In Re: Risperdal Litigation, Appeal of: Saksek, J. ( 2017 )


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  • J-A27023-16
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    IN RE: RISPERDAL LITIGATION            :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    JONATHAN SAKSEK                        :
    :
    Appellant            :
    :
    :
    v.                         :
    :   No. 576 EDA 2015
    :
    JANSSEN PHARMACEUTICALS, INC.,         :
    JOHNSON & JOHNSON COMPANY,             :
    JANSSEN RESEARCH AND                   :
    DEVELOPMENT, LLC,
    Appeal from the Judgment Entered February 12, 2015
    In the Court of Common Pleas of Philadelphia County
    Civil Division at No(s): February Term, 2014, No. 00183,
    March Term, 2010, No. 296
    IN RE: RISPERDAL LITIGATION            :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    JOSHUA WINTER                          :
    :
    Appellant            :
    :
    :
    v.                         :
    :   No. 590 EDA 2015
    :
    JANSSEN PHARMACEUTICALS, INC.,         :
    JOHNSON & JOHNSON COMPANY,             :
    JANSSEN RESEARCH AND                   :
    DEVELOPMENT, LLC,
    Appeal from the Judgment Entered February 10, 2015
    In the Court of Common Pleas of Philadelphia County
    Civil Division at No(s): March Term, 2010, No. 296,
    March Term, 2014, No. 01170
    BEFORE:    PANELLA, J., RANSOM, J., and FITZGERALD*, J.
    ____________________________________
    * Former Justice specially assigned to the Superior Court.
    J-A27023-16
    MEMORANDUM BY PANELLA, J.                          FILED NOVEMBER 13, 2017
    In these consolidated appeals, Appellants, Jonathan Saksek and
    Joshua Winter, appeal from the judgments entered in the Philadelphia
    County Court of Common Pleas. Appellants contend the trial court erred in
    determining that their claims were barred by the statute of limitations.
    Therefore, Appellants argue the orders granting summary judgment in favor
    of Appellees, Janssen Pharmaceuticals, Inc., Johnson & Johnson, and
    Janssen Research & Development, LLC, were improper. We affirm.
    Appellees    developed      and    manufactured   risperidone,   an   atypical
    antipsychotic for the treatment of schizophrenia in adult patients. In 1993,
    the Food and Drug Administration granted approval to Appellees to market
    risperidone for this purpose. And they brought it to market under the brand
    name Risperdal.
    In 1997, at the age of 17, Winter was prescribed Risperdal for the
    treatment of anger issues. He remained on Risperdal until 1998, at which
    point his physician discontinued Winter’s use of the medication. By
    December 31, 1998, Winter observed he was suffering from unexplained
    weight gain and gynecomastia.1
    ____________________________________________
    1 Merriam-Webster’s online dictionary defines gynecomastia as “excessive
    development of the breast in the male.” http://www.merriam-
    webster.com/dictionary/gynecomastia (last visited August 7, 2017).
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    J-A27023-16
    In 1998, at the age of 11, Saksek was prescribed Risperdal to treat
    attention deficit disorder, attention deficit hyperactivity disorder, and bipolar
    disorder.2 He remained on Risperdal until 2004. Saksek admitted he
    observed unexplained weight gain concurrent with an increase in his breast
    size by December 31, 2002.
    As early as 2003, medical journals began exploring the link between
    Risperdal usage and the development of gynecomastia. Additionally, in
    October 2006, the Risperdal label was updated with warnings indicating
    “gynecomastia was reported in 2.35% of risperidone-treated patients.” Trial
    Court Opinion, 1/13/14, at 8 (citations to the record omitted). In 2013,
    Appellants learned, through a television commercial, that other Risperdal
    users with gynecomastia had pursued lawsuits against Appellees. Based
    upon this information, Saksek filed a complaint against Appellees on
    February 4, 2014, and Winter filed a complaint on March 10, 2014.
    Both complaints were filed as part of the In re Risperdal mass tort
    program, and incorporated allegations found in the master complaint.3
    ____________________________________________
    2 See U.S. Food & Drug Administration, Understanding Unapproved Use of
    Approved        Drugs         “Off         Label,”        available       at
    https://www.fda.gov/forpatients/other/offlabel/default.htm     (last visited
    August 24, 2017).
    3 The In Re Risperdal® Litigation mass tort program was formed on May
    26, 2010, as a depository for the filings of pleadings, motions, orders, and
    other documents common to all Risperdal cases in the Philadelphia County
    Court of Common Pleas. See Case Management Order 1, 5/26/10, In Re
    Risperdal® Litigation, March Term 2010 No. 296.
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    J-A27023-16
    Appellants raised identical claims against Appellees of (I) negligence; (II)
    negligent design defect; (III) fraud; (IV) strict liability failure to warn; (V)
    strict liability design defect; (VI) breach of express warranty; (VII) breach of
    implied warranty; (VIII) violation of Pennsylvania’s Unfair Trade Practices
    and Consumer Protection Law (“UTPCPL”), 73 P.S. § 201, et. seq.; (IX)
    unfair and deceptive trade practices; (X) conspiracy; (XI) punitive damages;
    and (XII) medical expenses incurred by parent. Appellees denied Appellants’
    allegations and asserted several defenses, including the statute of limitations
    defense.
    On February 10, 2014, Appellees filed a motion for partial summary
    judgment on the master docket disputing the validity of the punitive
    damages claim. The trial court granted Appellees’ motion on May 2, 2014,
    and dismissed all plaintiffs’ claims for punitive damages. Further, the trial
    court denied a subsequent motion for reconsideration of the summary
    judgment order on July 18, 2014.
    In August 2014, Appellees filed motions for summary judgment in both
    Appellants’ cases, asserting the statute of limitations barred both actions.
    Appellants responded, arguing that because Appellees concealed the link
    between    Risperdal   usage   and   the   development   of   gynecomastia    in
    adolescent males, the discovery rule and the doctrine of fraudulent
    concealment tolled the statute of limitations.
    On January 13, 2015, the trial court granted Appellees’ motion in
    Winter’s case, holding that Winter’s claims were barred because he had
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    commenced his action after the applicable statutes of limitation had expired.
    See Trial Court Opinion, 1/13/15, at 1. Further, the trial court found that the
    application of the discovery rule or claims of fraudulent concealment could
    not save Winter’s claims, as Winter knew of his injury at the time he
    developed breast tissue, and should have reasonably known of the link
    between his gynecomastia and Risperdal usage by June 30, 2009, at the
    latest. See id.
    Subsequently, on January 30, 2015, the trial court granted Appellees’
    motion for summary judgment against Saksek, holding the rationale
    underlying its decision in Winter’s case controlled. See Trial Court Opinion,
    1/30/15, at 2-3 (unpaginated).
    The parties later stipulated to the dismissal of Appellants’ claims
    against Excerpta Medica Incorporated and Elsevier, Inc., and the trial court
    simultaneously entered a judgment to that effect. Both Winter and Saksek
    filed timely notices of appeal. This Court consolidated Winter’s and Saksek’s
    appeals.
    On appeal, Appellants contend the trial court erred in granting
    Appellees’ summary judgment motions and dismissing Appellants’ tort claims
    on statute of limitations grounds.4 See Appellants’ Brief, at 3. While
    ____________________________________________
    4 In its January 13, 2015 opinion, the trial court divided Appellants’ claims
    into four categories based upon the applicable statute of limitations: tort
    claims (i.e., negligence; negligent design defect; fraud; strict liability, failure
    to warn; strict liability, design defect; unfair and deceptive trade practices;
    (Footnote Continued Next Page)
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    Appellants admit the timing of their complaints implicates the statute of
    limitations, Appellants argue that in both cases the trial court usurped a
    jury’s role by determining several genuine issues of material fact related to
    the question of whether the discovery rule or the doctrine of fraudulent
    concealment applied to toll the relevant statute of limitations. 5 See id., at
    27.
    (Footnote Continued) _______________________
    and conspiracy); warranty claims (i.e., breach of express warranty; and
    breach of implied warranty), UTPCPL claims; and miscellaneous claims (i.e.,
    medical expenses incurred by parents). See Trial Court Opinion, 1/13/14, at
    4, n.4, 5.
    After categorizing the claims, the trial court concluded that the warranty
    claims, UTPCPL claim, and miscellaneous claims could not be tolled by the
    application of the discovery rule or the doctrine of fraudulent concealment
    and therefore dismissed these claims as untimely without analyzing the
    application of either rule to toll their respective statute of limitations. See id.
    Appellants do not appear to challenge this aspect of the trial court’s
    summary judgment orders; in fact, Appellants focus their appellate brief
    solely on the alleged error the trial court committed when it dismissed their
    tort claims. See Appellants’ Brief, at 21, 23. Therefore, Appellants have not
    preserved any challenges related to this issue, and we will not address the
    trial court’s decision to dismiss Appellants’ claims of breach of implied
    warranty, breach of express warranty, violation of Pennsylvania’s UPTCPL, or
    medical expenses incurred by parents. See Umbelina v. Adams, 
    34 A.3d 151
    , 161 (Pa. Super. 2011).
    5 Through their respective notices of appeal, Appellants purport to appeal all
    previously non-final orders that merged into and were made appealable by
    the entry of the final judgment. See Notice of Appeal (Saksek), 3/6/15, at 2
    (unpaginated); Notice of Appeal (Winter), 3/12/15, at 2 (unpaginated).
    These orders include the order of May 2, 2014, entering partial summary for
    Appellees, the order entered July 18, 2014, denying Appellants’ motion for
    reconsideration, and the orders entered January 13 and 30, 2015, entering
    summary judgment on the rest of Appellants’ claims. However, through their
    appellate brief, Appellants only challenge the entry of summary judgment
    (Footnote Continued Next Page)
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    We review a challenge to the entry of summary judgment as follows:
    [We] may disturb the order of the trial court only where it is
    established that the court committed an error of law or abused
    its discretion. As with all questions of law, our review is plenary.
    In evaluating the trial court’s decision to enter summary
    judgment, we focus on the legal standard articulated in the
    summary judgment rule. See Pa.R.C.P. Rule 1035.2. The rule
    states that where there is no genuine issue of material fact and
    the moving party is entitled to relief as a matter of law,
    summary judgment may be entered. Where the nonmoving
    party bears the burden of proof on an issue, he may not merely
    rely on his pleadings or answers in order to survive summary
    judgment. Failure of a non-moving party to adduce sufficient
    evidence on an issue essential to his case and on which he bears
    the burden of proof establishes the entitlement of the moving
    party to judgment as a matter of law. Lastly, we review the
    record in the light most favorable to the nonmoving party, and
    all doubts as to the existence of a genuine issue of material fact
    must be resolved against the moving party.
    E.R. Linde Const. Corp. v. Goodwin, 
    68 A.3d 346
    , 349 (Pa. Super. 2013)
    (citation omitted; brackets in original).
    The    trial   court   granted    summary   judgment   after   determining
    Appellants’ causes of action were barred due to their failure to file their
    claims within the applicable statute of limitation period. “[A] cause of action
    accrues, and thus the applicable limitations period begins to run, when an
    injury is inflicted.” Wilson v. El-Daief, 
    964 A.2d 354
    , 361 (Pa. 2009)
    (citation omitted). Thus, in most situations, once the period prescribed by
    (Footnote Continued) _______________________
    entered January 13 and 30, 2015, respectively. Thus, we restrict our review
    accordingly.
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    J-A27023-16
    the applicable statute has passed, the plaintiff is barred from bringing suit.
    See Gleason v. Borough of Moosic, 
    15 A.3d 479
    , 484 (Pa. 2011).
    Appellants concede the applicable statute of limitations period for their
    tort claims is two years. See Appellants’ Brief, at 23. See also 42 Pa.C.S.A.
    § 5524(7). Further, the parties agree that more than two years had elapsed
    between the infliction of Appellants’ alleged injuries and the filing of their
    complaints. See Appellants’ Brief, at 25-26; Appellees’ Brief, at 5. However,
    Appellants argue that a jury was required to determine if the filing periods
    for their tort claims were tolled by the application of the discovery rule
    and/or Appellants’ fraudulent concealment. See Appellants’ Brief, at 27, 46.
    We first address Appellants’ contention that the trial court incorrectly
    determined that the discovery rule did not apply to toll the applicable statute
    of limitations. See id., at 27. The discovery rule acts as an exception to the
    principle that a party cannot act upon his claims once the prescribed
    statutory period has expired. See Fine v. Checchio, 
    870 A.2d 850
    , 858 (Pa.
    2005). Instead, in situations
    where the complaining party is reasonably unaware that his or
    her injury has been caused by another party’s conduct, the
    discovery rule suspends, or tolls, the running of the statute of
    limitations. To successfully invoke the discovery rule, a party
    must show the inability of the injured, despite the exercise of
    due diligence, to know of the injury or its cause. A party fails to
    exercise reasonable diligence when it fails to make an inquiry
    when the information regarding the injury becomes available.
    Mistake, misunderstanding or lack of knowledge in themselves
    do not toll the running of the statute.
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    Mariner Chestnut Partners, L.P. v. Lenfest, 
    152 A.3d 265
    , 279 (Pa.
    Super. 2016) (internal citations and quotation marks omitted).
    Reasonable, or due diligence, is an objective standard “but takes into
    account   individual   capacities   and   society’s expectations of attention,
    knowledge, intelligence and judgment for citizens to protect their own
    interests.” Simon v. Wyeth Pharm., Inc., 
    989 A.2d 356
    , 365 (Pa. Super.
    2009) (citation and internal quotation marks omitted).
    Therefore, when a court is presented with the assertion of the
    discovery rule[’]s application, it must address the ability of the
    damaged party, exercising reasonable diligence, to ascertain
    that he has been injured and by what cause. Since this question
    involves a factual determination as to whether a party was able,
    in the exercise of reasonable diligence, to know of his injury and
    its cause, ordinarily a jury would decide it. Where, however,
    reasonable minds would not differ in finding that a party knew or
    should have known on the exercise of reasonable diligence of his
    injury and its cause, the court determines that the discovery rule
    does not apply as a matter of law.
    Fine, 870 A.2d at 858-859 (internal citations omitted).
    Nevertheless, the party asserting application of the discovery
    rule bears the burden of proof, and Pennsylvania courts have not
    hesitated, where appropriate, to find as a matter of law that a
    party has not used reasonable diligence in ascertaining his or her
    injury and its cause, thus barring the party from asserting his or
    her claim under the discovery rule.
    Gleason, 
    15 A.3d 479
    , 485-486 (internal citations omitted).
    The crux of Appellants’ argument is that summary judgment was
    improper due to the existence of several genuine issues of disputed fact
    concerning the applicability of the discovery rule. See Appellants’ Brief, at
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    27-31. Appellants essentially6 argue there were two issues of material fact
    that should have been determined by a jury. See id., at 27-45. First,
    Appellants contend there was a genuine issue of material fact as to when
    Appellants had “sufficient notice to suspect their breast growth was
    gynecomastia.” Id., at 27-28. Second, Appellants maintain there is a
    genuine issue as to the date they were placed on notice that their
    gynecomastia was the result of a tortious act by Appellees. See id., at 28.
    ____________________________________________
    6  In their appellate brief, Appellants argue there were three issues of
    material fact that should have been determined by the jury: 1) when
    Appellants had sufficient notice to suspect their breast growth was
    gynecomastia; 2) when Appellants were placed on notice their gynecomastia
    was the result of a tortious act; and 3) whether the exercise of reasonable
    diligence would have permitted Appellants to discover a causal connection
    between their gynecomastia and Appellees’ conduct. See Appellants’ Brief,
    at 27-28, 42. However, the division of the last two issues into distinct issues
    is based upon a misconception of the applicable law. Appellants purportedly
    believe that the discovery rule requires “inquiry notice” that a plaintiff’s
    symptoms are the manifestation of tortious conduct before a plaintiff is
    required to use “reasonable diligence” to discover a causal relationship to
    another’s conduct. See id., at 24.
    As discussed in more detail above, however, the law requires that a party
    use “reasonable diligence” to determine first, that he has suffered an injury
    and second, that this injury was caused by another. See Gleason, 
    15 A.3d at 485
    . Once a party has utilized “reasonable diligence” to gain “actual or
    constructive notice” of both of these aspects, some courts have described
    this as a party receiving “inquiry notice,” and pinpoint this time as when the
    limitations period begins to run. See 
    id., at 484
    . Thus, because “inquiry
    notice” is properly viewed a result of using “reasonable diligence” rather
    than the inverse, Appellants’ third issue is properly viewed as a subset of
    their second issue, rather than a distinct issue of its own.
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    Turning to Appellants’ first claim, Appellants argue they could not have
    reasonably known they were injured until they were diagnosed with
    gynecomastia in 2013. See 
    id.
     Conversely, Appellees claim that Appellants’
    own pleadings prove that they were aware of their injuries as soon as they
    occurred, and thus they cannot now feign ignorance. See Appellees’ Brief, at
    10-12.
    Our Supreme Court has repeatedly held that “knowledge of ‘injury’ and
    ‘cause’ does not require a precise medical diagnosis….” Wilson 964 A.2d at
    365 (citations omitted). Thus, a plaintiff is not required to “know the precise
    medical cause of her injury” before a statute of limitations period begins to
    run. Id., at 364 n.10 (citations omitted).
    Here,    Appellants    repeatedly      acknowledge    they    developed
    gynecomastia in in 1998 and 2002, respectively. See Appellants’ Brief, at
    26. While Appellants claim the statute of limitations should be tolled because
    they did not have a diagnosis at that time, the law does not require a
    diagnosis before the statute begins to run, only awareness of an injury. All of
    the arguments presented to the trial court claim that Appellants were keenly
    aware of their injuries as soon as they were incurred. See Winter’s Response
    to Summary Judgment Motion, 9/9/14, at 2 (“This case is about Joshua
    Winter, a young man who ingested [Appellees’] drug, Risperdal, as a minor
    and developed large, female-like breasts as a result, mentally wounding him
    deeply and creating a condition that may last for the rest of his life”);
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    Saksek’s Response to Summary Judgment Motion, 9/9/14, at 2 (“This case
    is about Jonathan Saksek, a young man who ingested [Appellees’] drug,
    Risperdal, as a minor and developed large female-like breasts as a result,
    mentally wounding him deeply and creating a condition that may last for the
    rest of his life.”)
    Appellants attempt to downplay the knowledge of their injuries by
    arguing that, as was the case in both Fine and Wilson, the potential
    confusion as to whether their breasts were temporarily caused by weight
    gain or were the result of a more permanent medical condition. See
    Appellant’s Brief, at 28-31. However, both of those cases are readily
    distinguishable.
    In Fine, appellant began to experience numbness after having four
    wisdom teeth removed by Appellee. See 870 A.2d at 854. Appellee
    repeatedly informed appellant that numbness was a typical side effect that
    could take up to six months to remedy. See id. After a year, appellant
    began to believe his facial numbness might be permanent and filed suit after
    the two-year statute of limitations period had run. See id., at 854-855.
    Our Supreme Court found that because appellant’s facial numbness
    could either be a “temporary physical consequence that resulted from the
    very nature of the procedure that [appellee] performed on [appellant] or it
    was a manifestation of [appellant]’s injury, a permanent condition that
    resulted from underlying nerve damage,” a jury, rather than a court, should
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    decide whether appellant exercised reasonable diligence in ascertaining his
    injury. Id., at 861-862.
    Likewise, in Wilson, our Supreme Court found that a jury should
    determine      whether    the   appellant   exercised   reasonable   diligence    in
    ascertaining her injury where appellant experienced constant pain after a
    surgery but was repeatedly informed by her surgeon, appellee, that he could
    not discern an injury. See 964 A.2d at 365-366.
    Unlike the case before us, both of those cases involved an appellant
    who actively sought, and received, conflicting, medical advice concerning an
    injury. Because their search resulted in potential confusion about the nature
    of their injury, our Supreme Court determined that a jury needed to decide if
    the manner of their search constituted reasonable diligence. Here, in stark
    contrast, there is no dispute that Appellants did not seek any medical advice
    concerning their breast growth. There cannot be potential confusion about a
    diagnosis if Appellants did not even seek a diagnosis. As such, we are
    required to rely upon Appellants’ own assertions, that they were aware of
    their injuries as early as 1998 and 2002, respectively. Thus this argument
    fails.
    Next, Appellants contend there was a genuine issue of material fact as
    to   when     they were    placed on    notice   that   their   injuries were    the
    manifestation of Appellees’ tortious conduct. See Appellants’ Brief, at 27-45.
    Appellants allege Appellees’ actions in concealing the link between Risperdal
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    usage and gynecomastia in adolescent males significantly hindered their
    ability to discover that their gynecomastia was the manifestation of
    Appellees’ tortious conduct. See id., at 28. Therefore, Appellants argue a
    jury   should   have   determined      when     “sufficient   information   of   the
    gynecomastia-Risperdal link was available to have enabled [Appellants], in
    the exercise of reasonable diligence, to discover the causal relationship
    between their breast growth and Risperdal.” Id., at 27.
    Here, the trial court determined
    the existence of the link between Risperdal and gynecomastia
    was discoverable in October 2006 when Risperdal’s label was
    changed to reflect the connection. Furthermore, the link between
    Risperdal and gynecomastia was so widely discussed in the
    mainstream media, and in medical journals, that by June 30,
    2009, [Appellants’] inquiry should have been awakened and
    [they] should have discovered the existence of [their] claims
    against [Appellees]. Accordingly, as a matter of law, the
    discovery rule can only toll the statutes of limitation until a
    maximum date of June 30, 2009 for plaintiffs who ingested
    Risperdal prior to October 2006.
    Trial Court Opinion, 1/13/14, at 15.
    Appellees agree with the trial court that the statute of limitations
    mandated the grant of summary judgment, but contend that if the discovery
    rule applied, it would have only tolled the statute of limitations until October
    2006, when the Risperdal label was changed to include a warning about
    gynecomastia. See Appellees’ Brief, at 23. After this point, Appellees argue,
    a party exercising even a modicum of diligence would have been able to
    discover the cause of their injuries. We agree.
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    As noted above, the onus of proving the applicability of the discovery
    rule falls squarely upon the person, or people, asserting its applicability. See
    Gleason 
    15 A.3d at 485-486
    . Thus, in order to meet their burden,
    Appellants were required to establish they acted “with reasonable diligence
    in determining the fact and cause of [their] injur[ies] but [were] unable to
    ascertain it.” Nicolaou v. Martin, 
    153 A.3d 383
    , 389 (Pa. Super. 2016) (en
    banc) (citation omitted). Appellants were aware of their injuries when they
    began experiencing unexplained weight gain—and breast growth—after
    starting Risperdal treatment in 1998 and 2002. However, from 1998 and
    2002 until 2013, when Appellants were notified of the commercial claiming a
    link between gynecomastia and Risperdal, they did nothing to uncover the
    cause of their unexplained breast growth and weight gain. Appellants cannot
    hope to establish that they acted with reasonable diligence, when they admit
    that they failed to act at all.
    Their breasts were there, and had been there, for years. And then, in
    October 2006, the label on Risperdal changed, expressly linking usage of the
    drug to gynecomastia. Their breasts were clearly not temporary by 2006.
    Accordingly, by that date, “reasonable minds would not differ in finding that”
    Appellants knew, or should have known, of their injuries and the cause of
    those injuries by this point. Fine, 870 A.2d at 858. As such, the discovery
    rule is not applicable to toll the relevant statutes of limitations. Pursuant to
    42 Pa.C.S.A. § 5524(7), Appellants should have commenced their actions no
    - 15 -
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    later than October 31, 20087—over five and a half years prior to their
    February 4, 2014 and March 10, 2014 filing dates. Thus, the trial court’s
    conclusion that the discovery rule did not apply to toll the statute of
    limitations was correct, and Appellants can garner no relief on this
    argument.8
    Finally, Appellants argue the trial court erred by granting Appellees’
    motions for summary judgment as Appellees’ fraudulent concealment of the
    link between Risperdal usage and gynecomastia is an alternative basis for
    tolling the statute of limitations. See Appellants’ Brief, at 46-49.
    Similar to the discovery rule, the doctrine of fraudulent concealment
    tolls the applicable statute of limitations under specific circumstances. Based
    on a theory of estoppel, the doctrine holds that a “defendant may not invoke
    the statute of limitations, if through fraud or concealment, he causes the
    plaintiff to relax his vigilance or deviate from his right of inquiry into the
    facts.” Fine, 870 A.2d at 860 (citation omitted). The doctrine does not
    ____________________________________________
    7 Pursuant to Pennsylvania’s Minor Tolling Statute, Saksek’s claims did not
    accrue until February 10, 2005, the date of his eighteenth birthday. See 42
    Pa.C.S.A. § 5533(b)(1)(i). Thus, we have used this date to calculate the
    beginning of the applicable two-year statute of limitations period.
    8 While the trial court discussed the October 31, 2006 tolling date for the
    discovery rule that we have adopted, it ultimately determined Appellants’
    claims began to run on June 30, 2009. This difference in date does not affect
    our analysis, as Appellants’ claims are patently untimely pursuant to either
    of these dates. Further, an appellate court can affirm on any basis. See In
    re Jacobs, 
    15 A.3d 509
     n.1 (Pa. Super. 2011) (“We are not bound by the
    rationale of the trial court, and may affirm on any basis.”)
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    J-A27023-16
    require proof of an intent to deceive, but requires proof of an unintentional
    deception. See 
    id.
     However,
    [t]he defendant must have committed some affirmative
    independent act of concealment upon which the plaintiffs
    justifiably relied. Mere mistake or misunderstanding is
    insufficient. Also, mere silence in the absence of a duty to speak
    cannot suffice to prove fraudulent concealment.
    McClean v. Djerassi, 
    84 A.3d 1067
    , 1070 (Pa. Super. 2013) (citation
    omitted).
    As with the discovery rule, Appellants are held to a standard of
    reasonable diligence and “a statute of limitations that is tolled by virtue of
    fraudulent concealment begins to run when the injured party knows or
    reasonably should know of his injury and its cause.” Fine, 870 A.2d at 861.
    Further, “[t]he plaintiff has the burden of proving fraudulent concealment by
    clear, precise, and convincing evidence.” Id., at 860 (citation omitted).
    Appellants maintain that Appellees have spent years trying to conceal
    the relationship between Risperdal and gynecomastia. See Appellants’ Brief,
    at 46-49. To support this claim, Appellants point to Appellees’ actions in
    misreporting     the   incidence   of    gynecomastia     following   Risperdal    use,
    encouraging off-label use of Risperdal, and a 2003 article that Appellees
    approved    of   which   disputed       the   link   between   Risperdal   usage   and
    gynecomastia. See id., at 47.
    However, as noted, “reasonable minds cannot differ” in concluding that
    both Appellants knew of their injuries, and should have known of the cause
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    of their injuries by October 31, 2006, at the latest. Thus, even assuming
    that fraudulent concealment served to toll the relevant statute of limitations
    until October 31, 2006, Appellants were required to file their tort claims by
    October 31, 2008, in order to preserve them. This conclusion defeats the
    assertion that fraudulent concealment tolled the relevant statute of
    limitations until 2013, just as it defeated the assertion that the discovery
    rule tolled the relevant statute of limitations until 2013.
    Accordingly, the trial court did not abuse its discretion in determining
    that the doctrine of fraudulent concealment did not toll the relevant statute
    of limitations, and granting Appellees’ motions for summary judgment.
    Appellants’ final issue merits no relief.
    Judgments affirmed.
    Judge Ransom joins the memorandum.
    Justice Fitzgerald concurs in the result.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 11/13/2017
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    J-A27023-16
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