
The Bruesewitz case, also known as Bruesewitz v. Wyeth, addresses the constitutional concept of preemption in relation to the National Childhood Vaccine Injury Act of 1986 (NCVIA). The case centres around the question of whether the NCVIA preempts all vaccine design defect claims, regardless of whether the side effects were unavoidable. The outcome of this case will have significant implications for the ability of vaccine victims to seek compensation for their injuries and the potential exposure of vaccine manufacturers to costly litigation.
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What You'll Learn

The National Childhood Vaccine Injury Act of 1986
The Act provides that a party alleging a vaccine-related injury may file a petition for compensation in the Court of Federal Claims, naming the Health and Human Services Secretary as the respondent. The claimant can then decide whether to accept the court's judgment or reject it and seek tort relief from the vaccine manufacturer. The Act requires claimants to seek relief through the compensation program before filing a lawsuit for more than $1,000.
The NCVIA also established a system for reporting suspected vaccine-related adverse events, known as the Vaccine Adverse Event Reporting System (VAERS). It included regulations related to informed consent, requiring providers administering certain vaccines to provide a Vaccine Information Statement (VIS) to the vaccine recipient or their legal guardian. The VIS lists the risks and benefits of a particular vaccine.
The Act also established the National Vaccine Advisory Committee to recommend ways to encourage the availability of an adequate supply of vaccines and research priorities. It authorizes appropriations for fiscal years 1987 through 1991. The Advisory Commission on Childhood Vaccines advises and makes recommendations to the Secretary of Health and Human Services on issues related to the operation of the VICP and ways to improve it.
The National Vaccine Injury Compensation Program (VICP), established by the Act, provides compensation to people found to be injured by certain vaccines. The VICP is funded by a $.75 excise tax on vaccines recommended by the CDC for routine administration to children. The excise tax is imposed on each disease that is prevented by the vaccine. The NCVIA also contained provisions for a program that would fairly and efficiently compensate individuals harmed by certain properly manufactured vaccines.
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Vaccine manufacturers' liability
In the case of Bruesewitz v. Wyeth, the Supreme Court had to decide whether a preemption provision enacted in the National Childhood Vaccine Injury Act of 1986 (NCVIA) barred state-law design-defect claims against vaccine manufacturers. The Act created a no-fault compensation program to stabilize a vaccine market adversely affected by an increase in vaccine-related tort litigation and to facilitate compensation for claimants pursuing legitimate vaccine-inflicted injuries.
Russell and Robalee Bruesewitz argued that the NCVIA did not protect vaccine manufacturers against all design-defect claims. They contended that their daughter Hannah's injuries could have been avoided if Wyeth had used an alternate vaccine design. On the other hand, Wyeth argued that the primary purpose of the NCVIA is to prevent vaccine manufacturers from leaving the market due to high litigation costs. The company also asserted that Section 22(b)(1) of the NCVIA exempted manufacturers from all design-defect claims.
The Supreme Court agreed to hear the case to determine whether Section 22(b)(1) of the NCVIA, which expressly preempts certain design defect claims against vaccine manufacturers for unavoidable side effects, preempts all vaccine design defect claims, regardless of whether the side effects were unavoidable. The Court's decision would affect whether vaccine victims could seek recovery for design defects by vaccine manufacturers.
Manufacturers are generally immunized from liability for failure to warn if they have complied with all regulatory and warning requirements. They are also immunized from liability for punitive damages unless they fail to comply with regulatory requirements, engage in fraud, intentionally withhold information, or are involved in other criminal or illegal activity. The Act expressly eliminates liability for a vaccine's unavoidable adverse side effects.
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Vaccine safety
The Bruesewitz v. Wyeth case addressed vaccine safety and the rights of vaccine victims to seek compensation for their injuries. The case centred around the National Childhood Vaccine Injury Act of 1986 (NCVIA), which was created to stabilise the vaccine market and facilitate compensation for claimants pursuing legitimate vaccine-inflicted injuries.
Russell and Robalee Bruesewitz argued that their daughter Hannah's injuries could have been avoided if an alternative vaccine design had been used. They believed that the NCVIA was enacted to promote vaccine safety and fair compensation for vaccine-related injuries. The Bruesewitz family contended that offering vaccine manufacturers a complete defence to design-defect claims would reduce research and development budgets, ultimately hurting vaccine safety.
On the other hand, Wyeth, the vaccine manufacturer, argued that the primary purpose of the NCVIA was to prevent vaccine manufacturers from leaving the market due to high litigation costs. They asserted that Section 22(b)(1) of the NCVIA exempted them from all design-defect claims. The Third Circuit Court of Appeals agreed with Wyeth, dismissing the Bruesewitz family's claim.
The Supreme Court then had to determine whether to sustain the categorical preclusion of all design-defect claims against vaccine manufacturers or to expose them to potential design-based litigation. This decision would impact the ability of vaccine victims to seek compensation and the potential financial burden on vaccine manufacturers.
Ultimately, the Supreme Court agreed with Wyeth, holding that the preemption provision in the NCVIA barred state-law design-defect claims against vaccine manufacturers if the injuries resulted from unavoidable side effects, even if the vaccine was properly prepared and accompanied by warnings. This decision set a precedent for future vaccine injury cases, impacting the rights of vaccine victims to seek compensation.
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Compensation for vaccine-related injuries
The Bruesewitz case, or Bruesewitz v. Wyeth, addresses the question of whether vaccine manufacturers can be sued for design defects that allegedly caused injuries. The case was brought by Russell and Robalee Bruesewitz, whose daughter Hannah suffered a seizure disorder and encephalopathy after receiving a vaccine manufactured by Wyeth. The Bruesewitz family argued that Hannah's injuries could have been avoided if Wyeth had used an alternative vaccine design.
The National Childhood Vaccine Injury Act of 1986 (NCVIA) was created to stabilize the vaccine market, which was facing an increase in vaccine-related tort litigation, and to facilitate compensation for claimants who found pursuing legitimate vaccine-inflicted injuries too costly and difficult. The Act provides that claimants can file a petition for compensation in the Court of Federal Claims and then decide whether to accept the court's judgment or seek tort relief from the vaccine manufacturer.
The Bruesewitz case turned on the interpretation of Section 22(b)(1) of the NCVIA, which states that "no vaccine manufacturer shall be liable in a civil action for damages arising from a vaccine-related injury or death associated with the administration of a vaccine [...] if the injury or death resulted from side effects that were unavoidable even though the vaccine was properly prepared and was accompanied by proper directions and warnings." The Third Circuit Court of Appeals agreed with Wyeth's argument that this section exempted vaccine manufacturers from all design-defect claims.
The Supreme Court's decision in the Bruesewitz case would determine whether vaccine victims could seek recovery for design defects by vaccine manufacturers. A decision in favour of the Bruesewitz family would enable alleged vaccine victims to seek compensation for their injuries in state court, but it would also risk a "patchwork" approach across states to questions of vaccine design and safety. It could also potentially drive vaccine manufacturers out of the market due to high litigation costs, as argued by Wyeth.
The Supreme Court agreed to hear the case in 2010, and the decision was delivered in 2011 by Justice Scalia, with Justice Breyer concurring and Justice Sotomayor dissenting. The Court held that the NCVIA bars state-law design-defect claims against vaccine manufacturers. This case set a precedent for preemption of state law claims by federal law in the context of vaccine injury litigation.
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Vaccine design defect claims
The case of Bruesewitz v. Wyeth LLC (2011) addressed the question of whether a preemption provision enacted in the National Childhood Vaccine Injury Act of 1986 (NCVIA) bars state-law design-defect claims against vaccine manufacturers. The Act was created to stabilize a vaccine market adversely affected by an increase in vaccine-related tort litigation and to facilitate compensation to claimants pursuing legitimate vaccine-inflicted injuries.
Russell and Robalee Bruesewitz filed a petition against Wyeth, a vaccine manufacturer, arguing that the NCVIA did not protect vaccine manufacturers from all design-defect claims. Their daughter, Hannah, suffered from a residual seizure disorder and encephalopathy, which they attributed to Wyeth's vaccine. The Bruesewitz family contended that an alternate vaccine design could have prevented Hannah's injuries. They believed that offering manufacturers a complete defense against design-defect claims would reduce research and development budgets, negatively impacting vaccine safety and improvement.
On the other hand, Wyeth argued that Section 22(b)(1) of the NCVIA exempted them from all design-defect claims. They contended that the primary purpose of the NCVIA was to prevent vaccine manufacturers from exiting the market due to high litigation costs. Wyeth asserted that Congress intended to balance the public benefits of vaccines against the rare occurrence of side effects.
The Third Circuit Court of Appeals agreed with Wyeth, dismissing the Bruesewitz family's claim. The Supreme Court then took up the case to determine whether to uphold the categorical preclusion of all design-defect claims against vaccine manufacturers or to allow potential design-based litigation. The Court's decision would significantly impact the rights of vaccine victims to seek compensation and the ability of manufacturers to avoid costly litigation.
Ultimately, the Supreme Court ruled in favour of Wyeth, holding that the NCVIA preempts all vaccine design defect claims, regardless of whether the side effects were unavoidable. This decision set a precedent for similar cases and highlighted the complexities of balancing public health, vaccine safety, and the legal rights of individuals and corporations.
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Frequently asked questions
The Bruesewitz case, or Bruesewitz v. Wyeth, was about whether a pre-emption provision enacted in the National Childhood Vaccine Injury Act of 1986 (NCVIA) bars state-law design-defect claims against vaccine manufacturers.
The Supreme Court agreed to hear the case in 2010, and the decision was delivered by Justice Scalia in February 2011. The Court held that Section 22(b)(1) of the NCVIA expressly preempts certain design defect claims against vaccine manufacturers, regardless of whether the vaccine's side effects were unavoidable.
The decision affected the right of vaccine victims to seek compensation for their injuries and the ability of vaccine manufacturers to avoid costly litigation that could drive them out of the vaccine market. It also had implications for pending autism litigation.
The key parties involved were Russell and Robalee Bruesewitz, the petitioners, and Wyeth LLC, the vaccine manufacturer.

























