Off-Table causation wins
The citable precedent set for causation-in-fact. These are the reasoned decisions in which a Special Master found, under Althen v. HHS, that a vaccine more likely than not caused an injury that is not on the Vaccine Injury Table, or fell outside its onset window. Filter by condition and vaccine to find the decisions, Special Masters and experts behind a theory that has already succeeded.
Decisions
| Decided | Case | Vaccine | Condition | Special Master | Petitioner's expert(s) | Basis | Award |
|---|---|---|---|---|---|---|---|
| 2026-01-21 | JAMES PATTERSON | Influenza | SIRVA | Brian H. Corcoran | not identified | Off-Table | entitlement |
| 2025-11-05 | Teresa Mazza | Influenza | SIRVA | Brian H. Corcoran | not identified | Off-Table | $115K |
| 2025-09-18 | Richard Dean Haugan | Influenza | SIRVA | Christian J. Moran | not identified | Off-Table | entitlement |
| 2024-12-18 | Jaclyn McNally | Influenza | SIRVA | Brian H. Corcoran | not identified | Off-Table | $63K |
| 2024-11-05 | Vanessa Morris | Influenza | SIRVA | Brian H. Corcoran | not identified | Off-Table | $502K |
| 2024-01-03 | Benjamin Larson | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | $60K |
| 2023-06-21 | Joann Forrest | Influenza | SIRVA | Daniel T. Horner | not identified | Off-Table | $45K |
| 2023-06-21 | Steven Lapidus, MD | Tdap | SIRVA | Brian H. Corcoran | not identified | Off-Table | $30K |
| 2023-01-31 | A.P. | MMR | SIRVA | Thomas L. Gowen | not identified | Off-Table | $41K |
| 2022-11-09 | Robert Galante | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | entitlement |
| 2022-10-26 | Nancy Rissler | Pneumococcal | SIRVA | Herbrina Sanders Young | not identified | Off-Table | $40K |
| 2022-08-09 | Lisa Colbert | Tdap | SIRVA | Daniel T. Horner | not identified | Off-Table | $58K |
| 2022-05-25 | James Lagle | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | entitlement |
| 2021-01-25 | Jeffrey Schafer | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | entitlement |
| 2020-12-09 | Melissa Bishop | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $53K |
| 2020-10-20 | Scott Taylor | Tdap | SIRVA | Nora Beth Dorsey | not identified | Off-Table | entitlement |
| 2020-09-23 | Lori Schoonover | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $230K |
| 2020-08-05 | Jean Gentile | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $96K |
| 2020-07-30 | Kavita Desai | Influenza | SIRVA | Thomas L. Gowen | Mark S. McNulty | Off-Table | entitlement |
| 2019-11-20 | Michael Ray | Td/Tetanus | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $128K |
| 2019-09-30 | Maya Sandoval | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | $369K |
| 2019-09-04 | Monica Portee | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $116K |
| 2019-08-07 | Deborah Kent | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $83K |
| 2019-07-08 | Elizabeth Schandel | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $86K |
| 2019-06-12 | Wendy Borders | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $70K |
| 2019-05-07 | Cheryl Gill | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $70K |
| 2019-04-02 | Courtney P. Binette | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $178K |
| 2018-11-07 | Jodi Cooper | Hepatitis A | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $114K |
| 2018-10-18 | Gail Dirksen | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $87K |
| 2018-09-13 | Shelly A. Chmielewski | Pneumococcal | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $135K |
| 2018-08-29 | Wossen Tariku | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $70K |
| 2018-03-26 | Deborah Marino | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $75K |
| 2018-02-07 | Christi Jewell | Tdap | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $82K |
| 2018-02-01 | Amrit Dhanoa | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $96K |
| 2018-01-11 | Diane Scott | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $70K |
| 2017-12-01 | Steven Zebofsky | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $55K |
| 2017-10-31 | Betty D. Backman | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $45K |
| 2016-10-04 | Diane C. Perl | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $100K |
| 2016-03-21 | Leigha Romig | Tdap | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $82K |
| 2014-06-27 | Raithe Pace | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $95K |
How off-Table causation is decided
When an injury is not on the Vaccine Injury Table, or falls outside its onset window, the petitioner must prove causation under the three-part test from Althen v. Secretary of HHS (Fed. Cir. 2005): a medical theory connecting the vaccine to the injury, a logical sequence of cause and effect in this petitioner's case, and a medically appropriate interval between vaccination and onset. The standard is preponderance of the evidence, and the Special Master weighs competing expert reports rather than requiring epidemiological proof.
That makes prior reasoned decisions the working precedent of the program. A theory accepted for a given vaccine and condition is easier to carry the second time, and the experts who carried it are the ones later petitioners retain. Decisions are not formally binding on other Special Masters, but they are cited constantly, and the Court of Federal Claims and the Federal Circuit review them for arbitrariness rather than re-trying the facts.