Fully Informed Consent on Behalf of Children

Written by Diane Perlman, PhD

Originally posted here.

“… we’re never going to learn about how safe this vaccine is unless we start giving it.” – Professor Eric Rubin of Harvard University, testifying before FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC), October 26, 2021, on myocarditis and deaths, before voting to approve.


Children are not capable of informed consent. Most parents and guardians trust the FDA, CDC, school authorities, and mainstream media. Most believe that the mRNA shots are necessary, safe, effective, and the only way to safely open schools, have parties and sleepovers, hug grandparents, travel and finally end the Covid pandemic.

For children under 12, there is no adequate safety data, and none on myocarditis, a disabling, life-threatening heart condition that only appeared after clinical trials on young people, mostly males. Athletes around the world are dropping dead on the field from heart damage. The experiment begins now.

Pop-up “clinics” are being rushed out to schools and other places around the country to mass “vaccinate” children as quickly as possible. Here is an example of a consent form, and another. They left a few things out.

The risks of injecting children are not trivial and some may be irreversible. Based on data from Israel and on 12 – 17-year-olds, adverse events (AEs), serious adverse events (SAEs), permanent injuries, disabilities and deaths are inevitable.

I am bound by a personal and professional ethical duty to warn, and familiar with the the Nuremberg Code which requires fully informed consent, so I created this consent form on behalf of children. It can be printed and copied. The second side can be checked and signed. It is also pasted in the text below.

Truly Informed Consent For Pfizer Biontech Injections For Children
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Lack of Safety Data

Studies used to justify approval for children from 5 - 11 were conducted on very few subjects and followed for a ridiculously short period of time. Subjects who had adverse reactions were eliminated from the study. There is zero information on potential long-term effects. And, there are at least Ten red flags in the FDA's risk-benefit analysis of Pfizer's EUA application to inject American children 5 to 11 with its mRNA product.

Loving, protective, frightened parents believe there was a legitimate, independent, scientific process that led 17 of 18 members of FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) to vote that the benefits outweighed the risks. Several have financial ties to Pfizer. Dr. Michael Kurilla, who voiced serious concerns, was courageous enough to abstain, but not enough to vote No.

All 14 members of CDC’s Advisory Committee on Immunization Practices (ACIP) voted for approval on November 2.

At all of these meetings they wildly exaggerate, distort and lie about the threat of Covid, deaths and hospitalizations for children, ignore the data, dismiss natural immunity, and minimize, deny and hide the data on adverse reactions, injuries, disabilities and deaths. How is it they don’t know that healthy children have zero risk of dying from Covid?

Some panelists minimized the incidence of vaccine-caused myocarditis, falsely claiming that cases were mild and resolved quickly, had different causes, maybe hereditary, and that more cases of myocarditis were caused by getting Covid than from the “vaccines.” They completely ignored all other known risks, except for the usual swelling, fever chills, headache.

This is from Steve Kirsch’s 3 minute presentation during the public comment period at VRBPAC meeting on October 26. It is at minute 4:40

The final vote was always a done deal. There was a pretense of going through the motions of a voting process while doses for 28 million children were on their way and thousands of pop up clinics were scheduled.

At the October 26 VRBPAC meeting, 17 voted Yes despite problems raised, questions unanswered, and awkward, illogical justifications for their vote. For example, the vote was a binary, forced choice between allowing these shots for everybody or nobody, which is absurd on its face. If someone believed that very few obese or immune compromised children would benefit from the Pfizer shot (despite no evidence), they had to vote yes, which would lead to pressure and mandates for 28 million children with no benefit and great risk. You might wonder why requests for specific cases would be impossible.

Panelists blatantly disregarded over 142,000 written public comments by knowledgeable citizens warning of dangers and urging them to vote No. Dr. Jay Portnoy, the consumer representative said he received 4000 emails asking him to vote No. Guess how he voted?

They disregarded brilliant challenges made with data by some selected to make 3 minute public comments permitted during a one-hour comment period. Here is one from Brian Dressen, husband of Brianne, who was eliminated from trial data

Pfizer’s vaccine 'failed any reasonable risk-benefit calculus in connection with children.'

Here are the 3 minute public comments from November 2, some for, some against. Those in favor were mostly platitudes. Those against had substance. https://hayspost.com/posts/57d0f915-d8b6-4e71-8970-514916185fbb

These comments were to vote against approval.

·      Steve Hirsh, Executive Director of the  COVID-19 Early Treatment Fund told the panel there were too many unanswered questions for the FDA to approve the vaccine for 5-11 year-olds.

·      Dr. Jessica Rose, a viral immunologist, shared thoughts against the emergency use authorization of the vaccine for children because "COVID-19 is exceedingly treatable."

·      Dr. Josh Guetzkow, Ph.D., at the Hebrew University of Jerusalem, said extending the emergency use authorization for children's vaccine "would do more harm than good."

·      Dr. Beatrice Setnick, a clinical pharamacologist and consultant to various biotech companies told the panel, "please do not assume the vaccine is safe for children until more data is evaluated."

·      Amy Alvo, the mother of a 17-year-old, shared what the adverse reaction her daughter experienced after vaccination.

Dr. Meryl Nass’s live blog continuous commentary on these meetings for Children’s Health Defense gives you an idea of what is not being said, conflicts of interest, etc.

* the October 26 FDA VRBPAC meeting

* the November 1, CDC ACIP meeting

What you don’t know can hurt your child.

Ironically, on November 2, 2021, while CDC’s ACIP was meeting to approve of mRNA shots for kids, Senator Ron Johnson conducted a Senate Expert Panel on Vaccine Injuries and Mandates in Washington, DC. Here is a 12 minute selection from the 3 hour meeting. It was followed by a rally in front of the US Supreme Court, in the rain.

I met several “vaccine” injured people and their families. They would have given anything to have had informed consent. They wish to spare others from their trauma. They have been censored, accused of all sorts of things, misdiagnosed, and abandoned by the conventional medical community.

Here is testimony and an interview with Kyle Warner, a national champion professional mountain bike racer who was injured after his second Pfizer shot, as are many athletes.

Maddie de Garay and her mother, Stephanie, before the Supreme Court steps on November 2. Behind her is Colin Flint, an experienced pilot who almost crashed his plane from vertigo after his second Pfizer shot.

Then 12-year-ld Maddie de Garay, volunteered with her two brothers to be a subject in the Pfizer study on 12 - 17 year-olds, claiming to be 100% effective. She was a healthy 12-year-old straight A student.

After her second Pfizer shot on January 20, 2021, she experienced severe abdominal pain followed by heavy menstrual cycles, fainting, vision problems, loss of bladder control, seizures, verbal and motor ticks, difficulty swallowing food and water, thus requiring a feeding tube and pain killers. She is paralyzed below the waist and in a wheelchair with 9 visits to the ER and 3 extended hospital visits. But she did not get Covid.


Adding insult to injury, the doctors diagnosed her with anxiety and conversion reaction, allegedly caused by nonexistent preexisting conditions. This is in the current tradition of massive attributions of adverse reactions to the “vaccines” as psychological or as coincidences. Pfizer listed her as having a stomach ache.

The 16 subjects who got the placebo had mild or no symptoms and have acquired natural immunity which is enduring, robust against variants and far superior to “vaccine” immunity. It also contributes to herd immunity.

All subjects in the vaccine group were injected with mRNA instructions to make spike proteins. Some had fever, chills, headaches, fatigue, joint pain, swelling, and muscle pain. Some said they were only allowed to check off reactions on a list with no place to write in other reactions. We don’t know of other adverse reactions. Long term reactions are unknown.

Several of those who testified had their data removed from the study as well. People who had reactions to the first shot and didn’t continue were eliminated. Only healthy people who completed the study were included.

This is why I cannot remain silent. Better safe than sorry. Do your own diligence. Think for yourself.

Here is the text of the attached PDF formatted to be printed on 2 sides. The second side can be checked and signed.

Fully Informed Consent Checklist for Pfizer BioNTech Injections for Children

A “Vaccine” Injury Prevention Project, By Diane Perlman, PhD

“… we’re never going to learn about how safe this vaccine is unless we start giving it.” – Professor Eric Rubin of Harvard University, testifying before FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC), October 26, 2021, on myocarditis and deaths, before voting to approve.

Are you fully informed? An hour of informed consent is worth a lifetime of regret.

Children are incapable of informed consent.  Many parents defer to the CDC, despite incomplete safety studies, flimsy, falsified data, exclusion of subjects, whistleblower testimony, expert warnings, no long-term data and over 142,000 public comments urging committee members to vote “No" on approval.

What you don’t know can hurt your child. Do not delegate your responsibility to anyone. You owe it to your child to be fully informed about short and long-term safety before injecting them with mRNA, which has polyethylene glycol and undisclosed ingredients. No party has any liability for adverse reactions, which have occurred with 12 - 17-year-olds. Now is the time to become fully informed.

The Nuremberg Code, the most important human rights document on medical ethics states, “The voluntary consent of the human subject is absolutely essential. … the person involved should have legal capacity to give consent; should … be able to exercise free power of choice, without the intervention of any element of force, fraud, deceit, duress, over-reaching, or other ulterior form of constraint or coercion, and should have sufficient knowledge and comprehension of the elements of the subject matter involved as to enable him to make an understanding and enlightened decision. .. there should be made known to him … the effects upon his health or person which may possibly come from his participation in the experiment.”

Do not be manipulated by fear and false information. “Vaccines” do not prevent infection or transmission. Healthy children have preexisting, innate, immune effector cells. Their immune systems handle Covid better than adults, with zero risk of dying. Most have no or mild symptoms and achieve enduring, robust natural immunity against future variants, superior to “vaccine” immunity which wanes over time. Natural immunity contributes to herd immunity. The Amish reached herd immunity in 3 months without lockdowns, distancing or masks, as have other groups. Children do not transmit Covid to adults. mRNA shots can alter their immune systems and subject them continuing booster shots. “mass vaccination campaigns in children will prevent them from contributing to herd immunity” and provoke “more infectious viral variants.” Dr. Geert Vanden Bossche, DVM, PhD Oct. 2021

Children with Covid rarely require treatment. If they do, effective protocols that have been censored, developed by independent, ethical doctors are on https://covid19criticalcare.com and other places. They know how to treat Covid. Treating vaccine injuries is new and challenging. Boost everyone’s immunity with a healthy diet, sunlight, adequate Vitamin D levels, zinc, C, A, melatonin, etc. to reduce severity.

Risk/Benefit Analysis.  Older people with co-morbidities have the highest risk from Covid and a lower risk from “vaccines.” Healthy, younger people have virtually zero risk from Covid. Risks from the “vaccines” increase with decreasing age. The very few children who died with Covid, not from Covid, had serious illnesses like leukemia, cystic fibrosis, diabetes, and obesity. Healthy children have no benefit from vaccines which may undermine their innate immunity.

Do not act under pressure or be controlled by fear. Not from authorities, peers or your children’s peers. Do your own research. Think for yourself. You will live with any consequences. Challenge the basis for making social life contingent on getting the shots. These are manipulative forms of coercion, though they seem plausible. The best defense against any virus is a strong, healthy immune system.


Any person who gives consent to a medical procedure for themselves or their dependents must be fully informed of ALL the known or potential adverse effects of the treatment. If they have not been FULLY INFORMED those responsible for obtaining consent are guilty of malpractice. (Gary Kohls, MD)

1. Yes__ No __ I agree to allow my child to receive the Pfizer BioNTech mRNA injection knowing that there is no reliable safety data and that they will be participating in a medical experiment, which requires fully informed consent according to the Nuremberg Code.

2. Yes__ No __ I am informed that mRNA injections are technically not “vaccines.” They are genetic interventions never used before on humans and based on insufficient animal studies. They do not prevent infection or transmission, wane over time and will be followed by boosters. Impacts may be irreversible.

3. Yes__ No __ I am informed that there is no fully approved FDA Covid vaccine that is available in the US.

4. Yes__ No __ I am informed that the FDA and CDC approved of the Pfizer mRNA injections to children based on an Emergency Use Authorization (EUA), even though there is no emergency for 5 - 11-year-olds.

5. Yes__ No __ I am informed that most children who get Covid have mild symptoms, if any, and acquire superior, robust and enduring natural immunity shown to persist for many years or a lifetime and is effective against variants. T-cell tests demonstrate natural immunity whether or not there are also antibodies.

6. Yes__ No __ I am informed that 42% or more have natural immunity far superior to “vaccine” immunity, have no benefit from "vaccines “and a 30% higher risk of adverse reactions to the shots, including death.

7. Yes__ No __ I am informed that the Pfizer shots instruct the cells to manufacture spike proteins which circulate the body and lodge in the organs, in high concentrations in the endothelial cells, ovaries and testes, spleen, heart, and cross the blood-brain barrier.

8. Yes__ No __ I am informed that the adverse effects from mRNA “vaccines” may include anaphylactic shock, allergic reactions, blood clotting, micro-clotting and other bleeding disorders, thrombosis in the brain, other thrombotic events, myocarditis, pericarditis, heart damage, stroke, tinnitus, vertigo, and more.

9. Yes__ No __ I am informed that if one has adverse reactions after the first shot, they should not get the second under any circumstances, and that more severe reactions and deaths occur after the second shot.

10. Yes__ No __ I am informed that “vaccines” pose an elevated risk of myocarditis, highest in young males, causing permanent heart damage and death, including among healthy athletes. There is no data on myocarditis for ages 5 - 11. My child will be part of a medical experiment on myocarditis in this age group.

11. Yes__ No __ I am informed that some countries halted mRNA injections in children due to myocarditis.

12. Yes__ No __ I am informed that long-term effects in weeks, months, years or decades are unknown. They may include antibody dependent enhancement, autoimmune diseases, neurodegenerative disorders, heart problems, thrombotic conditions, prion disease and an increase in chronic diseases and reproductive harms including infertility.

Basis for approval for Emergency Use Authorization

13. Yes__ No __ I am informed that the “safety” studies were conducted by Pfizer, who will profit from approval, and not by independent scientists, and that all data was controlled by Pfizer, including elimination of subjects who had adverse reactions to the first or second dose.

14. Yes__ No __ I am informed that most voting committee members have financial ties to Pfizer.

15. Yes__ No __ I am informed that Pfizer’s studies were rushed, methodologically flawed, conducted on very few subjects, and followed for a very short time, incapable of picking up signals for adverse reactions and Pfizer is being investigated for falsification of data, failure to investigate adverse reactions, and more.

16. Yes__ No __ I am informed that adverse reactions other than fever, chills, headaches, soreness and fatigue were not recorded and that subjects who had serious adverse reactions were eliminated from the study. Their reactions were often dismissed and misdiagnosed as psychological or coincidences.

17. Yes__ No __ I am informed that based on studies on 12 – 17-year-olds, it is a statistical certainty that there will be adverse reactions, injuries, disabilities, trauma and deaths among 5 – 11-year-olds.

I have reviewed and GIVE CONSENT to _________________ [INSERT VACCINATING ENTITY NAME] to vaccinate the minor child _____________ with the Pfizer-BioNTech COVID-19 Vaccine.

Parent/Legal Guardian Signature_______________ Date:  month____ day___ year__________


Check out this excellent link with Facts, resources, articles and videos



Applying brakes on ‘Warp Speed’ COVID-19 vaccinations for children

Thousands of physicians and scientists reach consensus on vaccinating children and natural immunity

FDA buries data on seriously injured child in Pfizer’s Covid-19 clinical trial 

Vaccinating people who have had Covid-19: Why doesn’t natural immunity count in the US?

FDA grants emergency use of Pfizer vaccine for kids 5 to 11, as reports of injuries after COVID vaccines near 840,000 

Study “destroys” justification for vaccine mandates

Stabilizing the code

A review and autopsy of two COVID immunity studies

Rolling up the sleeve – A mother’s view of vaccine history and how we got here

The CDC only tracks a fraction of breakthrough COVID-19 infections, even as cases surge

How the definition of "fully vaccinated" misleads people on COVID-19 vaccine safety & efficacy


Front Line COVID-19 Critical Care Alliance, Prevention & Treatment Protocols for COVID https://covid19criticalcare.com/ Dr. Robert Malone https://globalcovidsummit.org/, https://twitter.com/RWMaloneMD
Children’s Health Defense https://childrenshealthdefense.org/
Informed Consent Action Network https://www.icandecide.org/

Informed Choice Washington https://informedchoicewa.org/
Brownstone Institute https://brownstone.org/
Open VAERS https://openvaers.com/index.php (As of November 5, 2021, nearly a million people have reported a Covid vaccine adverse event, including 88,910 hospitalizations and 18,078 deaths.)


Check out Steve Kirsch’s slide deck. - https://docs.google.com/presentation/d/1qJRRFt7PkLTJSv0P-JKWP6YUB4Axa2gtROqpMJ9HkYY/edit#slide=id.gfa0a9bff83_0_0


The unforgivable sin!  An article written by G. Vanden Bossche, DVM, PhD

Excerpts and bolding by me

As the mechanism of immune defense in vaccinees is totally different from the one at play in unvaccinated individuals, the mantra of mass vaccination stakeholders that vaccination of youngsters and children will provide them with improved protection from contracting severe disease is a textbook example of scientific nonsense. Their irrational, erroneous extrapolations lead people to believe that they should get their children vaccinated whereas there is barely any more catastrophic immune intervention one could think of.

…. healthy children and youngsters are NOT ‘naturally’ susceptible to any Sars-CoV-2 lineage but exclusively acquire such susceptibility as a direct consequence of functional suppression of their well established innate immune capacity due to a rapid re-exposure event or, even much worse and long-lived, due to vaccination.

 Vaccination of children and youngsters is turning off their broadly protective innate immunity in exchange for S (Spike)-specific vaccinal  Abs (antibodies) that are becoming increasingly useless since their neutralizing capacity becomes more and more eroded as a result of enhanced escape of Sars-CoV-2 from neutralizing Abs [NAbs] (a trend that has been clearly confirmed by molecular epidemiologists). 8Resistance to the neutralizing effect of vaccinal Abs that are nevertheless still able to bind Sars-CoV-2 virions and thereby outcompete protective innate Abs is likely to enhance the susceptibility of vaccinees to ADE (Ab-dependent enhancement of disease).

Unless virology and immunology are being rewritten, I cannot imagine how mass vaccination of our youngsters and children will not lead to an even more disastrous outcome of all the scientifically irrational and unjustifiable vaccination efforts. Not only will these dramatically increase the children’s risk to succumb to (accelerated) Covid-19 disease but it will also take away the highly efficient capacity of healthy, unvaccinated people to diminish the dangerous, ever rising viral infectious pressure in the population. By vaccinating our youngsters, children and, even more generally, all people in excellent health, we deprive an important part of the population from its ‘anti-viral’ capacity and instead turn them into a breeding ground for more infectious and increasingly NAb-resistant variants. In other words, mass vaccination of children will inevitably obstruct the process of building herd immunity in the population. While unvaccinated children who contract Covid-19 disease in the vast majority of cases don’t suffer severe disease and contribute to the buildup of herd immunity in the population, mass vaccination campaigns in children will prevent them from contributing to herd immunity, because more infectious viral variants are increasingly escaping from neutralization by vaccinal anti-S Abs and gaining a significant fitness advantage in such an immunological environment.

There can be no doubt that large scale immune interventions which ignore the immune pathogenesis of the disease are recipes for massive disasters.

It cannot be that highly knowledgeable vaccinologists don’t understand this clear-cut message. I can only shout at all of them, no matter their international reputation, the number of awards and recognitions they’ve gotten, the number of books they’ve written or high-ranked papers they’ve published in peer-reviewed journals: SHAME ON YOU FOR NOT STANDING UP!”

Author: G. Vanden Bossche, DVM, PhD Oct. 2021


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