In the United States Court of Federal Claims
                          OFFICE OF SPECIAL MASTERS

**********************
LOREN LYNETTE MACHUCA,         *
on behalf of J.A.M., a minor,  *
                               *                    No. 20-18V
                   Petitioner, *                    Special Master Christian J. Moran
                               *
v.                             *
                               *                    Filed: July 17, 2020
SECRETARY OF HEALTH            *
AND HUMAN SERVICES,            *                    equitable tolling, discriminatory
                               *                    treatment
                   Respondent. *
*********************

Christopher Lee Phillippe, Christopher Lee Phillippe, PC, Brownsville, TX, for
petitioner;
Jennifer L. Reynaud, United States Dep’t of Justice, Washington, DC, for
respondent.

                  PUBLISHED DECISION DISMISSING CASE 1

       Ms. Machuca alleges that her son, J.A.M., received an influenza vaccination
on December 15, 2015. Pet., filed Jan. 6, 2020, ¶ 4. Ms. Machuca further alleges
that J.A.M. developed shoulder problems within 48 hours of vaccination.

Ms. Machuca claims compensation for J.A.M.’s shoulder injury related to vaccine
administration (“SIRVA”).

         The E-Government Act, 44 U.S.C. § 3501 note (2012) (Federal Management and
Promotion of Electronic Government Services), requires that the Court post this decision on its
website. This posting will make the decision available to anyone with the internet. Pursuant to
Vaccine Rule 18(b), the parties have 14 days to file a motion proposing redaction of medical
information or other information described in 42 U.S.C. § 300aa-12(d)(4). Any redactions
ordered by the special master will appear in the document posted on the website.
       As the parties recognize, Ms. Machuca filed the present action beyond the
time permitted by the statute of limitations. While Ms. Machuca argues that the
running of the statute of limitations should be equitably tolled, her contentions lack
merit. Specifically, Ms. Machuca has demonstrated neither extraordinary
circumstances nor diligence in filing this case approximately nine months after the
statute of limitations expired. Thus, the case is dismissed.

                                    Background

        Information relevant to Ms. Machuca’s pending case falls into three
categories: (1) the events that happened to her son, (2) the procedural history in the
first case, and (3) the procedural history in the pending case.

                                  Events for J.A.M.

       J.A.M. was born in 2008. At age 7, he saw his pediatrician, Anil K. Batta,
for behavioral problems and primary care, including common illnesses such as
fever and sore throat. Although Ms. Machuca was giving her son prescribed
medication for behavioral issues, including ADHD, he remained “very hard to
handle at school.” Exhibit 1 at 4-5 (April 9, 2015). Dr. Batta referred J.A.M. to
Tropical Texas Behavioral Health for a psychological evaluation.

any treatment at Tropical Texas Behavioral Health is not clear as
Ms. Machuca has neither filed any treatment records nor filed a status report or
affidavit explaining that no records exist. See Resp’t’s Mot. at 4 n.7.)

       J.A.M. received therapy from Sunshine Rehab, where therapists described
high distractibility, impulsive behavior, aggressive tendencies, and poor
comprehension. Exhibit 1 at 2. These reports continued in 2015. See exhibit 2 at
7, 11.

      J.A.M. received the flu vaccine that allegedly harmed him on December 15,
2015. The vaccine was administered into his right arm. Exhibit 1 at 18.

       At the next therapy appointment, which was on December 28, 2015, the
therapist documented that he had “high distractibility, excessive energy, impulsive
behaviors, poor safety awareness, and no fear/understanding of possible damages
for self or others.” Exhibit 2 at 17. The therapist assessed J.A.M. as suffering
from ADHD, developmental delay, and characteristics of oppositional defiant
disorder. There is no reference in the therapist’s records to shoulder pain or
limited range of motion.


                                             2
      J.A.M. saw Dr. Batta on February 10, 2016, which was approximately two
months after the vaccination. Dr. Batta noted ADHD. However, J.A.M. was
otherwise doing well. Exhibit 1 at 19-20. Dr. Batta did not document that J.A.M
had any shoulder problems at this visit.

       In 2016, J.A.M. saw Dr. Batta, therapists, and a physician’s assistant for a
psychiatric interview. At the end of 2016, J.A.M. underwent an EEG, and Rafael
Mimbela, a pediatric neurologist, reviewed the results. Dr. Mimbela determined
that the EEG was abnormal and could predispose him to generalized epilepsy.
Exhibit 4 at 1-2.

      Ms. Machuca has not filed any medical records from after 2016. None of
the medical records filed by petitioner document that J.A.M. experienced shoulder
pain or problems with range of motion following vaccination.

                               Procedural History in 17-368V

      Ms. Machuca filed a petition, docketed as 17-368V, on March 20, 2017.
Pursuant to 42 U.S.C. § 300aa–11(b)(1)(A), Ms. Machuca filed on behalf on
J.A.M, her minor child. Her attorney was Omar Rosales. Around this time, Mr.
Rosales filed petitions for approximately 28 other people. These cases, including
Ms. Machuca’s case, were assigned to Special Master Hastings.

       Ms. Machuca’s petition was three pages in length and contained 12
paragraphs. The petition alleged that the December 15, 2015 flu vaccination
caused J.A.M. to suffer an anxiety disorder, which Dr. Mimbela diagnosed on
December 30, 2016. Pet. ¶¶ 5, 7. Petitioner did not allege that J.A.M. sustained a
shoulder injury. Although the petition referenced medical records, Ms. Machuca
did not file any exhibits with the petition. Thus, at this time, Ms. Machuca had not
filed any medical records corroborating her claims.

       On March 30, 2017, Special Master Hastings conducted a status conference,
which was digitally recorded. 2 At the onset, Special Master Hastings informed
Attorney Rosales that he expected to retire at the end of July. First Tr. 7; see also
First Tr. 57. Special Master Hastings discussed that for a case in which the
petitioner was alleging that a flu vaccine caused a condition not listed on the

       2
          The transcript from this status conference appears in the appendix to the motion to
dismiss, pages 25-50. Each page of the appendix reproduces four pages of the miniscript
transcript. For example, transcript pages 5-8 are appendix page 26. This decision cites to
specific pages of the transcript as “First Tr.”

                                                    3
Vaccine Injury Table, the petitioner would need to get an expert report and Mr.
Rosales agreed that he could submit an expert report. First Tr. 17-22. In the
absence of an expert report, Special Master Hastings stated that he would be
inclined to find that all of Mr. Rosales’s cases lacked a reasonable basis. First Tr.
28. Attorney Rosales stated that he would find experts to supplement the
petitioner’s position on causation. First Tr. 30. Special Master Hastings again
counseled that the petitioners had to have some proof of causation. First Tr. 44-
50.3

        The order from this status conference was consistent with the oral
statements during the status conference. The order explained that the cases
Attorney Rosales had filed “at first glance, do not include allegations that would be
sufficient to establish entitlement to a Program award or even to establish a
‘reasonable basis’ for the case sufficient to justify an award of attorneys’ fees or
costs for filing the cases.” Order, issued April 3, 2017. Accordingly, Special
Master Hastings stayed the case for 180 days to allow counsel to investigate the
vaccinee’s medical history and to determine whether evidence could support an
allegation that a vaccine harmed the child.

      Special Master Hastings subsequently modified the April 3, 2017 order.
Instead of requiring Attorney Rosales to investigate 28 cases in 180 days, Special
Master Hastings directed Attorney Rosales to investigate 8 cases in 60 days. Ms.
Machuca case was one of those eight cases that Special Master Hastings directed
Attorney Rosales to advance. Accordingly, Mr. Rosales was directed to determine
whether he wanted the case to proceed by June 26, 2017. In the cases that were
proceeding, the petitioner was ordered to file an amended petition and all medical
records. Order, issued April 26, 2017.

       For two of eight cases Special Master Hastings had advanced in the April
26, 2017 order, Special Master Hastings conducted another status conference on
June 21, 2017.4 In those cases, before the status conference, Mr. Rosales amended
the petition and included an allegation of SIRVA.5 The topics discussed during the

       3
          It appears that in collection of the 28 cases assigned to Special Master Hastings, the
petitions sought compensation for injuries not listed in the Vaccine Table. Thus, the petitioners
would be required to establish causation-in-fact.
       4
        The transcript for the June 21, 2017 status conference is cited by transcript page as
“Second Tr.”
       5
      Effective March 21, 2017, the Secretary amended the Vaccine Injury Table to associate
SIRVA with vaccines. 82 Fed. Reg. 113201 (Feb. 22, 2017).

                                                    4
status conference implicate and foreshadow some of the issues raised in the current
case. Thus, extensive quotations follow. Special Master Hastings questioned the
basis for a SIRVA claim:

            But there was absolutely no evidence in either record that
            the Petitioner ever suffered from SIRVA. And SIRVA is
            a pretty distinctive thing . . .

            I find it really highly strange that SIRVA wasn’t alleged
            in the original petition, either one, and then was just
            alleged in the -- in the amended petition in each of those
            cases. And then when I looked at the records, there was
            just no -- still no -- no record to indicate that they ever
            had any signs of SIRVA or that any of their other
            symptoms were ever judged to be vaccine-caused by a
            physician.

Second Tr. 4. Special Master Hastings elaborated that SIRVA cases are based
upon medical records:

            You [Mr. Rosales] alleged SIRVA but there’s no
            evidence of it. . . . [Shoulder injuries] are really easy to
            see in the medical records themselves. The person comes
            back a day later, two days later, and their shoulder is all
            swollen up and they can’t move it. That’s very – those
            are almost very clear from the medical records. That
            doesn’t seem to be the case in either [of the two cases
            under discussion] unless I missed some medical records.

Second Tr. 12.

      Partially in response, Mr. Rosales commented that Special Master Hastings
was not evaluating the cases fairly. He stated:

            [I]t feels like you’re placing my clients, you know, under
            a different microscope. And I’m just asking that my
            clients be treated fairly, judge. Just because they’re poor,
            just because they’re indigent and Hispanic doesn’t mean
            they should be treated differently, Your Honor.

Second Tr. 16.

                                             5
       Special Master Hastings responded, outlining what petitioners need to
establish.

            Well, I’m sorry I hurt your feelings, and I can guarantee
            you that – that there has been no discrimination. It has
            nothing to do with them being Hispanic. There’s no –
            there’s no discrimination. I certainly reject that – that
            suggestion, too.

            But, you’re going to have to – you need – you need some
            proof that a vaccine caused an injury . . . and the injury
            lasted six months or longer.

Second Tr. 16. In direct response, Mr. Rosales stated:

            [W]e will get the expert reports for those cases you
            identified, Your Honor, and I’ve assembled all the
            medical records, so it paints a much better picture. We’ll
            review those things, Your Honor, absolutely.

Second Tr. 16.

      Special Master Hastings accepted Mr. Rosales’s effort to review the cases.
Special Master Hastings stated:

            So I encourage you to take – to take a look at your 28
            cases and – and punt on the ones that don’t have – that
            you can’t find any real connection. And if there’s any
            that you can find a real connection, then concentrate on
            litigating those.

Second Tr. 18.

       Within a week of the June 21, 2017 status conference, Mr. Rosales filed a
status report in Ms. Machuca’s case, announcing her intention to file medical
records, to amend the petition to allege SIRVA, and possibly to obtain an expert.
Given Ms. Machuca’s later argument regarding equitable tolling, her
representations regarding an expert are important to document. She stated: “After
further review, if the Court determines that an Expert report is necessary to
substantiate and augment the claim, Petitioner’s counsel will hire an expert and
provide the Court with the expert’s opinion within 30 days of the Court’s order.”
Pet’r’s Status Rep., filed June 26, 2017, ¶ 5.

                                            6
       Special Master Hastings found that the June 26, 2017 status report, which
announced an intention to file documents, did not comply with the April 26, 2017
order, which required the filing of documents. However, Special Master Hastings
allowed petitioner until July 10, 2017, to file the required documents.

       On July 10, 2017, Ms. Machuca filed a set of medical records (exhibits 1-4).
CM/ECF 11. On that same day, Ms. Machuca filed an amended petition. The
amended petition, which is not a model of clarity, recognized that J.A.M. had
“minor ADHD” before the December 15, 2015 vaccination. Am. Pet. ¶ 5. It states
J.A.M. “developed SIRVA” and, due to the vaccination and SIRVA, J.A.M.
“experienced sharp stabbing pain, tingling, difficulty sleeping on the affected side,
discomfort, and anxiety.”

The amended petition cited exhibit 5. However,
Ms. Machuca had not filed any document labelled “exhibit 5.” Similarly, the
absent exhibit 5 is cited in support of an allegation that J.A.M.’s symptoms “began
within 48 hours of vaccination.”

In addition to alleging SIRVA, the
amended petition maintained that J.A.M. “was diagnosed with increased anxiety,
and an increased level of mood swings, behavioral problems, disturbances, and
inattention shortly after the vaccination. The diagnosis occurred on 12/28/2015.”

        Special Master Hastings directed Ms. Machuca to obtain a report from a
reputable and qualified medical doctor opining that J.A.M. “suffered a specific
vaccine-caused injury, and explaining such opinion in detail.” Order, issued July
12, 2017. This order set the deadline as August 11, 2017. The order continued
that if counsel did not file such an expert report, “the case will be dismissed for
failure to prove a vaccine-caused injury.”

the procedural history of case 17-368V must pause.
Information from the pending case (docket 20-18V) shows that Ms. Machuca
signed an affidavit on July 21, 2017. However, Ms. Machuca did not file this
affidavit into the docket for case 17-368V. The affidavit in docket 20-18V says
that immediately after the vaccination, J.A.M. told Ms. Machuca that her arm was
hurting and he had difficulty sleeping on his affected side Likewise, Ms. Machuca
obtained a report from Mark Levin, a doctor board-certified in internal medicine
and oncology. Dr. Levin’s report is dated July 17, 2017.

     Without filing the petitioner’s affidavit or Dr. Levin’s report in case 17-
368V, Attorney Rosales submitted a one-sentence document on August 14, 2017.




                                             7
This document states, “Petitioner files this notice of voluntary dismissal in
accordance with Rule 21(a)(1)(A).”6 Pet’r’s Notice.

       In accord with this notice, on August 14, 2017, Special Master Hastings
issued an order concluding proceedings in case number 17-368V. In accordance
with Rule 21(a)(1)(A), Special Master Hastings directed the Clerk not to enter
Judgment. Ms. Machuca did not seek attorneys’ fees or costs. Although not noted
in the docket, Special Master Hastings retired from the Office of Special Masters
in September 2017.

                              Procedural History in 20-18V

      Represented by Attorney Christopher Phillippe, Ms. Machuca filed the
pending case on January 7, 2020. With her petition, Ms. Machuca filed six
exhibits. The first four exhibits match the four exhibits filed in the previous case.
Exhibit 5 is Ms. Machuca’s affidavit, signed July 21, 2017. Exhibit 6 is the July
17, 2017 report from Dr. Levin.

       The January 7, 2020 petition begins with a recitation of events in J.A.M.’s
life and the recitation in paragraphs 1-15 is similar to (but not identical to) the
recitation of events in the July 10, 2017 amended petition from the previous case.
The January 7, 2020 petition then adds a request for equitable tolling on the basis
that Special Master Hastings had previously required an expert report for a SIRVA
claim. See Pet. ¶¶ 16-19.

       The undersigned discussed how to resolve the equitable tolling issue in a
status conference held on March 3, 2020. The undersigned directed the parties to
submit written arguments. Order, issued March 3, 2020. The parties have made
those submissions, making the issue ready for adjudication.

                                          Analysis

       While the main issue is whether equitable tolling can save this case, the
preliminary issue is whether the statute of limitations would otherwise bar the
action. The Vaccine Act limits the time in which a claim may be filed. The
Vaccine Act states that:


       6
         For Voluntary Dismissals, Vaccine Rule 21(a)(1) provides: “Petitioner may dismiss the
petition without order of the special master of the court by filing:
        (A) a notice of dismissal at any time before service of respondent’s report.”

                                                  8
            In the case of . . . a vaccine set forth in the Vaccine Injury
            Table which is administered after October 1, 1988, if a
            vaccine-related injury occurred as a result of the
            administration of such vaccine, no petition may be filed
            for compensation under the Program for such injury after
            the expiration of 36 months after the date of the
            occurrence of the first symptom or manifestation of onset
            or of significant aggravation of such injury.

42 U.S.C. §§ 300aa-16(a)(2). Therefore, to be timely, a petitioner must file a
Vaccine Program petition within 36 months of the presentation of the first
symptom of an alleged vaccine-related injury. “[T]he statute of limitations begins
to run on a specific statutory date: the date of occurrence of the first symptom or
manifestation of onset of the vaccine-related injury recognized as such by the
medical profession at large.” Cloer v. Sec’y of Health & Human Servs., 

, 1340 (Fed. Cir. 2011) (en banc). The cause of action accrues on the date
when the first sign or symptom of injury appears, not when a petitioner knew or
reasonably should have known about the injury or its cause.

       Furthermore, “a discovery rule cannot be read into the Vaccine Act statute of
limitations.”

The Federal Circuit stated that equitable tolling under
the Vaccine Act due to a petitioner’s “unawareness of a causal link between an
injury and administration of a vaccine is unavailable.”

       Here, Ms. Machuca filed the present case outside of the time permitted by
the statute of limitations. According to the petition, J.A.M. experienced SIRVA
symptoms within 48 hours of his December 15, 2015 vaccination. Pet. ¶¶ 4, 12.
Assuming that this allegation is accurate for purposes of ruling on a motion to
dismiss (see Goetz v. Sec’y of Health & Human Servs., 

, 340
(1999)), then the SIRVA claim accrued no later than December 17, 2015. Because
SIRVA was added to the Vaccine Injury Table on March 21, 2017, the statute of
limitations required the petitioner to file this case by March 21, 2019. 42 U.S.C.
§ 300aa–16(b).

       Relying upon Ramona Inv. Grp. II v. United States, No. 12-652C, 

(Fed. Cl. Dec. 15, 2014), and Standard Space Platforms Corp. v. United
States, 

, 467 (1997), the Secretary further argues that Ms.
Machuca’s voluntary dismissal of her 2017 claim does not toll the statute of
limitations. See Resp’t’s Mot. at 8-9. Ms. Machuca did not directly respond to
this argument, leaving it unrebutted. Instead of arguing that she filed her case

                                             9
within the period allowed by the statute of limitations, Ms. Machuca relies upon
the doctrine of equitable tolling. See Pet’r’s Resp., filed June 1, 2020, at 6-9.

       According to Cloer, equitable tolling of the statute of limitations may occur
in “extraordinary circumstances,” such as when a petitioner is the victim of fraud
or duress, or when a procedurally deficient pleading was timely filed. 

(citing Pace v. DiGuglielmo, 

, 418 (2005); Irwin v.
Dep’t of Veterans Affairs, 

, 96 (1990)). Equitable tolling may not
apply simply because the statute of limitations deprives a petitioner of his or her
claim. 

.

       To establish equitable tolling, a litigant must establish diligence and
extraordinary circumstances. Holland v. Florida, 

, 649 (2010). Both
topics are discussed below.

       Diligence. To support her invocation of equitable tolling, Ms. Machuca
argues that she has shown “diligent effort by re-submitting her claim with an expert
report and pointing out the deficiency with the prior Special Master’s decision.”
Pet’r’s Resp. at 8.

       However, Ms. Machuca has not explained what efforts she took to file her
case within the time permitted by the statute of limitations. The most mysterious
aspect is that Ms. Machuca appears to have had in her hand the report from Dr.
Levin before she filed her motion to voluntarily dismiss case number 17-368V on
August 14, 2017. The report from Dr. Levin, which is Ms. Machuca’s basis for
establishing her diligence, is dated July 17, 2017. While Dr. Levin does discuss
SIRVA, the critical question in consider equitable tolling is diligence. Ms.
Machuca has not offered any explanation why she did not submit this report in
case 17-368V or re-file her petition before the date the statute of limitations for a
SIRVA claim expired. Thus, Ms. Machuca has not shown she was diligent in
attempting to file her petition within the time permitted by the statute of
limitations.

      Extraordinary Circumstances. To establish the extraordinary circumstances
required to justify equitable tolling, Ms. Machuca points to Special Master
Hastings’s order for her to obtain an expert report. Ms. Machuca argues that
Special Master Hastings imposed this requirement because he wanted to deny a
Hispanic petitioner her day in court to receive compensation. Pet’r’s Resp. at 5-8.
This argument is flawed in multiple respects.



                                             10
       First, the order to obtain an expert report was not particularly extraordinary
or burdensome because, as discussed above, Mr. Rosales did obtain the report from
Dr. Levin within the time Special Master Hastings permitted. Thus, even if the
order to obtain an expert report was somehow unfair or burdensome--a point
rejected below--Ms. Machuca could have met the requirement. Ms. Machuca has
not explained why Attorney Rosales did not file the expert report in case number
17-368V.

       Second, the requirement to obtain an expert report was not only reasonable,
but statutorily prescribed. A special master may not rule in a petitioner’s favor
based on petitioner’s claim alone, without the support of medical records or
medical opinion. 42 U.S.C. § 300aa-13(a)(1); Shyface v. Sec’y of Health &
Human Servs., 

, 1349 (Fed. Cir. 1999). Though Ms. Machuca’s July
20, 2017 amended petition literally asserted SIRVA, the evidentiary basis for that
assertion was lacking. In the medical records, there are no complaints about a
shoulder problem. 7 Furthermore, the amended petition alleged that SIRVA caused
J.A.M. to suffer “an increased level of mood swings, behavioral problems,
disturbances, and inattention.” Am. Pet. ¶ 8. Even assuming that there was an
evidentiary basis for a shoulder injury, a petitioner would still need an expert to
explain how a shoulder problem caused “behavioral problems.” Contrary to Ms.
Machuca’s assertion that Special Master Hastings discriminated against her by
requiring an expert report or medical evidence, he actually provided her an
opportunity and encouraged her to obtain this evidentiary support, which would
have been essential for any ruling in her favor.

       Third, Ms. Machuca did not object to the order requiring her to provide an
expert report. In the March 30, 2017 status conference (First Tr. 30), in the June
21, 2017 status conference (Second Tr. 16), and in the June 26, 2017 status report,
Mr. Rosales expressed a willingness to obtain an expert’s report. Ms. Machuca’s
request for voluntary dismissal does not complain about the requirement for an
expert report. Furthermore, Ms. Machuca did not file a motion for review or
otherwise take steps to preserve any objection she had to obtaining an expert
report.8


       7
           Ms. Machuca did not file “exhibit 5” in her initial case.
       8
         In fact, by voluntarily dismissing and allowing an order concluding proceedings to
enter, Ms. Machuca opted to forego judgment and precluded herself from filing a motion for
review. Ms. Machua also did not file a motion to recuse, which would have been an appropriate
avenue of relief if she believed Special Master Hastings’s actions were discriminatory.

                                                      11
       Fourth, Ms. Machuca has presented no evidence that Special Master
Hastings discriminated against her based upon her race or national origin. The
problem in Ms. Machuca’s original case was two-fold. She presented no
evidentiary basis for a claim that the flu vaccine injured J.A.M.’s shoulder,
meaning she could not meet the requirements to enjoy a presumption of causation
afforded to on-Table cases. In fact, only a few medical records were filed in this
case, none of which included complaints about a shoulder injury or any other
indication of a physical injury. She also did not file an expert report to support an
off-Table case.

       Accordingly, Ms. Machuca has not demonstrated that any extraordinary
circumstances prevented her from filing a case within the time the statute of
limitations permits. Because of this failure and because she failed to show
diligence in pursuing her rights, she has not shown that the running of the statute of
limitations should be equitably tolled.

                                     Conclusion

       The Secretary’s motion to dismiss is granted. Ms. Machuca filed the
petition outside of the time permitted by the statute of limitations. She also has not
shown that equitable tolling is appropriate based upon the evidence.

      IT IS SO ORDERED.

                                              s/Christian J. Moran
                                              Christian J. Moran
                                              Special Master




                                             12