{"package_id":"USCOURTS-cofc-1_17-vv-00989","decision_granule_id":"USCOURTS-cofc-1_17-vv-00989-2","petitioner_identifier":"Jason Quirino","is_minor":0,"age_at_vaccination":null,"age_unit_raw":"years (no age in source - verified)","vaccine_type":"Hepatitis B","vaccination_date":"2014-07-28","condition_raw":"isolated small fiber neuropathy","condition_category":"small_fiber_neuropathy","autism_spectrum_adjacent":0,"outcome":"entitlement_granted_pending_damages","award_amount_usd":null,"decision_date":"2024-01-12","extraction_version":"gemini-v2","extracted_at":"2026-04-30T00:51:28.652408+00:00","number_of_concurrent_vaccines":2,"dose_number":null,"time_to_onset_days":0,"theory_of_causation":"Off-Table","is_death":0,"date_of_death":null,"petition_filed_date":"2017-07-17","case_summary":"Jason Quirino, an adult, received Hepatitis B and Tdap vaccines on July 28, 2014. Within approximately 18-48 hours, he developed flu-like symptoms, followed by numbness, tingling, and fatigue in his hands and feet. He was diagnosed with an atypical form of Guillain-Barré Syndrome (GBS) manifesting as an isolated small fiber neuropathy (SFN). Quirino submitted medical records and expert testimony from Dr. Laura Boylan, who opined that the vaccines caused his SFN, potentially through molecular mimicry, and that SFN can be considered a variant of GBS. The respondent's expert, Dr. Jeffrey Gelfand, acknowledged that SFN is a possible diagnosis and that the vaccines could be immune-mediated but argued that the evidence did not meet the \"more likely than not\" standard for causation and that SFN is distinct from GBS. The court found that Quirino established a medical theory connecting the Hepatitis B vaccine to SFN, a logical sequence of cause and effect supported by his medical records and expert testimony, and a proximate temporal relationship between vaccination and symptom onset. The court concluded that Quirino is entitled to compensation for his small fiber neuropathy, with damages to be determined in a separate order.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Daniel T. Horner","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Andrew Donald Downing","petitioner_attorney_firm":"Downing, Allison & Jorgenson","petitioner_attorney_location":"Phoenix, AZ","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|andrew-downing|","firm_canonical_key":"downing-allison-and-jorgenson","package_title":"QUIRINO V. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-00989","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-00989.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-00989.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_17-vv-00989-0","title":"QUIRINO V. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 07/31/2020) regarding 65 DECISION of Special Master - Interim Attorneys' Fees. Signed by Special Master Daniel T. Horner. (tkp) Service on parties made.","date_issued":"2020-08-25","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_17-vv-00989-1","title":"QUIRINO V. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 7/21/2023) regarding 91 DECISION of Special Master - Interim Attorney's Fees. Signed by Special Master Daniel T. Horner. (ksb) Service on parties made.","date_issued":"2023-08-15","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_17-vv-00989-2","title":"QUIRINO V. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC ORDER/RULING (Originally filed: 12/18/2023) regarding 96 Ruling on Entitlement. Signed by Special Master Daniel T. Horner. (ksb) Service on parties made.","date_issued":"2024-01-12","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_17-vv-00989/granules/USCOURTS-cofc-1_17-vv-00989-2/pdf","pdf_bytes":460833,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'ruling on entitlement'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_17-vv-00989/USCOURTS-cofc-1_17-vv-00989-2"},{"granule_id":"USCOURTS-cofc-1_17-vv-00989-3","title":"QUIRINO V. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 1/8/2025) regarding 112 DECISION AWARDING DAMAGES. Signed by Special Master Daniel T. Horner. (cd) Service on parties made.","date_issued":"2025-02-04","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_17-vv-00989/granules/USCOURTS-cofc-1_17-vv-00989-3/pdf","pdf_bytes":332176,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'decision awarding'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_17-vv-00989/USCOURTS-cofc-1_17-vv-00989-3"},{"granule_id":"USCOURTS-cofc-1_17-vv-00989-4","title":"QUIRINO V. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 8/5/2025) regarding 124 DECISION of Special Master - Fees. Signed by Special Master Daniel T. Horner. (ksb) Service on parties made.","date_issued":"2025-09-02","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}