{"id":9236,"date":"2025-08-08T12:43:44","date_gmt":"2025-08-08T10:43:44","guid":{"rendered":"https:\/\/guillermou-avocats.fr\/fr\/?p=9236"},"modified":"2026-04-13T15:22:40","modified_gmt":"2026-04-13T13:22:40","slug":"dommages-post-vaccinaux-et-lien-de-causalite","status":"publish","type":"post","link":"https:\/\/guillermou-avocats.fr\/fr\/actualites\/dommages-post-vaccinaux-et-lien-de-causalite","title":{"rendered":"Dommages post-vaccinaux et lien de causalit\u00e9"},"content":{"rendered":"

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Dans trois arr\u00eats rendus le 21 juillet 2025, le Conseil d\u2019\u00c9tat s\u2019est prononc\u00e9 sur l\u2019existence d\u2019un lien de causalit\u00e9, d\u2019une part entre une vaccination obligatoire contre l\u2019h\u00e9patite B et l\u2019apparition ult\u00e9rieure d\u2019une pathologie auto-immune chez la personne vaccin\u00e9e, et d\u2019autre part entre la vaccination contre le virus H1N1 et le d\u00e9veloppement d\u2019une narcolepsie accompagn\u00e9e de troubles aggrav\u00e9s chez la personne inocul\u00e9e.<\/p>\n

Dans les trois affaires, les personnes vaccin\u00e9es avaient saisi l\u2019Office national d\u2019indemnisation des accidents m\u00e9dicaux, des affections iatrog\u00e8nes et des infections nosocomiales (ONIAM) afin d\u2019obtenir r\u00e9paration des pr\u00e9judices qu\u2019elles estimaient li\u00e9s \u00e0 leur vaccination, sans succ\u00e8s en premi\u00e8re instance.<\/p>\n

Apr\u00e8s une longue proc\u00e9dure, jalonn\u00e9e d\u2019expertises, le Conseil d\u2019\u00c9tat est venu rappeler les principes r\u00e9gissant l\u2019intervention de l\u2019ONIAM.<\/strong><\/p>\n

En cas de dommage caus\u00e9 par une vaccination obligatoire (comme c\u2019\u00e9tait le cas pour une infirmi\u00e8re) ou dans le cadre d\u2019une campagne vaccinale organis\u00e9e par l\u2019\u00c9tat, au sens de l\u2019article L. 3111-9 du Code de la sant\u00e9 publique (ce qui concernait les deux autres affaires), le juge doit se contenter de la simple vraisemblance d\u2019un lien de causalit\u00e9 sans rechercher si ce lien entre la vaccination et la pathologie pr\u00e9sent\u00e9e est \u00e9tabli. <\/u><\/strong><\/p>\n

Si cette vraisemblance est reconnue, le juge doit alors v\u00e9rifier l\u2019absence de toute cause ext\u00e9rieure.<\/strong><\/span><\/p>\n

Est-ce que les sympt\u00f4mes sont apparus dans un d\u00e9lai normal\u00a0(ici deux ans) ?<\/p>\n

Les sympt\u00f4mes se sont-ils aggrav\u00e9s \u00e0 un rythme et une ampleur qui n\u2019\u00e9taient pas pr\u00e9visibles au regard de l\u2019\u00e9tat de sant\u00e9 ant\u00e9rieur de la victime\u00a0?<\/p>\n

L\u2019affection peut-elle raisonnablement \u00eatre attribu\u00e9e \u00e0 une autre cause que la vaccination ?<\/p>\n

En l\u2019esp\u00e8ce, les plaignants n\u2019avaient pas d\u2019ant\u00e9c\u00e9dents m\u00e9dicaux pouvant justifier de leurs pathologies post\u00e9rieures \u00e0 leur vaccination, et les sympt\u00f4mes s\u2019\u00e9taient d\u00e9clar\u00e9s dans un d\u00e9lai inf\u00e9rieur \u00e0 deux ans apr\u00e8s l\u2019injection. Dans ces conditions, l\u2019ONIAM a \u00e9t\u00e9 condamn\u00e9 \u00e0 indemniser les victimes, en raison de la vraisemblance du lien de causalit\u00e9.<\/p>\n

Il est important de noter que, parmi les 3 faits d\u2019esp\u00e8ce similaires, le Conseil d\u2019Etat a rejet\u00e9 le pourvoi de l\u2019un des requ\u00e9rants.<\/p>\n

La Haute juridiction a rappel\u00e9 que les juges du fond doivent, dans un premier temps, v\u00e9rifier qu\u2019aucune donn\u00e9e scientifique actuelle ne permet d\u2019exclure totalement l\u2019existence d\u2019un lien de causalit\u00e9<\/strong>.<\/p>\n

Il est important de noter que, parmi les 3 faits d\u2019esp\u00e8ce similaires, le Conseil d\u2019Etat a rejet\u00e9 le pourvoi de l\u2019un des requ\u00e9rants.<\/p>\n

La Haute juridiction a rappel\u00e9 que les juges du fond doivent, dans un premier temps, v\u00e9rifier qu\u2019aucune donn\u00e9e scientifique actuelle ne permet d\u2019exclure totalement l\u2019existence d\u2019un lien de causalit\u00e9.<\/p>\n

Autrement dit, tant que les connaissances scientifiques n\u2019\u00e9cartent pas formellement toute possibilit\u00e9 d\u2019un lien entre la vaccination et l\u2019affection, l\u2019analyse judiciaire doit se poursuivre. \u00c0 l\u2019inverse, si la science \u00e9tablit de mani\u00e8re claire et certaine qu\u2019un vaccin ne peut en aucun cas provoquer la maladie invoqu\u00e9e, la demande est rejet\u00e9e sans qu\u2019il soit n\u00e9cessaire d\u2019aller plus loin.<\/p>\n

Dans un second temps, si un lien ne peut \u00eatre exclu, les juges doivent appr\u00e9cier les circonstances concr\u00e8tes, selon les crit\u00e8res pr\u00e9cit\u00e9s.<\/p>\n

Dans son arr\u00eat n\u00b0497424, le Conseil d\u2019\u00c9tat a valid\u00e9 l\u2019analyse de la cour administrative d\u2019appel, laquelle avait estim\u00e9 qu\u2019il n\u2019\u00e9tait pas \u00e9tabli que les sympt\u00f4mes \u00e9taient apparus dans un d\u00e9lai normal apr\u00e8s la vaccination. Les juges du fond ont, \u00e0 bon droit, appliqu\u00e9 la m\u00e9thode du faisceau d\u2019indices<\/strong>, en appr\u00e9ciant souverainement les preuves pr\u00e9sent\u00e9es par la victime et son entourage.<\/p>\n

Ces d\u00e9cisions viennent pr\u00e9ciser de mani\u00e8re essentielle les conditions d\u2019\u00e9tablissement du lien de causalit\u00e9 en mati\u00e8re de dommages post-vaccinaux.<\/p>\n

Notre cabinet, rompu \u00e0 la pratique du contentieux m\u00e9dical et du dommage corporel, accompagne quotidiennement les victimes dans leurs d\u00e9marches aupr\u00e8s de l\u2019ONIAM. Nous intervenons notamment lors de l\u2019expertise m\u00e9dicale, une \u00e9tape d\u00e9terminante pour faire valoir pleinement leurs droits et obtenir une r\u00e9paration int\u00e9grale des pr\u00e9judices subis.<\/strong><\/p>\n

____________________________________________________________<\/p>\n

Les d\u00e9cisions sont consultables sur le site du Conseil d\u2019Etat\u00a0:<\/p>\n

\u00a0CE, 21 juill. 2025, n\u00b0 489397<\/a><\/p>\n

\u00a0CE, 21 juill. 2025, n\u00b0 497424<\/a><\/p>\n

\u00a0CE, 21 juill. 2025, n\u00b0 471343<\/a><\/p>\n

https:\/\/www.conseil-etat.fr\/decisions-de-justice\/jurisprudence\/rechercher-une-decision-arianeweb<\/p>\n

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