VACCINE REFUSAL LETTERS
Updated
2/4/20
Contents
I. Basic
PhysicianÕs Vaccine Exemption Letter To Schools Or Others
II. ParentÕs
Letter Explaining Medical Reasons For Refusing Vaccines
III.
ParentÕs Letter Explaining Religious Reasons For Vaccine Refusal
Please
feel free to copy these letters.
I. BASIC PHYSICIANÕS
VACCINE EXEMPTION LETTER
To whom it may concern:
Re: (name of child)
As
the physician of (full name), I request that (he or she) be exempt from all
vaccinations for the following reasons:
1.
(name) is extremely sensitive to chemicals and metals,
including those used to stabilize and preserve vaccines. For this reason, vaccination could
cause (name) to have a serious or even fatal allergic reaction.
Chemicals used in vaccines that could cause a reaction in (name) include formaldehyde, neomycin, polymyxin, streptomycin, thimerosal, aluminum phosphate, aluminum hydroxide, sorbitol, yeast protein, phosphate buffers, glutamate, calf serum, and monkey serum.
2.
(name) is following a nutritional healing program
that, in our experience, will protect (him or her) in the event of exposure to
the various diseases for which (he or she) would normally receive vaccination.
3.
By not being vaccinated, (name) does not pose a threat to any other children
because, if they are vaccinated, they should be protected from the diseases for
which they are vaccinated.
However, the parents of (name) understand that, in the event of a
disease outbreak at school, (name) may be required to remain at home and not
attend school until the outbreak is over.
Sincerely yours,
(name
of physician)
II. PARENTÕS LETTER
EXPLAINING MEDICAL REASONS FOR VACCINE REFUSAL
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 100% 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 cells from an aborted baby, contains
formaldehyde, cow serum and triple antibiotic solution (4).
The monkey kidney cells used In the origlnal
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), 1 in 875 suffered shock-collapse and convulsions(11). 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 (I5).
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 (18).
I 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_____
III. RELIGIOUS REASONS FOR
VACCINE REFUSAL
To Whom It May Concern
Based upon the
teachings of the Bible, 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, and
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 from 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 IRRESPONSIBLE 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 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.
ŌKnow 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'sĶ (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 (1 Timothy 5:8). The Bible also teaches
there have been times in history when evil government and government employees
have attempted through force, intimidation, or the 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. (Hebrews 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 (1 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 FAMILY 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