NOTI

CEOFLI
ABI
LITY

NAMEOFI
NDI
VIDUALRECEI
VINGNOL:
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LOCATI
ONWHERENOLI
SSERVED:_
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TI
ME&DATEWHENNOLI
SSERVED:
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NAMEOFI
NDI
VIDUAL/
ORGANI
SATI
ON SERVI
NG NOL:_
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Thi
sNot
iceofLi
abi
l
ityhasbeenSERVEDt
oyouper
sonal
l
y.

Youmaybehel dpersonal
lyl
iabl
ef orharm ordeat
hcausedbycovid-
19vacci
nati
onadmini
steredby
yourhandwherepriorINFORMEDconsenthasnotbeenobt ai
ned.Youhavebeenmadeawar eofy our
personal
responsi
bil
it
yforascert
ainingt
headequacyandqual
it
yofthepri
orInf
ormedConsent.

I
nfor
medConsenti sdef
inedasf r
eel
ygivenconsent(wit
houtfraud,decei
t,coher
cion)f
oll
owi
ng
pr
ovi
sionofcompr
ehensi
ve,r
elev
ant
,accur
ateandcl
eari
nfor
mation.

Accordingtoi
nter
nati
onalBi
oEthi
calst
andar
dst
hisoughttobei nf
ormat
iont
hatani
ndi
vi
dualwoul
d
reasonabl
ywanttoknowinordert
omakeanenli
ghteneddeci
sion.

Sever
alpr
evi
ousjudi
cialr
evi
ewsandr ul
i
ngsbyt heSupr
emeCourthaveconf
ir
medt hatt
heneedf
or
“i
nfor
medconsent
”isalegal
requi
rement(Mont
gomeryvLanar
kshi
reHeal
thBoard[
2015])
.

Inthiscont ext,pri
orpr ov i
dedi nformationoughtt hent oincludeexpl anationofest i
mat edmor tali
tyrisk
ofcov id-
19i nfectionf ori ndiv
idualwhi cht akesaccountofage&heal thst atus;explicitment iont hat
covid-19v accinei sav ail
abl ev i
aEmer gencyUseAut horisati
ononl yandcur rentl
yincl inicaltri
alunt i
l
2023;ment iont hatpr eviousv accineonEUAi n2009f orswi nef l
udi dr esul tinunexpect edser i
ous
vaccineinjuries;expli
ci tment iont hatthi
sv accinemRNAt echnologyi snov el;currenty ell
owcar ddat a
compi ledforcov id-
19v accine( My cardi
tis,Thrombocy topenia,blindness,anaphy l
axiset c);plausible
concer nsofpot enti
all ongert ermr i
skscur rentl
ybeingexpr essedi nt hesci entif
icl i
terature,andby
doctors& sci entist
sexpr essingsecondopi nion(re:Pr ionsDi sease,ADE,I nfert
il
ity,aut oi mmune
disease);backgr ound i nformat ion on cov i
d-19 vaccine manuf acturer;liabi l
i
tywai verofv accine
manuf acturerandi mplicat i
onsf ordiff
icultyinobtai
ningi njur
ycompensat i
on; i
ngredientsl i
stofcov i
d-
19v accine;andment iont hatv accinati
oni svoluntar
y.

Attachedasappendicesasi nt
egralpart
soft hi
sNot i
ceofLi abi
li
tyar ethedocument s:example
templateofrealworl
dappl i
cati
onofgoodpr acti
ce;i
nformati
ononl awfulfoundati
onsofBioEthi
cal
standardsofconduct;refer
enceinformati
onr eunfol
dingrisks(actualandpot ent
ial
)ofcov i
d-19
vaccinati
onexpr
essedinthescient
ifi
cli
ter
atur
eandbycr edi
blemedicalopi
nion.

Shouldy oudisr
egardt hi
si nf
ormati
onandt akenostepstoensureyoufulf
il
lyourper
sonalobl
i
gat
ion
toobtainadequateInformedConsentpr i
ortoadmini
strat
ionofCovi
d-19vacci
nati
on,youmaybeheld
personall
yli
ableforresul
tingharm ordeat
h.

Furt
her
more,youmaybehel dper sonall
yresponsi
bleforsuppor
ti
ngCRI MESAGAINSTHUMANI TY,
defi
nedasactsthatar
epurposel
ycommi tt
edaspar tofawidespreadorsyst
emat
icpol
i
cy,di
rected
agai
nstci
vi
li
ans,
commi tt
edi
nf ur
theranceofstat
epolicy
.