Feight v. Secretary of Health and Human Services

In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 17-1292V
Filed: January 24, 2019
Not to be Published
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PATRICIA FEIGHT, *
*
Petitioner, *
* Prevnar 13 vaccine; transverse
v. * myelitis (“TM”); no expert
* report; motion for decision
SECRETARY OF HEALTH * dismissing the petition
AND HUMAN SERVICES, *
*
Respondent. *
*
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Diana L. Stadelnikas, Sarasota, FL, for petitioner.
Ryan D. Pyles, Washington, DC, for respondent.
MILLMAN, Special Master
DISMISSAL DECISION1
On September 20, 2017, petitioner filed a petition under the National Childhood Vaccine
Injury Act, 42 U.S.C. § 300aa-10-34 (2012), alleging that a pneumococcal (Prevnar 13)
vaccination she received on June 13, 2016 caused her transverse myelitis (“TM”). Pet. at ¶¶ 1, 3,
9, and 10.
Petitioner filed her medical records and affidavit, but not an expert report in support of
her allegations.
1
Because this unpublished decision contains a reasoned explanation for the special master’s action in this
case, the special master intends to post this unpublished decision on the United States Court of Federal
Claims’ website, in accordance with the E-Government Act of 2002, 44 U.S.C. § 3501 note (2012)
(Federal Management and Promotion of Electronic Government Services). This means the decision will
be available to anyone with access to the Internet. Vaccine Rule 18(b) states that all decisions of the
special masters will be made available to the public unless they contain trade secrets or commercial or
financial information that is privileged and confidential, or medical or similar information whose
disclosure would constitute a clearly unwarranted invasion of privacy. When such a decision is filed,
petitioner has 14 days to identify and move to redact such information prior to the document’s disclosure.
If the special master, upon review, agrees that the identified material fits within the banned categories
listed above, the special master shall redact such material from public access.
On July 17, 2018, respondent filed his Rule 4(c) Report recommending against
entitlement, noting that petitioner had not filed an expert report or other reliable medical
evidence to support her allegations. Resp’t Rep. at 6.
On January 24, 2019, petitioner filed a Motion for a Decision Dismissing Petition stating,
“An investigation of the facts and science supporting this case, including consultation with
qualified expert [sic] and treating physicians, has demonstrated to Petitioner that she will be
unable to prove that she is entitled to compensation in the Vaccine Program.” Mot. at 1.
This is a causation in fact case. Petitioner’s medical records do not support her
allegations by a preponderance of the evidence and she has failed to file a medical opinion from
an expert in support of her allegations. The undersigned finds petitioner has failed to make a
prima facie case. The undersigned GRANTS petitioner’s motion and DISMISSES this petition.
DISCUSSION
To satisfy her burden of proving causation in fact, petitioner must prove by preponderant
evidence: “(1) a medical theory causally connecting the vaccination and the injury; (2) a logical
sequence of cause and effect showing that the vaccination was the reason for the injury; and (3) a
showing of a proximate temporal relationship between vaccination and injury.” Althen v. Sec’y
of HHS, 418 F.3d 1274, 1278 (Fed. Cir. 2005). In Althen, the Federal Circuit quoted its opinion
in Grant v. Secretary of Health and Human Services, 956 F.2d 1144, 1148 (Fed. Cir. 1992):
A persuasive medical theory is demonstrated by “proof of a logical
sequence of cause of and effect showing that the vaccination was
the reason for the injury [,]” the logical sequence being supported
by a “reputable medical or scientific explanation[,]” i.e., “evidence
in the form of scientific studies or expert medical testimony[.]”
418 F.3d at 1278.
Without more, “evidence showing an absence of other causes does not meet petitioner’s
affirmative duty to show actual or legal causation.” Grant, 956 F.2d at 1149. Mere temporal
association is not sufficient to prove causation in fact. Id. at 1148.
Petitioner must show not only that but for Prevnar 13 vaccine, she would not have TM,
but also that Prevnar 13 vaccine was a substantial factor in causing her TM. Shyface v. Sec’y of
HHS, 165 F.3d 1344, 1352 (Fed. Cir. 1999).
The Vaccine Act, 42 U.S.C. § 300aa-13(a)(1), prohibits the undersigned from ruling for
petitioner based solely on her allegations unsubstantiated by medical records or medical opinion.
The medical records do not support petitioner’s allegations. Her treating doctors do not attribute
her TM to Prevnar 13 vaccine. Petitioner has not filed a medical expert opinion in support of her
allegations although she has done an extensive search for an expert.
2
The undersigned GRANTS petitioner’s motion and DISMISSES this petition for failure
to make a prima facie case of causation in fact.
CONCLUSION
This case is now DISMISSED. In the absence of a motion for review filed pursuant to
RCFC Appendix B, the Clerk of Court is directed to enter judgment herewith.2
IT IS SO ORDERED.
Dated: January 24, 2019 /s/ Laura D. Millman
Laura D. Millman
Special Master
2
Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party, either separately or
jointly, filing a notice renouncing the right to seek review.
3