LAURA D. MILLMAN, Special Master.
On August 24, 2015, petitioner filed a petition pro se under the National Childhood Vaccine Injury Act, 42 U.S.C. § 300aa-10-34 (2012), alleging that influenza ("flu") vaccine administered on September 11, 2012 caused her a right frozen shoulder. Pet. Preamble and ¶ 2.
On April 19, 2018, the undersigned issued a decision dismissing the case.
On August 24, 2015, petitioner filed a petition pro se under the National Childhood Vaccine Injury Act, 42 U.S.C. § 300aa-10-34 (2012), alleging that influenza ("flu") vaccine administered on September 11, 2012 caused her a right frozen shoulder. Pet. Preamble and ¶ 2.
Petitioner filed as Exhibit 1 her vaccination record, which did not reveal in which arm she received flu vaccine. Med. recs. Ex. 1, at 2. On the same date on which petitioner received flu vaccine, she received Pneumovax, a vaccine not listed on the Vaccine Injury Table.
On January 15, 2016, counsel moved to substitute as petitioner's attorney, which was consented to on January 19, 2016. On July 19, 2016, petitioner filed an amended petition. Besides repeating petitioner's initial allegation that flu vaccine caused her a right frozen shoulder and adding an allegation of brachial neuritis (Parsonage-Turner Syndrome), petitioner in her amended petition alleges, in the alternative, that flu vaccine caused a significant aggravation of an underlying arthritic shoulder condition that was asymptomatic until her September 11, 2012 vaccination. Am. Pet. Preamble and at ¶¶ 22, 23. Petitioner attempted to support her allegation that she received the flu vaccine in her right arm by referencing her affidavit (Ex. 18), her daytimer (Ex. 22), and her husband's affidavit (Ex. 19), but she did not reference the vaccine record which documents she received flu vaccine in her left deltoid.
Petitioner's counsel filed numerous records, including Exhibit 14, which constitutes the vaccine record for FluZone administered to petitioner on September 11, 2012 in her left arm ("left deltoid"). Med. recs. Ex. 14, at 2. The vaccine record also documents petitioner received a pneumonia vaccine on September 11, 2012, without specifying in which arm she received it.
On July 28, 2016, the undersigned issued an Order to Show Cause stating the Vaccine Act, §300aa-13(a)(1), prohibits her from ruling for petitioner based solely on her allegations unsubstantiated by medical records or medical opinion. Doc 24, at 2. The undersigned ordered petitioner to show cause why this case should not be dismissed during a telephonic status conference set for August 3, 2016.
On November 30, 2016, the undersigned issued an order discussing inconsistencies between petitioner's affidavit and her medical records from Dr. Louise E. Nurre,
On January 3, 2017, after two motions for an extension of time, petitioner filed her response to the undersigned's Order to Show Cause. Petitioner argued that the vaccine record is erroneous and that the "totality of the evidence" supports a finding that she received a flu vaccination on September 11, 2012 in her right arm. Doc 34, at 1 and 26.
On March 29, 2017, the undersigned issued an order in which she set forth her concerns that the claim lacked a reasonable basis. Doc 38. The undersigned stated "even if [petitioner] were to prove that she received flu vaccine, not Pneumovax, in her right shoulder, there are no contemporaneous medical records to substantiate any reaction lasting more than six months."
A hearing was held on September 6, 2017. Petitioner, her husband, and one of her massage therapists, Stewart Walker, testified.
On April 19, 2018, the undersigned dismissed the petition, finding that petitioner received flu vaccine in her left arm and, therefore, had no reasonable basis to file her petition. Judgment entered on May 21, 2018. Petitioner did not file a motion for review.
On September 17, 2018, petitioner filed a motion for attorneys' fees and costs ("motion"). Petitioner requests $68,536.79 in attorneys' fees, $2,340.40 in attorneys' costs, and $2,010.86 in petitioner's personal costs, for a total request of $72,888.05.
On September 26, 2018, respondent filed an opposition to petitioner's motion for attorneys' fees and costs ("opposition") arguing petitioner had no reasonable basis to file the petition. Resp. at 1. Respondent stated that the question of reasonable basis is an objective inquiry unrelated to counsel's conduct.
On October 2, 2018, petitioner filed a reply to respondent's opposition ("reply"). In her reply, petitioner argues that: (1) she had a reasonable basis to file her petition and her counsel was convinced that petitioner had a reasonable basis; (2) it was reasonable for petitioner to continue with her claim to prove that an error existed in the CVS vaccination record; (3) petitioner's symptoms lasted more than six months; (4) petitioner's delay in reporting her symptoms to a doctor was understandable under the circumstances; (5) medical journal articles supported petitioner's medical theory and petitioner's injury is a common vaccine injury; and (6) petitioner filed her petition in good faith. Doc 75, at 1-7.
This matter is now ripe for adjudication.
Under the Vaccine Act, a special master or a judge on the U.S. Court of Federal Claims may award fees and costs for an unsuccessful petition if "the petition was brought in good faith and there was a reasonable basis for the claim for which the petition was brought." 42 U.S.C. § 300aa-15(e)(1);
"Good faith" is a subjective standard.
"Reasonable basis" is not defined in the Vaccine Act or Rules. Deciding whether a claim was brought in good faith and had a reasonable basis "is within the discretion of the Special Master."
Petitioner is entitled to a presumption of good faith, and respondent does not contest that the petition was filed in good faith.
Here, petitioner argues that there was a reasonable basis when she filed her petition and when her counsel accepted representation. In her motion for attorneys' fees and costs, petitioner explains that she "provided [her counsel] a convincing explanation for how a September 11, 2012 influenza vaccination in her right side caused her to lose mobility in her right shoulder. She explains why she was confident that the influenza vaccine was administered in her right. . .." Doc 73, at 2-3. In her reply, petitioner provides the following reasons to support her argument: (a) her counsel "performed a reasonable pre-filing investigation over approximately a two-month period"; (b) she had a convincing and credible explanation about her injury and why she believes it was caused by the flu vaccine; (c) the records of Dr. Francis Neelon confirmed that petitioner had no pre-existing condition related to a right-shoulder dysfunction; (d) she had been referred for physical therapy for her right shoulder impingement and pain; and (e) petitioner provided objective evidence from her massage therapist, Stewart Walker, to support her reasonable basis. Doc 75, at 1-2 and 6.
While counsel has a duty to investigate a claim before filing it, the reasonable basis analysis is unrelated to counsel's conduct and must focus solely on whether there is evidentiary support for the claim set forth in the petition.
In her reply, petitioner also asserts that petitioner had a reasonable basis to continue her case since additional records were not received from CVS until July 11, 2016 and an error existed in the CVS vaccination record. Doc 75, at 2-3. Because petitioner put in her daytimer that she received flu vaccine in her right arm and Pneumovax in her left arm, petitioner's counsel was "reassured that petitioner's recollection was credible" and believed that these handwritten entries "would be taken far more seriously as smoking gun evidence."
Moreover, petitioner claims that her symptoms lasted beyond six months.
Petitioner goes on to argue that any delay in her reporting her symptoms to a doctor was understandable since she "reported to her PCP, Dr. Michael Lewis, in the days following the vaccination and he told her not to worry as the shoulder pain would go away in time." Doc 75, at 4. This statement is based solely on petitioner's opinion without any corroboration from Dr. Lewis' notes of such a conversation and his uttering such a statement. As the undersigned noted in her Decision, "Petitioner testified that she called Dr. Lewis on September 24, 2012 because of her right shoulder pain but no record of petitioner's calls to Sutter Health Sutter East Bay on September 2, 2012 reflect that happened. She notes in her daytimer under September 24, 2012 to call Dr. L re: shoulder, but the Sutter East Bay phone records show petitioner called her gynecologist Dr. Katarina Lanner-Cusin (a different Dr. L.) to request Dr. Lanner-Cusin order a bone density test (DEXA) for petitioner's osteoporosis."
In addition, petitioner argues medical journal articles support her medical theory that "SIRVA injuries are quite common." Doc 75, at 4. This statement is irrelevant. It does not matter that SIRVA is a common vaccine injury. The question is whether or not petitioner had a SIRVA injury caused by her flu vaccination.
Petitioner had no reasonable basis for bringing this case to prove that flu vaccine administered in her left deltoid caused her alleged shoulder pain in her right arm.
The undersigned finds petitioner did not have a reasonable basis to file a petition. Therefore, the undersigned
In the absence of a motion for review filed pursuant to RCFC Appendix B, the clerk of the court is directed to enter judgment herewith.