{"package_id":"USCOURTS-cofc-1_17-vv-01190","decision_granule_id":"USCOURTS-cofc-1_17-vv-01190-0","petitioner_identifier":"Matthew Jimenez","is_minor":1,"age_at_vaccination":15.0,"age_unit_raw":"years","vaccine_type":"HPV","vaccination_date":"2014-09-18","condition_raw":"systemic juvenile idiopathic arthritis (sJIA)","condition_category":"other","autism_spectrum_adjacent":0,"outcome":"entitlement_granted_pending_damages","award_amount_usd":null,"decision_date":"2021-07-28","extraction_version":"gemini-v2","extracted_at":"2026-04-30T05:02:34.600293+00:00","number_of_concurrent_vaccines":2,"dose_number":1,"time_to_onset_days":7,"theory_of_causation":"Petitioner Matthew Jimenez, age 15, received HPV and Hep A vaccines on September 18, 2014. He developed systemic juvenile idiopathic arthritis (sJIA) approximately one week after vaccination. Petitioner's expert, Dr. M. Eric Gershwin, proposed that the HPV vaccine, in a genetically susceptible individual, triggered an aberrant immune response by causing dysregulation of macrophages and overproduction of pro-inflammatory cytokines, leading to sJIA. This theory is supported by medical literature suggesting that vaccines can upregulate cytokines and that sJIA involves macrophage activation. Respondent's experts, Dr. Carlos D. Rosé and Dr. Craig D. Platt, contested the diagnosis and causation, suggesting CAPS/MWS and arguing that sJIA is not vaccine-related and the temporal association was not proximate. Dr. Platt stated that CAPS is genetic and not vaccine-caused, and that there is no consensus or data supporting a causal relationship between vaccines and JIA. The Special Master found that petitioner established by a preponderance of the evidence a sound and reliable medical theory of causation (Althen Prong One), a logical sequence of cause and effect (Althen Prong Two), and a proximate temporal relationship (Althen Prong Three), concluding that the HPV vaccine caused the petitioner's sJIA. Entitlement to compensation was granted. Attorneys: Richard Gage for petitioner, Traci R. Patton for respondent. Special Master: Nora Beth Dorsey. Decision Date: July 28, 2021. Theory: Off-Table.","is_death":0,"date_of_death":null,"petition_filed_date":"2017-09-05","case_summary":"On September 5, 2017, Matthew Jimenez, a minor, filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that he suffered from systemic juvenile idiopathic arthritis (sJIA) as a result of Hepatitis A (Hep A) and human papillomavirus (HPV) vaccinations he received on September 18, 2014. Petitioner's counsel was Richard Gage. Respondent was the Secretary of Health & Human Services, represented by Traci R. Patton. Special Master Nora Beth Dorsey presided over the case. The petitioner argued that the HPV vaccine, and possibly the Hep A vaccine, caused his sJIA by triggering an aberrant immune response in his genetically susceptible system. His expert, Dr. M. Eric Gershwin, proposed a theory involving cytokine dysregulation and macrophage activation, supported by medical literature and the petitioner's clinical presentation, including elevated inflammatory markers and improvement with cytokine inhibitors. Respondent's experts, Dr. Carlos D. Rosé and Dr. Craig D. Platt, contested the diagnosis, suggesting a variant of Cryopyrin-Associated Periodic Syndrome (CAPS), specifically Muckle-Wells Syndrome (MWS), or arguing that sJIA is not vaccine-related and that the temporal association was not proximate. The petitioner's medical history included a rash approximately one week after vaccination, followed by fevers, night sweats, joint pain, and body aches. Extensive medical evaluations led to a diagnosis of sJIA. The court found that the petitioner had established by a preponderance of the evidence that he suffers from sJIA and that the HPV vaccine caused his condition, satisfying the three prongs of the Althen test for causation. Entitlement to compensation was granted, with damages to be determined in a separate order. The public decision does not describe the specific details of the damages award or annuity terms.","is_minor_inferred":1,"is_pediatric_broad":1,"special_master":"Nora Beth Dorsey","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Richard Gage","petitioner_attorney_firm":"Richard Gage, P.C.","petitioner_attorney_location":"Cheyenne, WY","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|richard-gage|","firm_canonical_key":"richard-gage","package_title":"JIMENEZ v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-01190","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-01190.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-01190.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_17-vv-01190-0","title":"JIMENEZ v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 6/23/2021) regarding 86 Ruling on Entitlement. Signed by Special Master Nora Beth Dorsey. (mca) Service on parties made.","date_issued":"2021-07-28","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_17-vv-01190/granules/USCOURTS-cofc-1_17-vv-01190-0/pdf","pdf_bytes":486714,"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-01190/USCOURTS-cofc-1_17-vv-01190-0"},{"granule_id":"USCOURTS-cofc-1_17-vv-01190-1","title":"JIMENEZ v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 5/4/2023) regarding 142 DECISION of Special Master - Interim Attorneys' Fees and Costs. Signed by Special Master Nora Beth Dorsey. (kis) Service on parties made.","date_issued":"2023-05-30","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}