{"package_id":"USCOURTS-cofc-1_21-vv-00567","decision_granule_id":"USCOURTS-cofc-1_21-vv-00567-1","petitioner_identifier":"Julie Cavanaugh","is_minor":0,"age_at_vaccination":null,"age_unit_raw":"years (no age in source - verified)","vaccine_type":"influenza","vaccination_date":"2020-01-14","condition_raw":"shoulder injury related to vaccine administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"denied","award_amount_usd":null,"decision_date":"2025-11-20","extraction_version":"manual-supplement-redo-2026-05-normal25","extracted_at":"2026-05-04 17:12:55","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":null,"theory_of_causation":"Adult petitioner; influenza vaccine January 14, 2020; alleged right Table SIRVA. DENIED/DISMISSED. Theory depended on immediate onset after an allegedly high/rough injection. Expert Dr. Natanzi assumed petitioner's recollection. SM Horner found contemporaneous records more persuasive: two-day email and two-week visit did not mention shoulder pain; first shoulder complaint was about four months later. Court review affirmed. Petition filed January 11, 2021; entitlement decision November 20, 2025; review March 24, 2026.","is_death":0,"date_of_death":null,"petition_filed_date":"2021-01-11","case_summary":"On January 11, 2021, Julie Cavanaugh filed a petition alleging that an influenza vaccination administered on January 14, 2020 caused a right shoulder injury related to vaccine administration. She described a distressing vaccination encounter, immediate severe pain, and systemic symptoms including shaking, difficulty breathing, and heart palpitations.\n\nThe case turned on proof of Table SIRVA onset. Ms. Cavanaugh's email to her doctor two days after vaccination and an in-person visit about two weeks later did not mention shoulder pain. The first medical-record mention of shoulder pain appeared at a telehealth visit about four months after vaccination. Her expert, Dr. Natanzi, accepted her later account and opined that she had SIRVA, but he acknowledged he was assuming the accuracy of her recollection.\n\nSpecial Master Daniel T. Horner found that Ms. Cavanaugh had not overcome the weight of contemporaneous medical records and had not proven shoulder pain within forty-eight hours. The decision also noted that she did not successfully challenge adverse findings on other SIRVA elements. Entitlement was denied on November 20, 2025. The Court of Federal Claims later upheld the dismissal on review, finding no reversible error in the Special Master's weighing of the medical records and testimony.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Daniel T. Horner","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Zachary James Hermsen","petitioner_attorney_firm":"Whitfield & Eddy Law; Whitfield & Eddy, PLC","petitioner_attorney_location":"Des Moines, IA","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|zachary-hermsen|","firm_canonical_key":"whitfield-and-eddy-law","package_title":"CAVANAUGH v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00567","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00567.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00567.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_21-vv-00567-0","title":"CAVANAUGH v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 11/20/2025) regarding 70 DECISION of Special Master. Signed by Special Master Daniel T. Horner. (cd) Service on parties made.","date_issued":"2025-12-15","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-00567/granules/USCOURTS-cofc-1_21-vv-00567-0/pdf","pdf_bytes":343211,"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_21-vv-00567/USCOURTS-cofc-1_21-vv-00567-0"},{"granule_id":"USCOURTS-cofc-1_21-vv-00567-1","title":"CAVANAUGH v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"21) and Rule 30(a) of the Vaccine Rules, Ms. Cavanaugh's petition (ECF 1) is DISMISSED. Signed by Judge Armando O. Bonilla. (EAD) Service on parties made.OPINION AND ORDER (PUBLIC VERSION) reissued 77 OPINION AND ORDER: Petitioner's motion for review (ECF 72) is DENIED and the decision of the OSM (ECF 70) is UPHELD. Pursuant to the OSM's decision (ECF 70 at","date_issued":"2026-03-24","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-00567/granules/USCOURTS-cofc-1_21-vv-00567-1/pdf","pdf_bytes":265984,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'opinion'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_21-vv-00567/USCOURTS-cofc-1_21-vv-00567-1"}]}