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 |
|---|---|---|---|---|---|---|---|
| 2026-05-13 | 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 |
| 2026-02-11 | 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 |
| 2025-12-22 | Guy Irwin | Influenza | Encephalitis / encephalopathy | Thomas L. Gowen | not identified | Off-Table | $426K |
| 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 |
| 2025-11-05 | Teresa Mazza | Influenza | SIRVA | Brian H. Corcoran | not identified | Off-Table | $115K |
| 2025-10-27 | Samuel J. La Bine | Influenza | Brachial neuritis | Herbrina Sanders Young | Justin Aaron Willer, Marc Serota | Althen analysis (Table also discussed) | entitlement |
| 2025-10-03 | Diana Songero | Influenza | Transverse myelitis | Mindy Michaels Roth | Carlo Tornatore | Off-Table | entitlement |
| 2025-09-18 | Richard Dean Haugan | Influenza | SIRVA | Christian J. Moran | not identified | Off-Table | 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 |
| 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 |
| 2024-09-13 | 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 |
| 2024-05-21 | Jodi Fiske | Influenza | Small fiber neuropathy | Katherine E. Oler | not identified | Off-Table | $99K |
| 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 |
| 2024-01-03 | 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 |
| 2023-09-29 | Lisa Antalosky | Influenza | Other / multiple | Katherine E. Oler | not identified | Off-Table | $1.1M |
| 2023-06-21 | Joann Forrest | Influenza | SIRVA | Daniel T. Horner | not identified | Off-Table | $45K |
| 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 |
| 2023-03-09 | Judy Echols | Influenza | Brachial neuritis | Thomas L. Gowen | not identified | Off-Table | $110K |
| 2023-01-24 | E. A. | Influenza | Bell's palsy | Nora Beth Dorsey | not identified | Off-Table | entitlement |
| 2022-11-09 | Robert Galante | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | entitlement |
| 2022-10-04 | Glenn Reinhardt | Influenza | Optic neuritis | Katherine E. Oler | not identified | Off-Table | $2.2M |
| 2022-05-25 | James Lagle | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | entitlement |
| 2021-04-12 | Elizabeth Nicole Robinson | Influenza | Other / multiple | Katherine E. Oler | Lawrence Steinman | Off-Table | entitlement |
| 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 |
| 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 |
| 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 |
| 2019-09-30 | Maya Sandoval | Influenza | SIRVA | Thomas L. Gowen | not identified | Off-Table | $369K |
| 2019-09-24 | J.S. | Influenza | Transverse myelitis | Brian H. Corcoran | not identified | Althen analysis (Table also discussed) | $902K |
| 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 |
| 2018-11-08 | Kimberly S. Thompson | Influenza | Other / multiple | Laura D. Millman | not identified | Off-Table | $708K |
| 2018-10-18 | Gail Dirksen | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $87K |
| 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 |
| 2018-03-05 | Kristina Garrison | Influenza | Narcolepsy / cataplexy | Thomas L. Gowen | not identified | Off-Table | $1.0M |
| 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 |
| 2017-03-06 | Bailey Day | Influenza | Other / multiple | Nora Beth Dorsey | not identified | Off-Table | $1.4M |
| 2016-10-04 | Diane C. Perl | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $100K |
| 2016-03-21 | Andrew Rodd | Influenza | Other / multiple | Thomas L. Gowen | not identified | Off-Table | $871K |
| 2015-05-06 | J.K. | Influenza | Seizure disorder | Laura D. Millman | not identified | Althen analysis | — |
| 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 | — |
| 2014-08-18 | William H. Kennedy, Jr. | Influenza | Syncope | Lisa D. Hamilton-Fieldman | not identified | Off-Table | — |
| 2014-06-27 | Raithe Pace | Influenza | SIRVA | Nora Beth Dorsey | not identified | Off-Table | $95K |
| 2014-06-12 | Fred Brock | Influenza | Guillain-Barré Syndrome | Thomas L. Gowen | not identified | Off-Table | — |
| 2011-06-24 | Stacey Heinzelman | Influenza | Guillain-Barré Syndrome | — | Marcel Kinsbourne | Althen analysis (Table also discussed) | — |
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.