Draft:Shalala v. Whitecotton

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Shalala v. Whitecotton
Argued February 28, 1995, 1995
Decided April 18, 1995, 1995
Full case nameShalala, Secretary of Health and Human Services v. Whitecotton et al.
Citations514 U.S. 268 (more)
Court membership
Chief Justice
William Rehnquist
Associate Justices
John P. Stevens · Sandra Day O'Connor
Antonin Scalia · Anthony Kennedy
David Souter · Clarence Thomas
Ruth Bader Ginsburg · Stephen Breyer
Case opinions
MajoritySouter, joined by unanimous
ConcurrenceO'Connor, joined by Breyer
Laws applied
National Childhood Vaccine Injury Act

Shalala v. Whitecotton, 514 U.S. 268 (1995), was a decision of the United States Supreme Court unanimously holding that a petitioner seeking compensation for an alleged vaccine injury through the National Vaccine Injury Compensation Program must demonstrate the absence of the injury prior to vaccination.


Syllabus

Respondents, Margaret Whitecotton and her parents, filed a claim for compensation under the National Childhood Vaccine Injury Act of 1986, alleging that Margaret had suffered encephalopathy as a result of her vaccination against diphtheria, pertussis, and tetanus (DPT). Under the Act, a claimant who, like Margaret, does not attempt to prove actual causation must make out a prima facie case by showing that "the first symptom or manifestation of the onset ... of any ... [listed] condition ... occurred within the time period after vaccine administration set forth in the Vaccine Injury Table." 42 U. S. C. § 300aa-ll(c)(1)(C)(i). That table specifies a 3-day period for encephalopathy following a DPT vaccination. §300aa-14(a).

The Special Master ruled that Margaret had failed to make out a prima facie case, finding, inter alia, that by the time she received her vaccination she was "clearly microcephalic," that this condition evidenced pre-existing encephalopathy, and that, accordingly, "the first symptom or manifestation" of her condition's onset had occurred before her vaccination and the 3-day table period. The Court of Federal Claims affirmed, but the Court of Appeals for the Federal Circuit reversed, holding, among other things, that a claimant satisfies the table requirements whenever she shows that any symptom or manifestation of a listed condition occurred within the table time period, even if there was evidence of the condition before the vaccination.

Held: A claimant who shows that she experienced symptoms of an injury after receiving a vaccination does not make out a prima facie case for compensation under the Act where the evidence fails to indicate that she had no symptoms of that injury before the vaccination. The Court of Appeals' assertion that the Act does not "expressly state" that a claimant relying on the table must show that the child sustained no injury prior to her vaccination-i. e., that the first symptom of the injury occurred after vaccination-simply does not square with § 300aa11(c)(1)(C)(i)'s plain language. If a symptom or manifestation of a table injury has occurred before the vaccination, a symptom or manifestation thereafter cannot be the first, or signal the injury's onset. There cannot be two first symptoms or onsets of the same injury. Thus, a demonstration that the claimant experienced symptoms of an injury during the table period, while necessary, is insufficient to make out a prima facie case. The claimant must also show that no evidence of the injury appeared before the vaccination. The Court of Appeals misread language in §§300aa-14(a), 300aa-14(b)(2), and 300aa-13(a)(2)(B) in coming to the contrary conclusion. Pp. 273-276.



Text of Shalala v. Whitecotton, 514 U.S. 268 (1995) is available from: Cornell  CourtListener  Findlaw  Justia  Leagle  OpenJurist  Oyez (oral argument audio)  vLex 


SOUTER, J., delivered the opinion for a unanimous Court. O'CONNOR, J., filed a concurring opinion, in which BREYER, J., joined, post, p. 276.

References[edit]

This open draft remains in progress as of July 5, 2023.

Category:Vaccination case law in the United States