State of health of unvaccinated children/persons - Estado de salud de los niños no vacunados / personas
For statistical evaluation of the state of health of entirely unvaccinated children/persons we request you to fill out the following form. The data will be published anonymously and handled with utmost confidentiality. The results help us to acquire accurate information about the health of unvaccinated children.
Before filling out the survey, please check the hospital birthing record, whether your kid got hepatitis B vaccination at birth in hospital.
If you have several children, please fill in a form for each child.
If you have vaccinated children please go to the questionnaire for vaccinated children .
Para la evaluación estadística del estado de salud de todo los niños no vacunados / personas le rogamos que rellene el siguiente formulario. Los datos se publicarán de forma anónima y manejados con absoluta confidencialidad. Los resultados nos ayudan a obtener información precisa sobre la salud de los niños no vacunados. Antes de llenar la encuesta, por favor, compruebe el registro de nacimiento del hospital, si su niño tiene vacunación contra la hepatitis B administrada al nacer en el hospital. Si usted tiene varios hijos, por favor, rellene un formulario para cada niño.Si usted tiene niños vacunados , por favor, vaya al cuestionario para los niños vacunados .
Date of birth of the unvaccinated child
Age group (present)
0-2 years
3-4 years
5-6 years
7-8 years
9-10 years
11-12 years
13-14 years
15-16 years
17-18 years
19- years and older
Country
United States(USA)
Canada
United Kingdom
Australia
New Zealand
---
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Espana
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Korea (South)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Russian Federation
Rwanda
Saint Barthelemy
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Vincent and the Grenadines
Samoa (Independent)
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States(USA)
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wales
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Was your child breastfed and how long(exclusive breastfeeding)?
0 to 4 weeks
5 weeks - 3 months
4 months - 6 months
7 months and longer
no
Does your child suffer from any of the following illnesses or symptoms? / Votre enfant souffre-t-il d’une maladie ou d’un symptôme listés ci-dessous (trois réponses possibles, oui, non ou rarement) / ¿Tiene su hijo o sufre alguna de las siguientes enfermedades o síntomas? (tres respuestas posibles: sí, no o rara vez):
Please specify when you selected "allergies" (300 chars left)
Why is your child not vaccinated?(For multiple answers hold down Strg/Ctrl/Command and select)
Vaccine damage/reaction of siblings and friends
Intensive preoccupation with vaccine topic
Conviction of ineffectiveness of vaccines
Through fear of side effects
Due to preexisting conditions of the child
Concerns about ingredients in vaccines
religious/philosophical belief
other
Why is your child not vaccinated? / Pourquoi votre enfant n’est-il pas vacciné ? ¿Por qué no vacunar a su hijo?
Please specify, when you selected "other"
Describe the general state of health of your child/Additional information you want to give. If you want to share your story (http://www.vaccineinjury.info/results-unvaccinated/personal-stories.html), please mention it particularly
Re-Captcha - Please Check the box
If you are interested in ongoing surveys about the state of health of unvaccinated children please register for our newsletter
If you have vaccinated children as well please fill in the questionnaire for vaccinated children .
Si usted está interesado en los estudios en curso sobre el estado de salud de los niños no vacunados por favor regístrese a nuestro boletín
Si usted tiene niños vacunados rellene el cuestionario para niños vacunados .
reset
submit
Thank you very much for your report!
The results of this survey can be seen here:http://www.vaccineinjury.info/survey/results-unvaccinated/results-illnesses.html
Do you have vaccinated children?
Due to many requests we are doing a direct comparison with vaccinated children now. If you have vaccinated children please go to the questionnaire for the state of health of vaccinated children .
The first vaccine critical children book!
Awesome book to read to your kids! Available in English (American and British), Spanish, Italian, French, Russian, Dutch and German.
Andreas Bachmair is a classical homeopath with a practice in Kreuzlingen by the Bodensee in Switzerland. The focus of his work for over ten years has been the treatment of vaccine-related injuries. With nearly 20,000 participants so far, one of the largest studies to document the health of unvaccinated children is currently underway on those two websites. He is the author and publisher of “Vaccine-Free”: