VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-00566 Package ID: USCOURTS-cofc-1_15-vv-00566 Petitioner: A.C. Filed: 2015-11-04 Decided: 2016-06-09 Vaccine: rotavirus Vaccination date: 2012-07-03 Condition: intussusception Outcome: compensated Award amount USD: 9189.36 AI-assisted case summary: On June 3, 2015, Rafael Correa and Zaphira Brito, on behalf of their minor daughter A.C., filed a petition for compensation under the National Vaccine Injury Compensation Program. The petition alleged that A.C. suffered intussusception after receiving a rotavirus vaccine on July 3, 2012. The respondent, the Secretary of Health and Human Services, filed a Rule 4(c) report on November 2, 2015, conceding entitlement to compensation. The respondent stated that the facts supported a finding that A.C.'s intussusception was more likely than not caused in fact by the rotavirus vaccine and that the medical records documented hospitalization for surgical intervention, satisfying a legal prerequisite for compensation. Chief Special Master Nora Beth Dorsey issued a ruling on entitlement on November 4, 2015, finding petitioners entitled to compensation based on the respondent's concession and the evidence of record. Subsequently, on June 8, 2016, the respondent filed a proffer on the award of compensation, indicating that compensation should be awarded for A.C.'s actual pain and suffering and to satisfy a New York City Medicaid lien, through a combination of a lump sum and future annuity payments. The parties agreed that no award should be made for future pain and suffering, past and future unreimbursable expenses, or lost future earnings. Chief Special Master Dorsey issued a decision on June 9, 2016, awarding damages based on the proffer. The award included a lump sum payment of $9,189.36 to satisfy a New York City Medicaid lien, payable jointly to the petitioners and the New York City Department of Social Services. Additionally, an amount sufficient to purchase an annuity contract was awarded to provide A.C. with payments of $26,910.87 annually for four years, beginning February 28, 2030. The public decision did not state the annuity purchase price. Petitioners were represented by John Howie, Jr. of Howie Law, P.C., and respondent was represented by Adriana Teitel of the U.S. Department of Justice. Theory of causation field: Petitioners Rafael Correa and Zaphira Brito, on behalf of minor A.C., alleged that A.C. suffered intussusception following a rotavirus vaccination on July 3, 2012. Respondent conceded entitlement on November 2, 2015, agreeing that the intussusception was more likely than not caused-in-fact by the rotavirus vaccine and that the condition required hospitalization and surgical intervention. Chief Special Master Nora Beth Dorsey ruled on entitlement on November 4, 2015. Damages were awarded on June 9, 2016, based on a proffer agreed to by both parties. The award included $9,189.36 to satisfy a New York City Medicaid lien and an annuity sufficient to pay A.C. $26,910.87 annually for four years, commencing February 28, 2030. No award was made for future medical care, future lost earnings, future pain and suffering, or past unreimbursable expenses. Petitioners were represented by John Howie Jr. of Howie Law, P.C., and respondent was represented by Adriana Teitel of the U.S. Department of Justice. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_15-vv-00566-0 Date issued/filed: 2015-12-28 Pages: 2 Docket text: PUBLIC ORDER/RULING (Originally filed: 11/4/2015) regarding 18 Ruling on Entitlement ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Copy to parties. -------------------------------------------------------------------------------- Case 1:15-vv-00566-UNJ Document 25 Filed 12/28/15 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 15-0566V Filed: November 4, 2015 Unpublished * * * * * * * * * * * * * * * * * * * * * * * * * * * * RAFAEL CORREA and ZAPHIRA * BRITO, on behalf of A.C., a minor, * * Petitioners, * Ruling on Entitlement; Concession; * Rotavirus Vaccine; Intussusception; * Surgical Intervention; Special SECRETARY OF HEALTH * Processing Unit (“SPU”) AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * John Howie, Jr., Howie Law, P.C., Dallas, TX, for petitioner. Adriana Teitel, U.S. Department of Justice, Washington, DC, for respondent. 1 RULING ON ENTITLEMENT Dorsey, Chief Special Master: On June 3, 2015, petitioners filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.,2 (the “Vaccine Act” or “Program”), on behalf of their minor daughter A.C. The petition alleges that A.C. suffered intussusception due to the rotavirus vaccine she received on July 3, 2012. Petition at 1 (preamble). The case was assigned to the Special Processing Unit (“SPU”) of the Office of Special Masters. On November 2, 2015, respondent filed a Rule 4(c) report in which she conceded entitlement to compensation. Respondent’s Rule 4(c) Report at 1, 5. Specifically, respondent stated that the facts supported a finding that A.C.’s intussusception more likely than not was caused-in-fact by the administration of the rotavirus vaccine on July 3, 2012. Additionally, the medical records documented that A.C. was hospitalized for 1 Because this unpublished ruling contains a reasoned explanation for the action in this case, the undersigned intends to post it 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)). In accordance with Vaccine Rule 18(b), petitioner has 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits within this definition, the undersigned will redact such material from public access. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). Case 1:15-vv-00566-UNJ Document 25 Filed 12/28/15 Page 2 of 2 surgical intervention for the treatment of her intussusception, a fact which satisfies a legal prerequisite to compensation. Id. at 5. In view of respondent’s concession and the evidence of record, the undersigned finds that petitioners are entitled to compensation. IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Chief Special Master ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_15-vv-00566-1 Date issued/filed: 2016-07-22 Pages: 6 Docket text: PUBLIC DECISION (Originally filed: 06/09/2016) regarding 35 DECISION Stipulation/Proffer ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Copy to parties. -------------------------------------------------------------------------------- Case 1:15-vv-00566-UNJ Document 39 Filed 07/22/16 Page 1 of 6 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 15-0566V Filed: June 9, 2016 Unpublished * * * * * * * * * * * * * * * * * * * * * * * * * * * * RAFAEL CORREA and ZAPHIRA * BRITO, on behalf of A.C., a minor, * * Petitioner, * Damages Decision Based on Proffer; v. * Rotavirus Vaccine; Intussusception; * Surgical Intervention; Special SECRETARY OF HEALTH * Processing Unit (“SPU”) AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * John Howie, Jr., Howie Law, P.C., Dallas, TX, for petitioner. Adriana Teitel, U.S. Department of Justice, Washington, DC, for respondent. DECISION AWARDING DAMAGES1 Dorsey, Chief Special Master: On June 3, 2015, petitioners filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.,2 (the “Vaccine Act”), on behalf of their minor daughter A.C. The petition alleged that A.C. suffered intussusception due to the rotavirus vaccine she received on July 3, 2012. The case was assigned to the Special Processing Unit (“SPU”) of the Office of Special Masters. On November 4, 2015, the undersigned issued a ruling on entitlement finding petitioners entitled to compensation. (ECF No. 18). On June 8, 2016, respondent filed a proffer on award of compensation (“Proffer”) indicating that compensation should be awarded for A.C.’s actual pain and suffering and to satisfy a New York City Medicaid lien. (ECF No. 34) According to the Proffer, the aforementioned compensation should be made through a combination of a lump sum and future annuity payments. Id. No 1 Because this unpublished decision contains a reasoned explanation for the action in this case, the undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services). In accordance with Vaccine Rule 18(b), petitioner has 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits within this definition, the undersigned will redact such material from public access. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). Case 1:15-vv-00566-UNJ Document 39 Filed 07/22/16 Page 2 of 6 award should be made for future pain and suffering, past and future unreimbursable expenses, and lost future earnings. Id. Respondent represents that petitioners agree with the proffered award. Id. Based on the record as a whole, the undersigned finds that petitioners are entitled to the award as stated in the attached Proffer. Thus, pursuant to the terms of said Proffer, the undersigned awards petitioners the following: (A) A lump sum payment of $9,189.36, representing compensation for satisfaction of a New York City Medicaid lien, in the form of a check payable jointly to petitioners and Department of Social Services New York City Human Resources Administration Division of Liens and Recovery P.O. Box 414799 Boston, MA 02241-4799 Case No: 717572 Petitioners agrees to endorse this payment to New York City. (B) An amount sufficient to purchase an annuity contract, described in the Proffer Section II.B., that will provide payments to A.C. as set forth below: 1. Beginning February 28, 2030, $26,910.87 payable annually for four (4) years certain only. This amount represents all elements of compensation to which A.C. would be entitled under 42 U.S.C. § 300aa-15(a). Petitioners agree. Should A.C. predecease any of the certain payments set forth above, said payments shall be made to her estate. Id. The clerk of the court is directed to enter judgment in accordance with this decision.3 IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Chief Special Master 3 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by the parties’ joint filing of notice renouncing the right to seek review. 2 Case 1:15-vv-00566-UNJ Document 39 Filed 07/22/16 Page 3 of 6 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS RAFAEL CORREA and ZAPHIRA BRITO, on behalf of A.C., a minor, Petitioners, No. 15-566V v. Chief Special Master Dorsey ECF SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. RESPONDENT’S PROFFER ON AWARD OF COMPENSATION I. Items of Compensation A. Future Unreimbursable Expenses The parties agree that based upon the evidence of record, A.C. will not require future medical or rehabilitative care for her vaccine-related injury. Therefore, respondent proffers that petitioners should not be awarded future unreimbursable expenses on A.C.’s behalf under 42 U.S.C. § 300aa- 15(a)(1)(A). Petitioners agree. B. Lost Future Earnings The parties agree that based upon the evidence of record, A.C. will not suffer a loss of earnings capacity as a result of her vaccine-related injury. Therefore, respondent proffers that petitioners should not be awarded anticipated loss of earnings on A.C.’s behalf under 42 U.S.C. § 300aa-15(a)(3)(B). Petitioners agree. 1 Case 1:15-vv-00566-UNJ Document 39 Filed 07/22/16 Page 4 of 6 C. Pain and Suffering The parties agree that it is unlikely that A.C.’s vaccine-related injury will cause her pain and suffering in the future. Respondent proffers that A.C. should be awarded compensation for actual pain and suffering for her vaccine-related injury under 42 U.S.C. § 300aa-15(a)(4). Such compensation shall be in the form of an annuity as set forth in section II.B below. Petitioners agree. D. Past Unreimbursable Expenses The parties agree that based upon the evidence of record, A.C. did not incur any past unreimbursable expenses as a result of her vaccine-related injury. Therefore, respondent proffers that petitioners should not be awarded past unreimbursable expenses on A.C.’s behalf under 42 U.S.C. § 300aa-15(a)(1)(B). Petitioners agree. E. Medicaid Lien Respondent proffers that A.C. should be awarded $9,189.36, which represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action New York City may have against any individual as a result of any Medicaid payments that New York City has made to or on behalf of A.C. from the date of her eligibility for benefits through the date of judgment in this case as a result of her vaccine-related injury suffered on or about July 3, 2012, under Title XIX of the Social Security Act. Such compensation shall be in the form of a lump sum payment as forth in section II.A below. Petitioners agree. II. Form of the Award Based upon the evidence of record, respondent proffers, and the parties recommend, that compensation be made through a combination of a lump sum and future annuity payments as described below, and request that the Chief Special Master’s decision and the Court’s judgment award the following: 2 Case 1:15-vv-00566-UNJ Document 39 Filed 07/22/16 Page 5 of 6 A. A lump sum payment of $9,189.36, which amount represents reimbursement of a New York City Medicaid lien, in the form of a check payable jointly to petitioners and DEPARTMENT OF SOCIAL SERVICES New York City Human Resources Administration Division of Liens and Recovery P.O. Box 414799 Boston, MA 02241-4799 Case No: 717572. Petitioners agree to endorse this payment to New York City. B. An amount sufficient to purchase an annuity contract,1 paid to the life insurance company2 from which the annuity will be purchased,3 subject to the conditions described below, that will provide payments to A.C. as set forth below: 1. Beginning February 28, 2030, $26,910.87 payable annually for four (4) years certain only. This amount represents all elements of compensation to which A.C. would be entitled under 42 U.S.C. § 300aa-15(a). Petitioners agree.4 Should A.C. predecease any of the certain payments 1 In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life insurance companies. 2 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. 3 Petitioners authorize the disclosure of certain documents filed by the petitioners 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. 4 At the time payment is received, A.C. will be an adult, and thus guardianship is not required. 3 Case 1:15-vv-00566-UNJ Document 39 Filed 07/22/16 Page 6 of 6 set forth above, said payments shall be made to her estate. Written notice to the Secretary of Health and Human Services and to the Life Insurance Company shall be provided within twenty (20) days of A.C.’s death. Respectfully submitted, BENJAMIN C. MIZER Principal Deputy Assistant Attorney General RUPA BHATTACHARYYA Director Torts Branch, Civil Division CATHARINE E. REEVES Acting Deputy Director Torts Branch, Civil Division GLENN MACLEOD Senior Trial Counsel Torts Branch, Civil Division /s/ Adriana Teitel ADRIANA TEITEL Trial Attorney Torts Branch, Civil Division U.S. Department of Justice P.O. Box 146, Benjamin Franklin Station Washington, DC 20044-0146 Tel: (202) 616-3677 Dated: June 8. 2016 4