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VICP Frequently Asked Questions

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What is the Vaccine Injury Compensation Program?

The Vaccine Injury Compensation Program (VICP) is a federal, no-fault program created to provide compensation to individuals who are injured by certain vaccines. It was established to ensure continued public confidence in the vaccine system, to protect vaccine supply by limiting manufacturer liability, and to offer a fair alternative to traditional lawsuits.

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Why was the VICP created?

The VICP was established in 1986 after a rise in lawsuits related to vaccine injuries threatened vaccine availability. The program was designed to provide a streamlined legal process for injured individuals while protecting the vaccine supply and public health system.

Are vaccine manufacturers or doctors liable for vaccine injuries?

Generally, no. Under federal law, individuals cannot sue vaccine manufacturers or vaccine administrators (such as doctors, nurses, or clinics) in civil court for injuries resulting from covered vaccines. Instead, the VICP serves as the exclusive remedy for most vaccine-related injury claims. This legal protection was part of the original law that created the VICP to ensure a stable vaccine supply by shielding manufacturers and providers from liability, while still offering an avenue of compensation to those who are injured. In rare cases involving fraud or willful misconduct, a separate legal pathway may be available, but these are extremely limited and require special approval.

Who are the main players in the VICP process?

Several key federal agencies and legal professionals work together to process and resolve VICP claims:

  • Petitioners and Their Attorneys: Individuals who file a claim for vaccine-related injury or death, often represented by specialized vaccine injury attorneys.
  • Office of Special Masters (OSM): Part of the U.S. Court of Federal Claims, this office consists of judges called Special Masters who review evidence, conduct hearings if necessary, and issue final decisions.
  • U.S. Department of Health and Human Services (HHS): Medical staff within HHS review the claim, prepare medical reports, and make recommendations about whether compensation should be awarded.
  • U.S. Department of Justice (DOJ): Represents HHS in the legal proceedings and submits formal responses to the court. DOJ attorneys handle settlement discussions and litigation.
  • National Vaccine Injury Compensation Program (HRSA): A division within HHS, HRSA oversees administration of the program, maintains the Vaccine Injury Table, and distributes compensation.

This collaborative framework is designed to ensure claims are resolved fairly and efficiently, with a focus on medical evidence and legal consistency.

Who administers the VICP?

The VICP is administered jointly by three federal entities:

  • The U.S. Department of Health and Human Services (HHS) reviews medical claims and makes recommendations.
  • The U.S. Department of Justice (DOJ) represents HHS in court proceedings.
  • The U.S. Court of Federal Claims, through its Office of Special Masters, decides the outcome of each case.

What vaccines are covered under the VICP?

The VICP covers most vaccines routinely recommended by the Centers for Disease Control and Prevention (CDC) for children, pregnant individuals, or adults when administered according to CDC guidelines. As of the current Vaccine Injury Table, the following vaccines are covered:

  • Diphtheria, Tetanus, and Pertussis (DTaP, Tdap, DT, Td, TT)
  • Haemophilus influenzae type b (Hib)
  • Hepatitis A
  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Influenza (seasonal flu)
  • Measles, Mumps, and Rubella (MMR)
  • Meningococcal vaccines (MenACWY, MenB)
  • Pneumococcal Conjugate Vaccines (PCV):
    • PCV7 (Prevnar 7) – no longer in use, but previously covered
    • PCV13 (Prevnar 13) – commonly administered to children and adults
    • PCV15 (Vaxneuvance) – newer vaccine recommended for certain age groups
    • PCV20 (Prevnar 20) – most recently approved for broader adult use
  • Polio (IPV)
  • Rotavirus (RV1 – Rotarix, RV5 – RotaTeq)
  • Varicella (chickenpox)
  • Any combination vaccine that includes one or more of the above components

Vaccines must be administered in the United States or under certain qualifying conditions abroad (e.g., to U.S. citizens employed overseas by the federal government). Note that COVID-19 vaccines are not currently covered under the VICP. These are addressed through the separate Countermeasures Injury Compensation Program (CICP), pending any legislative updates.

Who can file a petition?

Anyone who received a covered vaccine and believes they were injured as a result may file a petition. Parents or legal guardians may file on behalf of children, and legal representatives may file on behalf of deceased individuals or those unable to file for themselves.

What is the process for filing a VICP claim?

A VICP case begins by preparing and filing a petition with the U.S. Court of Federal Claims. The petition includes a written summary of the petitioner’s medical chronology based on their medical records, which outline the course of diagnosis, treatment, and recovery. Medical records relevant to the vaccination and injury must be gathered and filed with the Court to support the petition. After filing, the case is reviewed by medical staff within the U.S. Department of Health and Human Services (HHS), who analyze the petition and medical documentation. HHS then determines its position on the case and submits a “Rule 4 Report” outlining whether it believes compensation should be awarded. Following this review, the parties may engage in settlement negotiations or submit expert reports to support their respective positions. A Special Master reviews the evidence, may hold a hearing, and ultimately issues a decision.

How long do I have to file a claim?

Generally, you must file within three years of the first sign or symptom of the vaccine injury. For death cases, the deadline is two years from the date of death and no more than four years after the first symptom of the vaccine-related injury that led to death.

What compensation is available?

The VICP may provide compensation for a range of losses and expenses related to a vaccine injury. These include:

  • Medical Expenses: Payment for all past unreimbursed and future expected medical costs related to the vaccine injury, including hospital stays, outpatient care, therapy, home modifications, medical equipment, and prescription medications.
  • Lost Income or Earning Capacity: Compensation for wages lost due to time away from work, and in some cases, the loss of future earning potential if the injury results in a long-term or permanent disability.
  • Pain and Suffering: Compensation for physical pain and emotional distress resulting from the injury, with a statutory cap of $250,000.
  • Death Benefit: In cases where a vaccine-related injury results in death, eligible family members may receive up to $250,000 in compensation.
  • Attorneys’ Fees and Costs: Reasonable legal fees and litigation expenses are paid by the program separately and do not come out of the petitioner’s award, regardless of whether the case is successful.

Each award is tailored to the individual’s situation and supported by evidence, expert reports, and medical documentation.

Do I need an attorney to file a VICP claim?

You are not required to have an attorney, but having one is strongly recommended. Vaccine law is a specialized area, and experienced attorneys can guide you through the process and help gather the necessary medical evidence. Attorneys’ fees are paid separately by the program and do not reduce your award.

What happens if I win my case?

If the Special Master rules in your favor—or if your case settles—you may receive compensation as outlined in your damages agreement. Compensation can include a combination of lump sum payments, annuities, or structured settlements depending on the nature of your injuries.

What if my case is denied?

If you disagree with the outcome, you may appeal to a judge of the U.S. Court of Federal Claims. From there, further appeals may be filed with the U.S. Court of Appeals for the Federal Circuit and potentially the U.S. Supreme Court.

What if the vaccine I received isn’t covered by the VICP?

If the vaccine is not listed in the Vaccine Injury Table or was not recommended for routine administration, you may not be eligible to file under the VICP. However, you may have other legal options, and should consult with an attorney to evaluate your case.

Are COVID-19 vaccine injuries covered under the VICP?

At this time, COVID-19 vaccine injury claims are processed under a separate system called the Countermeasures Injury Compensation Program (CICP). However, there are ongoing efforts to bring COVID-19 vaccines under the VICP to provide petitioners with stronger procedural protections and access to legal representation.

How is the VICP funded?

The Vaccine Injury Compensation Program is funded by a $0.75 excise tax on every dose of covered vaccine. This tax is paid by vaccine manufacturers and placed into a federal trust fund. The fund is used to pay compensation to injured individuals, cover attorneys’ fees, and operate the program—without any reliance on taxpayer dollars.

As of May 31, 2024, the trust fund held approximately $4.55 billion. Each year, the program brings in an average of $200–275 million through vaccine excise taxes and interest income.

Annually, the program pays out approximately $125–150 million in compensation to petitioners and an additional $25–30 million in attorneys’ fees and costs. These disbursements ensure that the program remains responsive and capable of meeting the needs of vaccine-injured individuals.

Can I file a claim if I was vaccinated outside the U.S.?

In some cases, yes. If the vaccine was administered in a U.S. territory or to a U.S. citizen serving abroad under certain conditions, you may still be eligible. Eligibility is fact-specific and should be reviewed with legal counsel.

 

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