VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-01073
Package ID: USCOURTS-cofc-1_15-vv-01073
Petitioner: C.R.
Filed: 2015-09-25
Decided: 2017-01-09
Vaccine: influenza
Vaccination date: 2012-09-27
Condition: Type 1 diabetes
Outcome: dismissed
Award amount USD: 

AI-assisted case summary:
On September 25, 2015, Crystal Turner, represented by counsel Andrew Downing, filed a petition on behalf of her minor child, C.R., under the National Vaccine Injury Compensation Program. The petition alleged that the measles-mumps-rubella (MMR), diphtheria-tetanus-acellular pertussis (DTaP #2), pneumococcal conjugate (PCV #1), and influenza (flu) vaccinations administered on September 27, 2012, caused C.R. to suffer a severe adverse reaction, specifically Type 1 diabetes. C.R. was born on June 9, 2010. The original petition identified only the influenza vaccination as allegedly causal, while an amended petition included all four vaccines received on that date. According to the petitioner, C.R. had been an active child but became less active in October or early November 2012, exhibiting staring episodes. Between late December 2012 and January 2013, C.R. reportedly increased his drinking, became ill more often, and slept and cried excessively, leading to frequent urination. In March 2013, after a friend suggested Type 1 diabetes, C.R.'s blood sugar was tested. Before the appointment, on March 27, 2013, C.R. was diagnosed with Type 1 diabetes and diabetic ketoacidosis at Children's Hospital in New Orleans, with a blood sugar level of 912. He was immediately placed on an IV and administered insulin. The case involved multiple procedural steps, including the filing of an amended petition and status conferences. Mr. Downing moved to withdraw as counsel on June 3, 2016. After a decision on interim attorney fees and costs, his motion to withdraw was granted on September 16, 2016, leaving Crystal Turner as a pro se litigant. She was ordered to contact the court to schedule a status conference by October 31, 2016. Despite multiple attempts by the court to contact her via phone and email, including an Order to Show Cause issued on November 17, 2016, Ms. Turner failed to respond or comply with court orders. Consequently, on January 9, 2017, Special Master Mindy Michaels Roth dismissed the case for failure to prosecute and failure to comply with court orders. The public decision does not describe the specific onset of symptoms, diagnostic tests beyond blood sugar levels, or treatments beyond initial IV and insulin administration. The specific mechanism of causation was not detailed in the public decision, nor were any expert witnesses named.

Theory of causation field:
Petitioner Crystal Turner alleged that the measles-mumps-rubella, DTaP #2, PCV #1, and influenza vaccinations administered to her minor child, C.R., on September 27, 2012, caused him to develop Type 1 diabetes. C.R. was born June 9, 2010. Symptoms allegedly began in October/November 2012 with decreased activity and staring spells, progressing by late December 2012/January 2013 to increased drinking, frequent urination, and excessive sleeping/crying. A diagnosis of Type 1 diabetes and diabetic ketoacidosis occurred on March 27, 2013. The case was dismissed for failure to prosecute and failure to comply with court orders on January 9, 2017, by Special Master Mindy Michaels Roth, after petitioner's counsel withdrew and petitioner failed to engage with the court. The public decision does not detail the specific theory of causation, any expert testimony, or the mechanism by which the vaccines allegedly caused the condition. The award amount is null as the case was dismissed.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_15-vv-01073-0
Date issued/filed: 2017-01-09
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 12/16/2016) regarding 31 DECISION of Special Master. Signed by Special Master Mindy Michaels Roth. (kh) Copy to parties.
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Case 1:15-vv-01073-UNJ Document 32 Filed 01/09/17 Page 1 of 5
ORIGIN REISSUED FOR PUBLICATION
JAN 9 2017
OSM
U.S. COURT OF FEDERAL CLAIMS
lfn tbe Wniteh <leourt of eheral <lelaitns
~tates jf
OFFICE OF SPECIAL MASTERS
No. 15-1073V r'.;~LEO
(Filed: December 16, 2016)
D~S 16 20i6
* * * * * * * * * * * * * * *
CRYSTAL TURNER, * UNPUBLISHED 1.' ~- COURT OF
F. ~ ·RAL CL/\IMS
on behalf ofh er minor child, C.R., *
* Dismissal; Failure to Prosecute; Failure to
Petitioner, * Comply with Court Orders.
*
v. *
*
SECRETA RY OF HEALT H *
AND HUMAN SERVICES, *
*
Respondent. *
*
* * * * * * * * * * * * * * *
Oystal Turner, Violet, LA, pro se.
Adriana Teitel, Esq., US Department of.Justice, Washington, DC, for respondent.
DISMISSAL DECISION1
Roth, Special Master:
On September 25, 2015, Crystal Turner ("Ms. Turner" or "petitioner"), by and through
her counsel, Andrew Downing, 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 her minor child, C.R. Ms. Turner alleged that the measles-mumps-rubella
("MMR"), diphtheria-tetanus-acellular pertussis ("DTaP #2"), pneumococcal conjugate ("PCV
# 1" ), and influenza ("flu") vaccinations that C.R. received on September 27, 2012, caused him to
1 Because this unpublished decision contains a reasoned explanation for the action in this case, it
will be posted on the United States Court of Federal Claims' website, in accordance with the E
Government Act of 2002 (codified as amended at 44 U.S.C. § 3501 note (2012)). In accordance
with Vaccine Rule 18(b) , petitioner has 14 days to identify and move to delete medical or other
information, the disclosure of which would constitute an unwarranted invasion of privacy. If,
upon review, I agree that the identified material fits within this definition, I will delete such
material from public access.
2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755 (1986).
Hereinafter, for ease of citation, all "§" references to the Vaccine Act will be to the pe1tinent
subparagraph of 42 U.S.C. § 300aa.
1

Case 1:15-vv-01073-UNJ Document 32 Filed 01/09/17 Page 2 of 5
suffer "a severe adverse reaction." See Amended Petition ("Am. Pet."), ECF No. 14.3 Both the
initial Petition and the Amended Petition imply that C.R. 's alleged "severe adverse reaction" was
the development of Type 1 diabetes. Id., see also Petition, ECF No. 1.
On June 3, 2016, Mr. Downing moved to be relieved as counsel. After rendering a
decision on his motion for interim attorney's fees and costs,4 I granted his motion to withdraw on
September 16, 2016, ECF No. 29. Petitioner became a prose litigant and was ordered to contact
my chambers to schedule a status conference. Petitioner did not comply with that or any other
order. Pursuant to Vaccine Rule 2l(b), her case is dismissed for failure to prosecute and
failure to comply with court orders.
I. Factual History.
This case was one of three Fulminant Type 1 diabetes cases that Mr. Downing was
pursuing. 5 Although previous Type 1 diabetes cases had not been successful in the Program, Mr.
Downing believed that C.R.'s case and two other cases were "distinguishable from the
traditional" diabetes cases already adjudicated by special masters. Petitioner's Reply to Motion
for Interim Attorneys' Fees ("Reply"), ECF No. 18, at 7.
C.R. was born on June 9, 2010. Petitioner's Exhibit ("Pet. Ex.") 2 at I. Petitioner was
the single mother of four children and had no regular transportation available to her. Pet. Ex. 1
at 1. Neither C.R. nor his siblings had regular pediatric care. Id When they were sick, they
were taken to a local clinic. Id
According to petitioner, when Children's International Medical Group opened, she
brought C.R. there for a check up on August 24, 2012. Pet. Ex. 1 at!. C.R. was a little more
than two years of age and noted to be "well developed, well nourished, playful/smiling." Pet.
Ex. 6 at 27. Because C.R. had only received one vaccine in his lifetime, petitioner agreed to
bring him once a month to receive his vaccinations in order to bring him up to date. Pet. Ex. 1 at
!.
3 The original Petition (ECF No. 1) only identified the flu vaccination as allegedly causal.
4 My Decision Awarding Interim Attorneys' Fees and Costs contains a detailed factual and
procedural history, and is incorporated by reference. Decision, issued Aug. 11, 2016, ECF No.
27.
5 Mr. Downing's other two Fulminant Type 1 diabetes cases were Tait v. Sec '.Y ofH HS cases,
Nos. 15-1414 and 15-1415. Mr. Downing was retained in Tait v. Sec'y ofHHS (15-1414) on
April 10, 2015, Motion at Ex. A, and in Tait v. Sec'y i?f HHS (15-1415) in May of 2015. Motion
at Ex. A. He filed Motions for Decisions Dismissing the Petition on February 12, 2016 in both
cases and Motions for Attorney's Fees and Costs thereafter. The Tait petitioners agreed to
dismiss their claims, but Ms. Turner did not.
2

Case 1:15-vv-01073-UNJ Document 32 Filed 01/09/17 Page 3 of 5
C.R. received vaccinations during his office visit on August 24, 2012. Thereafter, his
mother brought him back every month to receive additional vaccinations. On September 27,
2012, C.R. received the allegedly causal MMR, DTaP #2, PCV #1, and flu vaccines. Pet. Ex. 6
at 24.6 However, only the influenza vaccination received on September 27, 2012 was identified
as allegedly causal in the Petition. See Pet., ECF No. 1; Am. Pet., ECF No. 14.
According to petitioner, prior to receiving the allegedly causal flu vaccination on
September 27, 2012, C.R. had been an active child who rarely sat still. Pet. Ex. 1 at 2.
Beginning in October or early November of2012, however, she stated that her son became less
active. Petitioner reported that C.R. had episodes of staring into space and not responding when
spoken to. Id.
Between late December 2012 and January 2013, petitioner stated that C.R. was drinking
more, became ill more often, and slept and cried a lot. Pet. Ex. 1 at 2. C.R.'s increased drinking
caused frequent urination. In March of2013, after a friend told her about Type 1 diabetes,
petitioner made an appointment to have C.R.'s blood sugar levels tested. Id. However, before
C.R. 's appointment, he had a night of inconsolable crying. Id. He awoke the next morning,
March 27, 2013, with red cheeks and chapped lips that were changing color. Id. C.R. was taken
to Children's Hospital in New Orleans where his blood sugar level registered at 912.7 Pet. Ex. 4
at 244. C.R. was diagnosed with Type 1 diabetes, noted to be in diabetic ketoacidosis, and
immediately put on an IV and administered insulin. Pet. Ex. 4 at 128, 132, 175.
II. Procedural History.
After petitioner filed medical records and a Statement of Completion (see ECF Nos. 8-9),
I held the initial status conference on November 3, 2015.8 Following the conference, I ordered
petitioner to file remaining medical records and an Amended Petition. Order, issued Nov. 3,
2015, ECF No. 13. Petitioner filed her Amended Petition on January 4, 2016, ECF No. 14. The
Amended Petition was nearly identical to the original Petition, the only difference being that the
Amended Petition included all of the vaccinations that C.R. received on September 27, 2012,
rather than just the flu vaccine identified in the original Petition. Neither the original Petition nor
the Amended Petition mentioned the vaccinations that C.R. received on October 29, 2012.
6 On August 24, 2012 C.R. received hepatitis A ["Hep. A"], hepatitis B ["Hep. B"], diphtheria
tetanus-acellular pertussis ["DTaP"], haemophilus influenza type b ["HIB"], and inactivated
polio vaccine ["IPV"] vaccines. On October 29, 2012, C.R. received Hep. B, DTaP #3,
pneumococcal conjugate ["PCV"], IPV, varicella and flu vaccines. Pet. Ex. 2 at 2-3. None of
these vaccinations are identified as allegedly causal in the Petition or the Amended Petition.
7 In children, a random blood sugar value of more than 200 mg/dL suggests diabetes. The Mayo
Clinic, "Type l diabetes in children: Tests and Diagnosis," http://www.mayoclinic.org/diseases
conditions/type-l-diabetes-in-children/basics/tests-diagnosis/con-20029197 (last visited
December 15, 2016).
8 This case was originally assigned to Chief Special Master Dorsey. It was reassigned to me on
October 21, 2015.
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Case 1:15-vv-01073-UNJ Document 32 Filed 01/09/17 Page 4 of 5
Another status conference was held on February 24, 2016. Mr. Downing informed the
court that he had been unable to contact his client. He was given 30 days to speak with Ms.
Turner to explain how diabetes claims have been handled by other special masters and to decide
how to proceed with the case. Order, issued Feb. 25, 2016, ECF No. 15.
Petitioner did not file anything in response to my order. On April 12, 2016, my law clerk
sent petitioner's counsel an email inquiring about the missed deadline. In response, petitioner's
counsel stated that he intended to withdraw as counsel. On April 18, 2016, petitioner's counsel
filed a Motion for Interim Fees and Costs ("Motion for Fees"). Motion for Fees, ECF No. 16
(stricken on June 21, 2016). Respondent filed her response on May 5, 2016 ("Response"), ECF
No. 17, and petitioner filed a reply brief on May 19, 2016 ("Reply"), ECF No. 18. Petitioner's
counsel then filed a motion to supplement attorney fees ("Supplemental Motion") and a motion
to withdraw on June 3, 2016. ECF Nos. 20-21. On June 20, 2016, respondent filed a response
("Supplemental Response") to petitioner's Supplemental Motion. ECF No. 22. Apparently, the
documentation provided by petitioner in support of her Motion belonged to another case. A
motion to strike was filed on June 21, 2016. ECF No. 23. The original motion for fees was
struck the same day. Petitioner then filed a motion for fees, this time with the necessary
documentation, on June 21, 2016. ECF No. 24. Respondent filed her Response on June 23,
2016. ECF No. 23. Petitioner filed her reply on June 23, 2016. ECF No. 26.
On August 11, 2016, I issued my Decision on Interim Attorney Fees and Costs, ECF No.
27. I summarized the factual and procedural history before ultimately concluding that counsel
had had a reasonable basis to pursue the claim. After judgment entered, I granted petitioner's
counsel's Motion to Withdraw as Attorney. Order, issued Sept. 16, 2016.
In granting Mr. Downing's Motion to Withdraw, this case became prose. I ordered the
clerk of court to convert the case to paper filing and to send a copy of the order by certified mail
to petitioner's address. I also noted petitioner's email address and phone number. Finally, I
ordered petitioner to contact my chambers by October 31, 2016, to schedule a status conference.
I also provided the chambers telephone number. Order, issued Sept. 16, 2016, ECF No. 29.
Petitioner failed to contact my chambers. On November 4, 2016, my law clerk called
petitioner at the telephone number provided. Ms. Turner did not answer, and her voicemail was
full. My law clerk then sent her an email to the address provided, copying respondent's counsel,
but received no response. See Informal Communication (Remark), Nov. 4, 2016. On November
15, 2016, my law clerk again attempted to contact petitioner. This time, she was able to leave a
voicemail. See Informal Communication (Remark), Nov. 11, 2016. Petitioner did not respond.
On November 17, 2016, I issued an Order to Show Cause instructing petitioner to contact
chambers or otherwise show cause why her claim should not be dismissed for failure to
prosecute by December 12, 2016. Order to Show Cause, issued Nov. 17, 2016, ECF No. 30. I
informed petitioner that "[f]ailure to respond to this order, or any other orders, will result in
immediate dismissal of this claim." Id I again provided petitioner with chambers contact
information.
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Case 1:15-vv-01073-UNJ Document 32 Filed 01/09/17 Page 5 of 5
Petitioner filed nothing in response to the Order to Show Cause. There is no indication
that the order and accompanying forms were retmned as undeliverable.
III. Dismissal for Failure to Prosecute and Failure to Comply with Court Orders.
Under Vaccine Rule 21( b ), a claim may be dismissed "for failure of the petitioner to
prosecute or comply with [the Vaccine Rules] or any order of the special master or the court."
Vaccine Rule 21(b)(l). See also Tsekouras v. Sec'y, HHS, 26 Cl. Ct. 439 (1992), aff'dper
curiam, 991 F.2d 810 (Fed. Cir. 1993); Sapharas v. Sec'y, HHS, 35 Fed. Cl. 503 (1996). I have
emphasized that refusal to comply with court orders will result in the dismissal of Ms. Turner's
claim. See Order to Show Cause, issued Nov. 17, 2016, ECF No. 30. Despite these warnings,
petitioner has still failed to comply with court orders. Therefore, her claim is DISMISSED for
failure to prosecute and for failure to comply with co t orders. The Clerk shall enter
judgment accordingly.
IT IS SO ORDERED.
-
Mindy Micha ls Roth
Special Mast r
5