Dear ________________________, December 9,2022 Thank you so much for your time a couple of weeks ago. You gave me a warm reception at our meeting and I felt heard and respected. __________, I was particularly thankful to hear that my job is not in jeopardy even though I've critiqued the ER for what I believe to be an important concern — not acknowledging vaccine adverse events that are more serious than a sore arm and fever (referenced in my letter) and, as a result, not reporting possible or confirmed cases of vaccine adverse events to VAERS 1 This is a busy time of year and I continue to fully appreciate the time constraints of the Administration Team. For two years you’ve all navigated an unprecedented and continually changing health care environment replete with directives, time-sensitive decisions, and uncomfortable unknowns. I continue to believe that you are all doing the very best by our patients. I hold everyone at _______ in high regard. Directly or indirectly, tending to the health needs — and sometimes life and death circumstances — of the people in our community is a profound privilege that I take seriously, and I’m convinced you all do, too. + + + MEETING IN REVIEW I predicted I would feel one of two ways after the meeting: 1) I would be satisfied with the discussion and feel like my job of “speaking up” was complete, or 2) I would feel like my letter was just the start of something. After reflecting on our conversation, I have the sense that my experience prior to and after the vaccine roll-out had little impact on you. In light of this, I feel compelled to continue the discussion— not for my sake but for the sake of the patients in our hospital for whom the vaccines were not safe in the past or might not be safe in the future. Everything I have written so far or may write in the future is geared to advocate for the hypothetical ‘Individual Patient in ER Room 9’ who doesn’t know the questions that need asking, who will never read a peer-reviewed study on the condition he’s experiencing, and who implicitly trusts that his doctor will not encourage him to get another booster if there’s a possibility his current condition is a result of the vaccine. I spent the first year of Covid reading only what was put out on the CDC website. However, when that information started to digress from my experiences and new information continued to come out, I had to stop and re-evaluate, because sometimes new evidence demands we amend our perspectives. At one point in our country, smoking didn’t cause cancer. Cigarettes were considered a benign luxury, to be enjoyed as often as someone wanted without any negative health consequences. But, over the span of a decade, new evidence resulted in most public places banning cigarettes and many people changed their perspective on smoking and quit or thought twice about starting. With the information that continues to come out about these vaccines, including severe consequences such as myocarditis 2 , I encourage ________ to have a mindset that’s willing to review new data, discuss it, and pivot when it’s clear that’s the best course for our patients. 2 “Myocarditis after Covid vaccination: Research on possible long-term risks underway” see https://www.nbcnews.com/health/health-news/myocarditis-covid-vaccine-research-long-term-effects-rcna55666 1 Vaccine Adverse Event Reporting System (VAERS) The message during our meeting seemed clear — there was a collective agreement among you that the Covid vaccines are safe and have not caused harm . For this reason, I felt strongly that I should compose a 2 nd letter which includes the detailed information I purposely left out of the first letter. The goal of this letter is to show that the Covid vaccines are causing harm and why I believe ________ should operate with a sense of urgency to address those with confirmed or possible vaccine injuries. Without the knowledge that the vaccines are causing harm, the swiftness with which ________ acts might be lacking. I believe a concerted effort — beyond a reminder to the ER doctors to keep vaccine injury in mind — to become educated on the growing adverse effects of the vaccines and establish a well-thought-out response to the subject of vaccine injury is the only course ________ can take. I was encouraged by the following statements made in our meeting: ● Our ER doctors can be reminded to consider vaccine injuries as a possible cause for patient conditions, when warranted. This will necessitate having the doctor ask the patient's vaccination status. ● 'Vaccine injury' can be added to a triage list that doctors routinely sift through while determining possible causes for a patient condition. ● Reporting possible vaccine injuries to VAERS is important. Addressing this subject is an urgent matter because of the direct impact this has on our patients' health and ability to arm themselves with necessary documentation should they need it (more reasons for the import of this below). As important is the fact that, if patients with possible vaccine injuries are treated as such, they truly are fully informed. As a current and future patient of ________ and having a daughter-in-law weighing whether to vaccinate her 4-year-old son, I have more than a vested interest in the subject of vaccine injury, how it's currently handled, and how it will be handled by ________ medical staff in the future. My position in the hospital is unique because I am an integral member of a team that has one central focus frequently touted in the training modules and RESPECT values — exceptional care and a safe environment for our patients . I take my role on this team very seriously. As a HUC I visited with every patient that came through our waiting room doors on my shift. As an EVS cleaner I prepare the rooms for our patients, make them feel at home during my ‘dailies’ and clean their rooms upon their exit. When I’m at work, our patients are my #1 priority. Lately, they’ve been my #1 priority when I’m at home, too. Regarding one of the members in our meeting not being familiar with the term “vaccine injury.” With respect, this phrase is an accepted phrase in the medical community. The term was codified by congress in the National Childhood Vaccine Injury Act of 1986 3 which “requires health care providers to report: ● Any event listed by the vaccine manufacturer as a contraindication to subsequent doses of the vaccine. 3 The National Childhood Vaccine Injury Act of 1986 (NCVIA) was defined in the following congressional bill and is administered by the FDA and CDC: https://www.congress.gov/bill/99th-congress/house-bill/5546 ● Any event listed in the Reportable Events Table 4,5 that occurs within the specified time period after vaccination 6 .” The US has two vaccine injury compensation programs that use the word “injury” in their names: ● VICP — Vaccine Injury Compensation Program 7 , and ● CICP — Countermeasure Injury Compensation Program 8 Currently, the CICP is overwhelmed. Per this June 1 st , 2022 article: 9 “Between 2010 and 2020, the CICP received 500 complaints. In the two years since Covid-19 appeared, it has received over 8000 complaints. More than 5000 of those are directly related to the Covid-19 vaccines, with injuries ranging from a sore shoulder to death, according to the Health Resources and Services Administration.” The most important sentence in this article is the following: “Yet the pandemic fund has paid zero claims, in part because officials are waiting for people to submit detailed medical records and documentation to back up their allegations.” This illustrates the critical importance of our ________ doctors including the possibility of a Covid-19 vaccine-related injury in a patient's medical notes. Without these notes, we are failing to support our patients if they need to pursue compensation for their vaccine injury. At the very least, they are not being fully informed. + + + I was troubled by the following two assertions during the meeting: 1) ASSERTION: “________ DATA ANALYSIS WOULD VIOLATE HIPAA” I understood you to say that ________ is unable to gather patient data on any level that might serve as our own vaccine safety signal, due to HIPAA constraints. Our county, state and national reporting systems are getting their information on patient census, contact tracing, Covid testing, Covid diagnosis, Covid deaths, etc. from hospitals. If not from hospitals, then from where is this data derived? In the brief reading I did on the subject, HIPAA rules would only be violated if gathered data was connected to individually identifiable patients. HIPAA allows specifically for data aggregation to permit 9 See https://www.politico.com/news/2022/06/01/vaccine-injury-compensation-programs-overwhelmed-as-congression al-reform-languishes-00033064 8 See https://www.hrsa.gov/cicp 7 See https://www.hrsa.gov/vaccine-compensation 6 “Vaccine Adverse Event Reporting System (VAERS) Questions and Answers” https://www.fda.gov/vaccines-blood-biologics/vaccine-adverse-events/vaccine-adverse-event-reporting-system-va ers-questions-and-answers 5 See https://www.hrsa.gov/vaccine-compensation/covered-vaccines 4 See https://vaers.hhs.gov/docs/vaers_table_of_reportable_events_following_vaccination.pdf data analyses related to health care operations 10 when using de-identified data 11 . This includes “conducting quality assessment and improvement activities including outcomes evaluation and development of clinical guidelines ... ; patient safety activities; population-based activities related to improving health or reducing heath care costs, protocol development, case management and care coordination, contacting of health care providers and patients with information about treatment alternatives.” I have an acquaintance who is a Financial Analyst in a hospital. Her administration routinely asks her to perform queries on patient data, done in a certain way so that HIPAA is regarded. As well, in my reading I found that many hospitals have designated 'Data Custodians,' a person dedicated to the work of tracking patient or health trends, as well as digital data collection programs, making queries easy to filter/arrange for specific goals. Some hospitals publicly share Covid health data, including vaccination and non-vaccination numbers 12 on their websites. If ________ currently has no way of gathering data, as was discussed, would it be beneficial to look into this? I have to believe that during a global pandemic, our country counts on data from our hospitals to help those at the top make their decisions. If ________ is receiving an extraordinary number of patients with Bell's Palsy, strokes, blood clots, seizures, epistaxis, menstrual issues, vision issues, ear issues, severe allergic reactions, swollen extremities, all occurring only after a certain timeframe — as I witnessed for 13 months in the ER after the vaccines became available — it would seem critical for that information to be reported. If we keep that data in-house, or worse yet, fail to observe the trend at all, we fail not only our own patients but patients nation and world-wide. As an example of why collecting and analyzing patient data in-house would be beneficial, if one person comes in with a noticeable level of arsenic in his system, a physician would treat that person in a particular way and consider his case complete when the patient leaves. But, if 150 people came in with arsenic in their system, I'm hearing you say that ________ would have no way to gather that data to check for a safety signal that might stem from a community water issue or an act of domestic terrorism. A doctor having no idea how a patient got arsenic in his system will be less prepared to diagnose and treat that patient than a doctor who is aware there are a hundred others with the same problem. The doctor armed with no data would have no reason to mention discontinuing drinking city water, possibly continuing to put the patient at risk for further poisoning. The doctor armed with a safety signal from patient data would most certainly instruct the patient to only purchase bottled water until the community water supply was clear. The patient board in the ER is virtually a giant Excel spreadsheet. HUCs routinely search for information on what is called the '48-hour Look-Up.' This view of the spreadsheet is easily arranged to help one filter information by clicking on the top field of a column. While HUCs can't search for information beyond a 48-hour period, I'm quite certain the data doesn't disappear after 48 hours since our hospital would need to keep track of whether a patient has visited the ER. I don't know who has access to this 12 Niagara Heath https://www.niagarahealth.on.ca/site/covid19casereporting 11 See section 164.502 “Uses and disclosures of protected health information: General Rules” (d) “Standard” Uses and disclosures of de-identified protected health information”: pages 78-79 of https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/administrative/combined/hipaa-simplification-201303.p df 10 See section 164.501 “Data Aggregation”, and “Health Care Operations” (1): pages 74-75 of https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/administrative/combined/hipaa-simplification-201303.p df spreadsheet, but I think it would be fairly easy for a data steward to perform a query that would confirm what I witnessed in the ER after the vaccines were made available. Trends such as these should be readily visible: During the year of Covid, prior to the vaccines, none of the conditions listed above made a ripple. After the vaccines, these conditions were seen sometimes between 10-15 times in a 48-hour period, age being no discriminator. That, to me, is a clear safety signal that should not be ignored. 2) ASSERTION: “COVID VACCINES ARE SAFE AND NOT CAUSING HARM” I was troubled to hear your collective agreement that the Covid vaccines have not caused harm and that they are unequivocally safe. While I can appreciate your gratitude for the millions of lives vaccines have saved, those lives are not my only concern. I am grateful for those lives, too. It’s the lives who have been harmed or ended by these vaccines, and whose needs are going unaddressed, that are my major concern. It is how ________ responds to their unique needs, or fails to, that I am trying to address. Analogy: School buses are some of the safest vehicles that travel on roads due to a collective view that the cargo inside of them is beyond precious. But sometimes school buses have accidents. Some kids are unharmed, and others are harmed even though it’s generally agreed upon that school buses are safe. To stay with the analogy, I’m focused on the kids who got hurt. I’m confident that if those kids injured on the school bus came to ________, they would receive the best care available and would be treated as people who were injured on a school bus. My desire is that ________ provides that same focused care for people who have had any type of adverse reaction to their Covid vaccine — whether mild or severe — and to treat it for what it is. I’m confident that everyone agrees with the fact that all vaccines are delivered with inherent risks 13 Even well-established and tested vaccines such as Tdap 14 show some elevated risk from the vaccine itself. Since the Covid-19 vaccines were released on an Emergency Use Authorization (EAU) without long-duration clinical results or clinical testing in all populations, it’s in our patients’ best interests to watch carefully for these events that were recorded in Pfizer’s post-marketing safety data, some of which have been reported from the beginning 15 , and many of which are consistent with what I’ve seen in our own ER. As mentioned in my previous letter, 13 of my friends, acquaintances and family members have suffered deleterious effects from their Covid vaccinations, more severe than a sore arm and feeling off. This past Sunday, a fellow organist at my church told me she is considering stepping down from playing due to the tremors in her right hand that started the day after her second dose of Pfizer a year ago. She was completely healthy prior, having never had a tremor. The tremors have only increased. She’s played organ at our church for 25 years and is heartbroken over considering quitting. Another friend lost her close vision acuity the day after her first Pfizer vaccination a year ago. She was completely healthy with good vision prior. As a result, she did not get the second shot. Her vision has returned somewhat since then but not completely. 15 Pfizer Post Marketing Data 5.3.6 https://childrenshealthdefense.org/wp-content/uploads/pfizer-doc-5.3.6-postmarketing-experience.pdf 14 “An assessment of the safety of adolescent and adult tetanus-diphtheria-acellular pertussis (Tdap) vaccine, using active surveillance for adverse events in the Vaccine Safety Datalink” shows elevated risks for Guillain-Barre syndrome and other outcomes https://www.sciencedirect.com/science/article/pii/S0264410X09007403 13 Vaccine Adverse Event Reporting System (VAERS) was created to track possible and actual vaccine injury https://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/vaers/index.html In both cases, the doctors they’ve seen never asked their vaccination status or made any connection. In hindsight, had my friends told me of their conditions three years ago, I would have assumed it was a result of the aging process but having witnessed many cases of tremors and vision loss in the ER since March 2021, spanning a wide range of ages, and having read multiple studies on how the vaccines are affecting people’s nervous systems, and given the good health of both and the rapid onset of their symptoms after their vaccinations, it’s more reasonable to deduce their cases are vaccine-related. + + + In response to the mention of not being aware of any syncope or sudden death being attributed to the vaccines, I've gathered some case studies that I've been collecting for almost two years, studies I’ve never seen brought to light by standard news channels since there seems to be a clear effort not to report anything that would promote vaccine hesitancy for the public 16,17,18 . In my initial letter I made a concerted effort not to provide these resources because I wanted my personal experience to stand on its own. I think it's compelling to have witnessed such a stark change in patient conditions the same month that the vaccines were made available (March 2021). I think it's compelling that in five years of working as a HUC, I never saw a child under age 18 with chest pain but saw three (age 9, 11 and 13) shortly after the vaccines were made available for children. Since my personal experience didn’t seem to resonate with you, the remaining part of this letter will be my best effort to share evidence to show that, while the Covid vaccines are saving some, they are harming others. It's to the “others” that I'm imploring ________ pay attention. Where do I spend my research time? I’m not moved by viral videos that show immediate bias in the title, fail to explain context and provide no citations for their sources. While I do read articles on the subject of vaccine injury, I’m acutely aware that journalists have a difficult time reporting on a subject without bias. I nearly exclusively rely on the scientific studies that are continuing to emerge from within the US and across the globe to help me understand what I saw in the ER and make sense of the experiences of my 13 friends and family members. Since March 2021, I’ve read well over 100 of these such studies. + + + In an effort to respect your time constraints, I’ve compiled a list of Five Important Resources that show the harms that are being caused by the Covid vaccines. But before reading these resources, I encourage you to listen to some stories of those injured by these vaccines. People will always be more important than data. If one doesn’t have knowledge of people being injured, one will have no reason to read any scientific studies or pursue information on how to understand them and help them. These vaccines are safe for some but, clearly, not for all. ● React19.org Stories : https://react19.org/category/stories/video-stories/ 18 The role of media messaging in COVID-19 vaccine hesitancy amongst the student population: Friend or Foe “These media reports on death following vaccination in medical students can have the detrimental effect of aggravating the public's vaccination hesitancy.” See https://onlinelibrary.wiley.com/doi/10.1002/ppul.25686 17 Persuasive messaging to increase COVID-19 vaccine uptake intentions See https://pubmed.ncbi.nlm.nih.gov/34774363/ 16 COVID-19 Vaccine Messaging, Part 1 See https://clinicaltrials.gov/ct2/show/NCT04460703 ● Real Not Rare, Story of WI doctor, Joel Wallskog : https://www.realnotrare.com/post/joel-wallskog-md ● The People's Testaments: https://live.childrenshealthdefense.org/chd-tv/shows/the-peoples-testaments/dermatomyositis -after-pfizer-christine-eueckers-story2/ FIVE IMPORTANT RESOURCES 1. The most important resource I’ve come across that explains the extraordinary volume of conditions I saw in the ER after the vaccines rolled out is the Pfizer Safety Trials Data, Section 5. 3. 6-Post Marketing Experience: https://childrenshealthdefense.org/wp-content/uploads/pfizer-doc-5.3.6-postmarketing-experie nce.pdf. This information came out in one of the first data-reveals that was a result of the federal court requiring Pfizer to produce the safety trials data within an 8-month timeframe, as opposed to the 55 years Pfizer had requested. Inside last May’s 80,000 page data dump is a 38-page chapter that details the actual adverse events reported among the trial participants (pp. 7-25). All of the repeated conditions I saw in the ER that I mentioned earlier are reflected in this section of the report. Note: At the end of this chapter there are 9 pages of AESIs (Adverse Events of Special Interest) that are often incorrectly regarded as a complete list of the actual side effects (1,223) from the Pfizer vaccine safety trials. However, this 9-page list is NOT the actual side effects reported, but rather the result of Pfizer’s initial pre-safety trial assignment to solicit from four regulatory authorities (Brighton Collaboration, ACCESS protocol, US CDC & MHRA) what they offered as potential adverse reactions from the vaccines (3.1.3-Review of Adverse Events of Special Interest, p. 16) . It’s the list in pp. 7-25 that reflects the actual side effects reported that deserves the most attention. 2. A second important resource I’ve come across that helps explain the many and various ways the vaccines are negatively affecting the systems of the body is the following peer-reviewed study from June, 2022: Innate immune suppression by SARS-CoV-2 mRNA vaccinations: The role of G-quadruplexes, exosomes, and MicroRNAs: https://www.sciencedirect.com/science/article/pii/S027869152200206X CONCLUSION: “In this paper, we call attention to three very important aspects of the safety profile of these vaccinations. First is the extensively documented subversion of innate immunity, primarily via suppression of IFN- α and its associated signaling cascade. This suppression will have a wide range of consequences, not the least of which include the reactivation of latent viral infections and the reduced ability to effectively combat future infections. Second is the dysregulation of the system for both preventing and detecting genetically driven malignant transformation within cells and the consequent potential for vaccination to promote those transformations. Third, mRNA vaccination potentially disrupts intracellular communication carried out by exosomes, and induces cells taking up spike glycoprotein mRNA to produce high levels of spike-glycoprotein-carrying exosomes, with potentially serious inflammatory consequences. 3. A third important resource is a document I just finished compiling with the help of some friends. It’s a list of 240 peer-reviewed studies on the association between vaccines and injury or death extracted from a list of 1,250 such reports that have the words ‘causal,’ ‘strong association’ or similar language in the Abstract, Discussion, or Conclusion sections of the reports. a. The full list of 1,250 reports can be accessed here: https://react19.org/1250-covid-vaccine-reports/. b. The condensed list I compiled showing direct association between vaccine and injury can be accessed here: Peer-Reviewed Case Reports Showing either Causality or Strong Association between Covid Vaccines and Injury or Death 4. A fourth important resource is two case reports linking Covid vaccines with death: a. Multifocal Necrotizing Encephalitis and Myocarditis after BNT162b2 mRNA Vaccination against COVID-19 https://www.mdpi.com/2076-393X/10/10/1651 The following lethal case study was compelling for the depth of study that was performed and the resulting undeniable conclusion that this gentleman's vaccination was the cause of his death. Of special interest are points 4: Discussion, and 5: Conclusion which are quoted: “Numerous cases of encephalitis and encephalomyelitis have been reported in connection with the gene-based COVID-19 vaccines, with many being considered causally related to vaccination [31,38,39]. However, this is the first report to demonstrate the presence of the spike protein within the encephalitic lesions and to attribute it to vaccination rather than infection. These findings corroborate a causative role of the gene-based COVID-19 vaccines, and this diagnostic approach is relevant to potentially vaccine-induced damage to other organs, as well.” What is especially sad about this report is that few people will ever know if their loved one's death was due to their vaccination because few people will have the opportunity to have their cases studied with such depth. It doesn't surprise me that there are not more studies like this, proving causality, just by very nature of the exhaustive testing that was performed and the amount of time needed to complete it. b. 3 Cases of Autopsy-based Histopathological Characterization of Myocarditis after anti-SARS-CoV-2-Vaccination https://pubmed.ncbi.nlm.nih.gov/36436002/ DISCUSSION: “In three cases, the overall autopsy findings, in particular presence of (epi-)myocarditis in combination with the absence of other plausible causes of death (especially pulmonary embolism, myocardial infarction, severe brain infarction or bleeding, other cardiac disease), together with the close temporal association with the vaccination event lead to the conclusion that vaccination was the likely cause of (epi-)myocarditis and that this cardiac affection was the cause of sudden death. During the last 20 years of autopsy service at Heidelberg University Hospital we did not observe comparable myocardial inflammatory infiltration. This was validated by histological re-evaluation of age- and sex-matched cohorts from three independent periods, which did not reveal a single case showing a comparable cardiac pathology.” 5. A fifth important resource is the Senate Hearing for Vaccine-Injured, NOV 2021 https://react19.org/nov2/ In November, 2021, eight months after vaccines were made available in our area, WI Senator, Ron Johnson, held a meeting in Washington D.C. where medical experts and vaccine-injured testified to the debilitating harms they had experienced. Representatives from the CDC and FDA were invited but did not attend. The testimonies you'll find on the front page of the link above (60 minutes) include injury reports from athletes, the Air Force, doctors and pharmacologists, participants in the vaccine clinical trials, and the death of children. Together they add up to one hour of viewing. If you haven't seen any of these testimonies, I would encourage you to watch them all. No one video is less important than another. What stands out to me as egregious misconduct on the part of the CDC, FDA and Pfizer is the collective experience of these people not receiving any acknowledgment, support, financial aid, or follow-up after they sustained life-altering injuries from their Covid vaccinations. + + + Since compilations of peer-reviewed studies are exhaustive in their breadth, and in the interest of respecting your time, I've chosen a few peer-reviewed studies from the condensed list of 1,250 from React19.org that highlight either causality or a strong association between Covid vaccines and injury. Reflecting on the list of conditions I saw in excess in the ER after the vaccines became available, I recommend reading the following studies. I've included one “Discussion” paragraph from each study that represents a different body system which neatly summarizes the study findings. Highlighted areas confirm the studies’ frequent emphasis on the importance of having doctors report possible adverse reactions to vaccines: “ The sharing of clinical experiences and reporting of suspected side effects, particularly for vaccines that employ novel technology, increases knowledge of the safety profile of these vaccines and allows clinicians to better aid patients to make informed decisions with regard to commencing and completing vaccination .” The full reports can be viewed at each link. A SMALL SAMPLING OF STUDIES: CAUSATION OR STRONG ASSOCIATION CARDIAC Increased emergency cardiovascular events among under-40 population in Israel during vaccine rollout and third COVID-19 wave https://www.nature.com/articles/s41598-022-10928-z DISCUSSION "The large increase in the incidence of cardiac arrest and acute coronary syndrome events in the population of age 16-39 parallel to the vaccination rollout and its association with the vaccination rates could be consistent with the known causal relationship between the mRNA vaccines and incidents of myocarditis in young people as well as the fact that myocarditis is often misdiagnosed as ACS and that asymptomatic myocarditis is a frequent cause for unexplained sudden death among young adults from CA This is further supported by more anecdotal reports describing sudden cardiac death following COVID-19 vaccination While vaccine-induced myocarditis was predominantly reported in males it is interesting to note that the relative increases of CA and ACS events was larger in females. This may suggest the potential underdiagnosis or under-self-reporting of myocarditis in females, or other unique patterns, which is consistent with the ongoing challenge of gender-related differences related to cardiovascular disease diagnosis and care. The paper suggests several important policy implications. First, it is important that surveillance programs of potential vaccine side-effects and COVID-19 infection outcomes incorporate EMS and other health data to identify public health trends and promptly investigate potential underlying causes." NEUROLOGICAL Multiple cranial nerve palsies following COVID-19 vaccination — Case report https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8653229/ DISCUSSION "The particularity of this case consists in multiple cranial neuropathies 6 days after having received the first dose of the Pfizer vaccine. A direct causal relationship cannot be established at this point. However, given the onset of the patient's symptoms shortly after the immunization and the exclusion of all other potential causes, the most probable etiology of the cranial nerves impairment in this case was the Pfizer vaccine. The strength of this study resides in the thorough work-up performed which enabled the exclusion of other potential causes. However, as it is the first case of its kind (multiple cranial neuropathy after SARS-CoV2 vaccination), its inherent and unavoidable limitation is that it comprises a single case. Hence, it is necessary that other similar cases be reported to gain a progressively fuller understanding of the potential for neurological damage of these newly developed vaccines." PULMONARY Fulminant necrotizing eosinophilic myocarditis after COVID-19 vaccination https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9288782/ DISCUSSION "In the present case, the patient did not show the evidence of infection of any viruses or other microorganisms and did not have a history of exposure to any new drugs potentially causing hypersensitivity reaction. It was highly suspected that vaccination was causally associated with myocarditis based on the clinical course of developing myocarditis soon after COVID-19 vaccination. Histopathological finding of NEM in the present case further supports the causal relationship between COVID-19 vaccination and myocarditis since EM is often accompanied by hypersensitivity reaction. The patient was in critical condition requiring MCS during the early phase in accordance with previous cases of myocarditis after COVID-19 vaccination in older patients." HEMATOLOGICAL Investigating trends in those who experience menstrual bleeding changes after SARS-CoV-2 vaccination - https://www.science.org/doi/10.1126/sciadv.abm7201 DISCUSSION "Overall, our results align with other recent studies that show significant menstrual cycle responsiveness to SARS-CoV-2 vaccination. For example, a Norwegian cohort study found increased reports of heavier periods and longer menstrual bleeding after vaccination, which lasted for 2 to 3 months, and U.S.-based sample found longer cycle lengths after vaccination but no effect on bleeding duration." EAR / NOSE / THROAT Persisting, unilateral tinnitus 22 days after first dose of an mRNA-based SARS-CoV-2 vaccine - https://journals.lww.com/jfmpc/Fulltext/2022/06000/Persisting,_unilateral_tinnitus_22_days_after.175. aspx DISCUSSION "Arguments for a causal relation between tinnitus and the SARS-CoV-2 vaccination are that complaints started time linked to the vaccination, that reversible tinnitus has been recently reported as a complication of the first Astra Zeneca dose, and that cranial nerve neuritis and GBS have been reported as complications of a SARS-CoV-2 vaccination. Arguments against a causal relation are that persistent tinnitus has not been reported earlier and the long latency of 22 days between vaccination and onset of complaints. However, the vaccine adverse event reporting system (VAERS) lists 387 patients having undergone SARS-CoV-2 vaccination, who complained about post-vaccination tinnitus as per the end of May 2021. This means that 2.23% of VAERS reports for side effects of SARS-CoV-2 vaccines mention tinnitus. Thus, a VAERS report for a SARS-CoV-2 vaccine is 4.46 times more likely to mention tinnitus than a VAERS report for a flu vaccine over the 2020–2021 timeframe. Since more arguments can be raised in favor than against, a causal relation between vaccination and tinnitus is quite likely." ONCOLOGY Since I'm an ovarian cancer survivor I've paid close attention to the studies involving cancer patients with vaccine-related conditions. The following collection of case studies also use strong, conclusive language regarding the connection between Covid-19 vaccines and serious adverse events. 13 Cases of Cervical Lymphadenopathy https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241354/ Review of 24 Cases of Lymphadenopathy and their Ultrasound Findings in the US https://pubmed.ncbi.nlm.nih.gov/34356507/ Higher Hypermetabolic Lymphadenopathy Detection on PET/CT and Impact on Oncologic Management https://pubmed.ncbi.nlm.nih.gov/34503150/ 163 Cases of Axillary Adenopathy Following Pfizer https://pubmed.ncbi.nlm.nih.gov/34257025/ MISC INDIVIDUAL CASE REPORTS For me, a life is a life. It doesn’t matter from where these case studies originate. Reading that other countries are experiencing the same adverse events as the United States helps confirm the widespread nature of Covid-19 vaccine injuries: Thailand Adolescent Cardiovascular Manifestation After Vaccination https://www.mdpi.com/2414-6366/7/8/196 Thailand Study of Cardiovascular Events in Kids https://www.preprints.org/manuscript/202208.0151/v1 British Medical Journal Covid Vaccine Injury Case Reports https://casereports.bmj.com/search/Covid%252Bvaccine%252Binjury%252B%20jcode%3Acasereports% 7C%7Cbmjcr Immune System Suppression by Vaccines https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012513/ MISCELLANEOUS ARTICLES For each of the following articles, I think it’s telling that the sharp increases in deaths reported happened in 2021, not in 2020. This mirrors my experience in the ER. Complete list of Athletes that have Collapsed or died Since January 2021 - 1,176 Athletes updated as of April, 2022 (87 pages.) Complete List of Athletes that have Collapsed or Died Since January 2021.docx High-performing Athlete Deaths https://childrenshealthdefense.org/defender/high-performing-athletes-covid-vaccine-injuries/ Singapore Vaccine-injured Compensated https://www.straitstimes.com/singapore/health/296-patients-qualified-for-vaccine-injury-payouts-as-of- dec-31-moh Wall Street Journal: Rise in Non-Covid Deaths https://www.wsj.com/articles/rise-in-non-covid-19-deaths-hits-life-insurers-11645576252 80 Canadian Doctor Deaths https://ground.news/article/medical-professionals-demand-investigation-into-sudden-deaths-of-80-you ng-doctors?utm_source=headline-link&utm_medium=share FL Study Finds 84% Increase in Cardiac Issues with Young Vaccinated Men https://www.worldtribune.com/florida-surgeon-general-84-increase-in-cardiac-related-deaths-in-vaxxed -men-aged-18-39/ + + + VAERS I saved my remarks about VAERS until the end because our discussion conveyed that you don’t believe VAERS to be a reliable source as a safety signal due to the nature of its open and passive reporting system. “Anyone can file a report in VAERS” said dismissively insinuates that there is an automatic loss of credibility for anyone who does. I don’t know how much time you’ve spent reading reports on VAERS. I’ve spent around 50 hours. What’s very clear in my reading is that the ‘anyones’ reporting to VAERS are generally two types of people: 1) A doctor willing to invest time in his patient and 2) a patient looking for answers from an authority because a vaccine that was supposed to benefit her but ended up harming her. Discounting the value of VAERS is indirectly discounting both the professional wisdom of the physician and the personal experience of the patient. VAERS is really just a macrocosm—a complex storehouse of microcosms—each microcosm being an individual patient telling her doctor her symptoms and hoping he’ll listen and respond. The current numbers in VAERS show the following, with the clear understanding that the purpose of VAERS is to detect safety signals and not to assign cause. Since 1990 (30 years), 2,368,650 total adverse reactions reported. Since 2021 (2 years), Covid vaccines comprise the following events: ● 1,471,557 Total adverse reactions reported ● 32,508 Deaths (172 children) ● 184,796 Hospitalizations (4,557 children) ● 60,536 Permanently disabled (547 children) ● 35,616 Myocarditis/pericarditis (1,706 children) ● 35,190 Life-threatening (690 children) ● 41,623 Severe allergic reaction ● 15,139 Shingles ● 8,248 Thrombocytopenia/Low platelet ● 15,672 Heart attacks ● 16,4415 Bell’s Palsy ● 10,192 Anaphylaxis ● 4,606 Miscarriages ● 10,291 Not recovered (children) How high do the numbers have to reach before this program can be considered useful as a safety signal? A 3-year study by Harvard Pilgrim Health Care determined that only 1% of people experiencing vaccine adverse events reports them (https://digital.ahrq.gov/sites/default/files/docs/publication/r18hs017045-lazarus-final-report-2011.pdf. Just imagine what the numbers would be if 40% reported. Not one person from my friend or family pool that I’ve asked has known about VAERS. Even some coworkers in the hospital haven’t known. This suggests to me that the people reporting to VAERS are genuinely looking for a place to log their experience because their circumstances require it. If you haven’t yet, I e