{"package_id":"USCOURTS-cofc-1_15-vv-00777","decision_granule_id":"USCOURTS-cofc-1_15-vv-00777-2","petitioner_identifier":"A.C.","is_minor":1,"age_at_vaccination":3.07,"age_unit_raw":"years","vaccine_type":"DTaP, HIB, MMR, Varicella","vaccination_date":"2012-08-02","condition_raw":"Chronic Recurrent Multifocal Osteomyelitis (CRMO)","condition_category":"other","autism_spectrum_adjacent":0,"outcome":"denied","award_amount_usd":null,"decision_date":"2017-10-02","extraction_version":"gemini-v2","extracted_at":"2026-04-30T04:47:50.718546+00:00","number_of_concurrent_vaccines":4,"dose_number":null,"time_to_onset_days":167,"theory_of_causation":"Petitioner alleged that the DTaP, HIB, MMR, and Varicella vaccinations administered on August 2, 2012, caused A.C. to develop Chronic Recurrent Multifocal Osteomyelitis (CRMO). The primary dispute centered on the onset date of A.C.'s symptoms, with Petitioner claiming an onset in the fall of 2012 and Respondent asserting, and the Special Master finding, that the onset occurred in January 2013, approximately five months post-vaccination. As this was an off-Table claim, Petitioner was required to prove causation by a preponderance of the evidence, satisfying the three-pronged Althen test: a medical theory connecting the vaccine and injury, a logical sequence of cause and effect, and a proximate temporal relationship. Petitioner failed to provide expert testimony or medical evidence to support her claim that the vaccinations caused CRMO or that the five-month interval was medically acceptable. The Special Master denied entitlement, and the court affirmed, finding the Special Master's decision that Petitioner failed to prove causation was not arbitrary, capricious, or contrary to law. Petitioner was represented by Verne E. Paradie, Jr., Esq., and Respondent by Jennifer L. Reynaud, Esq. Special Master Mindy Michaels Roth issued the decision denying entitlement.","is_death":0,"date_of_death":null,"petition_filed_date":"2015-07-23","case_summary":"On July 23, 2015, Heather Caron filed a petition on behalf of her minor son, A.C., alleging that the DTaP, HIB, MMR, and Varicella vaccinations A.C. received on August 2, 2012, caused him to develop Chronic Recurrent Multifocal Osteomyelitis (CRMO) and other related symptoms. A.C. was born prematurely on July 18, 2009. Prior to the vaccinations, A.C. had numerous medical visits for various childhood illnesses and received other routine vaccines on a delayed schedule without adverse events. Following the August 2, 2012 vaccinations, A.C. did not seek medical attention until December 4, 2012, for an ear issue. His foot pain, which Petitioner alleged was vaccine-related, began around January 2013, with his first medical visit for this complaint occurring on January 16, 2013. This led to further investigations, including visits to orthopedics and rheumatology, and ultimately a hospitalization in April 2013. The consensus diagnosis became CRMO. The core dispute in the case was the onset date of A.C.'s symptoms. Petitioner alleged an onset in the fall of 2012, based on her own testimony, affidavits from family members, and a reconstructed date book. Respondent argued, and the Special Master found, that the contemporaneous medical records consistently indicated an onset in January 2013, approximately five months after the vaccinations. The Special Master denied reconsideration of the onset ruling and ultimately denied entitlement, finding that Petitioner failed to prove by a preponderance of the evidence that the vaccinations caused A.C.'s CRMO, as required for an off-Table claim. The court affirmed the Special Master's decision, finding it was not arbitrary, capricious, or contrary to law. Petitioner was represented by Verne E. Paradie, Jr., Esq., and respondent was represented by Jennifer L. Reynaud, Esq. The Special Master was Mindy Michaels Roth.","is_minor_inferred":1,"is_pediatric_broad":1,"special_master":"Mindy Michaels Roth","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Verne E. Paradie, Jr.","petitioner_attorney_firm":"Paradie, Sherman, et al.","petitioner_attorney_location":"Lewiston, ME","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|verne-paradie|","firm_canonical_key":"paradie-sherman-et-al","package_title":"CARON et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-00777","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-00777.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-00777.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_15-vv-00777-0","title":"CARON et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC ORDER/RULING (Originally filed: 12/14/2016) regarding 35 Ruling on Onset. Signed by Special Master Mindy Michaels Roth. (jdm) Copy to parties.","date_issued":"2017-01-06","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"no decision/ruling/opinion signal in docketText","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_15-vv-00777-1","title":"CARON et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 09/07/2017) Regarding 41 DECISION of Special Master: Signed by Special Master Mindy Michaels Roth. (jo) Copy to parties.","date_issued":"2017-10-02","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_15-vv-00777/granules/USCOURTS-cofc-1_15-vv-00777-1/pdf","pdf_bytes":367551,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'decision of special master'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_15-vv-00777/USCOURTS-cofc-1_15-vv-00777-1"},{"granule_id":"USCOURTS-cofc-1_15-vv-00777-2","title":"CARON et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"JUDGE VACCINE REPORTED OPINION re: 49 Judge Vaccine Reported Opinion Signed by Senior Judge Marian Blank Horn. (vhc) Service on parties made.","date_issued":"2018-03-19","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_15-vv-00777/granules/USCOURTS-cofc-1_15-vv-00777-2/pdf","pdf_bytes":495909,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'opinion'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_15-vv-00777/USCOURTS-cofc-1_15-vv-00777-2"},{"granule_id":"USCOURTS-cofc-1_15-vv-00777-3","title":"CARON et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 05/07/2018) regarding 53 DECISION of Special Master - Attorneys' Fees and Costs. Signed by Special Master Mindy Michaels Roth. (JS) Service on parties made.","date_issued":"2018-06-06","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}