Off-Table causation wins

Live · 13,300 cases in database · latest filing 2026-06-08

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

148

reasoned decisions finding causation

Shown

148

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
2026-03-25	Roy Romero	Influenza	Guillain-Barré Syndrome	Brian H. Corcoran	Akbari	Althen analysis (Table also discussed)	entitlement
2026-03-18	Christopher Bost	Influenza	Other / multiple	Brian H. Corcoran	not identified	Althen analysis (Table also discussed)	entitlement
2026-03-16	ANGELA GORNOWICZ	Tdap	Other / multiple	—	not identified	Off-Table	$504K
2026-03-02	Carolann Sinclair	Pneumococcal	Guillain-Barré Syndrome	Thomas L. Gowen	John, Lawrence Steinman, John Hixson	Althen analysis (Table also discussed)	entitlement
2026-02-20	Nicholas Gillon	Tdap	Guillain-Barré Syndrome	Thomas L. Gowen	David, David M. Simpson	Althen analysis (Table also discussed)	entitlement
2026-02-20	James G. Strouse	Hepatitis B	Guillain-Barré Syndrome	—	Lawrence Steinman	Off-Table	entitlement
2026-02-11	Susan Hubbard	Influenza	Transverse myelitis	Nora Beth Dorsey	Joseph Jeret, Joseph	Althen analysis (Table also discussed)	entitlement
2026-01-21	JAMES PATTERSON	Influenza	SIRVA	Brian H. Corcoran	not identified	Off-Table	entitlement
2026-01-15	Ricardo Rodriguez	HPV	Guillain-Barré Syndrome	Jennifer A. Shah	David M. Simpson	Althen analysis (Table also discussed)	entitlement
2025-12-30	Donna Faye McKenney	Pneumococcal	Guillain-Barré Syndrome	Thomas L. Gowen	David, Axelrod, Kevin Jamison	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
2025-12-22	Guy Irwin	Influenza	Encephalitis / encephalopathy	Thomas L. Gowen	not identified	Off-Table	$426K
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	Althen analysis (Table also discussed)	entitlement
2025-12-02	Deborah McNabb	Influenza	Other / multiple	Thomas L. Gowen	David Rosenstreich	Althen analysis (Table also discussed)	entitlement
2025-11-19	Eric Simmons	HPV	Guillain-Barré Syndrome	Jennifer A. Shah	Norman Latov	Althen analysis (Table also discussed)	entitlement
2025-11-10	J.F.	Tdap	Other / multiple	Nora Beth Dorsey	Edwin N. Forman	Althen analysis (Table also discussed)	$301K
2025-11-03	Timothy Riese	Tdap	Other / multiple	Daniel T. Horner	Ahmed	Althen analysis (Table also discussed)	entitlement
2025-10-30	Nicole Girardi	HPV	Optic neuritis	Mindy Michaels Roth	Lawrence Steinman	Althen analysis	entitlement
2025-10-27	Samuel J. La Bine	Influenza	Brachial neuritis	Herbrina Sanders Young	Justin Aaron Willer, Marc Serota	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
2025-10-20	A.B.	Hepatitis B	Bell's palsy	Nora Beth Dorsey	not identified	Althen analysis	$129K
2025-10-03	Diana Songero	Influenza	Transverse myelitis	Mindy Michaels Roth	Carlo Tornatore	Althen analysis	entitlement
2025-10-02	H.H.	DTaP	Encephalitis / encephalopathy	Katherine E. Oler	Warren Marks	Althen analysis (Table also discussed)	$2.9M
2025-09-30	Christopher Brown	Pneumococcal	Guillain-Barré Syndrome	Nora Beth Dorsey	Serota, Becker, Kazim	Althen analysis (Table also discussed)	$101K
2025-09-23	Doris DiPonziano	Pneumococcal	Guillain-Barré Syndrome	Thomas L. Gowen	Robert Knobler, Robert Hyzy	Althen analysis (Table also discussed)	$250K
2025-09-02	T.B.D.	DTaP	Encephalitis / encephalopathy	Nora Beth Dorsey	Anthony Chang, Perry Lubens, Anthony	Althen analysis (Table also discussed)	entitlement
2025-09-02	Theo Rogan	HPV	Other / multiple	Nora Beth Dorsey	M. Eric Gershwin, Jill, M. Eric	Althen analysis (Table also discussed)	entitlement
2025-08-27	L.L.P.	Influenza	Guillain-Barré Syndrome	Nora Beth Dorsey	Lawrence Steinman, Safwan Jaradeh	Althen analysis (Table also discussed)	entitlement
2025-08-18	Ruth Vizcarra	Influenza	Other / multiple	—	not identified	Off-Table	$52K
2025-07-29	M.R.	MMR	Other / multiple	Daniel T. Horner	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
2025-07-08	Noah E. Musick	Pneumococcal	Guillain-Barré Syndrome	Thomas L. Gowen	Lawrence Steinman	Althen analysis (Table also discussed)	entitlement
2025-06-26	Jeffrey Scott Curry	Tdap	Transverse myelitis	—	not identified	Off-Table	$90K
2025-06-25	A.E.S.	DTaP	Death	Mindy Michaels Roth	not identified	Althen analysis (Table also discussed)	$300K
2025-06-23	Ashley T. Hunsucker	Influenza	Small fiber neuropathy	Herbrina Sanders Young	Lawrence Steinman	Off-Table	entitlement
2025-04-23	Julian Henley	Hepatitis B	Other / multiple	Mindy Michaels Roth	not identified	Althen analysis	$3.8M
2025-04-23	Kristine Ballard	Influenza	Other / multiple	Mindy Michaels Roth	Eric Gershwin	Althen analysis (Table also discussed)	entitlement
2025-03-19	S.R.	Influenza	Guillain-Barré Syndrome	Mindy Michaels Roth	David Simpson	Althen analysis (Table also discussed)	entitlement
2025-03-14	Marianne Simeneta	Pneumococcal	Guillain-Barré Syndrome	Nora Beth Dorsey	Salvatore Q. Napoli, Lawrence Steinman, Salvatore	Althen analysis (Table also discussed)	$195K
2025-03-12	Larry J. Parker	Pneumococcal	Guillain-Barré Syndrome	Nora Beth Dorsey	Gershwin, James, M. Eric	Althen analysis (Table also discussed)	$149K
2025-03-05	E.M.	Influenza	Encephalitis / encephalopathy	Daniel T. Horner	Jeffrey M. Silverman	Althen analysis (Table also discussed)	entitlement
2025-02-21	A.G.C.	Influenza	Seizure disorder	Mindy Michaels Roth	Stephen Nelson	Althen analysis	entitlement
2025-01-24	Lindy Sells	MMR	Encephalitis / encephalopathy	Nora Beth Dorsey	Carlo Tornatore, Carlos	Off-Table	entitlement
2024-12-30	Matthew J. Johnson	Hepatitis A	Small fiber neuropathy	Thomas L. Gowen	Marcel Kinsbourne	Althen analysis (Table also discussed)	entitlement
2024-12-18	Jaclyn McNally	Influenza	SIRVA	Brian H. Corcoran	not identified	Off-Table	$63K
2024-12-04	Jeffrey D. Musumeci	Influenza	Other / multiple	Mindy Michaels Roth	not identified	Off-Table	entitlement
2024-11-05	Vanessa Morris	Influenza	SIRVA	Brian H. Corcoran	not identified	Off-Table	$502K
2024-10-29	Amy Morris	Td/Tetanus	Guillain-Barré Syndrome	Thomas L. Gowen	Frederick Nahm	Althen analysis	entitlement
2024-09-13	Duane Hoffman	Influenza	Other / multiple	Christian J. Moran	not identified	Off-Table	—
2024-09-10	Melissa Fisk	Tdap	Other / multiple	Nora Beth Dorsey	not identified	Off-Table	entitlement
2024-08-08	K.M.	Hib	Encephalitis / encephalopathy	Nora Beth Dorsey	Robert Shuman, Lawrence, Robert	Althen analysis (Table also discussed)	—
2024-08-08	Josephine Inyang	Influenza	Other / multiple	Christian J. Moran	not identified	Off-Table	entitlement
2024-07-29	Jeffrey Cooper	Pneumococcal	Guillain-Barré Syndrome	Daniel T. Horner	not identified	Off-Table	$181K
2024-07-22	Willa K. Lau	Influenza	Guillain-Barré Syndrome	Nora Beth Dorsey	Salvatore Q. Napoli, Salvatore	Althen analysis (Table also discussed)	$63K
2024-07-08	Dianne Byrd	Pneumococcal	Guillain-Barré Syndrome	Thomas L. Gowen	David Axelrod	Althen analysis (Table also discussed)	entitlement
2024-06-21	Ala Mohamad	Tdap	Guillain-Barré Syndrome	Christian J. Moran	Shafrir	Althen analysis (Table also discussed)	$919K
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
2024-02-21	A.Z.	Influenza	Encephalitis / encephalopathy	Nora Beth Dorsey	Kinsbourne, Marcel	Althen analysis (Table also discussed)	$141K
2024-02-12	Ronald Sturdevant	Influenza	Bell's palsy	Nora Beth Dorsey	not identified	Althen analysis	$100K
2024-02-07	I.H.	DTaP	Seizure disorder	Katherine E. Oler	Marcel Kinsbourne	Althen analysis (Table also discussed)	entitlement
2024-01-03	Benjamin Larson	Influenza	SIRVA	Thomas L. Gowen	not identified	Off-Table	$60K
2023-12-21	Robert Joseph Gardner	Influenza	Encephalitis / encephalopathy	Thomas L. Gowen	Steinman	Off-Table	entitlement
2023-12-18	Jason Quirino	Hepatitis B	Small fiber neuropathy	Daniel T. Horner	not identified	Off-Table	entitlement
2023-12-15	Jamie Rothstein	Tdap	Transverse myelitis	Mindy Michaels Roth	Marcel Kinsbourne, Vera Byers	Off-Table	entitlement
2023-08-21	Trey Cobb	HPV	Narcolepsy / cataplexy	Katherine E. Oler	Lawrence Steinman	Althen analysis	entitlement
2023-07-13	Donna Osso	Hepatitis B	Guillain-Barré Syndrome	Nora Beth Dorsey	not identified	Off-Table	entitlement
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
2023-06-20	Victoria Mager	HPV	Death	Christian J. Moran	Shafrir	Althen analysis (Table also discussed)	$366K
2023-06-12	Hans Hofer	Influenza	Encephalitis / encephalopathy	Thomas L. Gowen	not identified	Off-Table	entitlement
2023-05-22	Duane Morgan	Influenza	Brachial neuritis	Thomas L. Gowen	Maria Chen, Vera Byers	Althen analysis (Table also discussed)	entitlement
2023-05-15	Shawn’Quavious A’drez Hinton	Influenza	Guillain-Barré Syndrome	Nora Beth Dorsey	not identified	Althen analysis	$178K
2023-03-22	Alicia Skinner-Smith	Tdap	Other / multiple	Nora Beth Dorsey	Lapp	Off-Table	$15K
2023-03-09	Judy Echols	Influenza	Brachial neuritis	Thomas L. Gowen	not identified	Off-Table	$110K
2023-01-31	A.P.	MMR	SIRVA	Thomas L. Gowen	not identified	Off-Table	$41K
2023-01-24	E. A.	Influenza	Bell's palsy	Nora Beth Dorsey	not identified	Off-Table	entitlement
2022-12-28	Raymond Markarian	Tdap	Brachial neuritis	Mindy Michaels Roth	not identified	Off-Table	entitlement
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
2022-10-19	Robert Introini	Tdap	Transverse myelitis	Nora Beth Dorsey	not identified	Off-Table	entitlement
2022-10-04	Glenn Reinhardt	Influenza	Optic neuritis	Katherine E. Oler	not identified	Off-Table	$2.2M
2022-09-22	Jennifer Gross	Pneumococcal	Guillain-Barré Syndrome	Nora Beth Dorsey	not identified	Off-Table	entitlement
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
2022-04-27	Harvard Davis	Influenza	Guillain-Barré Syndrome	Mindy Michaels Roth	Steinman, Lawrence	Althen analysis (Table also discussed)	entitlement
2021-11-30	M.F.	MMR	Other / multiple	Brian H. Corcoran	not identified	Althen analysis	$42K
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
2021-01-25	Jeffrey Schafer	Influenza	SIRVA	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
2020-10-20	Scott Taylor	Tdap	SIRVA	Nora Beth Dorsey	not identified	Off-Table	entitlement
2020-10-09	Theodore A. Bryan	Influenza	Other / multiple	Katherine E. Oler	Charles Lapp, McNulty, Charles	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

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.