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VACCINE INJURY RECORD REVIEW

Onset to the day — because the Table is measured in hours.

Vaccine injury record review reads a VICP petition file for the one date the Table turns on: the interval between administration and first documented symptom. 42 CFR §100.3 measures that interval in hours and days, so we assemble the complete record from birth and cite the onset page by page.

Click any row → the source page it cites
Record read · Case #IME-4812 cited
Adams, Timothy · petition record production
342 pp / 2 productions received logged
11 duplicate pages removed free
p.140 — wrong patient quarantined
Pages 342 Productions 2 Cited 100%

The Table is published. So is the decision that reads it.

We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In the Vaccine Injury Compensation Program, both are already published, and the intervals are literal.

The rulebook and the referee
The rulebook
  • The Vaccine Injury Table, 42 CFR §100.3 — a literal three-column table: vaccine, injury, and the time interval for first symptom onset
  • The Qualifications and Aids to Interpretation at §100.3(c), which define each listed injury clinically
  • Onset windows are read to the hour: GBS after flu vaccine at 3–42 days, SIRVA within 48 hours, vasovagal syncope within 1 hour
  • A Table match creates a presumption of causation. An off-Table claim is argued under Althen (Fed. Cir. 2005)
The referee
  • The Special Masters of the US Court of Federal Claims, who decide in written, published, citable decisions
  • Review runs to a Court of Federal Claims judge, and from there to the Federal Circuit
  • HHS files a Rule 4(c) report contesting or conceding the petition
Legal nurse consultants at $85–150/hr; offshore chronologies at $0.15–0.50 per page, across files that run 500 to 8,000 pages Flat 10¢/page here, duplicates free
Onset chronology · Case #IME-4812 cited 100%
Productions342 pp / 2 productions · 11 deduplicatedlogged
Administration entryCited to the immunization recordcited
First documented symptomHandwritten intake note, page-citedcited
Records from birthRead across both productionsgaps flagged
Onset intervalAdministration date to first symptommeasured
One timeline · cited 100% · no Table determinations
What the file actually looks like

A lifetime of records for one interval.

A VICP petition file runs from 500 to 8,000 pages, roughly 4,250 at the midpoint, and it rarely arrives as one document. It comes in productions: a pediatric chart, a primary-care chart, an urgent-care visit, a specialist referral, then a supplemental production months later when a provider is finally reached.

What makes it hard is not the length. It is that the decisive line is usually a handwritten complaint on a degraded fax scan, buried in a later production and duplicated in the earlier ones, while the pages that would date it either side are missing.

1,301
petitions filed in FY2025
1,045
compensated, 254 dismissed
29,670+
petitions since 1988, ~$5.5B paid

Source: HRSA program statistics

What we'd build with you

Four steps, starting with one real file.

01

Send one real file

A petition file you already hold, in the productions you already have. In the demo case that is 342 pages across 2 productions, with a wrong-patient page quarantined before the read starts.

02

We return the read

The administration entry, the first documented symptom, the interval between them, and the gaps we could not close, each cited to the page it came from.

03

We scope the build

You tell us where the read missed, and what your petition packet has to look like. We shape the output to that, against the Table sections your practice actually files under.

04

You run it

Your team runs the files and reviews every line before anything leaves the building. We never argue the Table, opine on causation, or decide what gets filed.

Related in mass tort: Asbestos trust claim review · Settlement claim scoring

Audit trail · Case #IME-4812 exportable
08:12Productions received · 342 pp / 2system
08:3111 pages deduplicatedsystem
08:44p.140 flagged — wrong patientsystem
08:54Onset chronology complete · cited 100%system
09:20Chronology reviewed · citations verifiedreviewer
09:26Chronology exported · petition drafted off-platformreviewer
Every access logged · file deleted 30 days after delivery
Why Medrecords AI

The rules the platform never breaks.

Medrecords AI EVERY LINE CITED
CASE #IME-4812 · ADAMS, T.342 pp
2/14 — ER visit, right knee p.4
4/18 — arthroscopic surgery p.61
p.140 — wrong patient quarantined
Medrecords AI
Read every page · cite every line

HIPAA, under a signed BAA

Every file is handled under our Business Associate Agreement, from the first byte.

Never trains a model

Your records are never used to train any AI model — ours or anyone else's.

Every line cited

If we can't cite it, we don't say it. Every sentence links to its source page.

Deleted after delivery

Files are deleted 30 days after delivery, with a full audit log of every access.

Powered by the platform

Four capabilities behind every onset chronology.

The vaccine injury record review is one deliverable of the same platform that reads, sorts, and cites the whole record.

Medical Chronology

Every production collapses into one dated timeline, so administration and first symptom sit next to each other instead of 3,000 pages apart.

IN ACTION · 342 pp / 2 productions → one onset timeline

Missing Records Identification

Complete records from birth is the filing standard. We list the referrals, visits, and date ranges the productions point to but never contain.

IN ACTION · gaps flagged before the petition is filed

Negative Findings Detection

The prior-history entry that undercuts an onset date surfaces in the read, not in the Rule 4(c) report. Surfaced and cited, never suppressed.

IN ACTION · contrary entries listed with the supporting ones

Verifiable AI Citations

Special Masters write citable decisions. Every line we return links to the page it came from, so the record cite behind it is one click away.

IN ACTION · onset chronology → cited 100%
FAQ

Vaccine injury record review, answered.

The Table at 42 CFR §100.3 lists a vaccine, an injury, and a time interval for first symptom onset. We pull the administration record and the first documented symptom out of the file, cite both to their source pages, and lay them on one timeline so the interval between them is readable. Whether that interval satisfies the Table is a legal determination for counsel and, ultimately, the Special Master.

We cite the vaccine administration entry and the first documented shoulder complaint, wherever they sit across the productions, including handwritten intake notes and degraded scans. The 48-hour window in the Qualifications and Aids to Interpretation at §100.3(c) is the standard those two dates are measured against. Applying it to the petition is counsel's call, not ours.

No. Off-Table causation is argued under Althen (Fed. Cir. 2005), and the prongs are argued by counsel and supported by a retained expert. We organize and cite the record evidence and the treating history those arguments rest on. We do not form medical opinions, score a petition's merit, or predict how a Special Master will rule.

Every entry in the productions you send, in date order, each line linked to the page it came from, with duplicates collapsed and gaps in the record flagged. We do not retrieve records from providers or facilities. You bring the productions you already have, and the read starts in minutes from upload.

A petition is filed with complete medical records from birth, which in practice means several productions running from 500 to 8,000 pages. We read every page, deduplicate across productions, and list what appears to be missing so counsel can chase it. We flag gaps; we do not certify that a filing is complete.

Send one file. We'll tell you what we can read.

No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.