VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_13-vv-00914 Package ID: USCOURTS-cofc-1_13-vv-00914 Petitioner: E.M.M. Filed: 2013-11-20 Decided: 2014-12-01 Vaccine: Vaccination date: Condition: chronic constipation and gastrointestinal problems Outcome: dismissed Award amount USD: AI-assisted case summary: On November 20, 2013, Courtney and Bernard Miller filed a petition on behalf of their minor daughter, E.M.M., seeking compensation under the National Vaccine Injury Act of 1986. They alleged that vaccines E.M.M. received between July 31, 2009, and April 12, 2011, caused her to suffer from chronic constipation and gastrointestinal problems. Initially, developmental regression was also alleged, but this was later removed in an amended petition filed on March 15, 2014. The respondent, the Secretary of Health and Human Services, filed a Rule 4(c) report on June 16, 2014, stating that the case was not appropriate for compensation. The respondent argued that the petitioners failed to prove by a preponderance of the evidence that E.M.M.'s chronic constipation and gastrointestinal problems were caused-in-fact by any of her vaccinations, and that the petition should be dismissed due to insufficient evidence. On November 5, 2014, the petitioners filed an unopposed motion for a dismissal decision, acknowledging that they would be unable to prove E.M.M. is entitled to compensation. The petitioners understood that such a decision would result in a judgment against them and end all rights in the Vaccine Program. The respondent had no objection to this motion. Special Master Nora Beth Dorsey noted that to receive compensation, petitioners must prove either a "Table Injury" – an injury listed on the Vaccine Injury Table corresponding to a vaccination – or that the injury was actually caused by a vaccine. The record did not contain evidence of a Table Injury. Furthermore, the record did not include a medical expert's opinion or any other persuasive evidence establishing causation. The Special Master emphasized that under the Vaccine Act, a petition cannot be awarded compensation based solely on the petitioner's claims; it must be supported by medical records or a physician's opinion. As the medical records were insufficient and no medical expert opinion was offered, the petition was dismissed for insufficient proof. The Clerk was directed to enter judgment accordingly in the absence of a motion for review. Theory of causation field: Petitioners Courtney and Bernard Miller, on behalf of minor E.M.M., alleged that vaccines received between July 31, 2009, and April 12, 2011, caused chronic constipation and gastrointestinal problems. The respondent argued failure to prove causation-in-fact. Petitioners subsequently filed an unopposed motion for dismissal, acknowledging inability to prove entitlement. Special Master Nora Beth Dorsey noted that entitlement requires proof of a Table Injury or actual causation by a vaccine. The record lacked evidence of a Table Injury and did not contain a medical expert's opinion or other persuasive evidence of causation. The medical records were deemed insufficient, and no expert opinion was offered. The petition was dismissed for insufficient proof on December 1, 2014. The theory of causation was "Off-Table" as petitioners could not establish a Table Injury or actual causation. Attorneys for petitioners were Peter Harwood Meyers and for respondent was Ann Donohue Martin. Special Master was Nora Beth Dorsey. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_13-vv-00914-0 Date issued/filed: 2014-12-01 Pages: 2 Docket text: PUBLIC DECISION (Originally filed: 11/07/2014) regarding 32 DECISION of Special Master Signed by Special Master Nora Beth Dorsey. (tlj) Copy to parties. -------------------------------------------------------------------------------- Case 1:13-vv-00914-UNJ Document 37 Filed 12/01/14 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: November 7, 2014 * * * * * * * * * * * * * * * * * * * * * * * * * UNPUBLISHED COURTNEY MILLER and BERNARD * Case No. 13-914 MILLER, on behalf of E.M.M., * a minor, * Special Master Dorsey * Petitioners, * * v. * Petitioners’ Motion for Dismissal * Decision; Insufficient Proof of SECRETARY OF HEALTH * Causation; Vaccine Act Entitlement; AND HUMAN SERVICES, * Multiple Vaccines; Chronic * Constipation; Gastrointestinal Respondent. * Problems. * * * * * * * * * * * * * * * * * * * * * * * * * * Peter Harwood Meyers, National Law Center, Washington, DC, for Petitioners. Ann Donohue Martin, United States Department of Justice, Washington, DC, for Respondent. DECISION1 On November 20, 2013, Courtney and Bernard Miller (“petitioners”) filed a petition for compensation under the National Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 et seq. (2006) (“Vaccine Act”), on behalf of their minor daughter, E.M.M. Petitioners alleged that “the vaccines E.M.M. received from July 31, 2009, until April 12, 2011,” caused her to suffer from “chronic constipation, developmental regression and related problems.” Petition at 1-2. On March 15, 2014, petitioners filed an Amended Petition, revising their allegations to omit developmental regression as a claimed injury, maintaining instead that E.M.M.’s “chronic constipation and gastrointestinal problems were caused-in-fact by the aggregate of her vaccines.” 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-00914-UNJ Document 37 Filed 12/01/14 Page 2 of 2 Amended Petition at 9. Respondent filed the Rule 4(c) report on June 16, 2014, stating that this case was not appropriate for compensation. Respondent stated that petitioners failed to prove by a preponderance of the evidence that E.M.M.’s chronic constipation and gastrointestinal problems were caused-in-fact by any of her vaccinations. Respondent argued that the evidence produced to date fails to demonstrate a reasonable basis for moving forward and states that the petition must be dismissed. On November 5, 2014, petitioners filed an unopposed motion for a dismissal decision. In their motion, petitioners state that “an investigation of the facts and science supporting [their] case] has demonstrated to the Petitioners that they will be unable to prove that E.M.M. is entitled to compensation in the Vaccine Program.” Motion at 1. Petitioners states that they understand that a decision by the Special Master will result in a judgment against them, and that such a judgment will end all rights in the Vaccine Program. Id. Respondent has no objection to petitioners’ motion.2 To receive compensation under the Vaccine Act, petitioners must prove either 1) that E.M.M. suffered a “Table Injury” – i.e., an injury falling within the Vaccine Injury Table – corresponding to one of her vaccinations, or 2) that E.M.M. suffered an injury that was actually caused by a vaccine. See §§ 300aa-13(a)(1)(A) and 300aa-11(c)(1). An examination of the record did not uncover any evidence that E.M.M. suffered a “Table Injury.” Further, the record does not contain a medical expert’s opinion or any other persuasive evidence indicating that E.M.M.’s injuries were caused by a vaccination. Under the Vaccine Act, a petitioner may not be awarded compensation based solely on the petitioner’s claims. Rather, the petition must be supported by either medical records or by the opinion of a competent physician. § 300aa-13(a)(1). In this case, because the medical records are insufficient to establish entitlement to compensation, a medical opinion must be offered in support. Petitioners, however, have not offered a medical expert opinion. Therefore, the only alternative remains 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/ Nora Beth Dorsey Nora Beth Dorsey Special Master 2 Respondent was contacted on November 6, 2014 via email by the undersigned’s law clerk, and respondent confirmed that she has no objection to the special master issuing a decision dismissing the petition, as petitioners represent in their motion. 2