{"package_id":"USCOURTS-cofc-1_21-vv-01213","decision_granule_id":"USCOURTS-cofc-1_21-vv-01213-0","petitioner_identifier":"B.T.","is_minor":0,"age_at_vaccination":44.0,"age_unit_raw":"years","vaccine_type":"influenza","vaccination_date":"2018-09-19","condition_raw":"ulnar neuropathy","condition_category":"neuropathy","autism_spectrum_adjacent":0,"outcome":"denied","award_amount_usd":null,"decision_date":"2024-11-08","extraction_version":"manual-supplement-redo-2026-05-normal44","extracted_at":"2026-05-05 00:32:14","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":2,"theory_of_causation":"Influenza vaccine on September 19, 2018, age 44, alleged to cause or aggravate right ulnar neuropathy with symptoms about two days later. DENIED. Petitioner B.T. relied on Dr. Carlo Tornatore and a misadministration/double-crush theory involving a pre-existing accessory anconeus muscle and ulnar nerve vulnerability. Respondent's Dr. Brian Callaghan attributed symptoms to compression at the elbow and pre-existing anatomy. Chief Special Master Corcoran dismissed the petition November 8, 2024. Later 2025 supplemental text concerns attorneys' fees.","is_death":0,"date_of_death":null,"petition_filed_date":"2021-04-15","case_summary":"B.T., a 44-year-old male, filed a petition alleging that he developed ulnar neuropathy in his right upper extremity as a result of an influenza vaccine administered on September 19, 2018. The case proceeded as an off-Table claim, as ulnar neuropathy is not listed on the Vaccine Injury Table. Petitioner's medical records indicated a history of right arm and shoulder issues prior to vaccination, including an accessory anconeus muscle causing mass effect on the ulnar nerve at the elbow, diagnosed in 2012. Following vaccination, B.T. reported symptoms of bilateral upper extremity paresthesias and pain, which he attributed to misadministration of the vaccine. He sought treatment from numerous providers, and some noted a potential link to the vaccine. Petitioner's expert, Dr. Carlo Tornatore, opined that a mis-administered vaccine could have aggravated B.T.'s congenital predisposition, leading to ulnar neuropathy through a \"double crush syndrome\" mechanism. Respondent's expert, Dr. Brian Callaghan, argued that B.T.'s ulnar neuropathy was caused by compression at the elbow, a condition likely exacerbated by his pre-existing anatomical abnormality, and that vaccine causation was unlikely given the timing and nature of the symptoms. The court denied entitlement, finding that while the theory of vaccine-induced ulnar neuropathy was plausible (Althen prong one), Petitioner failed to establish a logical sequence of cause and effect (Althen prong two) or a medically acceptable temporal relationship (Althen prong three). The court noted that B.T.'s pre-existing condition and the lack of immediate post-vaccination complaints, coupled with the localization of injury to the elbow rather than above it, undermined the claim of vaccine causation. The court also considered a \"significant aggravation\" claim under the Loving test but found it similarly unsupported by the evidence.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Brian H. Corcoran","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Jessica A. Wallace","petitioner_attorney_firm":"Siri & Glimstad, LLP","petitioner_attorney_location":"Aventura, FL","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|jessica-wallace|","firm_canonical_key":"siri-and-glimstad","package_title":"T. v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-01213","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-01213.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-01213.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_21-vv-01213-0","title":"T. v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 11/08/2024) regarding 46 DECISION of Special Master. Signed by Chief Special Master Brian H. Corcoran. (af) Service on parties made. (Main Document 50 replaced on 12/5/2024 to remove the double header.) (fm).","date_issued":"2024-12-04","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-01213/granules/USCOURTS-cofc-1_21-vv-01213-0/pdf","pdf_bytes":2939023,"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-01213/USCOURTS-cofc-1_21-vv-01213-0"},{"granule_id":"USCOURTS-cofc-1_21-vv-01213-1","title":"T. v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 06/02/2025) regarding 59 DECISION of Special Master - Fees Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made.","date_issued":"2025-07-03","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_21-vv-01213-cl-extra-11089412","title":"T. v. Secretary of Health and Human Services","docket_text":"Supplementary opinion from CourtListener cluster 10622824","date_issued":"2025-07-03","pdf_url":null,"pdf_bytes":null,"triage_decision":"keep","triage_reason":"CL supplement: T. v. Secretary of Health and Human Services","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_21-vv-01213/USCOURTS-cofc-1_21-vv-01213-cl-extra-11089412"}]}