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The National Vaccine Injury Compensation Program, or VICP, can compensate for a qualifying injury caused by a covered vaccine. Some claims fit the federal Vaccine Injury Table and receive a legal presumption of causation. Others are off-Table claims that require medical records, expert evidence, and a supported causation theory.
The condition does not have to appear on the Table. But the vaccine must be covered, the injury must meet the program's severity requirement, and the petition must be filed on time. A diagnosis made after vaccination is not enough by itself.
VICP Coverage at a Glance
A VICP claim has five threshold questions:
- Was the vaccine covered by the VICP on the date it was given?
- Does the injury match the Vaccine Injury Table, including the vaccine pairing, first-symptom window, and federal definition?
- If the claim is off-Table, can the evidence show that the vaccine caused or significantly aggravated the condition?
- Did the injury last more than six months, require inpatient hospitalization and surgical intervention, or result in death?
- Was the petition filed within the applicable statute of limitations?
These are separate requirements. Meeting one does not automatically satisfy the others.

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Hear Cheryl's Vaccine Injury Story
Cheryl, a former client of My Vaccine Lawyer, shares her experience with Shoulder Injury Related to Vaccine Administration (SIRVA) following a flu shot. She describes the sudden onset of pain, limited shoulder mobility, and a long recovery process that led her to seek legal help from attorney Max Muller.
With his support, Cheryl filed a successful claim through the Vaccine Injury Compensation Program and received a settlement covering her medical expenses, lost wages, and pain and suffering. SIRVA symptoms typically include sudden pain within 48 hours of vaccination, restricted range of motion, and discomfort that can last for weeks or months.
The Current Vaccine Injury Table
The current federal Table applies to petitions filed on or after January 3, 2022. It pairs certain vaccine categories with defined injuries and onset periods. When the vaccine, injury, timing, and definition all match, causation is presumed unless another cause is shown. The full Table and its Qualifications and Aids to Interpretation control, not a short website summary.
The Table currently includes:
- Anaphylaxis, SIRVA, and vasovagal syncope after specified injected vaccine categories, with onset windows of four hours, 48 hours, and one hour, respectively.
- Brachial neuritis after a tetanus-toxoid-containing vaccine, with onset from 2 through 28 days.
- Encephalopathy or encephalitis after a pertussis-containing vaccine within 72 hours, or after a measles-, mumps-, or rubella-containing vaccine from 5 through 15 days.
- Chronic arthritis after a rubella-containing vaccine, with onset from 7 through 42 days and the additional federal criteria.
- Thrombocytopenic purpura after a measles-containing vaccine, with onset from 7 through 30 days and the Table's platelet-count and exclusion criteria.
- Vaccine-strain measles disease in an immunodeficient recipient, subject to strain testing and timing rules.
- Paralytic polio and vaccine-strain polio infection associated with oral polio vaccine, subject to the Table's recipient and timing rules.
- Disseminated varicella vaccine-strain disease and varicella vaccine-strain viral reactivation.
- Intussusception after rotavirus vaccine, with onset from 1 through 21 days and specific exclusions.
- Guillain-Barre syndrome after seasonal influenza vaccine, with onset from 3 through 42 days.
The Table also includes qualifying acute complications or consequences of a listed injury. It does not say that every event after vaccination was caused by the vaccine.
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Common Table Injury Claims
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SIRVA
Shoulder Injury Related to Vaccine Administration can qualify when new shoulder pain and limited range of motion begin within 48 hours after a vaccine intended for intramuscular administration in the upper arm and the federal definition is met. Normal injection soreness is different. The record should address prior shoulder problems, the vaccinated arm, onset, examination findings, and treatment. See the SIRVA injury guide and the SIRVA vaccine injury attorney page.
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Anaphylaxis
Anaphylaxis is listed after several covered vaccine categories when symptoms begin within four hours and meet the Table definition. A mild rash or local reaction is not enough. Emergency records often show whether two or more organ systems were involved and whether the event was a severe systemic reaction. Review the anaphylaxis injury guide and the anaphylaxis vaccine injury attorney page.
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Brachial Neuritis
Brachial neuritis is a Table injury only when it follows a tetanus-toxoid-containing vaccine, begins from 2 through 28 days later, and meets the federal clinical definition. A claim after another covered vaccine may still be considered off-Table. The brachial neuritis injury guide explains the condition, while the brachial neuritis vaccine injury attorney page addresses the legal proof.
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Encephalopathy or Encephalitis
The Table covers defined encephalopathy or encephalitis after pertussis-containing vaccines within 72 hours and after measles, mumps, or rubella-containing vaccines from 5 through 15 days. The definitions are detailed. Fever, temporary sleepiness, irritability, or a seizure alone does not establish a Table encephalopathy. Read the encephalitis injury guide and the encephalitis vaccine injury attorney page.
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Guillain-Barre Syndrome
Guillain-Barre syndrome, or GBS, is listed after seasonal influenza vaccine when onset is from 3 through 42 days and the Table definition is met. GBS after a different covered vaccine is generally an off-Table claim. Diagnosis, neurologic findings, nerve studies, spinal-fluid testing, infections, and timing may matter. Visit the GBS injury guide and the GBS vaccine injury attorney page.
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Intussusception
Intussusception is listed after rotavirus vaccine when the first symptom begins from 1 through 21 days. The Table contains exclusions, including onset with or after the third dose and certain infections, bowel abnormalities, lead points, and underlying conditions. Imaging and operative records can be central. See the intussusception injury guide and the intussusception vaccine injury attorney page.
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Thrombocytopenic Purpura and ITP
The Table lists thrombocytopenic purpura after a measles-containing vaccine when onset is from 7 through 30 days. It also requires clinical signs, a platelet count below the stated threshold, normal red and white blood-cell indices, and review of excluded causes. An ITP diagnosis alone does not establish a Table claim. Read the ITP injury guide and the ITP vaccine injury attorney page.
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Vasovagal Syncope
Vasovagal syncope is listed after specified injected vaccine categories when it occurs within one hour and satisfies the Table definition. Fainting often resolves quickly, so the separate severity requirement remains important. A serious injury from a fall may change the analysis. Review the vasovagal syncope injury guide and the vasovagal syncope vaccine injury attorney page.
Off-Table Vaccine Injury Claims
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Overview
An injury may be compensable even when it is not named on the Table, is not paired with the vaccine received, begins outside the listed window, or does not meet the Table definition. In an off-Table claim, the petitioner generally must prove a sound medical theory, a logical cause-and-effect sequence in the individual case, and a medically appropriate timing relationship. Evidence of another cause must also be addressed.
The following conditions are not blanket promises of coverage. Each requires an individual review of the vaccine, diagnosis, timing, prior health, competing causes, literature, and medical opinion.
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Acute Disseminated Encephalomyelitis
ADEM is not a generally listed Table injury. A possible claim depends on reliable diagnostic evidence and proof connecting the condition to a covered vaccine while addressing infections and other causes of central nervous system inflammation. Start with the ADEM injury guide and the ADEM vaccine injury attorney page.
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Autoimmune Disorders
The Table does not create one broad category for autoimmune disease. A specific autoimmune diagnosis may support an off-Table claim when the evidence shows causation or significant aggravation and rules out better explanations. Read the autoimmune disorders injury guide and the autoimmune vaccine injury attorney page.
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Bell's Palsy
Bell's palsy is not generally listed as a Table injury. A claim must connect the facial nerve paralysis to a covered vaccine and address infections, structural problems, and other possible causes. Review the Bell's palsy injury guide and the Bell's palsy vaccine injury attorney page.
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CIDP
Chronic inflammatory demyelinating polyneuropathy is generally evaluated off-Table. The record should distinguish CIDP from GBS and document the course of weakness, sensory symptoms, reflex changes, testing, treatment response, and alternative causes. See the CIDP injury guide and the CIDP vaccine injury attorney page.
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CRPS
Complex regional pain syndrome is not generally listed on the Table. A viable theory must be tied to the facts of the vaccination or injection injury and supported by the medical record. Other trauma, nerve disorders, and the diagnostic basis must be examined. Read the CRPS injury guide and the CRPS vaccine injury attorney page.
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MOGAD
Myelin oligodendrocyte glycoprotein antibody-associated disease is not generally a Table injury. An evaluation may require antibody testing, MRI findings, the clinical course, onset timing, expert review, and careful consideration of infections or other triggers. Visit the MOGAD injury guide and the MOGAD vaccine injury attorney page.
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Transverse Myelitis and NMO
Transverse myelitis and neuromyelitis optica are not generally listed Table injuries. Off-Table proof may include MRI findings, neurologic examination, spinal-fluid and antibody testing, the timing of onset, and evaluation of other causes. Review the transverse myelitis and NMO injury guide and the transverse myelitis vaccine injury attorney page.
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Ulnar Neuropathy
Ulnar neuropathy is not generally listed on the Table. The legal and medical review should identify the injured nerve, symptom location, examination findings, EMG or nerve-conduction results, and evidence separating the condition from elbow compression, cervical radiculopathy, diabetes, or another cause. See the ulnar neuropathy injury guide and the ulnar neuropathy vaccine injury attorney page.
Eligibility and Evidence
The strongest claim starts with complete medical records. Useful evidence commonly includes:
- The vaccine name, administration date, dose, lot information if available, and injection site.
- Records from before vaccination, especially for the same body part or medical condition.
- The first symptom, who observed it, and how it changed.
- Emergency, hospital, specialist, imaging, laboratory, therapy, and surgical records.
- The diagnosis and other causes considered by treating providers.
- Proof of duration, inpatient hospitalization and surgical intervention, disability, lost work, and ongoing care.
For an injury claim, the Vaccine Act generally requires symptoms or consequences lasting more than six months, inpatient hospitalization and surgical intervention, or death. A Table match does not remove this severity requirement. A VAERS report can show that an event was reported, but it does not prove causation and does not file a VICP petition.
Filing Deadlines
For most injury claims, a petition must be filed within three years after the first symptom or manifestation of significant aggravation. For a death claim, the general deadline is two years after death and no more than four years after the first symptom of the injury that resulted in death. The diagnosis date does not necessarily start the clock. Review the VICP statute of limitations as soon as a serious injury is suspected.
Compensation and Attorney Fees
A qualifying VICP award may include pain and suffering subject to the statutory cap, unreimbursed medical expenses, reasonable future care, and lost earnings. Death claims follow separate rules. The amount depends on the records and proven losses, not the diagnosis alone. Learn more about vaccine injury compensation.
Reasonable attorney fees and legal costs are handled separately under the Vaccine Act, subject to statutory requirements and court approval. They are not taken as a contingency percentage from the petitioner's compensation. A vaccine injury lawyer can evaluate the vaccine, injury, timing, severity, records, and deadline before a petition is filed.
1. Contact Your Doctor
If you suffered a vaccine-related injury, adverse effects or worsening symptoms, call your doctor immediately.
Frequently Asked Questions
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Does an injury have to be listed on the Vaccine Injury Table?
No. A Table match may create a presumption of causation. An unlisted injury may still qualify when evidence proves that a covered vaccine caused or significantly aggravated it.
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Does receiving a covered vaccine automatically create a claim?
No. The claimant must still establish a qualifying injury or death, meet the severity and filing rules, and provide the proof required for a Table or off-Table claim.
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Can adults file VICP claims?
Yes. The VICP does not impose a general age limit. Adults and children may bring claims involving covered vaccines when the remaining requirements are met.
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Does a VAERS report prove that a vaccine caused an injury?
No. VAERS accepts reports without determining causation. VICP eligibility turns on the petition, medical records, legal standard, and evidence.
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Can a pre-existing condition qualify?
Possibly. The Vaccine Act permits significant-aggravation claims, but the claimant must prove that the covered vaccine worsened the condition under the applicable legal test.
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Get a focused review
A serious condition after vaccination deserves a careful review, not an assumption. My Vaccine Lawyer evaluates the vaccine, first symptom, diagnosis, severity, medical history, deadline, and available records. We then explain whether the facts appear to fit a Table claim, an off-Table claim, another program, or no supported claim.
The evaluation is free. No lawyer can promise compensation before reviewing the medical and legal record.
- HRSA, Vaccine Injury Table effective for petitions filed on or after January 3, 2022
- HRSA, Covered Vaccines
- HRSA, VICP Frequently Asked Questions
- HRSA, Who Is Eligible to File a VICP Petition
- 42 U.S.C. § 300aa-11, Petitions for Compensation
- 42 U.S.C. § 300aa-16, Limitations of Actions
- U.S. Court of Federal Claims, Guidelines for Vaccine Program Practice
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No more likely alternative explanation appears in the records
If the medical notes support vaccination as the most plausible cause, the claim becomes stronger.
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The vaccine is a covered vaccine under the VICP
Influenza, Tdap/Td, MMR, Varicella, Hepatitis A/B, Pneumococcal, HPV and other covered vaccines qualify for review.
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The medical mechanism aligns with recognized patterns
Injection trauma, immune activation or acute physiological response reflect mechanisms found in compensated claims.
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The claimed injury is consistent over time
Progression documented across primary care, orthopaedic, neurology or emergency notes reinforces validity.
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