A Typical COVID-19 Vaccine Consent Form

Dr. John Reizer

I received a copy of the COVID-19 Vaccine Consent Form below from a visitor to NoFakeNews. This particular version comes from a company in Virginia. Still, from what I understand, the language used in the document is, for the most part, the same in all the vaccine consent forms regarding the COVID-19 vaccine rollout program.

I wanted to call readers’ attention to the yellow highlighted paragraphs I colored in for this post’s purpose.

Paragraph #1:

“I understand that the common risks associated with the COVID-19 vaccine include, but are not limited to, pain, redness or swelling at the site of injection, tiredness, headache, muscle pain, chills, joint pain, fever, nausea, feeling unwell, or swollen lymph nodes (lymphadenopathy). I understand that the vaccine may cause a severe allergic reaction, including anaphylaxis (difficulty breathing), swelling of the face and throat, a fast heartbeat, a rash all over the body, dizziness, and/or weakness. I understand that these may not be all the side effects of the COVID-19 vaccine as the vaccine is still being studied in clinical trials. I also understand that it is impossible to predict all possible side effects or complications associated with the vaccine. I understand that the long-term side effects or complications of this vaccine are not known at this time.”

Are you kidding me? Who in their right mind would take this crap? Does this read like a safe product to give to yourself, your children, or other loved ones? It reads to me that this vaccine product will make the people who receive it extremely ill. It reads to me that people are placing their health and lives in grave danger by receiving this vaccine.

Paragraph # 2:

“I understand that the vaccination is being given by Inova Health System Foundation and its affiliates (collectively Inova). The owner and/or operator of this site, their affiliates, officers, directors, employees, and agents expressly disclaim any responsibility for the vaccination. My consent is given in light of this knowledge and in consideration of Inova giving the vaccine.  I, for myself and my heirs, administrators, trustees, executors, assigns, and successors in interest do hereby agree to release and hold harmless Inova, its subsidiaries, divisions, affiliates, successors, assigns, officers, trustees, employees, volunteers, and agents from and against any and all demands, damages, losses, costs, expenses, obligations, liabilities, claims, actions, and cause of action (whether any of which is groundless or otherwise) of any nature whatsoever (including, without limitation, reasonable attorney’s fees and court costs) by reason of or resulting, in any way, from any and all acts, accidents, events, occurrences, omissions and the like related to, or arising out of, directly or indirectly, my receipt of this COVID-19 vaccine.”

In plain language, the people and company administering this vaccine and any persons attached to them are scared about what might happen to the people receiving these untested, unsafe, experimental poisons. The people and companies administering this medicinal concoction want the entire world to know that they are holding themselves blameless for injuries to people receiving the vaccine.

Additionally, the companies want people receiving the vaccines to hold them and the individuals injecting the poisons into people harmless from any liability whatsoever.

Once more, anyone who signs their name and consents to take this vaccine is not playing with the deck’s required number of cards — you’re nuts!

Paragraph # 3:

“Inova makes no warranties, express or implied, including but not limited to implied warranties of merchantability or fitness for a particular purpose regarding the vaccine or its effectiveness. I acknowledge receipt of Inova’s Notice of Privacy Practices.”

The administrators of this kill shot are so spooked by the vaccines that they have blanketed and insulated themselves in so much legal jargon it beggars belief. This is pure insanity!

What’s even more ridiculous is that the COVID-19 vaccines have been marketed by mainstream media companies and health regulatory agencies globally as being safe and effective products. They are not safe and effective products in any way, shape, or form.

As a recipient of the toxic crap described above, you may be maimed, irreparably harmed, or killed. In return for risking your life, you may not test positive for a bogus PCR lab test for two months, or if you do get the nonexistent sars-cov-2 virus, one of your symptoms might be lessened a bit.

There is no logical reason to receive the COVID-19 vaccines now or in the future. Wake up, people!


We Reject the Official Narrative About the COVID-19 World Pandemic


The Target List Movie on Amazon Prime!

In association with River Rose Productions, Mad Wife Productions has announced that The Target List movie will begin filming on April 10, 2021. The movie will be released on Amazon Prime in the summer of 2021.

The Story:

After announcing a ground-breaking cancer cure, two members of a research team are shot by an assassin. The remaining two researchers barely escape the attack, only to find themselves framed for murder. Now they need to prove their innocence while running from both the police and the assassin hired to kill them by the big pharma.

Screenplay by MJ Palo and John Reizer

Based on the novel by John Reizer 

Visit The Target List IMDb Movie Page For Updates

The Target List Cast:

Help Me Expose Big Pharma!


17 thoughts on “A Typical COVID-19 Vaccine Consent Form

  1. Ian March 20, 2021 / 2:49 pm

    That’s a consent form, wow!

    I’ve been bothered twice to have the jab and not seen any consent form…

    • NoFakeNews March 20, 2021 / 7:07 pm

      It’s hard to believe that anyone would decide to receive the vaccines after reading the consent form. 🤣


      • Ian March 21, 2021 / 5:40 am

        Over here they appear to be operating on the basis that YOU have to contact THEM if you DON’T want it. And *verbally* seems to be their preferred method.
        I wonder why?

  2. tim March 20, 2021 / 3:26 pm

    I think this is also worth mentioning, since it has to do with “cloning.”
    Why is there “cloned” material in the vaccine, and what does it do ?
    from my other post:

    4- Has have not received monoclonal antibodies or convalescent plasma for treatment of COVID-
    19 within the past ninety (90) days.

    — monoclonal- forming a clone that is derived asexually from a single individual or cell.

  3. Lisa March 20, 2021 / 4:59 pm

    I really think that the sheeple’s cognitive dissonance causes them to fluff off what they see. They have seen terrible side affects listed for other drugs and rationaliize that most likely nothing bad will happen. And that the pharmaceutical companies just need to be cautious, and that everything will be just fine!
    There is no critical thinking. They do not say to themselves, hmm, maybe these side affects could happen to me or maybe the pharmaceutical company is really protecting themselves because someone may actually be maimed for life or die!
    I had informed my uncle about the negative side affects, when he told me that he wanted to get the shot. And he replied, ” What choice do I have?”
    He believed that he was better off risking getting the shot, than risking getting covid.That scared him more.
    And try convincing people covid does not exist. As we all know, that is not an easy task!

    • NoFakeNews March 20, 2021 / 7:10 pm

      I agree, Lisa. People won’t allow themselves to think critically about this vaccine issue. If they ever did, they would opt out of getting the jabs.


    • Ian March 21, 2021 / 5:49 am

      I overheard a couple of neighbours talking yesterday, wasn’t exactly eavesdropping – just passing by.
      It was like one of those one-uppsmanship type polite conversations that neighbours have: “Our Holiday was so much better than yours don’t cher know.” Except the topic was: “Having the Vaccine made members of my family so much sicker than yours!”
      Truly bizzare, like an episode of The Twilight Zone.

      • NoFakeNews March 21, 2021 / 7:58 am

        Life, in general, has become like the Twilight Zone.🤣


  4. Jim March 20, 2021 / 5:01 pm

    That’s amazing. I cannot believe people read these inserts and still want to get the shot. I actually can’t believe why anyone would ever want to get ANY vaccine EVER! Americans need to take a mandatory course in LOGIC and the ability to think for themselves.

    To change the topic, slightly. Has anyone heard of any progress on today’s “World Freedom Day?”
    Here in California, it’s covid-brainwashed business as usual. People out for their walks with their masks on.
    I am hoping this world event will help wake up some people.
    Dr. John, have you seen any coverage of this world event today?


    • NoFakeNews March 20, 2021 / 7:06 pm

      I have seen a few photos from London, but I have been running around for most of the day, Jim. I spent about an hour writing an article earlier and just now checked the website.


      • Ian March 21, 2021 / 5:59 am

        London – I was watching this Citizen Journalist live stream:
        At about 2:10:00 – The streets are actually jammed with people. Must be at least three times the number of the protests that filled Trafalgar Square.
        Roughly 4:00:00 – Having registered their numbers – the majority of these people appear to have peacefull dispersed.
        Shortly thereafter, the Police arrive to tackle a small number of agitators in Hyde Park – a wonderful opportunity for the MSM; who appear to have turned a blind eye to the MASSIVE number of people from a few hours earlier.

      • NoFakeNews March 21, 2021 / 7:56 am

        Thanks for sharing, Ian. 🙂


    • Ian March 21, 2021 / 1:02 pm

      This appears a good round-up,Jim:

  5. sandy edwards March 21, 2021 / 6:13 am

    I would love to hear any news about World Freedom Day too. I was looking all over yesterday trying to find some news with no luck. Let us know Dr. Reizer if you hear or find out anything. Thanks, Sandy

    • NoFakeNews March 21, 2021 / 8:16 am

      You can watch some of the demonstrations from around the world that were recorded below, Sandy.

      Some links do not work, but there are a few that do.

      Amazingly, there were live protests taking place worldwide, and not one word was written or reported on by the mainstream media.

      If not covering the live demonstrations doesn’t show people how biased and bought off the traditional media have become, I don’t know what other evidence would be needed to wake up people.

      • sandy edwards March 21, 2021 / 8:25 am


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