COVID-19 Humanity Betrayal ㅤ Memory Project

Document Your Story

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We believe at least one picture of the victim is important to have on file for each case. If you cannot provide pictures now, you will have an opportunity to email them to us later.

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Please use real names to help validate the story, but we can anonymize the victim's name prior to publishing if you prefer, just tell us during your interview.

How old was the victim at the time of injury?

Check the box if the victim is the subject being interviewed (if you are the victim), rather than a loved one.

The name of subject documenting this case and being interviewed - leave blank if subject is victim.

Your relationship to the victim, or the relationship of subject to victim.

The email address of the person being interviewed or the primary contact for this case. This will not be displayed on the site, but will be used for verification purposes.

The phone number of the person being interviewed or the primary contact for this case. This will not be displayed on the site, but will be used for verification purposes.

In what state did the incident take place?

There are many different crimes against humanity taking place right now. Select all that are relevant to the experience you are documenting.

Which mandates played a factor in the victim's decisions that led to their harm or demise? Check all that apply.

Elaborate on how mandates played a role in what happened to the victim.

How many "vaccines" and "boosters" were administered to the victim before adverse reactions developed?

doses

Was the victim informed that COVID vaccines only have Emergency Use Authorization from the FDA, and are not actually 'FDA approved'?

Was the victim informed of potential COVID-19 vaccine side effects before being given the injection?

Was the victim asked to sign a waiver or consent form in advance of being vaccinated?

If you know the brand of the first COVID vaccine the victim was administered, tell us here.

If you know the batch number for the first COVID vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the second time?

If you know the batch number for the second vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the third time?

If you know the batch number for the third vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the fourth time?

If you know the batch number for the fourth vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the fifth time?

If you know the batch number for the fifth vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the sixth time?

If you know the batch number for the sixth vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the seventh time?

If you know the batch number for the seventh vaccine the victim was administered, tell us here.

What brand of COVID vaccine was the victim injected with the eighth time?

If you know the batch number for the seventh vaccine the victim was administered, tell us here.

When did the victim first begin experiencing symptoms?

Please describe all symptoms experienced by the victim.

When did the victim first seek medical attention?

Was the victim admitted to the hospital in relation to this case?

Hospital(s) victim was admitted to during the course of this ordeal.

When was the victim first admitted to the hospital?

While in the hospital, was the victim allowed to see family or given access to a patient advocate?

How many days was the victim isolated before being allowed contact with family or advocate?

days

Was the victim was asked if they had been vaccinated and/or boosted by doctors or hospital staff?

Does the victim or family feel they were treated differently by hospital staff as a result of disclosing their vaccination status?

If you believe the victim was treated differently by doctors and/or hospital staff after disclosing their vax status, please describe the experience.

Was the victim or the victim's family was asked to sign a Do Not Resuscitate order?

Was the victim deprived of food and water while in the hospital?

How many days was the victim deprived of food and water while in the hospital?

days

What medications were administered to the victim by doctors or hospital staff? Please check all you believe were administered.

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Was the victim informed that remdesivir has only Emergency Use Authorization from the FDA, and is not actually approved to treat COVID?

Was the victim informed of potential remdesivir side effects before being given the drug?

Did the victim or the family consent to the use of remdesivir?

How many days was the victim being administered remdesivir?

days

Was victim was placed on a ventilator?

days

When was the victim first put on a ventilator?

Has any medical professional given a diagnosis indicating what the victim is suffering from?

What was the victim diagnosed with? Check all that apply, or input your own selections.

Generally, how was the victim treated while at the hospital?

Check all that apply. If you add an item that is not listed, keep it short: a few words or less.

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A brief summary of how the victim was treated in the hospital

Did the victim survive? Check the box if they lived to tell their story. Uncheck the box if they died as a result of what happened.

If there was a cause of death determined by officials, please check all that apply.

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What do you think killed the victim, or what does the family believe really killed their loved one?

  • Add new choice

Medical records can help piece together what happened to the victim. Have you obtained, or do you plan to obtain a complete set of medical records?

Have discrepancies been identified in the medical records?

Is the victim or the family pursuing legal action against the doctor or hospital?

Is the victim or the family engaging in any activism as a result of this experience?

What victim or family doing to ensure this doesn't happen to anyone else? What is their advice for other families going through this experience? What do they believe should be done to bring justice to their loved one?

If there is a website or social media page associated with this story that you would like to include in your case, you can link to it here.

Please let us know when you will be available for an interview - one of our agents will be in touch to confirm. (After the interview, our agents will use this field to note the date that the interview took place).

We hold a support group for victims of the FDA Death Protocol and their families, every Monday evening. The group would love it if you would join us and share your story with others who have been through this.

We have a task force seeking justice for victims of the FDA Death Protocol and their families, and pursuing action other issues essential to our liberty. Would you like to join The FFFF Task Force?

Is there anything else the victim or family thinks the world should know?

We know it's difficult to go over it all again, but telling your story in your own words is the most powerful way to convey it. Please take your time and tell us as much or as little as you are comfortable with. If you absolutely cannot bring yourself to write it out, one of our volunteers may summarize your story based on the information you have provided and based on your interview. We prefer you tell your story, in as much detail as possible.

By checking this box you agree to allow this site to publish the data on this form except where specified otherwise, to share the data with our partners, and to use this information in various ways as we pursue justice for all victims of these crimes against humanity.