VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_13-vv-00679 Package ID: USCOURTS-cofc-1_13-vv-00679 Petitioner: Gary S. Roth Filed: 2015-07-02 Decided: 2016-01-29 Vaccine: influenza Vaccination date: 2010-11-15 Condition: transverse myelitis Outcome: compensated Award amount USD: 647335 AI-assisted case summary: Gary S. Roth filed a petition under the National Vaccine Injury Compensation Program alleging that he suffered transverse myelitis as a result of receiving an influenza vaccine on November 15, 2010. The respondent denied that the vaccine caused the injury. However, both parties agreed to settle the case. A stipulation was filed on July 2, 2015, detailing the terms of the settlement. The court adopted this stipulation as its decision, awarding Mr. Roth a lump sum of $565,335.69 for first-year life care expenses, lost earnings, pain and suffering, and past unreimbursable expenses. Additionally, an amount was allocated for an annuity contract to cover future medical expenses and other costs for the remainder of his life. Subsequently, on December 23, 2015, the parties filed another stipulation regarding attorney's fees and costs, agreeing to an award of $82,000.00, payable jointly to Mr. Roth and his counsel. The court approved this award, directing judgment to be entered accordingly. Theory of causation field: Table Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_13-vv-00679-0 Date issued/filed: 2015-07-27 Pages: 11 Docket text: PUBLIC DECISION (Originally filed: 07/02/2015) regarding 31 DECISION Stipulation. Signed by Special Master Brian H. Corcoran. (ag) Copy to parties. -------------------------------------------------------------------------------- Case 1:13-vv-00679-UNJ Document 35 Filed 07/27/15 Page 1 of 11 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 13-679V (Not to be published) * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * GARY S. ROTH, * * Petitioner, * Filed: July 2, 2015 * v. * Decision by Stipulation; Damages; * Influenza (“Flu”) Vaccine; * Transverse Myelitis SECRETARY OF HEALTH AND * HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Peter M. Young, Habush, Habush & Rottier, S.C., Wausau, WI, for Petitioner. Traci R. Patton, U.S. Dep’t of Justice, Washington, DC, for Respondent DECISION AWARDING DAMAGES1 On September 13, 2013, Petitioner Gary S. Roth filed a petition seeking compensation under the National Vaccine Injury Compensation Program (“the Vaccine Program”).2 Petitioner alleges that he suffered transverse myelitis and related complications as a result of receiving an influenza (“flu”) vaccine. Respondent denies that Petitioner’s transverse myelitis and any related medical problems were caused by the receipt of the flu vaccine. Nonetheless both parties, while maintaining their 1 Because this decision contains a reasoned explanation for my action in this case, I will post this decision on the United States Court of Federal Claims’ website, in accordance with the E-Government Act of 2002, Pub. L. No. 107- 347, § 205, 116 Stat. 2899, 2913 (codified as amended at 44 U.S.C. § 3501 note (2006)). As provided by 42 U.S.C. § 300aa-12(d)(4)(B), however, the parties may object to the posted decision’s inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party has 14 days within which to request redaction “of any information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). Otherwise, the whole decision will be available to the public. (Id.) 2 The National Vaccine Injury Compensation Program is set forth in Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended, 42 U.S.C.A. ' 300aa-10-' 300aa-34 (West 1991 & Supp. 2002). All citations in this decision to individual sections of the Vaccine Act are to 42 U.S.C.A. ' 300aa. Case 1:13-vv-00679-UNJ Document 35 Filed 07/27/15 Page 2 of 11 above-stated positions, agreed in a stipulation filed July 2, 2015 that the issues before them can be settled and that a decision should be entered awarding Petitioner compensation. I have reviewed the file, and based upon that review, I conclude that the parties’ stipulation (a copy of which is attached, and the terms of which are hereby incorporated) is reasonable. I therefore adopt it as my decision in awarding damages on the terms set forth therein. The stipulation awards: A lump sum of $565,335.69, which amount represents compensation for first year life care expenses ($126,961.94) and combined lost earnings, pain and suffering, and past unreimbursable expenses ($438,373.75), in the form of a check payable to Petitioner; and An amount sufficient to purchase the annuity contract (as described in Paragraph 10 of the stipulation), paid to the life insurance company from which the annuity will be purchased. Stipulation ¶ 8. I approve a Vaccine Program award in the requested amount set forth above to be made to Petitioner. 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.3 IT IS SO ORDERED. /s/ Brian H. Corcoran Brian H. Corcoran Special Master 3 Pursuant to Vaccine Rule 11(a), the parties may expedite entry of judgment by jointly filing notice renouncing their right to seek review. 2 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 3 1 o of f1 91 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS GARY S. ROTH, ) ) Petitioner, ) v. ) No. 13-679V ) Special Master Corcoran SECRETARY OF HEALTH AND HUMAN ) ECF SERVICES, ) ) Respondent. ) ) STIPULATION The parties hereby stipulate to the following matters: 1. Gary S. Roth, petitioner, filed a petition for vaccine compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §§ 300aa-10 to -34 (the “Vaccine Program”). The petition seeks compensation for injuries allegedly related to petitioner’s receipt of the influenza (“flu”) vaccine, which vaccine is contained in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3 (a). 2. Petitioner received his flu immunization on November 15, 2010. 3. The vaccination was administered within the United States. 4. Petitioner alleges that he suffered transverse myelitis (“TM”) as the result of receiving the flu vaccine and that he experienced residual effects of this injury for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a civil action for damages on his behalf as a result of his condition. 6. Respondent denies that the flu vaccine caused petitioner’s TM, or any other injury, and denies that his current disabilities are sequelae of a vaccine-related injury. 1 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 4 2 o of f1 91 7. Maintaining their above-stated positions, the parties nevertheless now agree that the issues between them shall be settled and that a decision should be entered awarding the compensation described in paragraph 8 of this Stipulation. 8. As soon as practicable after an entry of judgment reflecting a decision consistent with the terms of this Stipulation, and after petitioner has filed an election to receive compensation pursuant to 42 U.S.C. § 300aa-21(a)(1), the Secretary of Health and Human Services will issue the following vaccine compensation payments: a. A lump sum of $565,335.69, which amount represents compensation for first year life care expenses ($126,961.94) and combined lost earnings, pain and suffering, and past unreimbursable expenses ($438,373.75), in the form of a check payable to petitioner; b. An amount sufficient to purchase the annuity contract described in paragraph 10 below, paid to the life insurance company from which the annuity will be purchased (the “Life Insurance Company”). 9. The Life Insurance Company must have a minimum of $250,000,000 capital and surplus, exclusive of any mandatory security valuation reserve. The Life Insurance Company must have one of the following ratings from two of the following rating organizations: a. A.M. Best Company: A++, A+, A+g, A+p, A+r, or A+s; b. Moody’s Investor Service Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa; c. Standard and Poor’s Corporation Insurer Claims-Paying Ability Rating: AA-, AA, AA+, or AAA; d. Fitch Credit Rating Company, Insurance Company Claims Paying Ability Rating: AA-, AA, AA+, or AAA. 10. The Secretary of Health and Human Services agrees to purchase an annuity contract from the Life Insurance Company for the benefit of petitioner, Gary S. Roth, pursuant to which the Life Insurance Company will agree to make payments periodically to petitioner as follows: a. For future unreimbursable BCBS Premium expenses, beginning on the first anniversary of the date of judgment, an annual amount of $1,792.92 to be paid up to the 2 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 5 3 o of f1 91 anniversary of the date of judgment in year 2019, increasing at the rate of five percent (5%), compounded annually from the date of judgment. b. For future unreimbursable BCBS Maximum Out of Pocket expenses, beginning on the first anniversary of the date of judgment, an annual amount of $6,000.00 to be paid up to the anniversary of the date of judgment in year 2019, increasing at the rate of five percent (5%), compounded annually from the date of judgment. c. For future unreimbursable Medicare Part B Premium, Medicare Advantage Maximum Out of Pocket, and Medicare Advantage Prescription Medication expenses, beginning on the anniversary of the date of judgment of year 2019, an annual amount of $5,389.80 to be paid for the remainder of petitioner’s life, increasing at the rate of five percent (5%), compounded annually from the date of judgment. d. For future unreimbursable Medicare Part B Deductible expenses, beginning on the anniversary of the date of judgment of year 2019, an annual amount of $147.00 to be paid for the remainder of petitioner’s life, increasing at the rate of five percent (5%), compounded annually from the date of judgment. e. For future unreimbursable Case Manager expenses, beginning on the first anniversary of the date of judgment, an annual amount of $1,548.00 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. f. For future unreimbursable Gym expenses, beginning on the first anniversary of the date of judgment, an annual amount of $528.00 to be paid up to the anniversary of the date of judgment in year 2019, increasing at the rate of three percent (3%), compounded annually from the date of judgment. g. For future unreimbursable Vitamin C, Vitamin D, Aspirin, Colace, Gas-X, and Ibuprofen expenses, beginning on the first anniversary of the date of judgment, an annual amount of $80.42 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. h. For future unreimbursable medication expenses, beginning on the first anniversary of the date of judgment, an annual amount of $182.50 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. i. For future unreimbursable Adult Brief and Glove expenses, beginning on the first anniversary of the date of judgment, an annual amount of $655.99 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. j. For future unreimbursable Medication Organizer, Urinal Bottle, Waterproof Pad, Mattress Pad, Waterproof Mattress Pad, Medical Alert Tag, Reacher, Shoe Horn, 3 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 6 4 o of f1 91 Inspection Mirror, and Betty Hook expenses, beginning on the first anniversary of the date of judgment, an annual amount of $541.78 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. k. For future unreimbursable Wipe, Hand Sanitizer, and Bleach expenses, beginning on the first anniversary of the date of judgment, an annual amount of $127.16 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. l. For future unreimbursable Standing Frame and Adjustable Bed Mattress expenses, on the anniversary of the date of judgment in year 2025, a lump sum of $11,796.33. Thereafter, beginning on the anniversary of the date of judgment in year 2026, an annual amount of $1,179.63 to be paid for the remainder of petitioner’s life, all amounts increasing at the rate of three percent (3%), compounded annually from the date of judgment. m. For future unreimbursable Seat Cushion Cover, Wheelchair Cushion, Second Manual Wheelchair and Maintenance, Scooter Battery, Transfer Bench, and Portable Lift expenses, beginning on the first anniversary of the date of judgment, an annual amount of $941.38 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. n. For future unreimbursable Scooter expenses, on the anniversary of the date of judgment in year 2019, a lump sum of $9,338.33. Thereafter, beginning on the anniversary of the date of judgment in year 2020, an annual amount of $1,334.05 to be paid for the remainder of petitioner’s life, all amounts increasing at the rate of three percent (3%), compounded annually from the date of judgment. o. For future unreimbursable Ancillary Services expenses, beginning on the first anniversary of the date of judgment, an annual amount of $1,250.00 to be paid up to the anniversary of the date of judgment in year 2023. Thereafter, beginning on the anniversary of the date of judgment in year 2023, an annual amount of $450.00 to be paid for the remainder of petitioner’s life, all amounts increasing at the rate of three percent (3%), compounded annually from the date of judgment. p. For future unreimbursable Personal Care Attendant and Additional Attendant Care expenses, beginning on the first anniversary of the date of judgment, an annual amount of $16,790.00 to be paid up to the anniversary of the date of judgment in year 2024. Thereafter, beginning on the anniversary of the date of judgment in year 2024, an annual amount of $33,580.00 to be paid for the remainder of petitioner’s life, all amounts increasing at the rate of three percent (3%), compounded annually from the date of judgment. q. For future unreimbursable Modified Pickup Truck expenses, on the anniversary of the date of judgment in year 2025, a lump sum of $28,000.00. Thereafter, beginning on the 4 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 7 5 o of f1 91 anniversary of the date of judgment in year 2026, an annual amount of $2,800.00 to be paid for the remainder of petitioner’s life, all amounts increasing at the rate of three percent (3%), compounded annually from the date of judgment. r. For future unreimbursable Roadside Assistance and Medical Appointment Mileage expenses, beginning on the first anniversary of the date of judgment, an annual amount of $161.14 to be paid for the remainder of petitioner’s life, increasing at the rate of three percent (3%), compounded annually from the date of judgment. At the sole discretion of the Secretary of Health and Human Services, the periodic payments set forth above in paragraph 10 may be provided to petitioner in monthly, quarterly, annual or other installments. The “annual amounts” set forth above describe only the total yearly sum to be paid to petitioner and do not require that the payment be made in one annual installment. Petitioner will continue to receive the annuity payments from the Life Insurance Company only so long as he, Gary S. Roth, is alive at the time that a particular payment is due. Written notice shall be provided to the Secretary of Health and Human Services and the Life Insurance Company within twenty (20) days of Gary S. Roth’s death. 11. The annuity contract will be owned solely and exclusively by the Secretary of Health and Human Services and will be purchased as soon as practicable following the entry of a judgment in conformity with this Stipulation. The parties stipulate and agree that the Secretary of Health and Human Services and the United States of America are not responsible for the payment of any sums other than the amounts set forth in paragraph 8 herein and the amounts awarded pursuant to paragraph 12 herein, and that they do not guarantee or insure any of the future annuity payments. Upon the purchase of the annuity contract, the Secretary of Health and Human Services and the United States of America are released from any and all obligations with respect to future annuity payments. 12. As soon as practicable after the entry of judgment on entitlement in this case, and after petitioner has filed both a proper and timely election to receive compensation pursuant to 5 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 8 6 o of f1 91 42 U.S.C. § 300aa-21(a)(1), and an application, the parties will submit to further proceedings before the special master to award reasonable attorneys’ fees and costs incurred in proceeding upon this petition. 13. Petitioner and his attorney represent that they have identified to respondent all known sources of payment for items or services for which the Program is not primarily liable under 42 U.S.C. § 300aa-15(g), including State compensation programs, insurance policies, Federal or State health benefits programs (other than Title XIX of the Social Security Act (42 U.S.C. § 1396 et seq.)), or entities that provide health services on a pre-paid basis. 14. Payments made pursuant to paragraph 8 and any amounts awarded pursuant to paragraph 12 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-15(i), subject to the availability of sufficient statutory funds. 15. The parties and their attorneys further agree and stipulate that, except for any award for attorneys’ fees and litigation costs, and past unreimbursable expenses, the money provided pursuant to this Stipulation either immediately or as part of the annuity contract, will be used solely for petitioner’s benefit as contemplated by a strict construction of 42 U.S.C. § 300aa-15(a) and (d), and subject to the conditions of 42 U.S.C. § 300aa-15(g) and (h). 16. In return for the payments described in paragraphs 8 and 12, petitioner, in his individual capacity, on behalf of his heirs, executors, administrators, successors or assigns, does forever irrevocably and unconditionally release, acquit and discharge the United States and the Secretary of Health and Human Services from any and all actions or causes of action (including agreements, judgments, claims, damages, loss of services, expenses and all demands of whatever kind or nature) that have been brought, could have been brought, or could be timely brought in the Court of Federal Claims, under the National Vaccine Injury Compensation Program, 42 6 CCaassee 1 1:1:133--vvvv--0000667799--UUNNJJ D Dooccuummeennt t3 350 F Filieledd 0 077/2/072/1/155 P Paaggee 9 7 o of f1 91 U.S.C. § 300 aa-10 et seq., on account of, or in any way growing out of, any and all known or unknown, suspected or unsuspected personal injuries to or death of petitioner resulting from, or alleged to have resulted from, the flu vaccination administered on November 15, 2010, as alleged by petitioner in a petition for vaccine compensation filed on or about September 13, 2013, in the United States Court of Federal Claims as petition No. 13-679V. 17. If petitioner should die prior to entry of judgment, this agreement shall be voidable upon proper notice to the Court on behalf of either or both of the parties. 18. If the special master fails to issue a decision in complete conformity with the terms of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a decision that is in complete conformity with the terms of this Stipulation, then the parties’ settlement and this Stipulation shall be voidable at the sole discretion of either party. 19. This Stipulation expresses a full and complete negotiated settlement of liability and damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except as otherwise noted in paragraph 12 above. There is absolutely no agreement on the part of the parties hereto to make any payment or to do any act or thing other than is herein expressly stated and clearly agreed to. The parties further agree and understand that the award described in this Stipulation may reflect a compromise of the parties’ respective positions as to liability and/or amount of damages, and further, that a change in the nature of the injury or condition or in the items of compensation sought, is not grounds to modify or revise this agreement. 20. Petitioner hereby authorizes respondent to disclose documents filed by petitioner in this case consistent with the Privacy Act and the routine uses described in the National Vaccine Injury Compensation Program System of Records, No. 09-15-0056. 7 CCaasese 1 1:1:133-v-vv-v0-000667799-U-UNNJ J D Doocucummeennt 3t 350 F Fileiledd 0 077/2/072/1/155 P Paaggee 1 80 ooff 911 21. This Stipulation shall not be construed as an admission by the United States or the Secretary of Health and Human Services that petitioner’s flu vaccine caused petitioner’s TM, or any other injury or his current disabilities. 22. All rights and obligations of petitioner hereunder shall apply equally to petitioner’s heirs, executors, administrators, successors, and/or assigns. END OF STIPULATION 8 CCaasese 1 1:1:133-v-vv-v0-000667799-U-UNNJ J D Doocucummeennt 3t 350 F Fileiledd 0 077/2/072/1/155 P Paaggee 1 91 ooff 911 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_13-vv-00679-1 Date issued/filed: 2016-01-29 Pages: 2 Docket text: PUBLIC DECISION (Originally filed: 12/30/2015) regarding 37 DECISION Fees Stipulation. Signed by Special Master Brian H. Corcoran. (ag) Copy to parties. -------------------------------------------------------------------------------- Case 1:13-vv-00679-UNJ Document 40 Filed 01/29/16 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 13-679V (Not to be published) * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * GARY S. ROTH, * * Filed: December 30, 2015 Petitioner, * * Decision by Stipulation; Attorney’s v. * Fees & Costs * SECRETARY OF HEALTH AND * HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Peter M. Young, Habush, Habush & Rottier, S.C., Wausau, WI, for Petitioner Traci R. Patton, U.S. Dep’t of Justice, Washington, DC, for Respondent ATTORNEY’S FEES AND COSTS DECISION1 On September 13, 2013, Gary Roth filed a petition seeking compensation under the National Vaccine Injury Compensation Program. On July 2, 2015, the parties filed a stipulation detailing an amount to be awarded to Petitioner. I subsequently issued a decision finding the parties’ stipulation to be reasonable and granting Petitioner the award outlined by the stipulation. On December 23, 2015, counsel for both parties filed another joint stipulation, this time in regards to attorney’s fees and costs. The parties have stipulated that Petitioner’s counsel should receive a lump sum of $82,000.00, in the form of a check payable to Petitioner and Petitioner’s counsel. This amount represents a sum to which Respondent does not object. In addition, and in 1 Because this decision contains a reasoned explanation for my action in this case, I will post this decision on the United States Court of Federal Claims’ website, in accordance with the E-Government Act of 2002, Pub. L. No. 107- 347, § 205, 116 Stat. 2899, 2913 (Dec. 17, 2002) (current version at 44 U.S.C. § 3501 (2014)). As provided by 42 U.S.C. § 300aa-12(d)(4)(B), however, the parties may object to the posted decision’s inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party has 14 days within which to request redaction “of any information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). Otherwise, the whole decision will be available to the public. (Id.) Case 1:13-vv-00679-UNJ Document 40 Filed 01/29/16 Page 2 of 2 compliance with General Order No. 9, Petitioner has represented that he did not incur any reimbursable costs in proceeding on this petition. I approve the requested amount for attorney’s fees and costs as reasonable. Accordingly, an award should be made in the form of a check in the amount of $82,000.00 payable jointly to Petitioner and Habush Habush & Rottier Client Trust Account. In the absence of a motion for review filed pursuant to RCFC Appendix B, the clerk of the court SHALL ENTER JUDGMENT in accordance with the terms of the parties’ stipulation.2 IT IS SO ORDERED. /s/ Brian H. Corcoran Brian H. Corcoran Special Master 2 Pursuant to Vaccine Rule 11(a), the parties may expedite entry of judgment by filing a joint notice renouncing their right to seek review.