse
reactions: induration, erythema, swelling, fever, headache, dizziness, pain,
pruritus, echymosis, sweating, malaise, chills, weakness, flushing, tingling,
hypotension, flu-like symptoms, upper respiratory illness, nausea, anorexia,
abdominal pain and cramping, vomiting, constipation, diarrhea, lymphadenopathy,
pain or stiffness in muscles and joints, arthralgia, myalgia, back pain, rash,
urticaria, petechiae, sleepiness, insomnia, irritability, agitation,
anaphylaxis, angioedema, arthritis, tachycardia/palpitations, bronchospasm,
abnormal liver function tests, dyspepsia, migraine, syncope, paresis
neuropathy, hypothesis, paresthesis, Guillain-Barre syndrome, Bell's palsy,
transverse myelitis, optic neuritis, multiple sclerosis, thrombocytopenia,
eczema, purpura, herpes zoster, erythema nodosum, alopecia, conjunctivitis,
keratitis, visual disturbances, vertigo, tinnitus, earache, and dysuria (37).
The studies only followed patients for 4 days post-vaccination.
The
most commonly used HepB vaccine contains thimerosal, although a relatively new
release does not contain thimerosal and is limited for use in newborns. The
vaccine also contains: aluminum hydroxide, yeast protein, and phosphate buffers
(38).
Initial_____
Date_____
VARICELLA(CHICKENPOX):
I have been informed of the risk of my child developing chicken pox which could
potentially result in pneumonia, secondary skin or generalized infections, or,
if caught during pregnancy, birth defects in the baby. I understand chicken pox
is generally benign in children, but results in significant lost hours at work
for parents. Chicken pox in adults often manifests as shingles, a chronic and
painful condition. I also understand that contracting chicken pox later in life
may increase my risk for herpes simplex.
Side
effects and adverse reactions for the chicken pox vaccine include: contracting
chicken pox from the live vaccine (27%), pain and redness at site, swelling,
erythema, rash, pruritus, hematoma, induration, stiffness, upper respiratory
illness, cough, irritability, nervousness, fatigue, disturbed sleep, diarrhea,
loss of appetite, vomiting, otitis, diaper rash/contact rash, nausea, eye complaints,
chills, lymphadenopathy, myalgia, lower respiratory illness, headache,
teething, malaise, abdominal pain, other rash, allergic reactions including
rash and hives, stiff neck, heat rash/prickly heat, arthralgia, eczema/dry
skin/dermatitis, constipation, itching, pneunonitis, febrile seizures, and
cold/canker sore (39).
Varicelia
vaccine is cultured on cells from aborted babies, and guinea pig cell cultures.
It contains live virus, glutamate, sucrose, phosphate, processed gelatin,
neomycin and fetal calf serum (40).
Initial_____
Date_____
___________________________________________________________
RELIGIOUS REASONS FOR VACCINE REFUSAL
BE IT KNOWN, BASED UPON THE TEACHINGS OF THE
BIDLE, IT IS OUR RELIGIOUS CONVICTION NOT TO HAVE OUR CHILDREN VACCINATED.
Public
Law 97-280, passed by the 97th Congress of the United States of America,
declares the Bible to Be the "Word of God" and directs citizens to
"study and apply the teachings of the Holy Scriptures. "The Bible
teaches that the truthfulness of an issue is to be sought and should stand on
no less than two or more witnesses (Deuteronomy 19: 15). A diligent search for
truth on the safety and effectiveness of vaccinations reveals there are many
studied, informed and qualified witnesses who have found and teach that there
are serious health risks involved with vaccinations.
Even
Senate Bill 732 before the 103rd Congress of the United States known as the
"Comprehensive Child Health Immunization Act of 1993", made known the
fact that there are risks to vaccines- The following words are ftom that bill:
Vaccine information materials should be simplified to ensure that parents can
understand the benefits and risks of vaccines.
THEREFORE BE IT KNOWN THAT
WE HAVE CHOSEN NOT TO SUBJECT OUR CHILDREN TO THE RISKS OF VACCINATION. TO DO
ANYTHING LESS WOULD BE IRRESPONSIDLE AND SINFUL AS CHRISTIAN PARENTS.
The
Bible teaches that there are clean and unclean animals and that God's people
are not to put the unclean into their bodies (Deuteronomy 14). Furthermore, the
Bible teaches that Ye shall not eat of anything that dieth of itself;..
(Deuteronomy 14:21) and hut flesh with the life thereof, which is the blood
thereof, shall ye not eat. (Genesis 9:4)Vaccines are often made of, or in
bodies, fetuses or eggs of said unclean creatures.
The
process of creating the vaccine often causes said creatures to die in the
process (i.e., death of itself). Many vaccines are made in or of the blood of
diseased animals. What? Know ye not that your body is the temple of the Holy
Ghost which is in you, which ye have of God, and ye are not your own. For ye
are bought with a price: therefore glorify God in your body, and in your
spirit, which are God's (I Corinthians 6:19,20).
THEREFORE BE IT KNOWN THAT
WE HAVE CHOSEN NOT TO HAVE OUR CIDLDREN VACCINATED. TO DO SO WOULD BE TO
VIOLATE THESE TEACHINGS OF THE BIBLE.
The
Bible teaches that we are not to harm or wrong our neighbor (Romans 13:10:
James 2:8). Our decision to decline vaccinations does not wrong or threaten our
neighbor. If vaccinations are truly effective then vaccinated neighbors would
be in no danger from someone who is not vaccinated.
THEREFORE BE IT KNOWN OUR
DECISION TO NOT HAVE OUR CIDLDREN VACCINATED DOES NOT ENDANGER OR HARM OUR
NEIGHBOR AND THUS OUR NEIGHBOR HAS NO JUST CAUSE TO EVER TRY TO FORCE
VACCINATIONS UPON OUR CHILDREN.
The
Bible teaches children are a gift from God to the parents (psalm 127:3) and
further teaches the parents (not the state) are entrusted with the care and
welfare of the child (I Timothy 5:8). The Bible also teaches there have been
times in history when evil government and government employees have attempted
through force, intimidation color of law to harm and destroy the children of
God's people (Exodus I and 2 and Matthew 2).
THEREFORE BE IT KNOWN THAT
WE HAVE CHOSEN TO DO OUR GOD GIVEN DUTY AND RESPONSIBILITY TO PROTECT AND
DEFEND OUR CHILDREN FROM ANY SUCH FORCE OR INDIVIDUALS BENT UPON SUBJECTING OUR
CHILDREN TO THE RISKS OF VACCINES.
The
Bible teaches that when man's law contradicts God's Law, His people must obey
God over men. But Peter and the
apostles answered and said, "'We must obey God rather than men."
(Acts 5:29) There is much Bible Case Law in support of this position such as
Daniel versus Darius (Daniel 6) and Shadrach, Meshach and Abed-nego versus
Nebuchadnezzar (Daniel 3:13).
Concerning
the safety of children, both the Hebrew midwives (Exodus 1) and the parents of
Moses (Exodus 2) refused to obey the law of man that put the children in peril.
By faith Moses, when he was born, was hidden for three months by his parents,
because they saw he was a beautiful child; and they were not afraid of the
king's edict. (Hebrew 11 :23)
THEREFORE BE IT KNOWN
SHOULD ANY POLICY, EDICT, OR LEGISLATION OF MAN DECREE OUR CHILDREN MUST BE
VACCINATED, WE MUST AND WILL OBEY GOD RATHER THAN MAN AND AS MOSES' PARENTS OF
OLD AND WE WILL DO SO WITHOUT FEAR.
The
Bible teaches that God's people are to be humble, peaceful and desirous of a
tranquil and quiet life (I Timothy2:2) and to do all they can to be at peace
with others. If possible, so far as it depends on you, be a peace with all men.
(Romans 12: 18) However, the Bible also teaches that if and when anyone
(including government bureaucrats in the 21st century A.D.) attempts
to harm or to take one's children or family members, one must respond
appropriately. In the case of the Bible story of Abraham's nephew, Lot, being
taken by kingÕs men, there were very severe consequences incurred by them.
(Genesis 14 and Romans 15:4)
THEREFORE BE IT KNOWN THAT
WE DESIRE TO BE AT PEACE WITH THOSE WHO MAY FEEL OR THINK DIFFERENTLY THAN WE
ON THIS ISSUE OF VACCINATIONS AND THAT IS WHY WE HUMBLY EXPLAIN THE CHOICE WE
HAVE MADE. BUT, BE IT KNOWN, SHOULD ANYONE EITHER DIRECTLY OR INDIRECTLY
ATTEMPT TO FORCE VACCINATIONS UPON OUR CHILDREN OR ATTEMPT TO TAKE THEM OR ANY
F AMILY MEMBER WHO DEFENDS THEM-CAVEAT (beware).
Humbly and peacefully
submitted with obedience to and trust in the God of the Judeo-Christian Bible.
Signed
By:___________________
Date:____________
Home * Hair Analysis * Saunas * Books * Articles
Detoxification Protocols
* Courses * About Dr. Wilson