The absolute nicest thing to say is that this is quite a list of possible effects. Beyond that, though, it badly needs editing and is very, very clearly translated from a non-English language (references to Quiet as "Silence" for example). It openly acknowledges that many of the effects are "funny" and "may not be appropriate for your game."
As for the flaws...they're all over the place. "Permanent hiccup" and "Paraplegic" and "Lethal Temperature" are all treated as the same (maximum!) severity, and the grammar rapidly becomes a barrier ("sneeze permanent" could perhaps mean "constantly sneezing forever" but it's unclear). The scaling is also strange, like "intense beep in the ears" grows to "head explodes" and "his eyes have different colours" goes to "strange hair colour" to "strange skin colour" (which all make sense as a scaling of a single problem) then suddenly "he vomit rainbows' [sic] and "he becomes a unicorn with strange colours" which...come right out of nowhere.
Some of the flaws aren't even flaws "Mage is teleported to a node" is often going to be a non-problem, and "a nail is broken" is so minor as to be baffling as to why it's here and comparable to being teleported to a Node! Similar levels of "problems" are "a phone rings" and "you have an orgasm for a turn." The scaling and selection are just baffling in many cases.
The book's decreased price is still WAY too high for it (for comparison, most vault products cost about $0.10/page, this is currently $4.44 for 20 pages, meaning at most a $2 price tag is appropriate) and the quality is uneven, but never quite reaches high. I can't recommend that people buy it until it's had a thorough editing, by a native English speaker, had the price cut roughly in half, had the layout cleaned up a bit, and have the general quality of the results evened out and improved so that a "tiny" backlash in a consistent level of problem and a "drastic" one doesn't vary between "permanent hiccups" and a dozen sorts of instant death.
[1 of 5 Stars!]