Document Your Story You can suggest a title for your story if you like. Primary picture of victim This will be the image that appears on the case folder. 0% No Image selected Add Image Second picture of Victim Many victims choose to use the second photo to highlight the suffering the victim endured. It is important to have two different pictures on file for each case. If you cannot provide pictures now, you will have an opportunity to send them to us later. 0% Add Image Name of Victim * 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. Age of Victim How old was the victim at the time of injury? Sex of Victim Please tell us the sex of the victim.MaleFemaleOther / rather not say Was the victim on Medicare or Medicaid? Was the victim receiving Medicare or Medicaid benefits?MedicareMedicaidMedicare and MedicaidOther government assistanceNoRather not say Was the victim in the military, or did they serve as an officer of the law? Was the victim in the military or police force?Active-duty militaryRetried from militaryActive-duty policeRetired policeOther active government agentOther retired government agentNoRather not say Was the victim considered special needs, or did they have any kind of disability? If the victim was considered special needs or had any kind of disability, please check the box. Please describe the nature of the victim's disability or special needs. If the victim was considered special needs or had any kind of disability, please tell us what disability or special needs the victim had. Is the victim the subject being interviewed? Check the box if the victim is the subject being interviewed (if you are the victim), rather than a loved one. Person being interviewed The name of subject documenting this case and being interviewed - leave blank if subject is victim. Relationship To Victim Your relationship to the victim, or the relationship of subject to victim. Email * 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. Phone Number * 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. Location In what state did the incident take place?Select A StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingOutside The US Where outside the US? Where did the incident take place?Select A CountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Would you like to talk with or meet with other victims in your state? If you would like to talk with or meet with other victims and families of victims in your state, please check the box. What is this case about? * There are many different crimes against humanity taking place right now. Select all that are relevant to the experience you are documenting. Hospital Mistreatment Survived FDA Death Protocol with Remdesivir Murdered by FDA Death Protocol with Remdesivir Harmed by Mandates Murdered by Mandates Injured by COVID Vaccines Murdered by COVID Vaccines Which mandate was the victim impacted by? Which mandates played a factor in the victim's decisions that led to their harm or demise? Check all that apply. Vaccine Mandates - Social Pressure Vaccine Mandates at Work Vaccine Mandates at School Testing Mandates - Social Pressure Testing Mandates at Work Testing Mandates at School Movement License Mandates Mandate-Based Travel Restrictions Mandate-Based Forced Isolation Mask Mandates How did mandates impact the victim? Elaborate on how mandates played a role in what happened to the victim. Was the victim administered a COVID-19 'vaccine'? Please check the box if the victim received any so-called COVID vaccines.YesNoNot sure/Prefer not to disclose How many vaccines and boosters was the victim administered before onset of symptoms? How many "vaccines" and "boosters" were administered to the victim before adverse reactions developed?doses How many vaccines and boosters was the victim administered altogether? How many "vaccines" and "boosters" were administered to the victim, in total?doses Was the victim informed about the EUA status of COVID vaccines? Was the victim informed that COVID vaccines only have Emergency Use Authorization from the FDA, and are not actually 'FDA approved'?Yes, victim was informed about EUANoVictim or family does not recall Was the victim informed of potential vaccine side effects? Was the victim informed of potential COVID-19 vaccine side effects before being given the injection?Yes, victim was informed about side effectsNoVictim or family does not recall Was the victim asked to sign a waiver or consent form? Was the victim asked to sign a waiver or consent form in advance of being vaccinated?YesNoVictim or family does not recall Date victim was vaccinated Date of first COVID vaccination Brand of vaccine victim was vaccinated with for first vaccination If you know the brand of the first COVID vaccine the victim was administered, tell us here.Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for first vaccination If you know the batch number for the first COVID vaccine the victim was administered, tell us here. Date victim was vaccinated the second time Brand of vaccine victim was vaccinated with the second time What brand of COVID vaccine was the victim injected with the second time?Pfizer–BioNTechOxford–AstraZenecabibp: Sinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for second vaccination If you know the batch number for the second vaccine the victim was administered, tell us here. Date victim was vaccinated the third time Brand of vaccine victim was vaccinated with the third time What brand of COVID vaccine was the victim injected with the third time?Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for third vaccination If you know the batch number for the third vaccine the victim was administered, tell us here. Date victim was vaccinated the fourth time Brand of vaccine victim was vaccinated with the fourth time What brand of COVID vaccine was the victim injected with the fourth time?Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for fourth vaccination If you know the batch number for the fourth vaccine the victim was administered, tell us here. Date victim was vaccinated the fifth time Brand of vaccine victim was vaccinated with the fifth time What brand of COVID vaccine was the victim injected with the fifth time?Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for fifth vaccination If you know the batch number for the fifth vaccine the victim was administered, tell us here. Date victim was vaccinated the sixth time Brand of vaccine victim was vaccinated with the sixth time What brand of COVID vaccine was the victim injected with the sixth time?Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for sixth vaccination If you know the batch number for the sixth vaccine the victim was administered, tell us here. Date victim was vaccinated the seventh time Brand of vaccine victim was vaccinated with the seventh time What brand of COVID vaccine was the victim injected with the seventh time?Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for seventh vaccination If you know the batch number for the seventh vaccine the victim was administered, tell us here. Date victim was vaccinated the eighth time Brand of vaccine victim was vaccinated with the eighth time What brand of COVID vaccine was the victim injected with the eighth time?Pfizer–BioNTechOxford–AstraZenecaSinopharm BIBPModernaJanssen (J&J)CoronaVacCovaxinNovavax Batch number for eighth vaccination If you know the batch number for the seventh vaccine the victim was administered, tell us here. Date of onset of symptoms When did the victim first begin experiencing symptoms? Describe symptoms observed Please describe all symptoms experienced by the victim. First attempt to seek medical attention When did the victim first seek medical attention? Was the victim admitted to the hospital? Was the victim admitted to the hospital in relation to this case?YesNo Hospital Hospital(s) victim was admitted to during the course of this ordeal. Date of admission to hospital When was the victim first admitted to the hospital? Was the victim allowed to see family or have a patient advocate? While in the hospital, was the victim allowed to see family or given access to a patient advocate?Yes, victim was allowed to see familyYes, victim was allowed an advocateYes, victim had access to bothNo, victim was isolated How many days was the victim isolated? How many days was the victim isolated before being allowed contact with family or advocate?days At the hospital, was the victim asked if they had been vaccinated? Was the victim was asked if they had been vaccinated and/or boosted by doctors or hospital staff?YesNo Was the victim treated differently as a result of disclosing their vax status? Does the victim or family feel they were treated differently by hospital staff as a result of disclosing their vaccination status?YesNoUnsure Describe how the victim was treated differently after disclosing vax 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 asked to sign a DNR? Was the victim or the victim's family was asked to sign a Do Not Resuscitate order?Yes, victim was asked to sign a DNRYes, victim was pressured to sign a DNRYes, victim was relentlessly pressured or tricked into a DNRA DNR was ordered without consentVictim or family does not recall / not applicableNo Was the victim deprived of food and water? Was the victim deprived of food and water while in the hospital?Yes, from the moment they were admittedYes, some time after they were admittedVictim or family does not recall / not applicableNo How long was the victim deprived of food and water? How many days was the victim deprived of food and water while in the hospital?days What medications were administered to the victim in the hospital? What medications were administered to the victim by doctors or hospital staff? Please check all you believe were administered. Remdesivir Ativan/Lorazepam Antibiotics Antifungals Adrenaline Azithromycin Amlodipine Actemra Amlodipine Anxiety meds Atorvastatin Baricitinib Benzonatate Blood Thinners Blood Pressure Medications Ceftriaxone Convalescent Plasma Clonidine Dexamethasone Dexametomidine Doxazosin Doxycycline Decadron Dilaudid Diuretics Enoxaparin Enoxaparin Epoetin Erythromycin Famotidine Fentanyl Gabapentin Haldor Heparin Insulin Labetalol Lasix Lovenox Monoclonal antibodies Morphine Midazolam Nimbex Olumiant Oxygen Pain killers Pantoprazole Paralytics Polycarbofil Polyethyleneglycol Precedex Propofol Rocephin Sedatives Seroquel Sodium Chloride Steroids Tocilizumab Budesonide / Formoterol Vancomycin Vassopressin Vitamin C Xanax Add new choice What medications were refused by the hospital? What medications did the hospital explicitly refuse to administer to the victim? Please check all you believe were administered. Ativan/Lorazepam Antibiotics Antifungals Adrenaline Azithromycin Amlodipine Actemra Amlodipine Anxiety meds Atorvastatin Baricitinib Benzonatate Blood Thinners Blood Pressure Medications Ceftriaxone Convalescent Plasma Clonidine Dexamethasone Dexametomidine Doxazosin Doxycycline Decadron Dilaudid Diuretics Enoxaparin Enoxaparin Epoetin Erythromycin Famotidine Fentanyl Gabapentin Haldor Heparin Hydroxychloroquine Insulin Ivermectin Labetalol Lasix Lovenox Monoclonal antibodies Morphine Midazolam Nimbex Olumiant Oxygen Pain killers Pantoprazole Paralytics Polycarbofil Polyethyleneglycol Precedex Propofol Remdesivir Rocephin Sedatives Seroquel Sodium Chloride Steroids Tocilizumab Budesonide / Formoterol Vancomycin Vassopressin Vitamin C Vitamin D Xanax Zinc Add new choice Was the victim informed about remdesivir's EUA status? Was the victim informed that remdesivir has only Emergency Use Authorization from the FDA, and is not actually approved to treat COVID?Yes, victim was informed about EUANoVictim or family does not recall Was the victim informed of potential remdesivir side effects? Was the victim informed of potential remdesivir side effects before being given the drug?Yes, victim was informed about side effectsNoVictim or family does not recall Was there consent for the use of remdesivir? Did the victim or the family consent to the use of remdesivir?Yes, victim gave consentYes, family gave consentNoVictim or family does not recall How long was the victim on remdesivir? How many days was the victim being administered remdesivir?days Was the victim placed on a ventilator? Was victim was placed on a ventilator?YesNo How many days was the victim on the ventilator? days Date victim was placed on a ventilator When was the victim first put on a ventilator? Was the victim given a diagnosis by a medical professional? Has any medical professional given a diagnosis indicating what the victim is suffering from?YesNoVictim or family does not recall What was the diagnosis? What was the victim diagnosed with? Check all that apply, or input your own selections. ALS Alzheimer's Anaphylaxis Anemia Anxiety Arrhythmia Asthma Autoimmune disease Bell's palsy Cancer Blood Clots Cardiopulmonary syndrome Dysautonomia Fibromyalgia Guillain–Barré syndrome Hashimoto encephalopathy Heart Disorder HIV Hypertension Immune thrombocytopenia Left bundle branch block Leaky heart valves Leukemia Lupus Lymphoma Multiple sclerosis Myocarditis Parkinson's Pericarditis Pericardium rupture Postural Orthostatic Tachycardia Syndrome Prion disease Protein C deficiency Shingles Sudden-onset deafness Sudden-onset ALS Supraventricular tachycardia Thyroiditis Tinnitus Vaccine Induced Thrombotic Thrombocytopenia How was the victim treated while at the hospital? Generally, how was the victim treated while at the hospital?- Select -Received excellent careTreated wellTreated adequatelyTreated poorlyCruelly mistreated How was the victim mistreated? Check all that apply. If you add an item that is not listed, keep it short: a few words or less. Refused treatment Isolated Neglected Deprived of food Deprived of water Gaslighted Derided Openly mocked Euthanized Told she was going to die and they could help end her suffering Denied her regular arthritis pain reducer, Hydroxychloroquine and Hydroxyurea, the latter she was told by her endocrinologist that she must never stop as it was keeping her rare blood disorder in check. after refusing Remdesivir, was advised that he must coorperate and take it if he wanted to live Intubated without needing it or getting to speak to family. Asked to go home repeatedly and ignored Add new choice Elaborate on the victim's experience in the hospital A brief summary of how the victim was treated in the hospital Victim Survival 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. Date Of Death What was the official cause of death? If there was a cause of death determined by officials, please check all that apply. COVID-19 Stroke Heart Attack Blood Clots Vaccine Injury Organ Failure Natural Causes Septic Shock Add new choice What does the family believe was the cause of death? What do you think killed the victim, or what does the family believe really killed their loved one? Remdesivir Ventilation Mistreatment Refusal To Treat Vaccine Injury COVID-19 Stroke Blood Clots Euthanized Renal Failure Septic Shock Add new choice Was victim or family able to obtain a complete set of medical records? 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?- Select -Yes, a complete set of medical records was obtainedPartial records have been obtained and need help getting the restNo, but trying to obtain medical recordsNo, and need help obtaining medical recordsNo, and don't plan to obtain medical records Are there discrepancies in the medical records? Have discrepancies been identified in the medical records?Yes, there are many discrepanciesYes, there are some discrepanciesYes, there are a few discrepanciesThere may be discrepancies, not sureNo discrepancies have been identified Is the victim or the family pursuing legal action? Is the victim or the family pursuing legal action against the doctor or hospital?YesNot at this time Is the victim or the family engaging in activism as a result of this experience? Is the victim or the family engaging in any activism as a result of this experience?YesNot at this time What kind of activism is the victim or family engaging in? 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? Website or social media page associated with this story 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. Is there anything else you think we should know? Is there anything else you think the world should know about what happened? Schedule an interview 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). Would you like to join our support group? 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.Yes, I would love toYes, I have already been attendingMaybe, I would like to know moreNot at this time Would you like to join the FFFF Citizens Task Force? 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?Yes, I would love toMaybe, I would like to know moreNot at this time Would you be interesting in participating in a series of podcasts? Task Force members are organizing a series of podcasts highlighting these crimes against humanity and the assault on medical freedom. Would you be interested in participating in these podcasts?Yes, I would love toMaybe, I would like to know moreNot at this time Referred by: How did you find this site?FormerFedsGroupGoogleDuckDuckGoOther Search EngineFacebookTwitterOther Social MediaTask Force MemberOther Referred by TFM Who referred you? Please tell us the Task Force member's name, handle, or email address, if you know it. Please tell us what happened 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. Do you consent to allowing CHBMP, our partners, and any interested parties to publish and share this information? * 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. Submit This Case