This event scores 31.98 on constitutional damage (A) and 33.43 on distraction/hype (B), with D=-1.45, classifying as List B. The A-score reflects genuine concerns: RFK Jr.'s potential appointment represents regulatory capture (4.0) of health agencies by vaccine skeptics, threatens election integrity (3.5) through health policy manipulation, and impacts civil rights (3.0) via bodily autonomy and public health access. The policy_change mechanism and federal scope with broad population impact justify 1.3 and 1.2 modifiers. Severity multipliers (1.2/1.1/1.2) reflect potential durability of anti-vaccine ideology in institutions and precedent for science denial in regulatory roles. However, B-score is slightly higher due to massive outrage potential (8.5) around vaccine debates, strong media amplification (8.0) of RFK Jr. controversies, and strategic timing (8.0) during transition period when appointments face scrutiny. The 2021 petition is old news being resurfaced (mismatch 7.5), pattern-matching (8.5) ongoing vaccine culture wars. Intentionality indicators (11/15) suggest deliberate deployment to either block appointment or energize anti-establishment base. While constitutional concerns are real and substantial, the hype slightly exceeds damage, making this primarily a distraction from potentially more severe but less visible regulatory changes.