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Asti Court Finds Probable Link Between COVID Vaccine and Severe Neurological Injury, Orders State Indemnity

The first-instance ruling rests on expert assessments supported by pharmacovigilance records.

Overview

  • The Civil Court of Asti on September 26, 2025 recognized a causal link on a probabilistic basis and ordered the Health Ministry to grant a statutory indemnity of about €3,000 per month, paid bimonthly.
  • The 52-year-old woman from Alba developed symptoms about a week after a second PfizerBioNTech (Comirnaty) dose in April 2021, was hospitalized in February 2022, and can no longer walk.
  • Court-appointed experts Agostino Maiello and Stefano Zacà concluded the vaccination caused the transverse myelitis in probabilistic terms and excluded her pre-existing autoimmune disease as the trigger.
  • The judgment cites AIFA data noting 593 reports of transverse myelitis after vaccination up to 2022, including 280 linked to mRNA vaccines, and references an EMA view that a causal relationship is reasonably possible.
  • The court also referenced a 2024 study estimating an incidence of about 1.82 cases per million doses and noted that proposed mechanisms remain hypotheses, with no fully defined causative pathway.