Open Source Medicine Foundation
Official VICP and CICP injury lists, versioned — and candidate injuries that are not on a Table yet, with the evidence gap that is blocking them
Filter by program. QAI (Qualifications and Aids to Interpretation) is quoted from eCFR with retrieval date. Table versions are append-only.
Current Vaccine Injury Table as amended (82 FR 6299, Jan. 19, 2017; 86 FR 68427, Dec. 2, 2021). Seeded from eCFR retrieval 2026-09-05. Append-only: a later rulemaking becomes a new version, not an edit.
| Countermeasure / vaccine | Injury | Onset window | QAI (quoted) |
|---|---|---|---|
| Vaccines containing tetanus toxoid (e.g., DTaP, DTP, DT, Td, or TT) | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing tetanus toxoid (e.g., DTaP, DTP, DT, Td, or TT) | Brachial neuritis | 2–28 days (not less than 2 days and not more than 28 days) | QAI excerptBrachial neuritis is dysfunction limited to the upper extremity nerve plexus. A deep, steady, often severe aching pain in the shoulder and upper arm usually heralds onset, typically followed in days or weeks by weakness in the affected upper extremity muscle groups. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing tetanus toxoid (e.g., DTaP, DTP, DT, Td, or TT) | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing tetanus toxoid (e.g., DTaP, DTP, DT, Td, or TT) | Vasovagal syncope | ≤1 hour | QAI excerptVasovagal syncope means loss of consciousness (fainting) and postural tone caused by a transient decrease in blood flow to the brain occurring after the administration of an injected vaccine. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing pertussis antigen(s) (e.g., DTP, DTaP, P, DTP-Hib) | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing pertussis antigen(s) (e.g., DTP, DTaP, P, DTP-Hib) | Encephalopathy or encephalitis | ≤72 hours | QAI excerptA vaccine recipient shall be considered to have suffered an encephalopathy if an injury meeting the description of an acute encephalopathy occurs within the applicable time period and results in a chronic encephalopathy. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing pertussis antigen(s) (e.g., DTP, DTaP, P, DTP-Hib) | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing pertussis antigen(s) (e.g., DTP, DTaP, P, DTP-Hib) | Vasovagal syncope | ≤1 hour | QAI excerptVasovagal syncope means loss of consciousness (fainting) and postural tone caused by a transient decrease in blood flow to the brain occurring after the administration of an injected vaccine. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing measles, mumps, and rubella virus or any of its components (e.g., MMR, MM, MMRV) | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing measles, mumps, and rubella virus or any of its components (e.g., MMR, MM, MMRV) | Encephalopathy or encephalitis | 5–15 days (not less than 5 days and not more than 15 days) | QAI excerptA vaccine recipient shall be considered to have suffered an encephalopathy if an injury meeting the description of an acute encephalopathy occurs within the applicable time period and results in a chronic encephalopathy. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing measles, mumps, and rubella virus or any of its components (e.g., MMR, MM, MMRV) | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing measles, mumps, and rubella virus or any of its components (e.g., MMR, MM, MMRV) | Vasovagal syncope | ≤1 hour | QAI excerptVasovagal syncope means loss of consciousness (fainting) and postural tone caused by a transient decrease in blood flow to the brain occurring after the administration of an injected vaccine. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing rubella virus (e.g., MMR, MMRV) | Chronic arthritis | 7–42 days (not less than 7 days and not more than 42 days) | QAI excerptNo condition covered. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing measles virus (e.g., MMR, MM, MMRV) | Thrombocytopenic purpura | 7–30 days (not less than 7 days and not more than 30 days) | QAI excerptThrombocytopenic purpura is defined by clinical manifestations such as petechiae, significant bruising, or spontaneous bleeding, and by a serum platelet count less than 50,000/mm3 with normal red and white blood cell indices. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing polio inactivated virus (e.g., IPV) | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing polio inactivated virus (e.g., IPV) | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Vaccines containing polio inactivated virus (e.g., IPV) | Vasovagal syncope | ≤1 hour | QAI excerptVasovagal syncope means loss of consciousness (fainting) and postural tone caused by a transient decrease in blood flow to the brain occurring after the administration of an injected vaccine. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Hepatitis B vaccines | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Hepatitis B vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Haemophilus influenzae type b (Hib) vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Varicella vaccines | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Varicella vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Rotavirus vaccines | Intussusception | 1–21 days (not less than 1 day and not more than 21 days) | QAI excerptIntussusception means the invagination of a segment of intestine into the next segment of intestine, resulting in bowel obstruction. Onset that occurs with or after the third dose of a rotavirus vaccine is not a Table intussusception. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Pneumococcal conjugate vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Hepatitis A vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Seasonal influenza vaccines | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Seasonal influenza vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Seasonal influenza vaccines | Vasovagal syncope | ≤1 hour | QAI excerptVasovagal syncope means loss of consciousness (fainting) and postural tone caused by a transient decrease in blood flow to the brain occurring after the administration of an injected vaccine. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Seasonal influenza vaccines | Guillain-Barré Syndrome | 3–42 days (not less than 3 days and not more than 42 days) | QAI excerptGBS is an acute monophasic peripheral neuropathy. The interval between the first appearance of symptoms and the nadir of weakness is between 12 hours and 28 days. Exclusionary criteria include CIDP and a list of more-likely alternative diagnoses. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Meningococcal vaccines | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Human papillomavirus (HPV) vaccines | Anaphylaxis | ≤4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
| Human papillomavirus (HPV) vaccines | Shoulder Injury Related to Vaccine Administration | ≤48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-100.3 · retrieved 2026-09-05 |
Covered Countermeasures Injury Table as displayed on eCFR (pandemic influenza rows). COVID-19 vaccines have no Table condition in this version. Retrieval 2026-09-05.
| Countermeasure / vaccine | Injury | Onset window | QAI (quoted) |
|---|---|---|---|
| Pandemic influenza vaccines administered by needle into or through the skin | Anaphylaxis | 0–4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-110.100 · retrieved 2026-09-05 |
| Pandemic influenza vaccines administered by needle into or through the skin | Deltoid bursitis | 0–48 hours | QAI excerptSIRVA manifests as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder. SIRVA is not a neurological injury. Source: https://www.ecfr.gov/current/title-42/section-110.100 · retrieved 2026-09-05 CICP uses deltoid bursitis; related to but not identical to VICP SIRVA. |
| Pandemic influenza vaccines administered by needle into or through the skin | Vasovagal syncope | 0–1 hour | QAI excerptVasovagal syncope means loss of consciousness (fainting) and postural tone caused by a transient decrease in blood flow to the brain occurring after the administration of an injected vaccine. Source: https://www.ecfr.gov/current/title-42/section-110.100 · retrieved 2026-09-05 |
| Pandemic influenza intranasal vaccines | Anaphylaxis | 0–4 hours | QAI excerptAnaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Signs and symptoms begin minutes to a few hours after exposure. Source: https://www.ecfr.gov/current/title-42/section-110.100 · retrieved 2026-09-05 |
| Pandemic influenza 2009 H1N1 vaccine | Guillain-Barré Syndrome | 3–42 days (not less than 72 hours and not more than 42 days) | QAI excerptGBS is an acute monophasic peripheral neuropathy. The interval between the first appearance of symptoms and the nadir of weakness is between 12 hours and 28 days. Exclusionary criteria include CIDP and a list of more-likely alternative diagnoses. Source: https://www.ecfr.gov/current/title-42/section-110.100 · retrieved 2026-09-05 |
| COVID-19 vaccines (covered PREP Act countermeasures) | No condition covered | Not applicable | QAI excerptNo condition covered. Source: https://www.ecfr.gov/current/title-42/section-110.100 · retrieved 2026-09-05 COVID-19 vaccines are covered countermeasures under CICP, but as of this TableVersion they have no Table injury. Claims may still be compensated off-Table if causation is shown by compelling, reliable, valid medical and scientific evidence. That is a higher bar than a Table presumption. |
COVID-19 vaccines are covered by CICP, not VICP. The CICP Table currently lists no COVID-19-specific injury. Seasonal influenza GBS is on the VICP Table. That difference is statutory coverage, not a statement about relative harm.
Free-text blocker (legacy): No regulations.gov docket_number on the Docket record (petition_filed is a manual acknowledgement gate).
Pipeline board / docket → Stage history is append-only. 2026-09-05 · actor phase2-fill-gaps.
Free-text blocker (legacy): C3 (Epidemiologic excess risk) is insufficient_data — populate/search nodes B1, B3. C4 (Consistency / replication) is insufficient_data — populate/search nodes B5, B6. C5 (Specificity (product / dose)) is insufficient_data — populate/search nodes C1n, C2n.
Pipeline board / docket → Stage history is append-only. 2026-09-05 · actor phase2-fill-gaps.
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Track peer-reviewed literature on vaccine safety, pharmacovigilance, and post-market surveillance.
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Decentralized trial for PACVS (post-acute COVID-19 vaccination syndrome).
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