{"package_id":"USCOURTS-cofc-1_90-vv-00240","decision_granule_id":"USCOURTS-cofc-1_90-vv-00240-cl6645851","petitioner_identifier":"Joseph Daniel Raines","is_minor":1,"age_at_vaccination":null,"age_unit_raw":"minor (exact age not stated in public review opinion)","vaccine_type":"DPT","vaccination_date":"1985-05-01","condition_raw":"hypotonic-hyporesponsive collapse (shock collapse) with sequelae of developmental delay and learning impairment","condition_category":"developmental_delay_regression","autism_spectrum_adjacent":1,"outcome":"entitlement_granted_pending_damages","award_amount_usd":null,"decision_date":"1991-05-22","extraction_version":"gemini-v2","extracted_at":"2026-04-30T14:08:24.379860+00:00","number_of_concurrent_vaccines":1,"dose_number":3,"time_to_onset_days":3,"theory_of_causation":"Petitioner Joseph Daniel Raines received a third DPT vaccination on May 1, 1985. Within three days of vaccination, he allegedly suffered a hypotonic-hyporesponsive collapse (shock collapse), an \"on-table\" injury. As a sequela, he developed developmental delay and learning impairment lasting more than six months. Petitioner's expert, Dr. Mark R. Geier, opined that the shock collapse occurred and that the subsequent learning disability was proximately related. Respondent challenged these findings. Judge Wiese affirmed the special master's entitlement decision on May 22, 1991, with a modification. The court found substantial evidence supporting the special master's conclusions, citing Dr. Geier's testimony and a Public Health Service report indicating that hypotonic-hyporesponsive episodes after DPT can occur with fever. The modification added a finding that temperatures greater than 38°C (100.4°F) have been observed in infants suffering a hypotonic-hyporesponsive collapse within 48 hours of DPT immunization. The case was returned to the special master for compensation determination. No award amount is stated in the public opinion. Attorneys for petitioner and respondent are not named in the public text.","is_death":0,"date_of_death":null,"petition_filed_date":null,"case_summary":"On January 29, 1991, a special master determined that Joseph Daniel Raines suffered a vaccine-related injury compensable under the National Childhood Vaccine Injury Act of 1986. The special master found that Joseph received his third diphtheria-pertussis-tetanus (DPT) vaccination on May 1, 1985, and within three days of this vaccination, he experienced a hypotonic-hyporesponsive collapse, also known as a \"shock collapse.\" The special master further concluded that as a sequela to this collapse, Joseph suffered developmental delay and learning impairment, which persisted for more than six months after the vaccination and continued to affect him. The respondent petitioned for review of the special master's decision, challenging both the finding of a shock collapse and the determination that the subsequent developmental delay and learning impairment were sequelae of the collapse. The court reviewed the case under a substantial evidence standard. Petitioner's expert, Dr. Mark R. Geier, testified that Joseph suffered a shock collapse and that his learning disability was proximately related to it. The court noted that Dr. Geier's opinion regarding shock collapse being accompanied by fever was supported by a 1984 report from the Public Health Service titled \"Adverse Events Following Immunization.\" This report, based on a study of infant immunizations, indicated that hypotonic-hyporesponsive episodes after DPT could occur with fever. On May 22, 1991, Judge Wiese affirmed the special master's decision with a modification. The modification added a factual finding that temperatures greater than 38°C (100.4°F) have been observed in infants suffering a hypotonic-hyporesponsive collapse within 48 hours of DPT immunization. The case was then returned to the special master for the determination of compensation.","is_minor_inferred":0,"is_pediatric_broad":1,"special_master":null,"petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":null,"petitioner_attorney_firm":null,"petitioner_attorney_location":null,"adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":null,"firm_canonical_key":null,"package_title":"Raines v. Secretary of Department of Health & Human Services","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_90-vv-00240","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_90-vv-00240.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_90-vv-00240.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_90-vv-00240-cl6645851","title":"Raines v. Secretary of Department of Health & Human Services","docket_text":"lead-opinion","date_issued":"1991-05-22","pdf_url":"https://www.courtlistener.com/opinion/6763109/raines-v-secretary-of-department-of-health-human-services/","pdf_bytes":null,"triage_decision":"keep","triage_reason":"recovered via CL opinion 6645851 (html_with_citations)","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_90-vv-00240/USCOURTS-cofc-1_90-vv-00240-cl6645851"}]}