A woman suffered transverse myelitis after a hepatitis B injection. The Chief Special Master ruled that a successful claimant in the Vaccine Program person had to prove a vaccine caused an injury with 5 evidentiary " Prongs " including
1)proof of medical plausibility
2)proof of the existence of peer reviewed literature associating the specific vaccine with the specific injury
3)proof of a recognized injury
4)proof of an appropriate temporal relationship between the vaccine and the injury and
5)proof that nothing else caused the injury.
Althen overruled this case.