VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_14-vv-00954 Package ID: USCOURTS-cofc-1_14-vv-00954 Petitioner: Alfa Dia Filed: 2014-10-06 Decided: 2016-10-24 Vaccine: influenza Vaccination date: 2012-10-02 Condition: rapid heartbeat, fever, chills, sweating, headaches, joint pain, and numbness, weakness and tingling in his lower extremities and eventually his entire body Outcome: dismissed Award amount USD: AI-assisted case summary: Alfa Dia filed a petition on October 6, 2014, seeking compensation under the National Childhood Vaccine Injury Act for injuries he alleged were sustained after receiving an influenza vaccine on October 2, 2012. An amended petition was filed on July 9, 2015. Mr. Dia alleged that the vaccine caused him to suffer rapid heartbeat, fever, chills, sweating, headaches, joint pain, and numbness, weakness, and tingling in his lower extremities and eventually his entire body. The respondent filed a Rule 4 report on August 12, 2015, arguing that the petitioner failed to demonstrate entitlement to compensation because Mr. Dia had not sustained a "Table Injury" and had not provided persuasive evidence of any vaccine-caused injury. On October 26, 2015, the petitioner filed an expert report from Phillip C. DeMio, M.D. The Special Master found Dr. DeMio's report unpersuasive, noting that it asserted vaccines "can & do lead to entities including peripheral neuropathies" without proposing a theory that satisfied the first prong of Althen, and that Dr. DeMio did not explain his qualifications to opine on peripheral neuropathy given his background in autism. On February 2, 2016, the petitioner indicated a need for further testing, including QSART testing and a skin biopsy for intra-epidermal nerve fiber counting. These tests were performed on March 29, 2016, and yielded normal results. The public decision does not describe the specific symptoms experienced by Mr. Dia, the onset of these symptoms, any specific medical records supporting the claim, or the specific mechanism of injury. During a status conference on September 7, 2016, the petitioner's counsel requested time to confer with the petitioner. On October 5, 2016, the petitioner filed a Motion for Ruling on the Record. In the analysis, Special Master Christian J. Moran noted that to receive compensation, petitioners must prove either a "Table Injury" or that the vaccine actually caused the injury. The record did not contain evidence of a "Table Injury" or other persuasive evidence of an injury. The Special Master found that the medical records did not support the petitioner's claim and the offered medical opinion was not persuasive. Consequently, the case was dismissed for insufficient proof. The decision was issued by Special Master Christian J. Moran on October 24, 2016. Petitioner's counsel was Braden A. Blumenstiel of Blumenstiel Falvo, LLC. Respondent's counsel was Jennifer L. Reynaud of the United States Dep’t of Justice. No award amount was granted. Theory of causation field: Petitioner Alfa Dia alleged that an influenza vaccine administered on October 2, 2012, caused him to suffer rapid heartbeat, fever, chills, sweating, headaches, joint pain, and numbness, weakness, and tingling in his lower extremities and eventually his entire body. The petition was filed on October 6, 2014, and amended on July 9, 2015. Respondent argued that petitioner failed to demonstrate a "Table Injury" or a vaccine-caused injury. Petitioner's expert, Phillip C. DeMio, M.D., asserted that vaccines can lead to peripheral neuropathies but did not propose a specific theory satisfying the Althen standard and did not explain his qualifications to opine on peripheral neuropathy. Subsequent testing, including QSART and skin biopsy, yielded normal results. The Special Master found the medical records and the expert opinion unpersuasive and concluded that petitioner failed to prove a "Table Injury" or any injury caused by the vaccine. The case was dismissed for insufficient proof on October 24, 2016, by Special Master Christian J. Moran. Petitioner's counsel was Braden A. Blumenstiel; respondent's counsel was Jennifer L. Reynaud. No award was granted. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_14-vv-00954-0 Date issued/filed: 2016-11-21 Pages: 3 Docket text: PUBLIC DECISION (Originally filed: 10/24/16) regarding 50 DECISION of Special Master. Signed by Special Master Christian J. Moran. (dh) Copy to parties. -------------------------------------------------------------------------------- Case 1:14-vv-00954-UNJ Document 51 Filed 11/21/16 Page 1 of 3 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS * * * * * * * * * * * * * * * * * * * * * ALFA DIA, * * No. 14-954 Petitioner, * Special Master Christian J. Moran * v. * * Filed: October 24, 2016 SECRETARY OF HEALTH * AND HUMAN SERVICES, * Influenza (“flu”) vaccine; * compensation. Respondent. * * * * * * * * * * * * * * * * * * * * * * Braden A. Blumenstiel, Blumenstiel Falvo, LLC, Dublin, OH, for petitioner. Jennifer L. Reynaud, United States Dep’t of Justice, Washington, D.C., for respondent. UNPUBLISHED DECISION DENYING COMPENSATION1 Alfa Dia filed a petition under the National Childhood Vaccine Injury Act, 42 U.S.C. §300aa—10 et seq., on October 6, 2014. The petition alleged that Mr. Dia suffered injuries after he received the influenza vaccine on October 2, 2012. See Petition, filed Oct. 6, 2014. The information in the record, however, does not show entitlement to an award under the Program. I. Procedural History On October 6, 2014, Mr. Dia filed a petition seeking compensation for injuries he sustained following the receipt of the influenza vaccine administered on October 6, 2012. Mr. Dia filed an amended petition on July 9, 2015. The amended petition alleges that the vaccine administration caused Mr. Dia to suffer the 1 The E-Government Act, 44 § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services), requires that the Court post this decision on its website. 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. Case 1:14-vv-00954-UNJ Document 51 Filed 11/21/16 Page 2 of 3 following symptoms: rapid heartbeat, fever, chills, sweating, headaches, joint pain, and numbness, weakness and tingling in his lower extremities and eventually his entire body. On August 12, 2015, respondent filed her Rule 4 report. She concluded that petitioners failed to demonstrate, by a preponderance of the evidence, that Mr. Dia had sustained an injury recognized within the criteria of the Vaccine Injury Table. On October 26, 2015, petitioner filed an expert report by Phillip C. DeMio, M.D, which was approximately one and a half pages. Exhibit 49. Dr. DeMio’s report, however, is not persuasive for many reasons. A key omission in Dr. DeMio’s report is that he simply asserts that vaccines “can & do lead to entities including peripheral neuropathies.” Exhibit 49 at 1. Within the four corners of this report, he does not propose any theory that would satisfy the first prong of Althen. In addition, although Dr. DeMio’s background is in autism, he did not explain his qualifications to opine about peripheral neuropathy. These concerns were raised with the petitioner during a status conference held on _______________. On February 2, 2016, petitioner stated he needed time to undergo QSART testing and a skin biopsy for intra-epidermal nerve fiber counting to facilitate an expert report. Mr. Dia was tested on March 29, 2016, and the test results were normal. Exhibit 53 at 1.2 During a status conference held on September 7, 2016, petitioner’s counsel requested time to confer with petitioner on how he would like to proceed with the case. On October 5, 2016, petitioner filed a motion entitled Motion for Ruling on the Record. II. Analysis To receive compensation under the National Vaccine Injury Compensation Program, petitioners must prove either 1) that the vaccinee suffered a “Table Injury” – i.e., an injury falling within the Vaccine Injury Table – corresponding to one of the vaccinee’s vaccinations, or 2) that the vaccinee 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 Mr. Dia 2 This report also indicates that an associated diagnosis is “hereditary and idiopathic peripheral neuropathy.” Exhibit 53 at 6. In light of the normal test results, it is unclear whether this diagnosis was rendered before or after the testing. 2 Case 1:14-vv-00954-UNJ Document 51 Filed 11/21/16 Page 3 of 3 suffered a “Table Injury.” Further, the record does not contain other persuasive evidence indicating that Mr. Dia suffered any injury. Under the Act, a petitioner may not be given a Program award based solely on the petitioner’s claims alone. 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 do not support petitioner’s claim, a medical opinion must be offered in support. Though a medical opinion has been offered, it is not persuasive. Accordingly, it is clear from the record in this case that petitioner has failed to demonstrate that he suffered a “Table Injury,” or any injury. Thus, this case is dismissed for insufficient proof. The Clerk shall enter judgment accordingly. Any questions may be directed to my law clerk, Dan Hoffman, at (202) 357- 6360. IT IS SO ORDERED. s/Christian J. Moran Christian J. Moran Special Master 3