Royal Commission of Inquiry Submission – Template for recording your mRNA Adverse Event

Assumption: Submission relates to vaccine injury, fatality, or systemic failure in New Zealand.

1. Personal Introduction (Without Names)

  • Your relation to the injured/deceased
  • Statement of why you are submitting (e.g., representative of a harmed family)
  • Confirmation of firsthand experience with the events

2. Vaccination Details

  • Number of doses received
  • Brand of vaccine (e.g., Pfizer mRNA)
  • Approximate timing (e.g., “during peak government media campaign”)
  • Voluntary vs Coerced (e.g., via social pressure, job threat, lack of informed consent)

3. Pre-Vaccine Health Condition

  • Summary of pre-existing conditions (if any)
  • Daily functioning and independence before injection
  • Ability to work, think, walk, communicate, etc.

4. Injury/Death Timeline

  • Date of vaccination
  • Onset of symptoms
  • Description of injury trajectory
  • Date of hospitalization or medical attention
  • Date of death (if applicable)
  • Simultaneity or correlation with other cases (e.g., same vaccine batch, family cluster)

5. Medical Diagnosis and Response

  • Summary of post-vaccination diagnoses (or lack thereof)
  • Whether the injury was attributed to vaccine or dismissed as unrelated
  • Record of gaslighting, denial, or unexplained decline
  • Notable discrepancies (e.g., different treatment compared to prior health events)

6. Systemic Failures Encountered

  • Lack of informed consent
  • Denial of adverse effect acknowledgement
  • Dismissive response by medical professionals or health authorities
  • Psychological, financial, or logistical burden placed on family
  • Any refusal to report to CARM or ACC

7. Steps Taken So Far

  • Complaint filed with Health and Disability Commissioner (HDC)
  • ACC treatment injury claim (lodged or pending)
  • Official Information Act (OIA) requests for vaccine data
  • Coroner’s report (requested or obtained)
  • Attempts to contact MPs, media, or government agencies
  • Participation in vaccine-injured groups or support forums

8. Scientific Concerns (Optional but Powerful)

  • Mention of known risks:
    • SV40 promoter contamination
    • Spike protein persistence
    • Methylpseudouridine codon misreading
    • Lipid nanoparticle biodistribution
  • Concerns about data collection, labeling (e.g., “COVID:2” categories), or bio-surveillance

9. Current Status

  • Status of the injured individual (e.g., alive but incapacitated, requiring daily care)
  • Emotional, financial, or relational consequences
  • Survivorship hardship if applicable

10. Final Comments & Requests

  • Request that the Commission:
    • Hears directly from the injured and bereaved
    • Recognizes systemic suppression of vaccine harm data
    • Issues recommendations for full disclosure, redress, and medical freedom
  • Affirm that your submission is truthful, heartfelt, and representative of many more who haven’t spoken out

✅ Optional Attachments

  • Medical reports (redacted)
  • Timelines or visual diagrams
  • Screenshots of digital hospital records (e.g., “COVID:2” categories)
  • Email confirmations from HDC, ACC, or Coroner
  • Related articles or scientific papers