In a conversation in front of the Palácio da Alvorada, with supporters, on the 14th, President Jair Bolsonaro (still without a party) stated that he will sign a provisional measure that will establish the need to sign a [Term of Responsibility] for those who decide undergo the Covid-19 vaccine.
“There are people who want to take it, so take it, it’s your responsibility. If there is a problem there, I hope it will not… ”, stressed Bolsonaro.
According to the president, Pfizer makes it clear in the contract that the company is not responsible for side effects.
“It is not mandatory, you will have to sign a term of responsibility to take it. Because Pfizer, for example, is very clear in the contract: “we are not responsible for side effects,” said the president.
See below what this term (model) would look like according to nurses heard by the S&DS portal.
Statement of responsibility
(Vaccine against COVID – 19 disease caused by coronavirus)
I, _________________________________________, declare to have knowledge, to be informed about all indications, contraindications, main side effects and risks related to the use of the vaccine against Covid-19.
The terms were explained and my doubts were partially clarified because it is a vaccine still being studied by science, which I voluntarily applied to take.
Patient’s name:
Identity:
CPF:
Signature according to identification document
Witness 1: __________________________________
Witness 2: __________________________________
Statement of responsibility
(Vaccine against COVID – 19 disease caused by coronavirus)
I, __________________________________________________, express my agreement and spontaneous willingness to submit my child, _____________________________________________ to Covid-19 vaccine, assuming responsibility and risks for any undesirable effects.
I am aware that the vaccine is indicated for the prevention of infections caused by the new Coronavirus. Thus, I declare that: even with little information due to the development of the vaccine in an abbreviated time, due to the pandemic, the contraindications, potential side effects and risks were not exposed with complete safety. Thus, I do so by my spouse’s free will, in a joint decision, of my spouse: __________________________________________________, the vaccination authorization. Identification of those responsible for the minor:
Mother’s name:
Identity:
CPF:
Identification of those responsible for the minor:
Father’s name:
Identity:
CPF:
Signature according to identification document
Witness 1: __________________________________________
Witness 2: __________________________________________
