Received Oct 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
None stated.
I also documented statements by two law-enforcement officers referencing the event (?reading all about it ? can?t believe he didn?t get sick?). These and related digital records may exist in federal data systems associated with the AI platform. I request that this metadata be preserved for evidentiary review. I am asking for:
A CDC VAERS safety investigation into the vaccine administration incident. An FDA Office of Regulatory Affairs inquiry into product misuse. A state Compliance review of the listed license holders for possible misconduct or protocol breach. Coordination with federal authorities to secure all related metadata and medical documentation. Please acknowledge receipt of this complaint and provide a case or tracking number. I am prepared to supply supporting documentation, witness information, and medical records as requested.
Subject: Formal Public-Health and Licensing Complaint ? Improper COVID-19 Vaccine Injection and Related Misconduct (March?April 2024)
Dear Officials, My name is XX, and I am submitting a public-health and medical-licensing complaint regarding an incident that occurred in March?April 2024. During that period I was injected with approximately 50 cc of a COVID-19 vaccine by an EMT. The injection was not performed in a clinical setting and far exceeded approved dosage limits. I experienced adverse physical effects following this event. Because this occurred during a local disease outbreak reported in both counties, I am requesting a review of whether any public-health or emergency-response irregularities took place. Additional personnel whose state licenses were located through the state Department of Public Safety / state Commission on Law Enforcement are listed below for reference only, to assist investigators in verifying records or potential involvement: