LAURA D. MILLMAN, Special Master.
On January 5, 2015, petitioner sued under the National Childhood Vaccine Injury Act, 42 U.S.C. §§ 300aa-10-34 (2006), alleging that influenza ("flu") vaccine caused his transverse myelitis ("TM"). Although the petition is unspecific as to the onset of petitioner's TM after vaccination, medical records show the onset was the same day as vaccination.
On February 10, 2015, the undersigned held the first telephonic status conference with counsel to discuss the difficulty of petitioner proving that flu vaccine could cause TM on the same day as vaccination.
On February 27, 2015, petitioner filed a Motion for a Decision on the Written Record, stating, "Petitioner does not deem it worthwhile to pursue prosecution of the Petition all the way to a hearing with expert witnesses, and believes the Court has sufficient information to rule on the issue of causation, pursuant to Vaccine Rule 8." Pet'r's Mot. ¶ 5.
The undersigned
Petitioner was born on June 6, 1980.
On September 6, 2012, he received flu vaccine. Med. recs. Ex. 1, at 2.
On September 9, 2012, he went to Mt. Carmel East Hospital where he said since Thursday (September 6, 2012), he had "generalized body aches with urinary frequency, abdominal pain, malaise, sensitive skin, and fatigue." Med. recs. Ex. 3, at 641.
On September 12, 2012, he went to Mt. Carmel East Hospital where he gave a history that on Thursday (September 6, 2012), petitioner "received his flu vaccine and later on in the day, he had some tingling and restlessness of his legs." Med. recs. Ex. 4, at 50.
During petitioner's hospitalization at Mt. Carmel East, which lasted from September 14 to 21, 2012, he was diagnosed with transverse myelitis.
To satisfy his 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."
418 F.3d at 1278.
Without more, "evidence showing an absence of other causes does not meet petitioners' affirmative duty to show actual or legal causation."
Petitioner must show not only that but for flu vaccine, he would not have TM, but also that the vaccine was a substantial factor in causing his TM.
The Vaccine Act does not permit the undersigned to rule for petitioner based on his claims alone, "unsubstantiated by medical records or by medical opinion." 42 U.S.C. § 300aa-13(a)(1). In this case, petitioner's medical records do not substantiate petitioner's claim of causation. Moreover, petitioner has not filed an expert medical opinion substantiating his claim of causation.
The undersigned
This petition is