VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_13-vv-00788
Package ID: USCOURTS-cofc-1_13-vv-00788
Petitioner: Adrienne N. Severt
Filed: 2014-08-13
Decided: 2014-09-30
Vaccine: influenza
Vaccination date: 2010-10-11
Condition: leukocytoclastic vasculitis
Outcome: dismissed
Award amount USD: 

AI-assisted case summary:
Adrienne Severt, an adult, received an influenza vaccination on October 11, 2010. She subsequently developed leukocytoclastic vasculitis and filed a petition for compensation under the National Childhood Vaccine Injury Act. The petitioner investigated the facts and science supporting her case and determined she would be unable to prove entitlement to compensation. Consequently, she filed a motion to dismiss her petition, understanding that this would result in a judgment against her and end her rights in the Vaccine Program. Respondent did not oppose the motion. The Special Master noted that to receive compensation, a petitioner must prove either a Table Injury or that the vaccine actually caused the injury. The decision found that the petitioner had not provided preponderant evidence of a Table Injury and had not offered a medical opinion connecting the vasculitis to the vaccination, as medical records alone were insufficient. Therefore, the petition was dismissed for insufficient proof of causation.

Theory of causation field:
unclear

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_13-vv-00788-0
Date issued/filed: 2014-09-30
Pages: 2
Docket text: PUBLIC DECISION (Originally filed: 08/13/2014) regarding 26 DECISION of Special Master (Signed by Special Master Thomas L. Gowen.)(mpj) Copy to parties.
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Case 1:13-vv-00788-UNJ Document 28 Filed 09/30/14 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 13-788V
Filed: August 13, 2014
* * * * * * * * * * * * * * * * * * * * * * * * *
ADRIENNE N. SEVERT, * UNPUBLISHED
*
Petitioner, *
* Special Master Gowen
v. *
*
SECRETARY OF HEALTH * Petitioner’s Dismissal Motion;
AND HUMAN SERVICES, * Insufficient Proof of Causation;
* Vaccine Act Entitlement; Dtap
Respondent. * Influenza (“Flu”) Vaccine;
* Leukocytoclastic Vasculitis.
* * * * * * * * * * * * * * * * * * * * * * * * *
Jason Sorel, Brewer, Brewer & Sorel, PLLC, Wilkesboro, NC, for petitioner.
Ryan Pyles, United States Department of Justice, Washington, DC, for respondent.
DECISION1
On October 10, 2013, Adrienne Severt (“petitioner”) filed a petition pursuant to the
National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 et seq. (2006) (“Vaccine
Act”). Petitioner alleges that, as a result of receiving a trivalent influenza vaccination on
October 11, 2010, she suffered from leukocytoclastic vasculitis.
On August 11, 2014, petitioner filed a motion for a decision dismissing her petition. In
her motion, petitioner states that “[a]n investigation of the facts and science supporting her case
has demonstrated that she will be unable to prove that she is entitled to compensation in the
Vaccine Program.” Petitioner states that it would be unreasonable to proceed further, that she
understands that a decision dismissing her petition will result in a judgment against her, and that
she has been advised that such a judgment will end all of her rights in the Vaccine Program.
1 Because this unpublished decision contains a reasoned explanation for the action in this case, the
undersigned intends to 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 and note (2006)). In accordance with Vaccine Rule 18(b), a
party has 14 days to identify and move to delete medical or other information that satisfies the criteria in §
300aa-12(d)(4)(B). Further, consistent with the rule requirement, a motion for redaction must include a
proposed redacted decision. If, upon review, the undersigned agrees that the identified material fits
within the requirements of that provision, such material will be deleted from public access.
1

Case 1:13-vv-00788-UNJ Document 28 Filed 09/30/14 Page 2 of 2
Petitioner also states that she intends to protect her rights to file a civil action in the future.
According to petitioner, respondent reserves the right to raise an objection to any future motion
by petitioner for fees and costs, but otherwise does not oppose petitioner’s motion.
To receive compensation under the Vaccine Act, 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 her vaccinations, or 2) that she suffered an injury that was actually caused by a vaccine.
See §§ 300aa-13(a)(1)(A) and 300aa-11(c)(1). The undersigned finds that petitioner has not
provided preponderant evidence that she suffered a “Table Injury.”
Under the Vaccine Act, a petitioner may not be awarded compensation based solely on
the petitioner’s claims. The petition must be supported by either medical records or the opinion
of a competent physician. § 300aa-13(a)(1). Here, because the medical records alone are
insufficient to establish entitlement to compensation, a medical opinion connecting the injury
and vaccination must be offered in support. However, petitioner has provided no such opinion.
The only remaining alternative is to DENY this petition. Thus, this case is dismissed
for insufficient proof. In the absence of a motion for review, the Clerk shall enter
judgment accordingly.
IT IS SO ORDERED.
/s/ Thomas L. Gowen
Thomas L. Gowen
Special Master
2