{"package_id":"USCOURTS-cofc-1_15-vv-01119","decision_granule_id":"USCOURTS-cofc-1_15-vv-01119-1","petitioner_identifier":"Conception Plevak","is_minor":0,"age_at_vaccination":50.0,"age_unit_raw":"years","vaccine_type":"influenza","vaccination_date":"2012-10-07","condition_raw":"dysautonomia","condition_category":"dysautonomia","autism_spectrum_adjacent":0,"outcome":"dismissed","award_amount_usd":null,"decision_date":"2019-03-27","extraction_version":"gemini-v2","extracted_at":"2026-04-30T04:49:13.399790+00:00","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":21,"theory_of_causation":"Petitioner Conception Plevak alleged that influenza vaccinations on October 7, 2012, and October 30, 2013, caused her to develop dysautonomia. Petitioner was 50 years old at the time of the first vaccination. The case was dismissed for insufficient proof after petitioner moved for dismissal, stating she could not prove entitlement to compensation. The public decision does not describe a specific theory of causation or a Table-related theory. Petitioner's initial expert, Dr. David Axelrod, opined that studies associated dysautonomia with vaccination and concluded, more likely than not, that Ms. Plevak's dysautonomia resulted from her vaccinations, though he stated he was not an expert in dysautonomia and assumed Ms. Plevak suffered from it. Respondent's rebuttal expert, Dr. Daniel Feinberg, opined that Dr. Axelrod's conclusion lacked scientific basis, that there was no scientific basis for a causal link between dysautonomia and influenza vaccination, and that Dr. Dotson's assessment was not consistent with dysautonomia, but rather hypertension. Petitioner experienced difficulty obtaining cooperation from treating physicians, including Dr. Rose Dotson, who diagnosed mild dysautonomia not congruent with symptoms and potentially attributable to medication, and Dr. Chelimsky, who provided an unhelpful working diagnosis of vagus nerve dysautonomia. Petitioner also consulted with Dr. Paul Nausieda and another expert who suspected antiphospholipid syndrome, but these avenues were not pursued due to financial reasons or lack of cooperation. Ultimately, petitioner concluded she could not prove her case. Special Master Christian J. Moran issued the decision on March 27, 2019, dismissing the petition. Petitioner was represented by Jerome A. Konkel, and respondent by Lisa A. Watts.","is_death":0,"date_of_death":null,"petition_filed_date":"2015-10-05","case_summary":"Conception Plevak filed a petition for compensation under the National Childhood Vaccine Injury Act of 1986 on October 5, 2015, alleging that influenza vaccinations received on October 7, 2012, and October 30, 2013, caused her to develop dysautonomia. Ms. Plevak was 50 years old at the time of her first vaccination. Jerome A. Konkel of Samster, Konkel & Safran, S.C. represented the petitioner, and Lisa A. Watts of the United States Department of Justice represented the respondent. Special Master Christian J. Moran presided over the case. Ms. Plevak's petition stated that an investigation of the facts and science supporting her case demonstrated she would be unable to prove entitlement to compensation. Consequently, on February 14, 2019, Ms. Plevak moved to dismiss her petition, which Special Master Moran granted on March 27, 2019, dismissing the claim for insufficient proof pursuant to Vaccine Rule 8(d). The public decision does not describe the specific onset of symptoms, diagnostic tests performed, or treatments received beyond general mentions of headaches, high blood pressure, fatigue, moodiness, sadness, neck pain, swelling, and dizziness. The decision also does not detail the specific mechanism of action for the alleged vaccine injury. The public decision does not mention any specific award amount or annuity terms, as the case was dismissed. The public decision does not name petitioner counsel's firm or respondent counsel's firm, only the attorneys by name. The public decision does not mention any sealed, redacted, or reissued posture.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Christian J. Moran","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Jerome A. Konkel","petitioner_attorney_firm":"Samster, Konkel & Safran, S.C.","petitioner_attorney_location":"Milwaukee, WI","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|jerome-konkel|","firm_canonical_key":"samster-konkel-and-safran","package_title":"PLEVAK v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-01119","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-01119.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-01119.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_15-vv-01119-0","title":"PLEVAK v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 1/28/2019) regarding 65 DECISION of Special Master - Interim Attorney's Fees. Signed by Special Master Christian J. Moran. 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