LAURA D. MILLMAN, Special Master.
On April 7, 2011, petitioner filed a petition under the National Childhood Vaccine Injury Act, 42 U.S.C. § 300aa-10-34 (2012), alleging that the tetanus toxoid-diphtheria-acellular pertussis ("Tdap") vaccine he received on April 11, 2008 caused him anaphylaxis, immune dysregulation, and autoimmune disease leading to Addison's disease. Pet. at ¶ 107. Petitioner was 38 years old when he received Tdap vaccine. He is now 49 years old.
On October 30, 2015, the undersigned ruled that petitioner is entitled to compensation, holding ". . . it is reasonable to connect petitioner's entire immunologic reaction to his adverse response [to the Tdap vaccine]. . . . [P]etitioners do not have the burden of proving a specific biological mechanism."
One barrier to settlement is the calculation of petitioner's lost wages. On July 19, 2016, petitioner's economist Dr. Robert W. Cook submitted his first expert report stating petitioner's net lost income is $4,950,921.00. Doc 113-2.
On May 23, 2017, respondent filed his first expert report from his economist Dr. Patrick F. Kennedy stating petitioner has $1,017,816.00 in loss of earnings and benefits. Doc 143-1. During a status conference held on June 5, 2017, the undersigned gave petitioner until June 30, 2017 to file Dr. Cook's responsive report.
On September 20, 2017, petitioner filed the first affidavit of Mr. Jeff Barrom, a Senior Vice President with Hub International Northwest, LLC ("HUB International"). Doc 148-2.
On October 30, 2017, after three motions for an extension of time, petitioner filed Dr. Cook's supplemental (second) expert report based on information provided in Mr. Barrom's first affidavit, concluding petitioner has $3,978,303.00 in net lost income. Doc 150-2.
During a status conference held on November 17, 2017, the undersigned discussed the parties' expert reports (Docs 113-2, 143-1, and 150-2) and Mr. Barrom's affidavit (Doc 148-2). On November 20, 2017, the undersigned issued an order addressing several issues in the parties' economic expert reports, and requiring Mr. Barrom to answer respondent's additional questions and each party to file their supplemental economist reports. Doc 151. In the same Order, the undersigned required the parties' experts, in their supplemental expert reports, to use: (1) the same date, January 1, 2018,
On January 25, 2018, petitioner filed Mr. Barrom's second affidavit, in which Mr. Barrom said he cannot provide copies of the material upon which he relied because the material is "confidential and proprietary." Doc 153-2, at 1.
On April 10, 2018, petitioner filed Dr. Cook's supplemental (third) expert report providing petitioner's lost wages as "no less than $2,619,329.00 and no more than $3,698,921.00." Doc 159-2, at 9. On April 16, 2018, respondent filed Dr. Kennedy's supplemental (second) expert report in response to the undersigned's Order of November 20, 2017 and to Mr. Barrom's second affidavit. Doc 160-1.
In an email on April 27, 2018 to the undersigned's law clerk, respondent stated if petitioner intended to continue to rely on Mr. Barrom's affidavits, he should produce the material upon which Mr. Barrom relied in his statements supporting petitioner's loss of earnings. On April 27, 2018, petitioner filed a status report asserting that the record on lost wages was complete and Mr. Barrom would not be able to provide copies of documentation upon which he relied in his affidavits due to confidentiality and proprietary issues. Doc 161, at 1.
On April 30, 2018, the undersigned issued an order requiring respondent to file a Motion for Discovery of the material upon which Mr. Barrom relied in his affidavits. On May 21, 2018, respondent filed a Motion for Production of Documents Regarding Petitioner's Lost Wages Claim ("Motion for Production").
On May 22, 2018, petitioner filed a Notice of Clarification and Partial Response to Motion to Produce Documents stating that because petitioner is not in possession of the documents and has no ownership of the documents, respondent should be seeking Third Party Discovery as neither Mr. Barrom nor HUB International is a party in this case. Doc 165, at 1.
On June 5, 2018, respondent filed a response to Petitioner's Notice of Clarification and Response to Motion to Produce Documents stating that it is petitioner's burden to prove petitioner's damages and "a special master cannot award over $1 million in additional lost wages based on a third party's interpretation of undisclosed evidence that neither party nor the Court has seen." Doc 167, at 2.
On the same day, the undersigned ordered each party to select by June 19, 2018 one of three options: (1) the undersigned will hold a hearing on economic loss with Dr. Cook, Dr. Kennedy, and Mr. Barrom as witnesses; (2) petitioner shall serve a subpoena duces tecum on HUB International to produce the documents upon which Mr. Barrom relied in his affidavits; or (3) the undersigned will decide the issue of lost wages on motion for a Ruling on the Record.
On June 19, 2018, after respondent filed a status report choosing option (2), petitioner filed a status report requesting 30 days to provide the updated life care plan costs and a Motion for Ruling on the Record incorporating all elements of compensation. The undersigned granted petitioner's informal motion and ordered petitioner to file a Motion for Ruling on the Record incorporating all elements of compensation by July 18, 2018. The undersigned denied respondent's Motion for Production as moot.
On July 17, 2018, petitioner filed an updated summary chart of all past unreimbursable medical expenses (Docs 173-2 and -3) and petitioner's updated life care plan (Doc 173-4) with an analysis of cost differences between his plan (Docs 128-2 and 173-4) and respondent's plan (Doc 136-6). On July 18, 2018, petitioner filed his Medicaid Lien update and a press release regarding Mr. Barrom.
On July 18, 2018, petitioner filed a Motion for [a] Ruling on Damages Award ("motion").
On August 29, 2018, the case was referred to another special master for a mandatory settlement conference.
On October 26, 2018, respondent filed a response to petitioner's motion ("response").
On November 2, 2018, petitioner filed a reply to respondent's response to petitioner's motion ("reply").
On November 20, 2018, petitioner filed Exhibit 91 consisting of a final Medicaid lien amount of $465.36. On the same date, petitioner filed a status report stating that there were no outstanding items left for petitioner to file and the case was ripe for the undersigned's decision on damages.
On December 11, 2018, the undersigned issued a Ruling on Damages. On December 17, 2018, petitioner filed a Motion for Reconsideration, requesting the undersigned include the updated past cost of life insurance premiums ($6,765.21) as part of the total of updated past expenses in the damages award. Although on December 18, 2018, the undersigned denied petitioner's Motion for Reconsideration, on December 19, 2018, the undersigned withdrew the denial of petitioner's Motion for Reconsideration and issued an Order granting the Motion for Reconsideration.
On March 5, 2019, respondent filed a Response to Ruling on Damages Award, requesting the undersigned give respondent the opportunity to reply to petitioner's Motion for Reconsideration and withdrawing the December 11, 2018 Ruling on Damages to reissue the Ruling on Damages with a complete listing of specific parameters. The undersigned held a telephonic status conference with the parties on March 13, 2019 to clarify these requests.
On March 13, 2019, the undersigned issued an Order withdrawing the December 19, 2018 Order granting petitioner's Motion for Reconsideration and withdrawing the undersigned's December 11, 2018 Ruling on Damages which included $25,499.50 in past unreimbursable medical expenses (which award was the subject of petitioner's Motion for Reconsideration).
This more specific Ruling on Damages does not include any past unreimbursable medical expenses because the undersigned is
After respondent files his response to petitioner's Motion for Reconsideration on the issue of past unreimbursable medical expenses on April 15, 2019,
In addition,
After petitioner files a reply to respondent's response to petitioner's Motion for Reconsideration, the undersigned will issue a Damages Decision including the updated figures reflecting net present value and growth rate, and the amount of past unreimbursable medical expenses.
On July 18, 2018, petitioner filed his Motion for [a] Ruling on Damages Award. Petitioner updated his calculation of economic loss to $4,480,530.62, consisting of wage loss of $3,698,921.00, life care plan costs of $753,837.00, unreimbursable medical expenses of $25,499.50, and Medicaid Lien of $2,173.12, and asserted that he is entitled to the full $250,000.00 in pain & suffering. Doc 176.
On October 26, 2018, respondent filed his response rejecting the amount of each damage component requested in petitioner's motion arguing: (1) because petitioner relies upon Mr. Barrom's affidavits in the absence of corroborating evidence needed to support his valuation of lost wages, respondent requested the undersigned award lost earnings in accordance with respondent's economist Dr. Kennedy's analysis and projections, which is $1,019,102.00 (Doc 160-2, at 1); (2) because a petitioner cannot recover damages for a non-identified autoimmune disease (referring to the Vaccine Act without a citation and citing
On November 2, 2018, petitioner filed his reply to respondent's response. Petitioner argues: (1) petitioner has produced substantial underlying documentation of his lost wages demand with three economist reports from his expert Dr. Cook and two affidavits from a fact witness Mr. Barrom who has provided answers to all of respondent's and the undersigned's questions; (2) respondent's reliance on
For calculating petitioner's lost earnings award, petitioner's expert Dr. Cook projects the following five categories of income into the future:
Doc 159, at 3.
On the other hand, respondent's expert Dr. Kennedy believes that the only component that should be included in the calculation is petitioner's W-2 base salary and commissions ("W-2 income"). In his first expert report, Dr. Kennedy analyzes petitioner's K-1 income for illustrative purposes only. Doc 143-1, at 5. Because petitioner's affidavit and a 2009 K-1 were the only support at that time for petitioner's loss of annual K-1 income from January 1, 2009 to April 1, 2014 when Argus was sold to HUB International, Dr. Kennedy argues that he "cannot opine that it is more likely than not that the 2009 K-1 income would have continued at the same level in all future years."
On September 20, 2017 and January 24, 2018, petitioner filed Mr. Barrom's two affidavits, both of which support petitioner's K-1 income calculation. However, Dr. Kennedy maintains in his second expert report that no supporting documentation has been produced that could be used to verify that petitioner's statements and calculations for his loss of K-1 income are accurate. Doc 160-1, at 3. For the same reason, Dr. Kennedy disagrees with including petitioner's retiring producer W-2 income in the calculation of petitioner's past and future loss of earnings.
In addition, the parties disagree on the present value methodology. While Dr. Cook uses a two-step discounting approach, Dr. Kennedy uses a one-step net discount rate ("NDR") approach.
Thus, the main disagreements between the parties are: (1) whether Mr. Barrom's affidavits in the absence of part or all corroborating evidence are sufficient to support petitioner's valuation of the disputed components of his lost earnings, which include W-2 income, ownership income,
In his first expert report, Dr. Cook takes petitioner's base W-2 income in 2009 as $42,000.00 and projects it into the future with the wage growth rates based on Board of Trustees — Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds ("OASDI"). Doc 113-2, at 11. The sum of petitioner's W-2 income was $1,450,731.00.
In his first expert report, Dr. Kennedy uses the base W-2 income in 2009 as $42,070.00 and projects it into the future with the wage growth rates based on EEIAB, which the undersigned ruled as the preferable basis in her Order of November 20, 2017. Doc 143-1, at 3. The sum of petitioner's W-2 income was $1,017,816.
In his second expert report, Dr. Cook raises the base W-2 income starting in 2010 from $43,100.00 to $112,500.00, relying solely on Mr. Barrom's answer to Question 6 in his first affidavit, resulting in an increase in the sum of petitioner's W-2 income from $1,450,731.00 in Dr. Cook's first report to $3,086,441.00. Doc 150-2, at 2-3. The undersigned identified this issue in her Order of November 20, 2017:
Doc 151, at 2. The undersigned instructed Dr. Cook to change his calculation of annual income to reflect these corrections.
In his third expert report, Dr. Cook relies solely on Mr. Barrom's answer to Question 4 in his second affidavit to run petitioner's W-2 income from 2010 to 2017 and then based on the 2017 W-2 income projection to calculate petitioner's future wages from 2018 to 2033. While Mr. Barrom stated in his first affidavit that "it is difficult to speculate exact incomes" and provided the estimated annual earnings range for 2017 of $100,000.00-$125,000.00 (Doc 148-2, at 2), he provides in his second affidavit a spreadsheet showing an estimated 2010 compensation of $62,070.00 growing to an estimated $121,024.00 by 2017 without providing any database or supporting documentation (Doc 153-2, at 2-3). Dr. Cook adopts Mr. Barrom's projections without providing any further explanation or analysis. The undersigned finds that Mr. Barrom's projections of petitioner's W-2 income from 2010 to 2017 and Dr. Cook's adoption of Mr. Barrom's projections in his third expert report are speculative and inconsistent with petitioner's historical earnings and the industry data.
In his second expert report, Dr. Kennedy states that "while the information provided by Mr. Barrom appears to support some of [p]etitioner's damages calculations, no supporting documentation has been produced that could be used to verify that his statements and calculations are accurate." Doc 160-1, at 3. Because petitioner is claiming a level of wages and wage growth that are materially higher than statistical earnings data for insurance agents in general and are inconsistent with petitioner's historical wage growth prior to vaccination, Dr. Kennedy argues that it is important to understand how Mr. Barrom arrived at his projections and what documentation or information upon he relied in making his projections.
In her Order of June 5, 2018, the undersigned provided petitioner with an option of serving a subpoena duces tecum on HUB International to produce the documents upon which Mr. Barrom relied in his affidavits; however, petitioner chose to file a motion for ruling on the record. The undersigned agrees with Dr. Kennedy that it is important for a damages expert to verify the information that forms the basis of a loss calculation, especially when petitioner's claimed net losses of nearly $4 million are based on projected wages that are much higher than his prior years' earnings as well as the statistical earnings data for insurance agents as collected. The undersigned finds that the underlying material upon which Mr. Barrom based his projections is necessary for the undersigned to reach a fair and well-informed decision concerning petitioner's W-2 income. Therefore, in the absence of petitioner's filing this material, the undersigned rules in favor of respondent on the calculation of petitioner's W-2 income.
Effective January 1, 2009, petitioner purchased a 4.99% ownership interest in Argus and executed a promissory note for the $550,310.48 purchase price payable to Argus. Petitioner received $118,366.00 in business income via K-1 ("K-1 income" or "business income") from Argus in 2009. On April 1, 2014, HUB International acquired Argus and all holders of promissory notes were required to pay them off with the proceeds from the sale to HUB International. Doc 148-2, at 2. The sale price of Argus to HUB International is confidential.
In his second expert report, Dr. Cook agrees with Dr. Kennedy that the calculation for petitioner's K-1 income should not increase annually for the duration of petitioner's work life expectancy since January 1, 2010. Instead it should terminate on April 1, 2014 when HUB International acquired Argus. Doc 150-2, at 3. In both his second and third expert reports, Dr. Cook adopts the exact amount of gross distributions that Mr. Barrom provided, resulting in $499,344.00 of petitioner's lost K-1 income before tax for 2010 through 2014.
In his first expert report, for illustrative purposes only, Dr. Kennedy analyzes petitioner's lost business income from January 1, 2010 to April 2014, using petitioner's annual K-1 income of $118,366.00 for 2009 and adjusting the annual compensation at the wage growth rates based on EEIAB. Doc 143-1, at 5. Petitioner's potential lost K-1 income after tax is $432,123.00. Doc 143-5, at 3. Dr. Kennedy then projects petitioner's promissory note payments
Because petitioner owned a 4.99% ownership interest in Argus, received a distribution in 2009, and provided his 2009 K-1, the undersigned finds an award for petitioner's loss of ownership income reasonable in this case. However, because Mr. Barrom will not provide any documentation to support his projections of petitioner's business income for 2010 through 2014, the calculation for petitioner's loss of business income should be based on petitioner's K-1 income of $118,366.00 for 2009 and the wage growth rates according to EEIAB. In other words, the undersigned agrees with Dr. Kennedy's calculation of petitioner's potential lost ownership income. Doc 143-5, at 1-4. Therefore, the undersigned rules that petitioner is entitled to
Unlike petitioner's K-1 income, his claimed retiring producer income was not included in petitioner's 2009 tax documents. Petitioner claims that he was going to be compensated for retiring producer income in 2010. Doc 131-2, at 2. In his first affidavit, Mr. Barrom stated that "I no longer have records for such things but [petitioner] is honest and the retiring or transition plan he submitted indicated payments in 2010, so yes he would have been paid the applicable renewal commission that Argus used at that time, which would have been 25% had he met the previous year new business goal and if not it would have been 20%." Doc 148-2, at 3. Mr. Barrom later confirmed that had petitioner been employed at Argus in 2010, he would have received commission income for the retiring producer accounts that he had been working on in 2008 and 2009 and the retiring producer income would have been reported in his 2010 W-2. Doc 153-2, at 3. According to Mr. Barrom's affidavits, it takes one to three years for the transitioning agent to receive income from retiring agent accounts. However, petitioner's evidence explaining how the commission on retiring producer accounts would be paid to the retiring partner ("RP") and the transitioning partner ("TP") says otherwise:
Doc 113-3, at 7. This document shows that petitioner would have received income from the retiring producer accounts in 2009.
While Mr. Barrom indicated in his first affidavit, Answer 9, that he no longer has records to support additional transfers after 2010, he provided in his second affidavit exact amounts of retiring producer income petitioner would have been paid for 2010 through 2014 without any supporting evidence. Doc 153-2, at 4. In his third expert report, Dr. Cook adopts Mr. Barrom's projections without independently evaluating the underlying evidence and assumes that this level of income would have continued through petitioner's remaining work life expectancy. Doc 159-2, at 12-13. As Dr. Kennedy points out in his second expert report, it is important to see how much the retiring producer accounts that were to be assigned to petitioner actually generated in commissions and how those accounts may have changed over time. Doc 160-1, at 5. The undersigned agrees with Dr. Kennedy's opinion. There was no evidence that retiring producer income was ever paid to petitioner in the manner described in the Argus policy provided in petitioner's evidence (Doc 113-3). Since the undersigned cannot award damages based on speculation, she finds that petitioner is not entitled to the compensation for retiring producer income.
The parties disagree on the method of calculating the present value of petitioner's future wage loss. While Dr. Cook uses a two-step discounting approach, Dr. Kennedy uses a one-step net discount rate ("NDR") approach. The two-step discounting approach comprises two parts: (1) future wages are grown annually at the appropriate rate for wage growth and (2) future values are discounted to present day dollars at the appropriate projected interest rate. The NDR approach incorporates both future wage growth and future interest rates into a single, one-step calculation. Thus, if the same assumptions are used regarding interest rates and wage inflation, the results under both approaches should be consistent.
Dr. Cook's present value approach depends on the current yields on U.S. Treasury Notes and Bonds, which are dynamic. Doc 159-2, at 6. Dr. Kennedy's analysis implies a 3.50 percent annual wage growth and a 4.00 percent annual discount growth, which gives him a 0.50 percent fixed annual NDR. Doc 160-1 at 2. Dr. Cook argues that Dr. Kennedy's reliance on a fixed NDR is inappropriate since the interest rates available to petitioner are the same rates available to all petitioners but the wage growth rate for all petitioners varies. Doc 159-2, at 7.
However, because the wage growth and interest rates are more difficult to project as individual data series, Dr. Kennedy believes that "the net relationship between the two series is more stable and can be more reliably projected over longer periods of time." Doc 160-1, at 1-2. The NDR approach also includes projected wage inflation.
Thus, the disagreement between the parties is not which present value method is better academically but what rates should be chosen in this case. The undersigned agrees with respondent that Dr. Cook's use of current dynamic interest rates alone as the discount rate is not accurate for a projection of a future loss of earnings over a long period of years. The undersigned finds it is reasonable for Dr. Kennedy not to rely too heavily on the recent historical or current interest rates since it would result in an understated net discount rate and it is appropriate to examine statistics over a longer period in calculating the NDR because a longer period includes the series of expansions and recessions that the economy has experienced. Doc 143-1, at 9. The undersigned also thinks it is important to take consumer price inflation into account over a long period of time as Dr. Kennedy does in his analysis.
On September 28, 2016, petitioner filed his original life care plan from his life care planner Ms. Lynn Trautwein. Doc 128. Subsequently, respondent filed a report from Dr. Roy Weiss rejecting all care items in petitioner's life care plan indicated for Addison's disease since respondent asserts through Dr. Weiss's post-entitlement ruling report that petitioner did not have Addison's disease. Doc 136-1, at 2-3. Respondent's life care planner Ms. Linda Curtis relied upon Dr. Weiss' report to deny a substantial part of petitioner's life care plan. Doc 183-1.
Petitioner argues in his motion that Dr. Weiss' report was unnecessary as the undersigned and the parties were well aware of the nature of petitioner's diagnoses. Doc 176, at 6. In his response, respondent claims that Dr. Weiss, as a board-certified endocrinologist, is the only expert qualified to opine on the proper treatment of petitioner, and petitioner's life care plan should be based on the diagnosis of adrenal insufficiency, petitioner's only defined and recognized injury in this case. Doc 184, at 13.
The undersigned finds respondent's argument against petitioner's entitlement to compensation for his entire immunologic reaction is contrary to law. The undersigned made it clear in her ruling on entitlement that petitioner does not have full-blown Addison's disease, which is why petitioner's treating doctor, Dr. Richard Wilkinson, diagnosed him with adrenal insufficiency.
The undersigned finds reasonable and necessary and awards the following:
The undersigned will pay for Washington Health Plan Finder Kaiser Permanente (KP) VisitsPlus Silver HD, which in 2018 cost $6,897.72 annually now through 2034 when petitioner becomes 65. This cost will have to be updated to 2019 rates. The undersigned does not find awarding a $1,700 deductible necessary because petitioner would have a deductible under an employer-sponsored health plan.
The undersigned will pay for Medicare Part D: SilverScript Choice (S5601-060-0) Premium $579.99 annually from 2034 to life expectancy. This cost will have to be updated to 2019 rates. The undersigned does not find awarding the higher cost Medicap provider petitioner recommended because it includes Medicare Part B which is an option to all Medicare Part A recipients.
The undersigned will pay for visits to Dr. Wilkins twice a year until August 2034. The yearly cost of $330.00 will have to be updated to 2019 rates. The undersigned assumes Kaiser HMO would not pay for this cost.
The undersigned will pay for visits to Dr. Paul Emmons III, PCP two times a year, at $223.60 annually through July 2033; then $44.72 annually from August 2034 to life expectancy. This cost will have to be updated to 2019 rates. The undersigned assumes Kaiser HMO would not pay for this cost.
The undersigned will pay for a visit to Bastyr University Medical Center to see an immunologist once a year at a cost of $250.00 annually through July 2033; then $50.00 annually from August 2034 to life expectancy. This cost will have to be updated to 2019 rates. The undersigned assumes Kaiser HMO would not pay for this cost.
The undersigned will pay for a visit to Bastyr University Medical Center to see an endocrinologist once a year for $151.00 annually through July 2033; then $30.30 annually from August 2034 to life expectancy. This cost will have to be updated to 2019 rates. The undersigned assumes Kaiser HMO would not pay for this cost.
The undersigned will not pay for a visit to Dr. Leslie S. Feinberg, a chiropractor who uses NMT (neuromodulation technique) which is unproven as medical treatment. The undersigned does not find NMT reasonable and necessary.
The undersigned will not pay for hyperbaric oxygen therapy ("HBOT") as its use is not reasonable and necessary for petitioner's condition.
The undersigned will pay for blood-drawing twice a year for $300.00 annually through July 2033 to check petitioner's kidneys. This cost will have to be updated to 2019 rates.
The undersigned will not pay for ultraviolet irradiation of blood ("UBR") as its use is not reasonable and necessary for petitioner's condition.
The undersigned will pay for mileage of $150.00 annually to see the endocrinologist, immunologist, and Dr. Wilkinson from now to life expectancy.
The undersigned will not pay for case management is petitioner is not cognitively damaged.
The undersigned will not pay for the drugs and other medications listed on pages 4 to 5 of petitioner's life care plan as Kaiser Permanente will pay for drugs through July 2033 and Medicare Part D under the SilverScript Choice will pay for drugs from August 2034 through life expectancy.
The undersigned will not pay for acupuncture as it is not reasonable or necessary for petitioner's condition.
The undersigned will not pay for syringes with needles and alcohol swabs as they are not reasonable or necessary for petitioner's condition.
The undersigned will pay for a handheld shower head at a cost of $25.00 now and every five years to life expectancy.
The undersigned will pay for a shower chair at a cost of $41.99 now and every 10 years to life expectancy.
The undersigned will not provide petitioner with a companion. However, the undersigned will provide him with assistance of light housekeeping and errands of three hours per week and assistance with snow removal, handyman services, and lawn care at an annual cost of $4,082.52 now to life expectancy. This cost will have to be updated to 2019 rates.
Petitioner requests compensation for a Medicaid Lien of $2,173.12 to Rawlings Company and $252.77 to Washington State Healthcare Authority. Doc 186, at 5-6. Petitioner also requests compensation for another Medicaid lien of $465.36 which Centene-Washington-Coordinated Care ("Centene-CC"), a Medicaid plan, paid. Doc 188-2, at 1-2.
In his motion, petitioner argues that his past pain and suffering has clearly exceeded the statutory cap since his Tdap vaccination and he continues to experience daily pain and emotional distress. Doc 176, at 4-5. As a result, he asserts that he is entitled to the full $250,000.00 in pain and suffering under the Vaccine Act.
Based on the evidence provided in the case, the undersigned finds an award for "pain and suffering" to be appropriate. In determining how much to award in pain and suffering for petitioner, the undersigned notes that any amount for future pain and suffering must be adjusted to its "net present value."
The undersigned finds that petitioner is entitled to an award of the following damages:
