Off-Table causation wins

Live · 13,358 cases in database · latest filing 2026-05-12

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.

Off-Table wins

168

reasoned decisions finding causation

Shown

after filters

Conditions

distinct categories

With named expert

petitioner expert identified in text

Off-Table causation wins by condition

Reasoned decisions where the petitioner proved causation without a Table presumption.

Decisions

Decided	Case	Vaccine	Condition	Special Master	Petitioner's expert(s)	Basis	Award
2026-03-18	Christopher Bost	Influenza	Other / multiple	Brian H. Corcoran	not identified	Althen analysis (Table also discussed)	entitlement
2025-12-23	Roberta Johnson	MMR	Other / multiple	Nora Beth Dorsey	Edwin M. Monsell	Althen analysis (Table also discussed)	entitlement
2025-12-18	Douglas Billing	Tdap	Other / multiple	Thomas L. Gowen	Marcel, Akbari, Kinsbourne	Althen analysis (Table also discussed)	entitlement
2025-12-16	Joel Lemieux	Influenza	Other / multiple	Thomas L. Gowen	Eric Gershwin	Off-Table	entitlement
2025-12-02	Deborah McNabb	Influenza	Other / multiple	Thomas L. Gowen	David Rosenstreich	Althen analysis (Table also discussed)	entitlement
2025-11-03	Timothy Riese	Tdap	Other / multiple	Daniel T. Horner	Ahmed	Althen analysis (Table also discussed)	entitlement
2025-10-22	A.R.	DTaP	Other / multiple	Herbrina Sanders Young	Thomas Sferra, John Santoro	Althen analysis (Table also discussed)	entitlement
2025-09-02	Theo Rogan	HPV	Other / multiple	Nora Beth Dorsey	M. Eric Gershwin, Jill, M. Eric	Off-Table	entitlement
2025-07-29	M.R.	MMR	Other / multiple	Daniel T. Horner	not identified	Althen analysis (Table also discussed)	entitlement
2025-07-11	Teresa Aultman	MMR	Other / multiple	Brian H. Corcoran	not identified	Althen analysis (Table also discussed)	entitlement
2025-07-11	Elizabeth Doles	Tdap	Other / multiple	Daniel T. Horner	not identified	Althen analysis (Table also discussed)	$137K
2025-04-23	Kristine Ballard	Influenza	Other / multiple	Mindy Michaels Roth	Eric Gershwin	Althen analysis (Table also discussed)	entitlement
2025-02-05	Wendy Williams	Hepatitis A	Other / multiple	Mindy Michaels Roth	not identified	Off-Table	$1.6M
2024-12-16	Melissa Fisk	Tdap	Other / multiple	Nora Beth Dorsey	not identified	Off-Table	entitlement
2024-12-04	Jeffrey D. Musumeci	Influenza	Other / multiple	Mindy Michaels Roth	not identified	Off-Table	entitlement
2024-09-13	Duane Hoffman	Influenza	Other / multiple	Christian J. Moran	not identified	Off-Table	—
2024-08-08	Josephine Inyang	Influenza	Other / multiple	Christian J. Moran	not identified	Off-Table	entitlement
2024-05-01	Michael Schwarz	Tdap	Other / multiple	Katherine E. Oler	Yuval Shafrir	Althen analysis (Table also discussed)	entitlement
2024-04-25	Corey Silvers	Influenza	Other / multiple	Brian H. Corcoran	not identified	Off-Table	entitlement
2024-03-26	Mary Saville	Influenza	Other / multiple	Brian H. Corcoran	not identified	Off-Table	$52K
2023-09-29	Lisa Antalosky	Influenza	Other / multiple	Katherine E. Oler	not identified	Off-Table	$1.1M
2023-03-22	Alicia Skinner-Smith	Tdap	Other / multiple	Nora Beth Dorsey	Lapp	Off-Table	$15K
2021-06-23	Matthew Jimenez	HPV	Other / multiple	Nora Beth Dorsey	not identified	Althen analysis (Table also discussed)	entitlement
2021-04-12	Elizabeth Nicole Robinson	Influenza	Other / multiple	Katherine E. Oler	Lawrence Steinman	Off-Table	entitlement
2021-03-29	A.L.	MMRV	Other / multiple	Nora Beth Dorsey	not identified	Althen analysis (Table also discussed)	$41K
2021-02-26	Rusell Blender	Influenza	Other / multiple	Nora Beth Dorsey	not identified	Off-Table	entitlement
2021-01-05	Shanna Salazar	Influenza	Other / multiple	Nora Beth Dorsey	not identified	Off-Table	entitlement
2020-11-25	Amanda L Isaacson	Influenza	Other / multiple	Mindy Michaels Roth	Younger	Off-Table	entitlement
2020-10-09	Theodore A. Bryan	Influenza	Other / multiple	Katherine E. Oler	Charles Lapp, McNulty, Charles	Off-Table	entitlement
2018-11-08	Kimberly S. Thompson	Influenza	Other / multiple	Laura D. Millman	not identified	Off-Table	$708K
2017-09-01	Alessandra Giannetta	Meningococcal	Other / multiple	Mindy Michaels Roth	not identified	Althen analysis (Table also discussed)	entitlement
2017-05-02	A.E.	DTaP	Other / multiple	Lisa D. Hamilton-Fieldman	not identified	Off-Table	$4.8M
2017-03-06	Bailey Day	Influenza	Other / multiple	Nora Beth Dorsey	not identified	Off-Table	$1.4M
2017-01-23	H.J.	Tdap	Other / multiple	Lisa D. Hamilton-Fieldman	not identified	Off-Table	$1.4M
2016-08-30	Megan Morgan	HPV	Other / multiple	Thomas L. Gowen	not identified	Off-Table	$800K
2016-05-25	Megan L. Godfrey	HPV	Other / multiple	Denise K. Vowell	Michael McCabe	Off-Table	$142K
2016-05-12	Michayla Waterman	HPV	Other / multiple	Lisa D. Hamilton-Fieldman	not identified	Off-Table	$166K
2016-03-21	Andrew Rodd	Influenza	Other / multiple	Thomas L. Gowen	not identified	Off-Table	$871K
2015-12-18	Donna Ramsay	HPV	Other / multiple	Lisa D. Hamilton-Fieldman	Michael McCabe	Althen analysis (Table also discussed)	—
2015-02-23	Marlon Sporer	Td/Tetanus	Other / multiple	Thomas L. Gowen	not identified	Off-Table	$156K
2014-11-18	Jung Park, M.D.	Influenza	Other / multiple	Laura D. Millman	not identified	Althen analysis	—
2014-08-20	Roswell Perez	Influenza	Other / multiple	Thomas L. Gowen	not identified	Off-Table	—
2013-05-31	Jason Stitt, as Personal Representative of the Estate of Pamela Wanga Stitt	—	Other / multiple	Denise K. Vowell	Thomas Morgan	Althen analysis	—
2009-09-02	Claudia Rotoli	Hepatitis B	Other / multiple	—	not identified	Althen analysis (Table also discussed)	entitlement
2003-12-16	Dilema Moreno	MMR	Other / multiple	George L. Hastings Jr.	Hirseh	Off-Table	—

Selection rule. A case is listed when a Special Master issued a reasoned decision in the petitioner's favour and either the extracted theory of causation is Off-Table, or the decision text applies the Althen test. Where the text also discusses a Table injury the Basis column says so; some of those are alternative holdings or Table claims with an Althen fallback, so check the decision. SIRVA rulings are included only when explicitly Off-Table (pre-2017 shoulder claims). Expert names are read from the decision text where the opinion attributes them to the petitioner; absence means the text did not name one in a recognisable form, not that none testified. Verify against the linked decision before citing.

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.