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
75
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

DecidedCaseVaccineConditionSpecial MasterPetitioner's expert(s)BasisAward
2026-05-13Harvard DavisInfluenzaGuillain-Barré SyndromeMindy Michaels Rothnot identifiedOff-Table$586K
2026-03-25Roy RomeroInfluenzaGuillain-Barré SyndromeBrian H. CorcoranAkbariAlthen analysis (Table also discussed)entitlement
2026-03-18Christopher BostInfluenzaOther / multipleBrian H. Corcorannot identifiedAlthen analysis (Table also discussed)entitlement
2026-02-11Susan HubbardInfluenzaTransverse myelitisNora Beth DorseyJoseph Jeret, JosephOff-Tableentitlement
2026-01-21JAMES PATTERSONInfluenzaSIRVABrian H. Corcorannot identifiedOff-Tableentitlement
2025-12-22Guy IrwinInfluenzaEncephalitis / encephalopathyThomas L. Gowennot identifiedOff-Table$426K
2025-12-16Joel LemieuxInfluenzaOther / multipleThomas L. GowenEric GershwinOff-Tableentitlement
2025-12-02Deborah McNabbInfluenzaOther / multipleThomas L. GowenDavid RosenstreichAlthen analysis (Table also discussed)entitlement
2025-11-05Teresa MazzaInfluenzaSIRVABrian H. Corcorannot identifiedOff-Table$115K
2025-10-27Samuel J. La BineInfluenzaBrachial neuritisHerbrina Sanders YoungJustin Aaron Willer, Marc SerotaAlthen analysis (Table also discussed)entitlement
2025-10-03Diana SongeroInfluenzaTransverse myelitisMindy Michaels RothCarlo TornatoreOff-Tableentitlement
2025-09-18Richard Dean HauganInfluenzaSIRVAChristian J. Morannot identifiedOff-Tableentitlement
2025-06-23Ashley T. HunsuckerInfluenzaSmall fiber neuropathyHerbrina Sanders YoungLawrence SteinmanOff-Tableentitlement
2025-04-23Kristine BallardInfluenzaOther / multipleMindy Michaels RothEric GershwinAlthen analysis (Table also discussed)entitlement
2025-03-19S.R.InfluenzaGuillain-Barré SyndromeMindy Michaels RothDavid SimpsonAlthen analysis (Table also discussed)entitlement
2025-03-05E.M.InfluenzaEncephalitis / encephalopathyDaniel T. HornerJeffrey M. SilvermanAlthen analysis (Table also discussed)entitlement
2025-02-21A.G.C.InfluenzaSeizure disorderMindy Michaels RothStephen NelsonAlthen analysisentitlement
2024-12-18Jaclyn McNallyInfluenzaSIRVABrian H. Corcorannot identifiedOff-Table$63K
2024-12-04Jeffrey D. MusumeciInfluenzaOther / multipleMindy Michaels Rothnot identifiedOff-Tableentitlement
2024-11-05Vanessa MorrisInfluenzaSIRVABrian H. Corcorannot identifiedOff-Table$502K
2024-09-13Duane HoffmanInfluenzaOther / multipleChristian J. Morannot identifiedOff-Table—
2024-08-08Josephine InyangInfluenzaOther / multipleChristian J. Morannot identifiedOff-Tableentitlement
2024-05-21Jodi FiskeInfluenzaSmall fiber neuropathyKatherine E. Olernot identifiedOff-Table$99K
2024-04-25Corey SilversInfluenzaOther / multipleBrian H. Corcorannot identifiedOff-Tableentitlement
2024-03-26Mary SavilleInfluenzaOther / multipleBrian H. Corcorannot identifiedOff-Table$52K
2024-02-12Ronald SturdevantInfluenzaBell's palsyNora Beth Dorseynot identifiedAlthen analysis$100K
2024-01-03Benjamin LarsonInfluenzaSIRVAThomas L. Gowennot identifiedOff-Table$60K
2023-12-21Robert Joseph GardnerInfluenzaEncephalitis / encephalopathyThomas L. GowenSteinmanOff-Tableentitlement
2023-09-29Lisa AntaloskyInfluenzaOther / multipleKatherine E. Olernot identifiedOff-Table$1.1M
2023-06-21Joann ForrestInfluenzaSIRVADaniel T. Hornernot identifiedOff-Table$45K
2023-06-12Hans HoferInfluenzaEncephalitis / encephalopathyThomas L. Gowennot identifiedOff-Tableentitlement
2023-05-22Duane MorganInfluenzaBrachial neuritisThomas L. GowenMaria Chen, Vera ByersAlthen analysis (Table also discussed)entitlement
2023-05-15Shawn’Quavious A’drez HintonInfluenzaGuillain-Barré SyndromeNora Beth Dorseynot identifiedAlthen analysis$178K
2023-03-09Judy EcholsInfluenzaBrachial neuritisThomas L. Gowennot identifiedOff-Table$110K
2023-01-24E. A.InfluenzaBell's palsyNora Beth Dorseynot identifiedOff-Tableentitlement
2022-11-09Robert GalanteInfluenzaSIRVAThomas L. Gowennot identifiedOff-Tableentitlement
2022-10-04Glenn ReinhardtInfluenzaOptic neuritisKatherine E. Olernot identifiedOff-Table$2.2M
2022-05-25James LagleInfluenzaSIRVAThomas L. Gowennot identifiedOff-Tableentitlement
2021-04-12Elizabeth Nicole RobinsonInfluenzaOther / multipleKatherine E. OlerLawrence SteinmanOff-Tableentitlement
2021-02-26Rusell BlenderInfluenzaOther / multipleNora Beth Dorseynot identifiedOff-Tableentitlement
2021-01-25Jeffrey SchaferInfluenzaSIRVANora Beth Dorseynot identifiedOff-Tableentitlement
2021-01-05Shanna SalazarInfluenzaOther / multipleNora Beth Dorseynot identifiedOff-Tableentitlement
2020-12-09Melissa BishopInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$53K
2020-11-25Amanda L IsaacsonInfluenzaOther / multipleMindy Michaels RothYoungerOff-Tableentitlement
2020-10-09Theodore A. BryanInfluenzaOther / multipleKatherine E. OlerCharles Lapp, McNulty, CharlesOff-Tableentitlement
2020-09-23Lori SchoonoverInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$230K
2020-08-05Jean GentileInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$96K
2020-07-30Kavita DesaiInfluenzaSIRVAThomas L. GowenMark S. McNultyOff-Tableentitlement
2019-09-30Maya SandovalInfluenzaSIRVAThomas L. Gowennot identifiedOff-Table$369K
2019-09-24J.S.InfluenzaTransverse myelitisBrian H. Corcorannot identifiedAlthen analysis (Table also discussed)$902K
2019-09-04Monica PorteeInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$116K
2019-08-07Deborah KentInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$83K
2019-07-08Elizabeth SchandelInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$86K
2019-06-12Wendy BordersInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$70K
2019-05-07Cheryl GillInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$70K
2019-04-02Courtney P. BinetteInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$178K
2018-11-08Kimberly S. ThompsonInfluenzaOther / multipleLaura D. Millmannot identifiedOff-Table$708K
2018-10-18Gail DirksenInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$87K
2018-08-29Wossen TarikuInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$70K
2018-03-26Deborah MarinoInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$75K
2018-03-05Kristina GarrisonInfluenzaNarcolepsy / cataplexyThomas L. Gowennot identifiedOff-Table$1.0M
2018-02-01Amrit DhanoaInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$96K
2018-01-11Diane ScottInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$70K
2017-12-01Steven ZebofskyInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$55K
2017-10-31Betty D. BackmanInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$45K
2017-03-06Bailey DayInfluenzaOther / multipleNora Beth Dorseynot identifiedOff-Table$1.4M
2016-10-04Diane C. PerlInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$100K
2016-03-21Andrew RoddInfluenzaOther / multipleThomas L. Gowennot identifiedOff-Table$871K
2015-05-06J.K.InfluenzaSeizure disorderLaura D. Millmannot identifiedAlthen analysis—
2014-11-18Jung Park, M.D.InfluenzaOther / multipleLaura D. Millmannot identifiedAlthen analysis—
2014-08-20Roswell PerezInfluenzaOther / multipleThomas L. Gowennot identifiedOff-Table—
2014-08-18William H. Kennedy, Jr.InfluenzaSyncopeLisa D. Hamilton-Fieldmannot identifiedOff-Table—
2014-06-27Raithe PaceInfluenzaSIRVANora Beth Dorseynot identifiedOff-Table$95K
2014-06-12Fred BrockInfluenzaGuillain-Barré SyndromeThomas L. Gowennot identifiedOff-Table—
2011-06-24Stacey HeinzelmanInfluenzaGuillain-Barré Syndrome—Marcel KinsbourneAlthen analysis (Table also discussed)—
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.