National Vaccine Injury Compensation Program: Revisions to the Vaccine Injury Table, 36367-36369 [2011-15617]

Download as PDF Federal Register / Vol. 76, No. 120 / Wednesday, June 22, 2011 / Rules and Regulations DEPARTMENT OF HEALTH AND HUMAN SERVICES 42 CFR Part 100 RIN 0906–AA74 National Vaccine Injury Compensation Program: Revisions to the Vaccine Injury Table Health Resources and Services Administration (HRSA), HHS. ACTION: Final rule. AGENCY: On September 13, 2010, the Secretary of Health and Human Services (the Secretary) published in the Federal Register a Notice of Proposed Rulemaking (NPRM) proposing changes to the regulations governing the National Vaccine Injury Compensation Program (VICP). Specifically, the Secretary proposed revisions to the Vaccine Injury Table (Table) to create distinct listings for hepatitis A, trivalent influenza, meningococcal, and human papillomavirus vaccines. The Secretary is now making this amendment to the Table by final rule; it is technical in nature. The four categories of vaccines described in this final rule are already covered vaccines under the VICP (starting in 2004) and are currently listed in a placeholder category (box XIII) in the Table. This final rule will list these vaccines as separate categories on the Table, with no associated injuries noted at this time, in order to help the public identify clearly that these vaccines are covered by the VICP. The changes implemented here are authorized by section 2114(e) of the Public Health Service Act (the Act). DATES: This regulation is effective July 22, 2011. FOR FURTHER INFORMATION CONTACT: Geoffrey Evans, M.D., Director, Division of Vaccine Injury Compensation, Healthcare Systems Bureau, Health Resources and Services Administration, Room 11C–26, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857; telephone at (301) 443–6593. SUPPLEMENTARY INFORMATION: On September 13, 2010, the Secretary published in the Federal Register (75 FR 55503, September 13, 2010) an NPRM to revise and amend the Table by moving these vaccines to separate and distinct listings of the Table. The NPRM was issued pursuant to Section 2114(e) of the Act, which directs the Secretary to add to the Table, by rulemaking, coverage of additional vaccines which are recommended by the Centers for Disease Control and Prevention for routine administration to children. The Department held a 6-month comment period, which ended on jlentini on DSK4TPTVN1PROD with RULES SUMMARY: VerDate Mar<15>2010 18:22 Jun 21, 2011 Jkt 223001 March 14, 2011, in connection with this NPRM. The Secretary received one nonsubstantive comment that was not responsive to the NPRM. A public hearing was held on March 4, 2011, as announced in the Federal Register (76 FR 8965, February 16, 2011), but no individual or organization appeared to testify. Because the Secretary has not received any substantive comments, either written or oral, from any interested individual or organization on the proposals made in the NPRM, and because the Secretary continues to believe the advisability of effectuating such proposals, this final rule implements the proposals made in the NPRM. The rationale for all revisions were explained fully in the Preamble to the NPRM. For the reasons set forth in the NPRM, the Secretary amends the Table in this final rule. Economic and Regulatory Impact Executive Order 12866, as amended by Executive Orders 13258 and 13422, directs agencies to assess all costs and benefits of available regulatory alternatives and, when rulemaking is necessary, to select regulatory approaches that provide the greatest net benefits (including potential economic, environmental, public health, safety, distributive and equity effects). In addition, under the Regulatory Flexibility Act, if a rule has a significant economic effect on a substantial number of small entities, the Secretary must specifically consider the economic effect of a rule on small entities and analyze regulatory options that could lessen the impact of the rule. Executive Order 12866, as amended by Executive Orders 13258 and 13422, requires that all regulations reflect consideration of alternatives, of costs, of benefits, of incentives, of equity, and of available information. Regulations must meet certain standards, such as avoiding an unnecessary burden. Regulations which are ‘‘significant’’ because of cost, adverse effects on the economy, inconsistency with other agency actions, effects on the budget, or novel legal or policy issues, require special analysis. The Secretary has determined that no resources are required to implement the requirements in this final rule. Therefore, in accordance with the Regulatory Flexibility Act of 1980 (RFA), and the Small Business Regulatory Enforcement Fairness Act of 1996, which amended the RFA, the Secretary certifies that this final rule will not have a significant impact on a substantial number of small entities. The Secretary has also determined that this final rule does not meet the PO 00000 Frm 00087 Fmt 4700 Sfmt 4700 36367 criteria for a major rule as defined by Executive Order 12866, as amended by Executive Orders 13258 and 13422, and would have no major effect on the economy or Federal expenditures. The Secretary has determined that this final rule is not a ‘‘major rule’’ within the meaning of the statute providing for Congressional Review of Agency Rulemaking, 5 U.S.C. 801. Similarly, it will not have effects on State, local, and Tribal governments and on the private sector such as to require consultation under the Unfunded Mandates Reform Act of 1995. The Secretary has reviewed this final rule in accordance with Executive Order 13132 regarding federalism, and has determined that it does not have ‘‘federalism implications.’’ This final rule would not ‘‘have substantial direct effects on the States, or on the relationship between the national government and the States, or on the distribution of power and responsibilities among the various levels of government.’’ This final rule would not adversely affect the following family elements: Family safety, family stability, marital commitment; parental rights in the education, nurture and supervision of their children; family functioning, disposable income or poverty; or the behavior and personal responsibility of youth, as determined under section 654(c) of the Treasury and General Government Appropriations Act of 1999. Impact of the New Rule This final rule is technical in nature. Because the vaccines being added to the Table as separate categories are already included on the Table under Category XIII, this Table will have no effect on current or potential petitioners other than to help clarify which vaccines are covered by the VICP. This final rule would not prevent otherwise eligible individuals with claims of injuries or deaths allegedly resulting from the hepatitis A, trivalent influenza, meningococcal and human papillomavirus vaccines from filing claims with the VICP and would not otherwise affect such petitioners. Paperwork Reduction Act This final rule does not have any information collection requirements. E:\FR\FM\22JNR1.SGM 22JNR1 36368 Federal Register / Vol. 76, No. 120 / Wednesday, June 22, 2011 / Rules and Regulations Dated: May 2, 2011. Mary Wakefield, Administrator, Health Resources and Services Administration. Approved: June 16, 2011. Kathleen Sebelius, Secretary. List of Subjects in 42 CFR Part 100 Biologics, Health insurance, and Immunization. Accordingly, 42 CFR part 100 is amended as set forth below: 1. The authority citation for 42 CFR part 100 continues to read as follows: Authority: Secs. 312 and 313 of Pub. L. 99–660, 100 Stat. 3779–3782 (42 U.S.C. 300aa–1 note); sec. 2114(c) and (e) of the PHS Act (42 U.S.C. 300aa–14(c) and (e)); sec. 2115(a)(3)(B) of the PHS Act (42 U.S.C. 300aa–15(a)(3)(B)); sec. 904(b) of Pub. L. 105– 34, 111 Stat. 873; sec. 1503 of Pub. L. 105– 277, 112 Stat. 2681–741; and sec. 523(a) of Pub. L. 106–170, 113 Stat. 1927–1928. 2. Amend § 100.3 by revising the Vaccine Injury Table following paragraph (a), revising paragraph (c)(1), redesignating paragraph (c)(5) as paragraph (c)(8) and revising newly designated paragraph (c)(8), and adding new paragraphs (c)(5), (c)(6), and (c)(7), to read as follows: § 100.3 PART 100—VACCINE INJURY COMPENSATION ■ ■ Vaccine injury table (a) * * * VACCINE INJURY TABLE Time period for first symptom or manifestation of onset or of significant aggravation after vaccine administration Vaccine Illness, disability, injury or condition covered I. Vaccines containing tetanus toxoid (e.g., DTaP, DTP, DT, Td, or TT). A. Anaphylaxis or anaphylactic shock ......................................... 4 hours. B. Brachial Neuritis ...................................................................... C. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. A. Anaphylaxis or anaphylactic shock ......................................... 2–28 days. Not applicable. B. Encephalopathy (or encephalitis) ............................................ C. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. A. Anaphylaxis or anaphylactic shock ......................................... 72 hours. Not applicable. B. Encephalopathy (or encephalitis) ............................................ 5–15 days (not less than 5 days and not more than 15 days). Not applicable. II. Vaccines containing whole cell pertussis bacteria, extracted or partial cell pertussis bacteria, or specific pertussis antigen(s) (e.g., DTP, DTaP, P, DTP–Hib). III. Measles, mumps, and rubella vaccine or any of its components (e.g., MMR, MR, M, R). IV. Vaccines containing rubella virus (e.g., MMR, MR, R). V. Vaccines containing measles virus (e.g., MMR, MR, M). B. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. A. Thrombocytopenic purpura ..................................................... 4 hours. 7–42 days. Not applicable. 7–30 days. VerDate Mar<15>2010 18:22 Jun 21, 2011 B. Vaccine-Strain Measles Viral Infection in an immunodeficient recipient. C. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. A. Paralytic Polio ......................................................................... 6 months. —in a non-immunodeficient recipient ................................... —in an immunodeficient recipient ........................................ —in a vaccine associated community case ......................... B. Vaccine-Strain Polio Viral Infection. —in a non-immunodeficient recipient ................................... —in an immunodeficient recipient ........................................ —in a vaccine associated community case ......................... C. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. VI. Vaccines containing polio live virus (OPV). jlentini on DSK4TPTVN1PROD with RULES C. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. A. Chronic arthritis ....................................................................... 4 hours. 30 days. 6 months. Not applicable. Jkt 223001 PO 00000 Frm 00088 Fmt 4700 Sfmt 4700 E:\FR\FM\22JNR1.SGM Not applicable. 30 days. 6 months. Not applicable. Not applicable. 22JNR1 Federal Register / Vol. 76, No. 120 / Wednesday, June 22, 2011 / Rules and Regulations 36369 VACCINE INJURY TABLE—Continued Time period for first symptom or manifestation of onset or of significant aggravation after vaccine administration Vaccine Illness, disability, injury or condition covered VII. Vaccines containing polio inactivated virus (e.g., IPV). A. Anaphylaxis or anaphylactic shock ......................................... 4 hours Not applicable. VIII. Hepatitis B. vaccines .................... B. Any acute complication or sequela (including death of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed.. A. Anaphylaxis or anaphylactic shock ......................................... B. Any acute complication or sequela (including death) of an illness, disability, injury, or condition referred to above which illness, disability, injury, or condition arose within the time period prescribed. No Condition Specified ................................................................ 4 hours. Not applicable. No No No No No No No Not Not Not Not Not Not Not IX. Hemophilus influenzae type b polysaccharide conjugate vaccines. X. Varicella vaccine ............................. XI. Rotavirus vaccine ........................... XII. Pneumococcal conjugate vaccines XIII. Hepatitis A vaccines ..................... XIV. Trivalent influenza vaccines ........ XV. Meningococcal vaccines ............... XVI. Human papillomavirus (HPV) vaccines. XVII. Any new vaccine recommended by the Centers for Disease Control and Prevention for routine administration to children, after publication by the Secretary of a notice of coverage. * * * * (c) * * * (1) Except as provided in paragraph (c)(2), (3), (4), (5), (6), or (7) of this section, the revised Table of Injuries set forth in paragraph (a) of this section and the Qualifications and Aids to Interpretation set forth in paragraph (b) of this section apply to petitions for compensation under the Program filed with the United States Court of Federal Claims on or after March 24, 1997. Petitions for compensation filed before such date shall be governed by section 2114(a) and (b) of the Public Health Service Act as in effect on January 1, 1995, or by § 100.3 as in effect on March 10, 1995 (see 60 FR 7678, et seq., February 8, 1995), as applicable. * * * * * (5) Hepatitis A vaccines (Item XIII of the Table) are included on the Table as of December 1, 2004. (6) Trivalent influenza vaccines (Item XIV of the Table) are included on the Table as of July 1, 2005. (7) Meningococcal vaccines and human papillomavirus vaccines (Items XV and XVI of the Table) are included on the Table as of February 1, 2007. (8) Other new vaccines (Item XVII of the Table) will be included in the Table as of the effective date of a tax enacted to provide funds for compensation paid with respect to such vaccines. An amendment to this section will be published in the Federal Register to VerDate Mar<15>2010 18:22 Jun 21, 2011 Specified Specified Specified Specified Specified Specified Specified ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ No Condition Specified ................................................................ * jlentini on DSK4TPTVN1PROD with RULES Condition Condition Condition Condition Condition Condition Condition Jkt 223001 announce the effective date of such a tax. * * * * * [FR Doc. 2011–15617 Filed 6–21–11; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency 44 CFR Part 64 [Docket ID FEMA–2011–0002; Internal Agency Docket No. FEMA–8185] Suspension of Community Eligibility Federal Emergency Management Agency, DHS. ACTION: Final rule. AGENCY: This rule identifies communities, where the sale of flood insurance has been authorized under the National Flood Insurance Program (NFIP), that are scheduled for suspension on the effective dates listed within this rule because of noncompliance with the floodplain management requirements of the program. If the Federal Emergency Management Agency (FEMA) receives documentation that the community has SUMMARY: PO 00000 Frm 00089 Fmt 4700 Sfmt 4700 Not applicable. applicable. applicable. applicable. applicable. applicable. applicable. applicable. Not applicable. adopted the required floodplain management measures prior to the effective suspension date given in this rule, the suspension will not occur and a notice of this will be provided by publication in the Federal Register on a subsequent date. DATES: Effective Dates: The effective date of each community’s scheduled suspension is the third date (‘‘Susp.’’) listed in the third column of the following tables. FOR FURTHER INFORMATION CONTACT: If you want to determine whether a particular community was suspended on the suspension date or for further information, contact David Stearrett, Mitigation Directorate, Federal Emergency Management Agency, 500 C Street SW., Washington, DC 20472, (202) 646–2953. SUPPLEMENTARY INFORMATION: The NFIP enables property owners to purchase flood insurance which is generally not otherwise available. In return, communities agree to adopt and administer local floodplain management aimed at protecting lives and new construction from future flooding. Section 1315 of the National Flood Insurance Act of 1968, as amended, 42 U.S.C. 4022, prohibits flood insurance coverage as authorized under the NFIP, 42 U.S.C. 4001 et seq.; unless an appropriate public body adopts adequate floodplain management E:\FR\FM\22JNR1.SGM 22JNR1

Agencies

[Federal Register Volume 76, Number 120 (Wednesday, June 22, 2011)]
[Rules and Regulations]
[Pages 36367-36369]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15617]



[[Page 36367]]

=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

42 CFR Part 100

RIN 0906-AA74


National Vaccine Injury Compensation Program: Revisions to the 
Vaccine Injury Table

AGENCY: Health Resources and Services Administration (HRSA), HHS.

ACTION: Final rule.

-----------------------------------------------------------------------

SUMMARY: On September 13, 2010, the Secretary of Health and Human 
Services (the Secretary) published in the Federal Register a Notice of 
Proposed Rulemaking (NPRM) proposing changes to the regulations 
governing the National Vaccine Injury Compensation Program (VICP). 
Specifically, the Secretary proposed revisions to the Vaccine Injury 
Table (Table) to create distinct listings for hepatitis A, trivalent 
influenza, meningococcal, and human papillomavirus vaccines. The 
Secretary is now making this amendment to the Table by final rule; it 
is technical in nature. The four categories of vaccines described in 
this final rule are already covered vaccines under the VICP (starting 
in 2004) and are currently listed in a placeholder category (box XIII) 
in the Table. This final rule will list these vaccines as separate 
categories on the Table, with no associated injuries noted at this 
time, in order to help the public identify clearly that these vaccines 
are covered by the VICP. The changes implemented here are authorized by 
section 2114(e) of the Public Health Service Act (the Act).

DATES: This regulation is effective July 22, 2011.

FOR FURTHER INFORMATION CONTACT: Geoffrey Evans, M.D., Director, 
Division of Vaccine Injury Compensation, Healthcare Systems Bureau, 
Health Resources and Services Administration, Room 11C-26, Parklawn 
Building, 5600 Fishers Lane, Rockville, Maryland 20857; telephone at 
(301) 443-6593.

SUPPLEMENTARY INFORMATION: On September 13, 2010, the Secretary 
published in the Federal Register (75 FR 55503, September 13, 2010) an 
NPRM to revise and amend the Table by moving these vaccines to separate 
and distinct listings of the Table. The NPRM was issued pursuant to 
Section 2114(e) of the Act, which directs the Secretary to add to the 
Table, by rulemaking, coverage of additional vaccines which are 
recommended by the Centers for Disease Control and Prevention for 
routine administration to children.
    The Department held a 6-month comment period, which ended on March 
14, 2011, in connection with this NPRM. The Secretary received one non-
substantive comment that was not responsive to the NPRM. A public 
hearing was held on March 4, 2011, as announced in the Federal Register 
(76 FR 8965, February 16, 2011), but no individual or organization 
appeared to testify.
    Because the Secretary has not received any substantive comments, 
either written or oral, from any interested individual or organization 
on the proposals made in the NPRM, and because the Secretary continues 
to believe the advisability of effectuating such proposals, this final 
rule implements the proposals made in the NPRM. The rationale for all 
revisions were explained fully in the Preamble to the NPRM. For the 
reasons set forth in the NPRM, the Secretary amends the Table in this 
final rule.

Economic and Regulatory Impact

    Executive Order 12866, as amended by Executive Orders 13258 and 
13422, directs agencies to assess all costs and benefits of available 
regulatory alternatives and, when rulemaking is necessary, to select 
regulatory approaches that provide the greatest net benefits (including 
potential economic, environmental, public health, safety, distributive 
and equity effects). In addition, under the Regulatory Flexibility Act, 
if a rule has a significant economic effect on a substantial number of 
small entities, the Secretary must specifically consider the economic 
effect of a rule on small entities and analyze regulatory options that 
could lessen the impact of the rule. Executive Order 12866, as amended 
by Executive Orders 13258 and 13422, requires that all regulations 
reflect consideration of alternatives, of costs, of benefits, of 
incentives, of equity, and of available information. Regulations must 
meet certain standards, such as avoiding an unnecessary burden. 
Regulations which are ``significant'' because of cost, adverse effects 
on the economy, inconsistency with other agency actions, effects on the 
budget, or novel legal or policy issues, require special analysis.
    The Secretary has determined that no resources are required to 
implement the requirements in this final rule. Therefore, in accordance 
with the Regulatory Flexibility Act of 1980 (RFA), and the Small 
Business Regulatory Enforcement Fairness Act of 1996, which amended the 
RFA, the Secretary certifies that this final rule will not have a 
significant impact on a substantial number of small entities.
    The Secretary has also determined that this final rule does not 
meet the criteria for a major rule as defined by Executive Order 12866, 
as amended by Executive Orders 13258 and 13422, and would have no major 
effect on the economy or Federal expenditures. The Secretary has 
determined that this final rule is not a ``major rule'' within the 
meaning of the statute providing for Congressional Review of Agency 
Rulemaking, 5 U.S.C. 801.
    Similarly, it will not have effects on State, local, and Tribal 
governments and on the private sector such as to require consultation 
under the Unfunded Mandates Reform Act of 1995.
    The Secretary has reviewed this final rule in accordance with 
Executive Order 13132 regarding federalism, and has determined that it 
does not have ``federalism implications.'' This final rule would not 
``have substantial direct effects on the States, or on the relationship 
between the national government and the States, or on the distribution 
of power and responsibilities among the various levels of government.''
    This final rule would not adversely affect the following family 
elements: Family safety, family stability, marital commitment; parental 
rights in the education, nurture and supervision of their children; 
family functioning, disposable income or poverty; or the behavior and 
personal responsibility of youth, as determined under section 654(c) of 
the Treasury and General Government Appropriations Act of 1999.

Impact of the New Rule

    This final rule is technical in nature. Because the vaccines being 
added to the Table as separate categories are already included on the 
Table under Category XIII, this Table will have no effect on current or 
potential petitioners other than to help clarify which vaccines are 
covered by the VICP. This final rule would not prevent otherwise 
eligible individuals with claims of injuries or deaths allegedly 
resulting from the hepatitis A, trivalent influenza, meningococcal and 
human papillomavirus vaccines from filing claims with the VICP and 
would not otherwise affect such petitioners.

Paperwork Reduction Act

    This final rule does not have any information collection 
requirements.


[[Page 36368]]


    Dated: May 2, 2011.
Mary Wakefield,
Administrator, Health Resources and Services Administration.
    Approved: June 16, 2011.
Kathleen Sebelius,
Secretary.

List of Subjects in 42 CFR Part 100

    Biologics, Health insurance, and Immunization.

    Accordingly, 42 CFR part 100 is amended as set forth below:

PART 100--VACCINE INJURY COMPENSATION

0
1. The authority citation for 42 CFR part 100 continues to read as 
follows:

    Authority:  Secs. 312 and 313 of Pub. L. 99-660, 100 Stat. 3779-
3782 (42 U.S.C. 300aa-1 note); sec. 2114(c) and (e) of the PHS Act 
(42 U.S.C. 300aa-14(c) and (e)); sec. 2115(a)(3)(B) of the PHS Act 
(42 U.S.C. 300aa-15(a)(3)(B)); sec. 904(b) of Pub. L. 105-34, 111 
Stat. 873; sec. 1503 of Pub. L. 105-277, 112 Stat. 2681-741; and 
sec. 523(a) of Pub. L. 106-170, 113 Stat. 1927-1928.


0
2. Amend Sec.  100.3 by revising the Vaccine Injury Table following 
paragraph (a), revising paragraph (c)(1), redesignating paragraph 
(c)(5) as paragraph (c)(8) and revising newly designated paragraph 
(c)(8), and adding new paragraphs (c)(5), (c)(6), and (c)(7), to read 
as follows:


Sec.  100.3  Vaccine injury table

    (a) * * *

                          Vaccine Injury Table
------------------------------------------------------------------------
                                                         Time period for
                                                        first symptom or
                                                        manifestation of
                                 Illness, disability,      onset or of
            Vaccine               injury or condition      significant
                                        covered            aggravation
                                                          after vaccine
                                                         administration
------------------------------------------------------------------------
I. Vaccines containing tetanus  A. Anaphylaxis or       4 hours.
 toxoid (e.g., DTaP, DTP, DT,    anaphylactic shock.
 Td, or TT).
                                B. Brachial Neuritis..  2-28 days.
                                C. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.
II. Vaccines containing whole   A. Anaphylaxis or       4 hours.
 cell pertussis bacteria,        anaphylactic shock.
 extracted or partial cell
 pertussis bacteria, or
 specific pertussis antigen(s)
 (e.g., DTP, DTaP, P, DTP-Hib).
                                B. Encephalopathy (or   72 hours.
                                 encephalitis).
                                C. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.
III. Measles, mumps, and        A. Anaphylaxis or       4 hours.
 rubella vaccine or any of its   anaphylactic shock.
 components (e.g., MMR, MR, M,
 R).
                                B. Encephalopathy (or   5-15 days (not
                                 encephalitis).          less than 5
                                                         days and not
                                                         more than 15
                                                         days).
                                C. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.
IV. Vaccines containing         A. Chronic arthritis..  7-42 days.
 rubella virus (e.g., MMR, MR,
 R).
                                B. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.
V. Vaccines containing measles  A. Thrombocytopenic     7-30 days.
 virus (e.g., MMR, MR, M).       purpura.
                                B. Vaccine-Strain       6 months.
                                 Measles Viral
                                 Infection in an
                                 immunodeficient
                                 recipient.
                                C. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.
VI. Vaccines containing polio   A. Paralytic Polio....  ................
 live virus (OPV).
                                   --in a non-          30 days.
                                    immunodeficient
                                    recipient.
                                   --in an              6 months.
                                    immunodeficient
                                    recipient.
                                   --in a vaccine       Not applicable.
                                    associated
                                    community case.
                                B. Vaccine-Strain
                                 Polio Viral Infection.
                                   --in a non-          30 days.
                                    immunodeficient
                                    recipient.
                                   --in an              6 months.
                                    immunodeficient
                                    recipient.
                                   --in a vaccine       Not applicable.
                                    associated
                                    community case.
                                C. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.

[[Page 36369]]

 
VII. Vaccines containing polio  A. Anaphylaxis or       4 hours
 inactivated virus (e.g., IPV).  anaphylactic shock.
                                B. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed..
VIII. Hepatitis B. vaccines...  A. Anaphylaxis or       4 hours.
                                 anaphylactic shock.
                                B. Any acute            Not applicable.
                                 complication or
                                 sequela (including
                                 death) of an illness,
                                 disability, injury,
                                 or condition referred
                                 to above which
                                 illness, disability,
                                 injury, or condition
                                 arose within the time
                                 period prescribed.
IX. Hemophilus influenzae type  No Condition Specified  Not applicable.
 b polysaccharide conjugate
 vaccines.
X. Varicella vaccine..........  No Condition Specified  Not applicable.
XI. Rotavirus vaccine.........  No Condition Specified  Not applicable.
XII. Pneumococcal conjugate     No Condition Specified  Not applicable.
 vaccines.
XIII. Hepatitis A vaccines....  No Condition Specified  Not applicable.
XIV. Trivalent influenza        No Condition Specified  Not applicable.
 vaccines.
XV. Meningococcal vaccines....  No Condition Specified  Not applicable.
XVI. Human papillomavirus       No Condition Specified  Not applicable.
 (HPV) vaccines.
XVII. Any new vaccine           No Condition Specified  Not applicable.
 recommended by the Centers
 for Disease Control and
 Prevention for routine
 administration to children,
 after publication by the
 Secretary of a notice of
 coverage.
------------------------------------------------------------------------

* * * * *
    (c) * * * (1) Except as provided in paragraph (c)(2), (3), (4), 
(5), (6), or (7) of this section, the revised Table of Injuries set 
forth in paragraph (a) of this section and the Qualifications and Aids 
to Interpretation set forth in paragraph (b) of this section apply to 
petitions for compensation under the Program filed with the United 
States Court of Federal Claims on or after March 24, 1997. Petitions 
for compensation filed before such date shall be governed by section 
2114(a) and (b) of the Public Health Service Act as in effect on 
January 1, 1995, or by Sec.  100.3 as in effect on March 10, 1995 (see 
60 FR 7678, et seq., February 8, 1995), as applicable.
* * * * *
    (5) Hepatitis A vaccines (Item XIII of the Table) are included on 
the Table as of December 1, 2004.
    (6) Trivalent influenza vaccines (Item XIV of the Table) are 
included on the Table as of July 1, 2005.
    (7) Meningococcal vaccines and human papillomavirus vaccines (Items 
XV and XVI of the Table) are included on the Table as of February 1, 
2007.
    (8) Other new vaccines (Item XVII of the Table) will be included in 
the Table as of the effective date of a tax enacted to provide funds 
for compensation paid with respect to such vaccines. An amendment to 
this section will be published in the Federal Register to announce the 
effective date of such a tax.
* * * * *
[FR Doc. 2011-15617 Filed 6-21-11; 8:45 am]
BILLING CODE 4165-15-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.