{"package_id":"USCOURTS-cofc-1_22-vv-00428","decision_granule_id":"USCOURTS-cofc-1_22-vv-00428-1","petitioner_identifier":"B.J.","is_minor":null,"age_at_vaccination":null,"age_unit_raw":null,"vaccine_type":"diphtheria and tetanus toxoids and aceullular pertussis adsorbed vaccine, inactivated poliovirus and haemophilus b conjugate (tetanus toxoid conjugate) vaccine, hepatitis B vaccine, pneumococcus vaccine, and/or rotavirus vaccine","vaccination_date":"2020-07-27","condition_raw":"encephalopathy and cerebral palsy","condition_category":"encephalitis_encephalopathy","autism_spectrum_adjacent":1,"outcome":"dismissed","award_amount_usd":null,"decision_date":"2025-02-25","extraction_version":"gemini-v2","extracted_at":"2026-04-30T05:29:23.152251+00:00","number_of_concurrent_vaccines":5,"dose_number":null,"time_to_onset_days":16,"theory_of_causation":"Petitioners alleged that the diphtheria and tetanus toxoids and aceullular pertussis adsorbed vaccine, inactivated poliovirus and haemophilus b conjugate (tetanus toxoid conjugate) vaccine, hepatitis B vaccine, pneumococcus vaccine, and/or rotavirus vaccine administered on July 27, 2020, caused B.J. to suffer from encephalopathy and cerebral palsy, with symptoms appearing 16 days later. The theory of causation was not established. Petitioners initially filed medical records and affidavits. An expert report from Dr. Dmitriy Niyazov suggested a potential genetic diagnosis of primary coenzyme Q10 deficiency-4 (COQ10D4) and a possible role for the vaccines, citing one article. However, subsequent RNA sequencing results were reported as negative. Petitioners ultimately moved to dismiss their petition, stating they could not meet their burden of proof to demonstrate entitlement to compensation, specifically failing to propose a medical theory causally connecting the vaccinations with the injury, a logical sequence of cause and effect, or a proximate temporal relationship as required by Althen v. Sec'y of Health & Hum. Servs. The case was dismissed with prejudice for insufficient proof by Special Master Christian J. Moran on February 25, 2025. Petitioners were represented by Michael Avrim Firestone, Marving Firestone, MD, JD and Associates, and respondent was represented by Lauren Kells. The theory was considered off-Table.","is_death":0,"date_of_death":null,"petition_filed_date":"2022-04-12","case_summary":"Kelsey and Ryan Jaranilla, on behalf of their minor daughter B.J., filed a petition on April 12, 2022, alleging that the diphtheria and tetanus toxoids and aceullular pertussis adsorbed vaccine, inactivated poliovirus and haemophilus b conjugate (tetanus toxoid conjugate) vaccine, hepatitis B vaccine, pneumococcus vaccine, and/or rotavirus vaccine administered on July 27, 2020, caused B.J. to suffer from encephalopathy and cerebral palsy. The symptoms allegedly appeared 16 days later. The Secretary of Health and Human Services contested entitlement, arguing that the petitioners had not provided sufficient evidence to establish a causal link between the vaccines and B.J.'s condition, nor had they submitted an expert report supporting their claim. The public decision does not describe the specific onset symptoms, clinical course, diagnostic tests other than Whole Genome Sequencing and RNA sequencing, or treatments for B.J. The petitioners filed medical records and affidavits. On September 23, 2024, petitioners submitted an expert report from Dr. Dmitriy Niyazov, a board-certified medical geneticist, who opined that Whole Genome Sequencing results pointed to a potential genetic diagnosis of primary coenzyme Q10 deficiency-4 (COQ10D4) and suggested that RNA testing could be invaluable in finding a rare cause of B.J.'s condition and could explain a role of the vaccines. Dr. Niyazov cited one article regarding primary coenzyme Q10 deficiency. Following an order for a status report on B.J.'s RNA sequencing, petitioners filed the results on December 20, 2024, indicating they were negative. On January 30, 2025, the petitioners moved to dismiss their own petition, stating that after an exhaustive investigation, they concluded they could not meet their burden of proof to demonstrate entitlement to compensation. Special Master Christian J. Moran granted the motion, dismissing the case with prejudice for insufficient proof. The public decision does not name petitioner counsel or respondent counsel. The decision was issued on February 25, 2025.","is_minor_inferred":1,"is_pediatric_broad":1,"special_master":"Christian J. Moran","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Michael Avrim Firestone","petitioner_attorney_firm":"Marving Firestone, MD, JD and Associates","petitioner_attorney_location":"San Mateo, CA","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|michael-firestone|","firm_canonical_key":"marving-firestone-and-associates","package_title":"JARANILLA et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_22-vv-00428","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_22-vv-00428.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_22-vv-00428.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_22-vv-00428-0","title":"JARANILLA et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 11/1/2023) regarding 39 DECISION of Special Master - Interim Attorney's Fees, Signed by Special Master Christian J. Moran. (dksc) Service on parties made.","date_issued":"2023-11-29","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_22-vv-00428-1","title":"JARANILLA et al v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 02/04/2025) regarding 73 DECISION of Special Master Signed by Special Master Christian J. Moran. (jjb) Service on parties made.","date_issued":"2025-02-25","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_22-vv-00428/granules/USCOURTS-cofc-1_22-vv-00428-1/pdf","pdf_bytes":229225,"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_22-vv-00428/USCOURTS-cofc-1_22-vv-00428-1"}]}