BRIAN H. CORCORAN, Special Master.
On October 18, 2012, Cynthia Smith filed a petition seeking compensation under the National Vaccine Injury Compensation Program (the "Vaccine Program" or "Program").
The parties disputed the onset of Mrs. Smith's GBS and/or CIDP-related symptoms, with Petitioner alleging that onset began within a month of her receipt of the flu vaccine, while Respondent maintaining that onset began in late December 2011. At my direction, the parties briefed the matter, and I concluded, based upon the record and their written filings, that Mrs. Smith's symptoms began no earlier than December 29, 2011. See August 31, 2016 Findings of Fact (ECF No. 71) (the "Onset Ruling").
Petitioner has now moved for Judgment on the Administrative Record. See Motion for Judgment on the Administrative Record ("Mot. for Judgmnt"), filed as ECF No. 73 on Nov. 14, 2016.Petitioner largely objects that the Onset Ruling was in error. She did not, however, request reconsideration of it, and (as it specifically noted) the fact findings it contains constituted the operating basis upon which she could have attempted — if she so chose — to obtain a new expert report consistent with its findings. She expressly disclaimed the opportunity to do so, however — and even represented that she would not before issuance of the Onset Ruling. Mot. for Judgmnt at 2. As a result, she now lacks expert support for her claim consistent with the Onset Ruling.
To receive compensation under the Vaccine Program, a petitioner must prove either (1) that she suffered a "Table Injury" — i.e., an injury falling within the Vaccine Injury Table — corresponding to one of his vaccinations, or (2) that she suffered an injury that was actually caused by a vaccine. See Sections 13(a)(1)(A) and 11(c)(1). An examination of the record, however, does not uncover any evidence that Ms. Smith suffered a "Table Injury." Further, the record does not contain a medical expert's opinion or any other persuasive evidence indicating that the alleged injury that Petitioner experienced could have been caused or significantly aggravated by the vaccinations that she received in August 2011. Indeed, the existing expert report from Dr. Kinsbourne disclaims that possibility, given my onset ruling, and Petitioner has not offered a substitute expert opinion that is consistent with my fact determination. And the filed medical records do not support Petitioner's claim. Given that in almost all instances previously tried in the Vaccine Program onset of a peripheral neuropathy like GBS or CIDP is generally found to occur no more than eight weeks after vaccination, I do not find it more likely than not that she could carry that burden herein without expert support.
Under the Vaccine Act, a petitioner may obtain a Vaccine Program award based solely on her claims. Rather, the petition must be supported by either medical records or by the opinion of a competent physician. Section 13(a)(1). In this case, there is insufficient evidence in the record for Petitioner to meet her burden of proof. Petitioner's claim therefore cannot succeed and must be dismissed. Section 11(c)(1)(A).