VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-01180 Package ID: USCOURTS-cofc-1_15-vv-01180 Petitioner: J.V. Filed: 2015-10-13 Decided: 2017-08-07 Vaccine: Vaccination date: 2014-08-21 Condition: seizures and developmental delays Outcome: dismissed Award amount USD: AI-assisted case summary: Cinthia Van Alst filed a petition on October 13, 2015, on behalf of her minor child, J.V., alleging that J.V. suffered adverse reactions, including seizures and developmental delays, as a result of receiving multiple vaccines (DTaP, IPV, Hib, Hepatitis B, PCV, and Rotavirus) on August 21, 2014. The petition was filed under the National Childhood Vaccine Injury Act. Ms. Van Alst later filed a motion to dismiss her own petition on June 27, 2017, stating that the information in the record did not demonstrate entitlement to an award. The Special Master noted that Ms. Van Alst initially failed to submit required medical records with her petition. Although she later provided them, parts of the handwritten records were illegible, necessitating the filing of transcribed records. Respondent's report, filed on March 21, 2016, indicated that the medical records did not demonstrate that the vaccines J.V. received caused his seizures or developmental delay. Despite several extensions and status conferences to discuss updated medical records, genetic testing results, and potential theories of causation, Ms. Van Alst failed to submit an expert report opining on causation. The Special Master found that the petitioner failed to prove either that J.V. suffered a "Table Injury" or that J.V.'s injuries were actually caused by a vaccination, as required by the National Childhood Vaccine Injury Act. Consequently, the case was dismissed for insufficient proof, and no compensation was awarded. The decision was signed by Special Master Christian J. Moran. Theory of causation field: Petitioner Cinthia Van Alst, on behalf of minor J.V., alleged that J.V. suffered seizures and developmental delays following vaccinations on August 21, 2014, including DTaP, IPV, Hib, Hepatitis B, PCV, and Rotavirus. The petition was filed on October 13, 2015. Petitioner later moved to dismiss, stating insufficient proof of entitlement. The Special Master found no evidence of a "Table Injury." Petitioner pursued a causation-in-fact claim but failed to submit an expert report opining on causation, despite multiple extensions and discussions regarding medical records and genetic testing. The Special Master concluded that petitioner failed to prove actual causation, leading to dismissal for insufficient proof. The public decision does not describe the specific mechanism of injury, expert opinions, or award details, as the case was dismissed. Special Master Christian J. Moran issued the decision on August 7, 2017. Petitioner's counsel was Andrew D. Downing, and respondent's counsel was Ann D. Martin. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_15-vv-01180-0 Date issued/filed: 2017-08-07 Pages: 3 Docket text: PUBLIC DECISION (Originally filed: 07/11/2017) regarding 47 DECISION of Special Master. Signed by Special Master Christian J. Moran. (SP) Copy to parties. -------------------------------------------------------------------------------- Case 1:15-vv-01180-UNJ Document 53 Filed 08/07/17 Page 1 of 3 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS * * * * * * * * * * * * * * * * * * * * * CINTHIA VAN ALST, * on behalf of minor child, J.V., * No. 15-1180V * Special Master Christian J. Moran Petitioner, * * v. * Filed: July 11, 2017 * SECRETARY OF HEALTH * Petitioner’s motion for a decision AND HUMAN SERVICES, * on the record; insufficient proof of * causation. Respondent. * * * * * * * * * * * * * * * * * * * * * * Andrew D. Downing, Van Cott & Talamante, PLLC, Phoenix, AZ, for petitioner; Ann D. Martin, United States Dep’t of Justice, Washington, DC, for respondent. UNPUBLISHED DECISION DENYING COMPENSATION1 Cinthia Van Alst filed a petition under the National Childhood Vaccine Injury Act, 42 U.S.C. §§ 300aa-10 through 34 (2012), on October 13, 2015, on behalf of her minor child, J.V. Her petition alleged that J.V. had an adverse reaction, including seizures and developmental delays, resulting from receiving several vaccines (DTaP, IPV, Hib, Hepatitis B, PCV, and Rotavirus) on August 21, 2014. Ms. Van Alst has now filed a Motion for a Decision Dismissing Her Petition on June 27, 2017. The information in the record does not show entitlement to an award under the National Vaccine Injury Compensation Program. 1 The E-Government Act, 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services), requires that the Court post this ruling 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 1:15-vv-01180-UNJ Document 53 Filed 08/07/17 Page 2 of 3 I. Procedural History Ms. Van Alst did not submit J.V.’s medical records with her petition as required by 42 U.S.C. § 300aa-11(c) and Vaccine Rule 2(c)(2)(A). The initial scheduling order suspended the deadline for respondent’s Rule 4 report and ordered Ms. Van Alst to submit J.V.’s medical records, affidavits, and a statement of completion. Ms. Van Alst filed J.V.’s medical records on November 17, 2015, and submitted a statement of completion on November 18, 2015. Respondent noted in a December 18, 2015 status report that, while the medical records appeared to be complete, parts of the records were handwritten and largely illegible. Ms. Van Alst filed the transcribed medical records on February 5, 2016. On March 21, 2016, respondent submitted his report pursuant to Vaccine Rule 4. The report stated that the medical records did not demonstrate that the vaccines J.V. received caused his seizures or developmental delay. See Resp’t’s Rep. at 7. During the ensuing status conference, respondent requested updated medical records before discussing next steps. Ms. Van Alst filed the updated medical records on May 27, 2016. In a June 9, 2016 status conference, respondent requested that Ms. Van Alst investigate whether a particular genetic test had been performed and, if so, to file the related medical records. Additionally, Ms. Van Alst was ordered to file her expert report by August 9, 2016. Following two extensions of time, Ms. Van Alst filed updated medical records, including the genetic testing results, on August 15, 2016. The filing of Ms. Van Alst’s expert report was deferred until the upcoming September 1, 2016 status conference to discuss the updated records. Order, issued Aug. 10, 2016. During this status conference, the parties discussed the results of J.V.’s genetic test and Ms. Van Alst requested, and the undersigned granted, a 30 day stay of the proceedings to evaluate how the results would affect the case going forward. Order, issued Sept. 1, 2016. In an October 11, 2016 status conference, the parties further discussed the genetic test results, possible theories of causation, and ultimately the need for Ms. Van Alst to submit any medical records that commented on the genetic test results. Ms. Van Alst filed a status report providing some clarification on the genetic testing results but stated that J.V.’s treating physician was unable to comment 2 Case 1:15-vv-01180-UNJ Document 53 Filed 08/07/17 Page 3 of 3 further. Resp’t’s Status Rep., filed Nov. 3, 2016. During the ensuing status conference, Ms. Van Alst was ordered to file an expert report opining on causation. Order, issued Nov. 30, 2016. The undersigned granted Ms. Van Alst three extensions of time to file her expert report before convening a status conference to discuss the delay. During this status conference, Ms. Van Alst advised that her expert was now a consultant and requested two weeks to consider her next steps in the case. Ms. Van Alst filed the instant motion on June 27, 2017, in which she states the respondent does not oppose. This case is now ripe for adjudication. II. Analysis To receive compensation under the National Vaccine Injury Compensation Program (hereinafter “the Program”), petitioner must prove either 1) that J.V. suffered a “Table Injury” – i.e., an injury falling within the Vaccine Injury Table – corresponding at least one of the vaccinations, or 2) that J.V. 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 J.V. suffered a “Table Injury.” Thus, Ms. Van Alst is necessarily pursuing a causation-in-fact claim. 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 Ms. Van Alst’s claim, a medical opinion must be offered in support. Ms. Van Alst, however, has offered no such opinion via an expert report. Accordingly, it is clear from the record that Ms. Van Alst has failed to demonstrate either that J.V. suffered a “Table Injury” or that J.V.’s injuries were “actually caused” by a vaccination. Thus, this case is dismissed for insufficient proof. The Clerk shall enter judgment accordingly. IT IS SO ORDERED. s/Christian J. Moran Christian J. Moran Special Master 3