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  4. Table 6. CICP Claims Denied Compensation Because Required Medical Records Were Not Submitted (Fiscal Years 2010 – 2023)

Table 6. CICP Claims Denied Compensation Because Required Medical Records Were Not Submitted (Fiscal Years 2010 – 2023)

Data as of March 1, 2023

This table displays the alleged countermeasure and alleged injury for each CICP claim filed between Fiscal Years 2010 through 2023 that was denied compensation because the requester did not submit any required medical records, which may include not submitting any of the medical records specified in their Authorization for Use or Disclosure of Health Information Form(s) submitted to the Program. When this occurs, CICP staff notify the requester and provide them an opportunity to submit the appropriate medical records. However, if the appropriate medical records are not received, CICP staff are unable to conduct a medical review of the claim. If medical records documenting the alleged injury are received, the claim will proceed to a medical review even if incomplete after the requester has had an opportunity to submit the additional appropriate medical records.

Please note that the number column within the tables are not assigned numbers for a particular claim, but reflect the number of listed items in a given table. Further details concerning the table contents are provided below.

Number Alleged Countermeasure Alleged Injury
1 H1N1 vaccine Anaphylaxis
2 H1N1 vaccine Rash (Arm/Shoulder)
3 H1N1 vaccine Rash (Upper Torso/Scalp)
4 H1N1 vaccine Flu Symptoms
5 H1N1 vaccine Not Specified
6 H1N1 vaccine Flu Symptoms
7 H1N1 vaccine Flu Symptoms
8 H1N1 vaccine Not Specified
9 H1N1 vaccine Fever/ Difficulty Breathing
10 H1N1 vaccine Anaphylaxis
11 H1N1 vaccine Flu Symptoms
12 H1N1 vaccine Fever / Vomiting / Shortness of Breath
13 H1N1 vaccine GBS
14 H1N1 vaccine Neurologic symptoms
15 H1N1 vaccine Flu Symptoms
16 H1N1 vaccine Polyarthritis
17 H1N1 vaccine Gastroenteritis
18 H1N1 vaccine Allergic Reaction
19 H1N1 vaccine Miscarriage
20 H1N1 vaccine Bell’s Palsy
21 H1N1 vaccine Weakness/ Elevated Blood Pressure
22 H1N1 vaccine Arm Pain
23 H1N1 vaccine Hematoma
24 H1N1 vaccine Rapid Heartbeat / Dizziness
25 H1N1 vaccine Allergic Reaction
26 H1N1 vaccine Allergic Reaction
27 H1N1 vaccine Allergic Reaction
28 H1N1 vaccine Allergic Reaction
29 H1N1 vaccine Not Specified
30 H1N1 vaccine Allergic Reaction
31 H1N1 vaccine Transverse Myelitis
32 H1N1 vaccine Allergic Reaction
33 H1N1 vaccine Allergic Reaction
34 H1N1 vaccine GBS
35 H1N1 vaccine Not Specified
36 H1N1 vaccine Lymph Node Enlargement
37 H1N1 vaccine Myalgias
38 H1N1 vaccine Not Specified
39 H1N1 vaccine Idiopathic Thrombocytopenic Purpura (ITP)
40 H1N1 vaccine Anaphylactic Shock
41 H1N1 vaccine Not Specified
42 H1N1 vaccine Allergic Reaction
43 H1N1 vaccine Weakness/ Neurologic Issues
44 H1N1 vaccine Miscarriage
45 H1N1 vaccine Rotator Cuff Tear
46 H1N1 vaccine Numbness/ Swelling
47 H1N1 vaccine GBS
48 H1N1 vaccine Edema/ Itching/ Rash/ Skin Lesions/ Weight loss
49 H1N1 vaccine Autoimmune Encephalopathy
50 H1N1 vaccine Cyst
51 H1N1 vaccine Allergic Reaction
52 H1N1 vaccine Wheezing / Fever
53 H1N1 vaccine Fever/ Headache/ Severe Pain
54 H1N1 vaccine Miscarriage
55 H1N1 vaccine Miscarriage
56 H1N1 vaccine Allergic Reaction
57 H1N1 vaccine Bell’s Palsy
58 H1N1 vaccine GBS
59 H1N1 vaccine Not Specified
60 H1N1 vaccine GBS
61 H1N1 vaccine Obsessive Behavior/ Depression
62 H1N1 vaccine Not Specified
63 H1N1 vaccine GBS
64 H1N1 vaccine Miscarriage
65 H1N1 vaccine Diabetes
66 H1N1 vaccine Allergic Reaction
67 H1N1 vaccine Neurologic symptoms
68 H1N1 vaccine Pain at Injection Site
69 H1N1 vaccine Miscarriage
70 H1N1 vaccine Fatigue / Spasms
71 H1N1 vaccine + Tamiflu + Relenza Severe Cough
72 H1N1 vaccine Pain / Weakness
73 H1N1 vaccine Severe Cough
74 H1N1 vaccine Autoimmune Reaction
75 H1N1 vaccine Not Specified
76 H1N1 vaccine Allergic Reaction
77 H1N1 vaccine Headaches / Severe Pain
78 H1N1 vaccine Headaches / Severe Pain
79 H1N1 vaccine Peripheral Neuropathy / Paresthesia
80 H1N1 vaccine Not Specified
81 H1N1 vaccine Pain / Numbness
82 H1N1 vaccine Difficulty Breathing
83 H1N1 vaccine Rash
84 H1N1 vaccine Not Specified
85 H1N1 vaccine Miscarriage
86 H1N1 vaccine Numbness / Pain
87 H1N1 vaccine Not Specified
88 H1N1 vaccine Viral Illness
89 H1N1 vaccine Pneumonia
90 H1N1 vaccine Not Specified
91 H1N1 vaccine Hives
92 H1N1 vaccine Shoulder Severe Pain
93 H1N1 vaccine Shoulder Pain
94 H1N1 vaccine Heart Arrhythmia / Syncope/ Seizures/ Stroke
95 H1N1 vaccine Not Specified
96 H1N1 vaccine Polymyositis/ Fibromyalgia
97 H1N1 vaccine Breathing Issues
98 H1N1 vaccine Neurologic symptoms
99 H1N1 vaccine Not Specified
100 H1N1 vaccine Pain / Nausea / Numbness
101 H1N1 vaccine GBS
102 H1N1 vaccine Neuropathy / Dizziness / Fatigue
103 H1N1 vaccine Not Specified
104 H1N1 vaccine Not Specified
105 H1N1 vaccine Not Specified
106 H1N1 vaccine Not Specified
107 H1N1 vaccine Rotator Cuff Tear / Tendonitis / Nerve Damage
108 H1N1 vaccine Flu Symptoms
109 H1N1 vaccine Not Specified
110 H1N1 vaccine Death
111 H1N1 vaccine Paralysis
112 H1N1 vaccine Immobility / Shoulder pain
113 H1N1 vaccine Rheumatoid Arthritis / Raynaud's Syndrome
114 H1N1 vaccine Breathing Issues / Coughing
115 H1N1 vaccine Pain at Injection Site
116 H1N1 vaccine Shoulder Pain / Weakness
117 H1N1 vaccine Pain / Spasms
118 H1N1 vaccine Numbness / Soreness / Spasms
119 H1N1 vaccine GBS
120 H1N1 vaccine Weakness / Numbness
121 Anthrax vaccine GBS
122 H1N1 vaccine Paralysis / Numbness / Pain
123 H1N1 vaccine Paralysis / Pain
124 H1N1 vaccine Chest Pain
125 H1N1 vaccine Bradycardia / Postural Orthostatic Tachycardia Syndrome (POTS) / Hypertension / Headache
126 Smallpox vaccine GBS
127 Smallpox vaccine Myocarditis
128 Smallpox vaccine Pain / Allergic Reaction
129 Anthrax Vaccine Encephalitis / Seizures
130 H1N1 vaccine Not Specified
131 Smallpox vaccine Allergic Reaction
132 Anthrax vaccine Allergic Reaction / Nervous system Disorder / Thyroid Cancer
133 H1N1 vaccine GBS / Death
134 Anthrax vaccine Myocarditis
135 H7N9 Drug Trial Heart Palpitations
136 Convalescent Plasma Death
137 Not Specified Death
138 Not Specified Death
139 COVID-19 Vaccine Dehydration / Flu-like Symptoms
140 COVID-19 Vaccine Blurred Vision / Hives / Itching / Tremors
141 COVID-19 Vaccine Death
142 Not Specified Death
143 COVID-19 Vaccine Broken Bone / Dizziness
144 Remdesivir Death
145 N-95 Mask / Ventilator Death
146 COVID-19 Vaccine Paralysis
147 Not Specified Death
148 COVID-19 Vaccine Allergic Reaction
149 Not Specified Death
150 COVID-19 Vaccine Allergic Reaction
151 COVID-19 Vaccine Allergic Reaction / Tachycardia
152 Remdesivir Death
153 COVID-19 Vaccine Paralysis
154 COVID-19 Vaccine Death
155 COVID-19 Vaccine Headache / Numbness / Tinnitus
156 Ventilator Death
157 COVID-19 Vaccine Death
158 COVID-19 Vaccine Allergic Reaction
159 Convalescent Plasma / Ventilator Death
160 Ventilator Death
161 Azithromycin / Cefdinir / Odansetron Death
162 COVID-19 Vaccine Not Specified
163 Not Specified Death
164 COVID-19 Vaccine Paralysis
165 COVID-19 Vaccine Tachycardia
166 Ventilator Death
167 Ventilator Death
168 Not Specified Bell's Palsy
169 COVID-19 Vaccine Bell's Palsy
170 Ventilator Death
171 Not Specified Death
172 COVID-19 Vaccine Arm Pain
173 COVID-19 Vaccine Shoulder Pain
174 Remdesivir / Ventilator Death
175 COVID-19 Vaccine Anaphylactic Shock
176 COVID-19 Vaccine Vestibular Neuritis
177 COVID-19 Vaccine Dizziness / Headache / Nausea / Broken Ankle
178 Not Specified Death
179 Ventilator Death
180 COVID-19 Vaccine Seizure / Weakness
181 Convalescent Plasma Death
182 Azithromycin / Ivermectin / Methylprednisolone / Remdesivir Death
Date Last Reviewed: