{"package_id":"USCOURTS-cofc-1_18-vv-00869","decision_granule_id":"USCOURTS-cofc-1_18-vv-00869-1","petitioner_identifier":"Morgan Tirone","is_minor":0,"age_at_vaccination":25.0,"age_unit_raw":"years","vaccine_type":"Menactra (meningococcal); Prevnar 13","vaccination_date":"2015-06-29","condition_raw":"fibromyalgia","condition_category":"pain_syndrome","autism_spectrum_adjacent":0,"outcome":"dismissed","award_amount_usd":null,"decision_date":"2025-02-26","extraction_version":"manual-supplement-redo-2026-05-normal44","extracted_at":"2026-05-05 00:32:14","number_of_concurrent_vaccines":2,"dose_number":null,"time_to_onset_days":68,"theory_of_causation":"Menactra and Prevnar 13 on June 29, 2015, age 25, followed by local reaction and later fibromyalgia; petitioner also received Pneumovax 23 on August 24, 2015, which was not covered. DISMISSED/DENIED. Petitioner Morgan Tirone relied on Dr. Gershwin's over-doctoring/immune priming theories, arguing Prevnar 13 primed a later Pneumovax reaction or otherwise contributed to fibromyalgia. Respondent's Dr. Matloubian disputed allergic reaction, prime-boost effect, and vaccine-fibromyalgia causation. Special Master Dorsey dismissed the petition February 26, 2025.","is_death":0,"date_of_death":null,"petition_filed_date":"2018-06-19","case_summary":"Morgan Tirone, a 25-year-old woman, filed a petition alleging that she suffered from fibromyalgia (FM) as a result of receiving the meningococcal (Menactra) and pneumococcal conjugate (Prevnar 13) vaccines on June 29, 2015. She later received a third vaccine, Pneumovax 23, on August 24, 2015, which is not a covered vaccine under the program. The court focused on the Prevnar 13 vaccine for entitlement. Petitioner's expert, Dr. Gershwin, proposed several theories of causation, including that the Prevnar 13 vaccine caused a local reaction that led to \"over-doctoring\" and subsequent FM, or that it \"primed\" her immune system for a worse reaction to the Pneumovax 23 vaccine. Respondent's expert, Dr. Matloubian, disagreed, opining that Petitioner experienced only a local injection site reaction to Prevnar 13, not an allergic reaction, and that there was no evidence of a \"prime-boost\" effect or that such reactions could cause FM. The court found that Petitioner's reaction to the Prevnar 13 vaccine was a local injection site reaction that lasted about one week and resolved without further complications. The court also found that Petitioner failed to prove by a preponderance of the evidence that the Prevnar 13 vaccine caused her FM, citing a lack of a sound medical theory, a logical sequence of cause and effect, and a medically acceptable temporal relationship. Furthermore, the court determined that Petitioner did not meet the Vaccine Act's severity requirement, as her reaction did not last more than six months. Consequently, the petition was dismissed.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Nora Beth Dorsey","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Mark Theodore Sadaka","petitioner_attorney_firm":"Law Offices of Sadaka Associates, LLC","petitioner_attorney_location":"Englewood, NJ","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|mark-sadaka|","firm_canonical_key":"law-offices-of-sadaka-associates","package_title":"TIRONE v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00869","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00869.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00869.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_18-vv-00869-0","title":"TIRONE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 9/16/2021) regarding 86 DECISION of Special Master - Interim Attorney's Fees. Signed by Special Master Nora Beth Dorsey. (mjf) Service on parties made.","date_issued":"2021-10-12","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_18-vv-00869-1","title":"TIRONE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 2/26/2025) regarding 145 DECISION of Special Master. Signed by Special Master Nora Beth Dorsey. (mjf) Service on parties made.","date_issued":"2025-03-24","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_18-vv-00869/granules/USCOURTS-cofc-1_18-vv-00869-1/pdf","pdf_bytes":447456,"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_18-vv-00869/USCOURTS-cofc-1_18-vv-00869-1"},{"granule_id":"USCOURTS-cofc-1_18-vv-00869-2","title":"TIRONE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 8/21/2025) regarding 151 DECISION of Special Master - Fees. Signed by Special Master Nora Beth Dorsey. (mjf) Service on parties made.","date_issued":"2025-09-16","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}