In the United States Court of Federal Claims
                                OFFICE OF SPECIAL MASTERS
                                           No. 15-476V
                                       Filed: June 17, 2016

* * * * * * * * * * * * *                 **
ROY BUSH,                                   *       Unpublished
                                            *
                      Petitioner,           *       Interim Attorney’s Fees and Costs;
                                            *       Contested; Reasonable Basis.
v.                                          *
                                            *
SECRETARY OF HEALTH                         *
AND HUMAN SERVICES,                         *
                                            *
                      Respondent.           *
* * * * * * * * * * * * * * *
Ronald C. Homer, Conway, Homer & Chin-Caplan, P.C., Boston, MA, for petitioner.
Linda S. Renzi, United States Department of Justice, Washington, DC, for respondent.

            DECISION DENYING INTERIM ATTORNEY’S FEES AND COSTS1

Roth, Special Master:

        On May 11, 2015, Roy Bush (“petitioner”) filed a petition for compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10, et seq.2 (The “Vaccine
Act” or “Program”). Petitioner alleged that he had sustained a shoulder injury related to
vaccination administration (“SIRVA”) after he was administered an influenza (“flu”) vaccine on
October 7, 2013, as listed on the Vaccine Injury Table.3 Petition (“Pet.”), ECF No. 1. Pursuant
to Section 15 (e) of the Vaccine Act, petitioner’s counsel now seeks an award for interim


1
  Because this unpublished decision contains a reasoned explanation for the action in this case, it
will be posted on the United States Court of Federal Claims' website, in accordance with the E-
Government Act of 2002, codified as amended at 44 U.S.C. § 3501 note (2012). In accordance
with Vaccine Rule 18(b), petitioner has 14 days to identify and move to delete medical or other
information, the disclosure of which would constitute an unwarranted invasion of privacy. If,
upon review, I agree that the identified material fits within this definition, I will delete such
material from public access.
2
 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755 (1986).
Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent
subparagraph of 42 U.S.C. § 300aa (2012).
3
    42 C.F.R. § 100.3 (2011).
attorneys’ fees and costs. After careful consideration, the undersigned has determined to deny
the request in full for the reasons set forth below.

             I.    Facts

        Petitioner has a past medical history of multiple medical issues for which he has seen his
primary care physician (“PCP”) on a regular basis for years. See generally Petitioner’s Exhibit
(“Pet. Ex.”) 2. According to petitioner, he was a mason and this profession “cause[ed] a number
of issues and wear and tear on [his] body” as well as “issues with [his] joints and back.” Pet. Ex.
9 at 1.

        On October 7, 2013, petitioner presented for a routine checkup and amongst a host of
other complaints, complained of on-going back and right shoulder pain, for which he scheduled a
shoulder injection three days later. Pet. Ex 2 at 63-66. Mr. Bush’s PCP noted that he had
decreased range of motion in his right shoulder, but his exam was otherwise unremarkable. Pet.
Ex. 2 at 65. During this appointment, petitioner received a flu vaccine in the left deltoid. Pet.
Ex. 1 at 1; Pet. Ex. 2 at 65. Three days later, on October 10, 2013, petitioner returned to his PCP
with continuing complaints of right shoulder pain and aching. A physical exam revealed
decreased range of motion in his right shoulder and limited shoulder abduction; petitioner’s
records do not reflect any complaints of pain in the left arm or shoulder. Pet. Ex. 2 at 59-62.
The PCP’s assessment was right shoulder tendonitis and shoulder impingement. Pet. Ex. 2 at 61-
62. Triamcinolone and Xylocaine were injected into the right shoulder and no future visit was
scheduled. Pet. Ex. 2 at 62.

         Petitioner returned to his PCP on November 1, 2013, with complaints of right elbow pain
when making a fist and twisting things. Pet. Ex. 2 at 55. He also complained of right shoulder
pain; it was noted that he had decreased range of motion in right shoulder and his right elbow
was tender. Pet. Ex. 2 at 57-58. Notations from this visit note that the injection administered on
October 10, 2013 “helped” his shoulder pain and he was “doing well.” Pet. Ex. 2 at 58.

        On January 9, 2014, petitioner presented to his PCP, complaining of pain in his left arm.
Pet. Ex. 2 at 50. The petitioner stated that he “[w]oke up 5-6 days ago 1/3/14 and had severe
pain in the neck and pain running down over the l shoulder into to [sic] the forearm, no finger
pain and no strength either. [T]ingling of the lateral arm on the Left and pain rated severe and
when cough [sic] really hurts it. Taking Tylenol and not helped it at all [.] [T]ried icy hot and
not helped.” Pet. Ex. 2 at 50. His PCP’s assessment was “neck pain with headache, and now
with L side arm weakness and ongoing pain into the L arm and left neck with L trapezius muscle
tightness.” Pet. Ex. 2 at 53. He was given hydrocodone-acetaminophen, prednisone, and
tizanidine for his neck pain and told to return in a week. Pet. Ex. 2 at 53.

        Petitioner returned to his PCP on January 16, 2014, continuing to complain of left arm
and left neck pain with left trapezius muscle tightness. Pet. Ex. 2 at 48. He tried steroids, but
had to stop taking them due to side effects; however, meloxicam helped and he was instructed to
continue with meloxicam and lortab. Pet. Ex. 2 at 48. An magnetic resonance image (“MRI”)
without contrast was ordered. Pet. Ex. 2 at 48-49. An MRI was performed on February 7, 2014
showing “[s]cattered degenerative changes in the mid cervical spine.” Pet. Ex. 5 at 36-37.


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Petitioner’s PCP noted that his MRI showed degenerative joint disease of the cervical spine and
moderate to moderate-severe foraminal narrowing of C4-C6 nerve roots. Pet. Ex. 2 at 40

        On March 18, 2014, petitioner presented to East Tennessee Brain and Spine with
complaints of neck pain, pain into both shoulders, and left upper extremity pain. Pet. Ex. 5 at 1-
4. It was noted that petitioner’s pain “follows a C6 pattern with numbness going all the way
down the C6 pattern into his thumb and index finger.” Pet. Ex 5 at 3. There was some noted
weakness, but petitioner stated that it had started to resolve and the pain had “improved a little
bit since it started a couple of months ago.” Pet. Ex 5 at 3. On examination “motor testing of
grip, biceps, triceps and deltoid bilaterally in the upper extremities” was intact. Pet. Ex. 5 at 3.
The impression was “two–level cervical spondylosis at C4-5 and C5-6 with both neck pain and
left upper extremity radicular complaints.” Pet. Ex. 5 at 4.

         On May 15, 2014, petitioner’s PCP noted that petitioner’s pain was “mainly in the neck
and runs down to the shoulders and both arms, left worse than right.” Pet. Ex. 2 at 35. It was
likewise noted that his “back does not hurt near as much as neck with pain radiating into the
l[eft] prox arm and over the trap muscle.” Pet. Ex. 2 at 36.

       In June of 2014, petitioner noted that “the pain in my shoulder seemed to improve …
thankfully, my left shoulder pain has almost completely resolved.” Pet. Ex. 9 at 2.

            II.    Procedural History

        This case was filed on May 11, 2015 and was initially assigned to now-Chief Special
Master Dorsey. Pet. Several medical records, along with a statement of completion, were filed
the next day, May 12, 2015. Medical Records, ECF Nos. 5, 6; Statement of Completion, ECF
No. 7. On July 21, 2015, Chief Special Master Dorsey conducted a status conference, where she
“encouraged the parties to discuss early settlement since, according to the records, Mr. Bush’s
shoulder injury has mostly resolved.” Scheduling Order, ECF No. 10. The parties agreed to
discuss settlement and two months later, on September 21, 2015, petitioner transmitted a demand
to respondent. Scheduling Order at 1; Status Report, ECF No. 13.

        On the same day that petitioner submitted his demand to respondent, September 21, 2015,
respondent filed a Rule 4(c) Report. Respondent’s Rule 4(c) Report (“Rule 4”), ECF No. 14. In
her report, respondent suggested that compensation was not appropriate in this case because “his
injury is not consistent with SIRVA” and his treating physician “did not associated [sic]
petitioner’s persistent shoulder pain . . . with his October 7, 2013 flu vaccine.” Rule 4 at 5-7.

        The case was reassigned to the undersigned on October 20, 2015. Notice of
Reassignment, ECF No. 16. Respondent filed a status report on October 21, 2015, in response to
petitioner’s demand; respondent stated that “settlement discussions are not appropriate at this
time” and explained that her reasons were set forth in her Rule 4 filed a month prior. Status
Report, ECF No. 17. Therefore, a status conference was held and the parties discussed
appropriate next steps. On February 18, 2016, petitioner’s counsel filed a status report indicating
that he “intends to withdraw as attorney of record.” Status Report, ECF No. 20. Petitioner’s



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counsel stated that he has been unable to contact petitioner, and that it was unclear how his client
wished to proceed. 

of filing a motion to withdraw, Mr. Homer filed a Motion for Interim
Attorney’s Fees and Costs (“Motion”) on February 23, 2016. Motion, ECF No. 21. Respondent
filed a Response (“Response”) to petitioner’s Motion on March 7, 2016. Response, ECF No. 22.
On March 17, 2016, petitioner filed a Response to Respondent’s Opposition (“Reply”). Reply,
ECF No. 23. Petitioner filed a Supplemental Motion for Interim Attorney’s Fees and Costs
(“Motion 2”) on March 17, 2016 and a subsequent Motion to Withdraw as Attorney (“Motion to
Withdraw”) on April 4, 2016. Motion to Withdraw, ECF No. 25.

       The matter is now ripe for decision.

           III.    Applicable Legal Standard

        In general, the Vaccine Act permits an award of reasonable attorneys’ fees and costs.
§15(e). Determining whether an application for fees is reasonable is a matter within the
discretion of the presiding special master. See Carrington v. Sec’y of HHS, 

, 322-
23 (Dec. 10, 2008). Special masters are afforded considerable discretion when considering
motions for attorney fees. For instance, it is within a special master’s discretion to reduce fees
sua sponte, without warning to petitioners. Sabella v. Sec’y of HHS, 

, 208-09
(Mar. 2, 2009).

           IV.     Discussion

        Petitioner filed his initial Motion for Interim Attorneys’ Fees and Costs on February 23,
2016 requesting $13,033.50 in attorneys’ fees and $701.02 in costs. Motion at 1. In her
Response filed on March 7, 2016, respondent objected first to the payment of interim fees and
costs in this case, and second to reasonable basis both at the time of filing and throughout the
pendency of this case. Response at 1, 4-8. Petitioner filed a Reply and a Supplemental Motion
on March 17, 2016. See generally Reply; Motion 2. Petitioner’s counsel claimed that he did a
thorough review of petitioner’s case before the petition was filed, refuted some of respondent’s
factual assertions, and provided support for his interim fee award. Reply at 3-22. Finally, on
April 4, 2016, petitioner’s counsel filed a Motion to Withdraw as Attorney. Motion to Withdraw
at 1.

                       1. Challenges to the interim nature of fees and costs.

        Interim fees may be paid at the discretion of the special master. See Avera v. Sec’y of
HHS, 

, 1352 (Fed. Circ. 2008) (“Interim fees are particularly appropriate in cases
where proceedings are protracted and costly experts must be retained.”) While they are not
routinely awarded, interim fees may be awarded when petitioner’s counsel withdraws from a
case. See, e.g., Woods v. Sec’y of HHS, 

, 154 (Fed. Cl. 2012). However, “the
mere fact that an attorney plans to withdraw is not necessarily a hardship that triggers an award
of interim attorneys’ fees and costs.” McKellar v. Sec’y of HHS, 

, 302 (2011).



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As set forth below, resolving withdrawing counsel’s attorneys’ fees and costs at this time is
warranted.

                       2. Challenges to initial reasonable basis.

        The Vaccine Act permits an award of reasonable attorneys’ fees and costs if the petition
was “brought in good faith and there was a reasonable basis.” §15(e)(1). Reasonable basis is
typically viewed as “an objective standard determined by the ‘totality of the circumstances.’”
Chuisano v. United States, 

, 286 (May 30, 2014) (citations omitted). This
somewhat amorphous standard has often been defined not by what it includes, but rather by what
is lacking in cases in which a reasonable basis has been found not to exist. Typically, reasonable
basis is not found when “fundamental inquiries are not made.” Di Roma v. Sec’y of HHS, No.
90-3277, 

, at *2 (Fed. Cl. Spec. Mstr. Nov. 18, 1993). Additionally, a case may
have a reasonable basis when filed, but may lose reasonable basis during the pendency of the
case. Perreira v. Sec’y of HHS, 

, 1376-77 (Fed. Cir. Aug. 31, 1994); McNett v.
Sec’y of HHS, No. 99-684V, 

, at *6 (Fed. Cl. Spec. Mstr. Feb. 4, 2011).
Furthermore, the burden lies with the petitioner to “affirmatively demonstrate a reasonable
basis.” 

. Some of the factors considered when assessing
reasonable basis include: “‘the factual basis, the medical support, jurisdiction issues’, and the
circumstances under which a petition is filed.” 

(citing Di Roma,

, at *1). Neither the fact that no medical records or supportive expert opinion
was filed nor the fact that the claim was filed beyond the statute of limitations automatically
negates a finding of reasonable basis. 

(citations omitted).
Furthermore, “[a] looming statute of limitations does not forever absolve a petitioner from his or
her obligation to proceed with a reasonable basis to support his claim, at least not if the petitioner
hopes to recover any fees and costs.” 

(citations omitted).

         This is not a case in which petitioner presented on the eve of the statute of limitations, with
little or no time to conduct an investigation into the merits. The vaccination alleged herein was
administered on October 7, 2013, petitioner’s counsel was retained on about July 18, 2014, almost
a year before the petition in this matter was filed. Pet.; Motion (Tab 1) at 11. The petition was
filed on May 11, 2015, followed by all of the medical records associated with the alleged injury,
additional documentation, and a Statement of Completion the next day. Pet.; Notices of Filing,
ECF Nos. 5, 6; Statement of Completion, ECF No. 7. Counsel had ample opportunity to assess
the viability of the claim before filing the petition.

                       3. Challenges to continued reasonable basis.

        Reasonable basis is not only assessed at filing; whether a case maintains reasonable basis
may change throughout the pendency of the case. See 

(“[W]hen the
reasonable basis that may have been sufficient to bring the claim ceases to exist, it cannot be said
that the claim is maintained in good faith.”); Heath v. Sec’y of HHS, No. 08-86V, 

, at *11 (Aug. 25, 2011) (“Whether there existed a reasonable basis for maintaining this
petition is a more difficult issue, and the answer depends on the point in time examined.”).




                                                   5
        Again, there is no bright-line rule regarding reasonable basis so a fact specific inquiry
must be conducted to determine whether reasonable basis existed as the case continued to
develop. “If petitioner’s causation theory is not premised on facts supported by the record, or is
not grounded in reputable medical evidence, his espousal of that theory is insufficient to
maintain a reasonable basis.” Heath, 

, at *11 (citations omitted).
Furthermore, “reasonableness may later come into question if new evidence becomes available
or the lack of supporting evidence becomes apparent.” 

(citing

).

        In the program, it is petitioner’s burden to establish a “proximate temporal relationship”
between the time of vaccination and onset of alleged injury. Althen v. Sec’y of HHS, 

, 1279 (Fed. Cir. 2005). To satisfy this Althen prong, which is necessary to be successful in
the program, a petitioner must offer “preponderant proof that the onset of symptoms occurred
within a timeframe for which, given the medical understanding of the disorder’s etiology, it is
medically acceptable to infer causation-in-fact.” de Bazan v. Sec’y of HHS, 

, 1352
(Fed. Cir. 2008). In this case, petitioner has offered no literature or Program decisions suggesting
that any vaccine, let alone influenza vaccine could (or has been successfully established to) cause
a SIRVA injury three months post-vaccine.

        Having extensively reviewed the medical records, as summarized above, and upon
consideration of the totality of the circumstances, I conclude that the petition lacked a reasonable
basis at the time of its filing and during the pendency of the case. The glaring deficiency is the
three month delay between petitioner’s vaccine in his left arm on October 7, 2013 and the first
complaint of left arm/shoulder pain on January 9, 2014. Pet. Ex. 1 at 1; Ex. 2 at 50. Likewise,
petitioner saw his doctor on October 10, 2013 and November 1, 2013, without complaint of left
arm/shoulder pain. Pet. Ex. 2 at 50-62.

         Succinctly stated, petitioner received a flu vaccine in his left arm on October 7, 2013.
Pet. Ex 1 at 1. The first notation of any left arm or shoulder pain was on January 9, 2014, some
three months after his vaccine. The pain petitioner was experiencing in the left shoulder and arm
was specifically noted by petitioner and his PCP to have started three to four days prior to his
January 2014 visit, on or about January 3, 2014. Pet. Ex 2 at 50. Neither petitioner’s PCP, nor
the examining physician at East Tennessee Brain and Spine, attributed petitioner’s left arm pain
to the flu vaccine. See generally Pet. Exs. 2; 5. Additionally, in all the time that this case was
pending, petitioner did not submit any evidence supporting his theory of causation. Therefore, I
find that petitioner did not have reasonable basis at any point during the pendency of this case.




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            V.    Conclusion

       For the reasons contained herein, I hereby DENY an award of attorney’s fees and costs.
The clerk of the court shall enter judgment in accordance herewith.4


       IT IS SO ORDERED.

                                                    s/Mindy Michaels Roth
                                                    Mindy Michaels Roth
                                                    Special Master




4
 Entry of judgment can be expedited by each party’s filing of a notice renouncing the right to
seek review. See Vaccine Rule 11(a).


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