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
168
after filters
Conditions
14
distinct categories
With named expert
55
petitioner expert identified in text
Off-Table causation wins by condition
Reasoned decisions where the petitioner proved causation without a Table presumption.
Decisions
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| Decided | Case | Vaccine | Condition | Special Master | Petitioner's expert(s) | Basis | Award |
|---|---|---|---|---|---|---|---|
| 2026-05-13 | Harvard Davis | Influenza | Guillain-Barré Syndrome | Mindy Michaels Roth | not identified | Off-Table | $586K |
| 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 |
| 2026-03-02 | 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 | Off-Table | 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 | Off-Table | 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 | Off-Table | 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 | Off-Table | 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 |
| 2025-11-05 | Teresa Mazza | Influenza | SIRVA | Brian H. Corcoran | not identified | Off-Table | $115K |
| 2025-11-03 | Timothy Riese | Tdap | Other / multiple | Daniel T. Horner | Ahmed | Althen analysis (Table also discussed) | 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 | Off-Table | entitlement |
| 2025-10-02 | H.H. | DTaP | Encephalitis / encephalopathy | Katherine E. Oler | Warren Marks | Off-Table | $2.9M |
| 2025-09-23 | Doris DiPonziano | Pneumococcal | Guillain-Barré Syndrome | Thomas L. Gowen | Robert Knobler, Robert Hyzy | Althen analysis (Table also discussed) | $250K |
| 2025-09-18 | Richard Dean Haugan | Influenza | SIRVA | Christian J. Moran | not identified | Off-Table | entitlement |
| 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 | 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 |
| 2025-07-08 | Noah E. Musick | Pneumococcal | Guillain-Barré Syndrome | Thomas L. Gowen | Lawrence Steinman | Althen analysis (Table also discussed) | entitlement |
| 2025-06-23 | Ashley T. Hunsucker | Influenza | Small fiber neuropathy | Herbrina Sanders Young | Lawrence Steinman | Off-Table | entitlement |
| 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 |
| 2025-03-05 | 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 |
| 2025-02-05 | Wendy Williams | Hepatitis A | Other / multiple | Mindy Michaels Roth | not identified | Off-Table | $1.6M |
| 2025-01-24 | Lindy Sells | MMR | Encephalitis / encephalopathy | Nora Beth Dorsey | Carlo Tornatore, Carlos | Off-Table | entitlement |
| 2025-01-15 | R.S. | Pneumococcal | Transverse myelitis | Herbrina Sanders Young | not identified | Off-Table | — |
| 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 |
| 2024-12-16 | 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 |
| 2024-11-05 | 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 |
| 2024-10-16 | Kristen Coons | Td/Tetanus | Small fiber neuropathy | Nora Beth Dorsey | not identified | Off-Table | $145K |
| 2024-09-13 | Duane Hoffman | Influenza | Other / multiple | Christian J. Moran | not identified | Off-Table | — |
| 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 |
| 2024-07-08 | 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 |
| 2024-06-05 | I.J. | Tdap | Transverse myelitis | Brian H. Corcoran | not identified | Off-Table | $2.1M |
| 2024-05-21 | Jodi Fiske | Influenza | Small fiber neuropathy | Katherine E. Oler | not identified | Off-Table | $99K |
| 2024-05-01 | Michael Schwarz | Tdap | Other / multiple | Katherine E. Oler | Yuval Shafrir | Althen analysis (Table also discussed) | entitlement |
| 2024-04-26 | Donald D. Meyer | Pneumococcal | Guillain-Barré Syndrome | Nora Beth Dorsey | not identified | Off-Table | $454K |
| 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 |
| 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 | Off-Table | entitlement |
| 2024-01-29 | B.F. | DTaP | Seizure disorder | Nora Beth Dorsey | not identified | Off-Table | entitlement |
| 2024-01-08 | J. G. | Hepatitis A | Guillain-Barré Syndrome | Nora Beth Dorsey | not identified | Off-Table | $189K |
| 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 |
| 2023-09-29 | Lisa Antalosky | Influenza | Other / multiple | Katherine E. Oler | not identified | Off-Table | $1.1M |
| 2023-08-21 | Trey Cobb | HPV | Narcolepsy / cataplexy | Katherine E. Oler | Lawrence Steinman | Althen analysis | entitlement |
| 2023-08-02 | K.N. | Tdap | Encephalitis / encephalopathy | Brian H. Corcoran | not identified | Off-Table | $194K |
| 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 | Off-Table | $366K |
| 2023-06-12 | Hans Hofer | Influenza | Encephalitis / encephalopathy | Thomas L. Gowen | not identified | Off-Table | entitlement |
| 2023-05-30 | Minh Le | Tdap | Transverse myelitis | Nora Beth Dorsey | not identified | Off-Table | $130K |
| 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 |
| 2022-08-15 | S.M. | Hepatitis B | Transverse myelitis | Brian H. Corcoran | not identified | Off-Table | $2.1M |
| 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 |
| 2022-05-03 | Carolyn Pierson | Pneumococcal | Guillain-Barré Syndrome | Daniel T. Horner | not identified | Off-Table | $155K |
| 2022-04-28 | A.C.W. | HPV | Transverse myelitis | Thomas L. Gowen | not identified | Off-Table | $659K |
| 2021-07-15 | Radhika Agarwal | Tdap | Encephalitis / encephalopathy | Thomas L. Gowen | not identified | Off-Table | $2.0M |
| 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 |
| 2020-12-09 | Melissa Bishop | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $53K |
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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.