Vaccine administrators are required under law to inform you of potential side effects and long-term health complications associated with vaccines, including the new COVID-19 vaccines.

But what about the potential impact on your financial health and well-being if you or a family member are injured by a COVID vaccine?

Traditionally, informed consent forms for vaccination, such as the one used by Walgreens, do not provide disclosure or statistics related to financial costs of possible injury, disability or death. They also don’t explain the impact on family time, resources and wealth — including reduced career potential, divorce or the impact on siblings’ education or other future plans.

Enter the “Family Financial Disclosure Form for COVID-19 Injections,” a downloadable form families can use to assess the potential financial risks of being injured by a COVID vaccine.

The form was created by Catherine Austin Fitts, president of Solari, Inc. (which publishes the Solari Report), and managing member of Solari Investment Advisory Services. The form’s purpose is to help families communicate about and prepare for the family-wide financial impact of adverse events, if any, resulting from a COVID-19 injection.

“This family financial form was inspired by Robert F. Kennedy, Jr., who asked me to write about the absence of information in informed consent disclosure on the potentially devastating financial impacts of adverse events related to vaccinations in general, including COVID-19 injections,” Fitts told The Defender.

“Transparency is a powerful tool,” Fitts said. “I hope this form increases people’s power and effectiveness in making wise choices for their families and the children they love.”

As stated on the form, it “is provided to facilitate effective family due diligence, communication and planning. It is essential that each person and each family take responsibility to identify and access the information they believe to be most relevant to their situation and decisions, and take responsibility to assess and manage their individual and collective risk as they believe best.”

COVID vaccines, rushed to market, are still considered experimental by the U.S. Food and Drug Administration, which approved them under Emergency Use Authorization (EUA). Since the first EUA COVID vaccine was rolled out in the U.S. in mid-December, at least 25,212 total adverse events, including 1,265 deaths and 4,424 serious injuries, had been reported as of Feb. 26 to the Vaccine Adverse Event Reporting System (VAERS).

Examples of adverse events from COVID-19 injections include COVID-19 infection, anaphylaxis, neurological disorders, autoimmune disorders other long-term chronic diseases, blindness and deafness, infertility, fetal damage, miscarriage and stillbirth, and death. (See Table 1 in the form for examples).

Vaccine injury compensation — an uphill climb

In the U.S., vaccine makers already enjoy full indemnity against liability for injuries occurring from COVID or any other pandemic vaccine under the Public Readiness and Emergency Preparedness Act (PREP).

If you’re injured by a COVID vaccine,  you have to file a compensation claim with the Countermeasures Injury Compensation Program (CICP). CICP is funded by U.S. taxpayers via congressional appropriation to the U.S. Department of Health and Human Services (DHHS).

CICP is similar to the National Vaccine Injury Compensation Program (NVICP), which applies to non-pandemic vaccines, but is even less generous when it comes to compensation. For example, while the NVICP pays some of the costs associated with any given claim, the CICP does not. This means that if you’re injured, you will also be responsible for attorney fees and expert witness fees.

The CICP is administered within the DHHS, which is also sponsoring the COVID-19 vaccination program. This conflict of interest makes the CICP less than likely to find fault with the vaccine.

If your claim is denied, your only route of appeal is within the DHHS, where your case would simply be reviewed by another employee. The DHHS is also responsible for making the payment, so the DHHS effectively acts as judge, jury and defendant.

As reported by Dr. Meryl Nass, the maximum payout you can receive — even in cases of permanent disability or death — is $250,000 per person. But you’d have to exhaust your private insurance policy before the CICP gives you a dime.

Employers that mandate COVID vaccines for their employees are also indemnified from liability under CICP — those claims have to go through worker’s compensation claims.

The CICP also has a one year statute of limitations, so you have to act quickly. That’s a problem because, at this point, no one really knows what injuries might arise from the COVID-19 vaccines — or when.

Fitts hopes that the form she and Solari have created will help families conduct their own due diligence before agreeing to take a COVID vaccine.

Download the Family Financial Disclosure Form for COVID-19 Injections

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A 39-year-old woman from Ogden, Utah, died Feb. 5, four days after receiving a second dose of Moderna’s COVID vaccine, according to CBS affiliate KUTV.

Kassidi Kurill died of organ failure after her liver, heart and kidneys shut down. She had no known medical issues or pre-existing conditions, family members said.

KUTV uncovered the death as part of its investigation into COVID vaccine side effects. The investigation involved looking into reports submitted by Utah residents to the Vaccine Adverse Event Reporting System (VAERS).

According to The Salt Lake Tribune, there were four deaths in Utah reported to VAERS in January and February, including Kurill’s.

KUTV reported that doctors at Intermountain Medical Center recommended Kurill’s family request an autopsy, and the family agreed.

The medical examiner could not say whether the autopsy would be automatically forwarded to the Centers for Disease Control and Prevention (CDC) and U.S Food and Drug Administration (FDA).

Dr. Erik Christensen, Utah’s chief medical examiner, said proving vaccine injury as a cause of death almost never happens. “Did the vaccine cause this? I think that would be very hard to demonstrate in autopsy,” Christensen told KUTV.

Christensen could think of only one instance where a vaccine as the official cause of death would be seen on an autopsy report. That would be in the case of immediate anaphylaxis where someone received a vaccine and died almost instantaneously.

“Short of that, it would be difficult for us to definitively say this is the vaccine,” Christensen said. “A more likely result would be a lack of answers or an incomplete autopsy.”

An autopsy can provide answers to a family when no disease or red flags are found, or rule out other competing causes of death, Christenson explained. The lack of answers may help a family “understand if the vaccine was a possible cause.”

Christiansen said vaccine deaths are possible and do happen. “Just about every vaccine or anything you do [to] treat someone, when you inject something has a potential for a negative outcome. I’m sure VAERS can verify other vaccines have led to death.”

After her first shot, Kurill, a surgical tech for local plastic surgeons, experienced a sore arm but no other side effects. The day of her second shot she had gone shopping and was fine until she started feeling “not so great that evening,” said her sister Kristin.

According to Kurill’s father, she “got sick right away” after receiving the second shot. She had soreness at the injection site, started to get sick and complained “she was drinking fluids but couldn’t pee.”

Kurill went to the emergency room and was later transported to Intermountain Medical Center for a liver transplant. Both parents were willing to donate portions of their liver to save their daughter, but Kurill died within 30 hours of arriving at the ER.

Kurill’s obituary states that she died from “apparent complications due to the second COVID-19 vaccination.”

Between December 14, 2020, and Feb. 26, 2021, VAERS had received reports of 1,265 deaths after COVID vaccination.

Although the CDC says on its website that CDC and FDA physicians review each reported death as soon as notified, it does not appear that autopsies were ordered in any of the other reported Utah cases, according to KUTV.

Last month The Defender reported on a 58-year-old woman who died hours after getting her first dose of the Pfizer vaccine. State and federal officials said they were investigating her death but had not performed an autopsy.

On Feb. 5, officials said that they did not know the cause of Keyes’ death or any underlying conditions that could have contributed to her death, but there was “no evidence it was tied to the vaccine,” reported NBC News.

According to The Virginian Pilot, a public records request related to Keyes’ death revealed concerning emails. State Health Commissioner Norman Oliver told public information officers in a Feb. 5 email that if reporters asked whether an autopsy was done on Keyes, they should say “a full autopsy was not needed in order to ascertain whether the death was related to the vaccination.”

The public records request also revealed that officials inside and outside the health department were “concerned the death of Keyes, who is Black, could worsen vaccine hesitancy among minorities,” reported The Virginian Pilot.

When the health department spokespeople crafted a statement following Keyes’ death, they included Gov. Ralph Northam’s press secretary and another Northam staffer in the editing process. The wording regarding timing of the death after the vaccine went from saying there may appear to be a relationship, “But that is not necessarily the case,” to the timing “is not evidence of it being related,” highlighting their focus on deterring speculation, according to The Virginian Pilot.

The family was forced to get their own private autopsy. Keyes’ daughter said that even before state officials had her mother’s postmortem preliminary test results, the medical examiner’s office told her they would not perform an autopsy. They told her “nothing could be gleaned from an autopsy that would relate the vaccine to her death.”

State officials didn’t answer how medical examiners could thoroughly rule out other potential causes of death triggered by or linked to the shot without an internal examination of the body.

The CDC says no deaths have been attributed to COVID-19 vaccines. However, according to the latest data available from VAERS — which includes reports submitted between Dec. 14, 2020, and Feb. 26, 2021, a total of 1,265 deaths following COVID vaccines have been reported to the system.

Dr. Sheffield with Intermountain explained the difference in numbers of deaths reported and the CDC’s statement of “no vaccine deaths,” saying it comes down to what can and can’t be proven.

“You have to look at what it (the numbers) are saying,” Sheffield told KUTV. “Is it saying the vaccine caused the deaths, or there were deaths in people who received the vaccine? And those are two very different things.”

As The Defender reported last month, the CDC is investigating the death of a 36-year-old doctor in Tennessee who died Feb. 8, about one month after receiving the second dose of a COVID vaccine.

News reports at the time didn’t identify which brand of vaccine the doctor received, though at the time, only the Moderna and Pfizer vaccines were approved for emergency use in the U.S. Dr. Barton Williams’ death was attributed to multisystem inflammatory syndrome (MIS-A) caused by asymptomatic COVID, though he never tested positive for the virus.

In January, The Defender reported on the death of baseball legend Hank Aaron from an “undisclosed” cause 18 days after receiving his first dose of the Moderna vaccine. The New York Times implied that Aaron’s death was unrelated to the vaccine, however no autopsy was conducted.

Children’s Health Defense urges anyone who suffers any reaction to any vaccine to report it following these steps.

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Los Angeles schools plan to reopen next month — and when they do, every child will be required to have a COVID-tracking app that will be scanned daily before they can enter the classroom.

The Los Angeles Unified School District (LAUSD) last month announced the launch of Daily Pass, a COVID tracking system developed by Microsoft. The app will scan children in schools, using a barcode, to coordinate health checks, COVID tests and vaccinations.

The Daily Pass generates a unique QR code — each day, for each student and staff member — that authorizes entry to a specific Los Angeles Unified location. An individual must have a negative test result for COVID, show no symptoms and have a temperature under 100 degrees in order to gain entry to class.

All data gathered by the app will be reported as required to health authorities. Anonymized data from Daily Pass will be used by Los Angeles Unified’s research and healthcare collaborators — Stanford University, UCLA, The Johns Hopkins University, Anthem Blue Cross, Healthnet and Cedars Sinai — “to provide insights and strategies” to implement in safe school environments, school officials said.

Students without the barcode will be barred from going into school.

LAUSD is the first school district in the nation to adopt the Daily Pass technology. In a statement, officials called Daily Pass a critical component of the district’s “Safe Steps to Safe Schools” reopening plan.

“Sort of like the golden ticket in ‘Willy Wonka,’ everyone with this pass can easily get into a school building,” Superintendent Austin Beutner told the Los Angeles Times. “We’ll know the status of everyone in the building,” he said.

Mary Holland, president of Children’s Health Defense, said parents should be concerned. “If data is the new gold, then LAUSD’s new Daily Pass is providing a lot of gold to Microsoft and other institutions,” Holland said.

Holland said LAUSD is “compromising the students’ privacy and freedom of movement” and segregating children based on unreliable testing. “Parents should be asking a million questions and demanding answers,” she said.

John Whitehead, constitutional law attorney, author and founder of The Rutherford Institute, said parents should ask why entities want all of this data, what they’re doing to do with it, where it is going and whether it should be given to government agencies.

Whitehead said the COVID Daily Pass is about control, not safety. He warned:

“We are moving into a total surveillance state and an entire generation of young people are acquiescing to the police state. Privacy as we know it will be deleted and no one will be overlooked.”

The Daily Pass will not catch people who are asymptomatic carriers of COVID, but officials hope to address that issue through weekly coronavirus testing of students and staff.

The app will be available to all LAUSD employees, students 13 and older and family members on computers and mobile phones, reported the Los Angeles Times.

The district released a video about the Daily Pass to help parents and their children understand how the app works, what steps children must take to get their “entrance ticket” and to ease fears about returning to school.

“The Daily Pass sets the highest standard possible for school safety,” said LAUSD Beutner. The school district has upgraded air filters in every school, requires COVID testing for all students and staff at least every week — and now has Daily Pass.

Students will also be required to socially distance, wear masks, receive regular temperature checks and undergo additional surveillance and screening testing, according to the “COVID-19 and Reopening In-Person Instruction Framework & Public Health Guidance for K-12 Schools in California, 2020-2021 School Year.”

Whitehead said schools should be doing everything in their power to bring parents into these discussions and parents need to come together and start speaking out against measures like Daily Pass before it’s too late.

“The government can accomplish many things with a ‘compelling state interest and a pandemic is just that,” Whitehead said. “But the school needs to provide an alternative for parents who do not want their children to participate in these measures — whether it’s a virtual learning option or a separate building.”

Microsoft, creator of the COVID Daily Pass, was founded by Bill Gates. Though he stepped down from Microsoft’s board in March of last year, he remains one of the top shareholders in the company, according to The Universal Science.

In a statement released by the billionaire last March, Gates said he intended to “remain active at the company and would work closely with Satya Nadella, Microsoft’s chief executive.”

“Microsoft will always be an important part of my life’s work and I will continue to be engaged with Satya and the technical leadership to help shape the vision and achieve the company’s ambitious goals,” wrote Gates. “I feel more optimistic than ever about the progress the company is making.”

United Teachers Los Angeles, the union representing the district’s teachers and school personnel, said that no staff should return to work until they are fully immunized.

Beutner said LAUSD would begin offering childcare, one-on-one and small-group instruction and services for students with special needs, and would also return to athletic conditioning beginning this week.

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