VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-02053 Package ID: USCOURTS-cofc-1_17-vv-02053 Petitioner: ANGELA GORNOWICZ Filed: 2017-12-28 Decided: 2026-03-16 Vaccine: Tdap Vaccination date: 2016-05-19 Condition: relapsing-remitting multiple sclerosis Outcome: compensated Award amount USD: 503573 AI-assisted case summary: Angela Gornowicz filed a petition for compensation under the National Vaccine Injury Compensation Program on December 28, 2017, alleging that a Tdap vaccine administered on May 19, 2016, caused or significantly aggravated her relapsing-remitting multiple sclerosis. The case involved extensive expert testimony and procedural motions, including a motion to strike expert testimony which was denied. Ultimately, the court issued a decision on interim attorneys' fees and costs. The decision awarded Angela Gornowicz $503,573.98 in attorneys' fees and costs, indicating that the case has proceeded to a stage where compensation is being awarded, though the final entitlement decision is not detailed in this specific filing. Theory of causation field: Off-Table Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_17-vv-02053-0 Date issued/filed: 2025-08-18 Pages: 7 Docket text: PUBLIC ORDER (Originally filed: 07/22/2025) regarding 163 Order on Motion to Strike. Signed by Special Master Nora Beth Dorsey. (aevw) Service on parties made. -------------------------------------------------------------------------------- Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 1 of 7 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: July 22, 2025 * * * * * * * * * * * * * * * ANGELA GORNOWICZ, * * Petitioner, * No. 17-2053V * v. * Special Master Dorsey * SECRETARY OF HEALTH * AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * Diana Stadelnikas, Mctlaw, Sarasota, FL, for Petitioner. Dima Atiya, U.S. Department of Justice, Washington, DC, for Respondent. ORDER DENYING MOTION TO STRIKE1 On June 23, 2025, Petitioner filed a motion to strike and objection to expert testimony from Dr. Thomas Forsthuber. Petitioner’s Motion to Strike and Objection to Expert Testimony (“Pet. Mot.”), filed June 23, 2025 (ECF No. 158). For the following reasons, Petitioner’s motion to strike testimony is DENIED. Instead, the undersigned will allow Petitioner’s experts to file a written response to the opinions offered by Dr. Forsthuber at the hearing, after which the evidentiary record will be closed. I. RELEVANT PROCEDURAL HISTORY On December 28, 2017, Angela Gornowicz (“Petitioner”) filed a petition for compensation under the National Vaccine Injury Compensation Program (“Vaccine Act” or “the 1 Because this Order contains a reasoned explanation for the action in this case, the undersigned is required to post it on the United States Court of Federal Claims’ website and/or at https://www.govinfo.gov/app/collection/uscourts/national/cofc in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2018) (Federal Management and Promotion of Electronic Government Services). This means the Order will be available to anyone with access to the Internet. 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. 1 Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 2 of 7 Program”), 42 U.S.C. § 300aa-10 et seq. (2018).2 Petitioner alleges a diphtheria, tetanus, pertussis (“DTaP”) vaccine administered on May 19, 2016, caused or significantly aggravated her relapsing-remitting multiple sclerosis. Petition at ¶¶ 1, 9, 13 (ECF No. 1). On November 21, 2019, Petitioner filed an expert report and medical literature from neurologist Dr. Andrew Goodman. Pet. Ex. 16. In 2020, Respondent subsequently filed expert reports and accompanying medical literature from immunologist Dr. Thomas Forsthuber and neurologist Dr. J. William Lindsey. Resp. Ex. A, C. On July 23, 2021, Petitioner filed a supplemental report and accompanying medical literature from Dr. Goodman. Pet. Ex. 28. On September 17, 2021, Respondent filed supplemental expert reports from Dr. Forsthuber and Dr. Lindsey. Resp. Ex. E, F. An entitlement hearing was initially set for September 21 and September 22, 2023. Prehearing Order dated Mar. 17, 2022, at 1 (ECF No 75). On September 14, 2023, Respondent filed a demonstrative exhibit prepared by Dr. Forsthuber and supporting literature. Resp. Ex. H- L. On September 18, 2023, the undersigned granted Petitioner’s motion to stay the entitlement hearing due to Respondent’s untimely medical articles and demonstrative exhibit. Order Granting Motion for Stay of Hearing dated Sept. 18, 2023, at 1-2 (ECF No. 103). On February 26, 2024, Petitioner filed an expert report and supporting literature from neurologist Dr. Darin T. Okuda. Pet. Ex. 57. On June 3, 2024, Respondent filed supplemental expert reports from Dr. Forsthuber and Dr. Lindsey. Resp. Ex. M, N. On August 19, 2024, Petitioner filed supplemental expert reports from Dr. Goodman and Dr. Okuda. Pet. Exs. 73, 74. After all expert reports had been filed, the undersigned rescheduled the entitlement hearing for April 29 to May 1, 2025. Prehearing Order dated Aug. 20, 2024, at 1 (ECF No. 130). An entitlement hearing was held on April 29 and April 30, 2025. Petitioner, Dr. Goodman, Dr. Okuda, and Dr. Lindsey testified on April 29, 2025. Tr. 4-232. Dr. Forsthuber testified on April 30, 2025. Tr. 237-418. At the hearing, Petitioner raised objections to the scope of Dr. Forsthuber’s testimony. See, e.g., Tr. 420. The undersigned directed Petitioner to file a motion within 30 days of the filing of the hearing transcript addressing the objections relative to Dr. Forsthuber’s testimony and proposing remedies. Order dated May 1, 2025 (ECF No. 153). On June 23, 2025, Petitioner filed a motion to strike. Pet. Mot. On July 3, 2025, Respondent filed a response. Respondent’s Response to Pet. Mot. (“Resp. Response”), filed July 3, 2025 (ECF No. 162). Petitioner did not file a reply. Additionally, Petitioner requested a post- hearing briefing scheduling following a decision on her motion. Joint Status Rept., filed July 1, 2025, at 1 (ECF No. 161). This matter is ripe for adjudication. 2 The National Vaccine Injury Compensation Program is set forth in Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended, 42 U.S.C. §§ 300aa-10 to -34 (2018). All citations in this Ruling to individual sections of the Vaccine Act are to 42 U.S.C. § 300aa. 2 Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 3 of 7 II. PARTIES’ CONTENTIONS A. Petitioner’s contentions Petitioner asserts that Dr. Forsthuber’s expert testimony offered new opinions and that he testified outside the scope of his previous reports and medical literature. Pet. Mot. at 1. Petitioner acknowledges that Vaccine Rules requires special masters to “consider all relevant and reliable evidence governed by principles of fundamental fairness to both parties.” Vaccine Rule 8(b)(1). Further, the special master must afford each party a full and fair opportunity to present its case. Vaccine Rule 3(b)(2). Petitioner asserts that “advanced notice of evidence and theories is particularly important in the highly scientific or technical context such as the Vaccine Program. Pet. Mot. at 7 (quoting Sumner v. Sec’y of Health & Hum. Servs., No. 99-946V, 2015 WL 5173644, at *16 (Fed. Cl. Spec. Mstr. Aug. 13, 2015). Petitioner contends that it is fundamentally unfair and unfairly prejudicial to Petitioner to allow testimony on previously undisclosed opinion into evidence. Id. Accordingly, Petitioner moves to strike the following testimony from the record: 1. Tr. 243:1-21. 2. Tr. 246:20-251:25; Tr. 252:24-254:23. Petitioner's counsel objected on the record to this line of question, claiming none of this testimony was contained in any of Dr. Forsthuber's three expert reports or medical literature. 3. Tr. 255:25-256:12. Petitioner's counsel objected to the testimony as beyond the scope of expert reports. 4. Tr. 263:1-19. Petitioner's counsel objected on the record that none of this testimony appears in any of his reports. 5. Tr. 269: 21-25, Tr. 270:1-271:11. Petitioner's counsel objected to this testimony as beyond the scope of his reports. 6. Tr. 280:10-18; Tr. 281:2-20. Petitioner's counsel objected to testimony relating to the half-life of cytokines, which does not appear in the expert's three reports. 7. Tr. 311:9-25, Tr. 312:1-319:25. While Petitioner does not object the demonstrative exhibit H, Petitioner objects to the line of testimony and new opinion, as Respondent's expert had more than sufficient time to proffer his opinion and explanation of this exhibit, prior to the second day of trial. See id. at 9-10. Petitioner argues that the above testimony offered by Dr. Forsthuber went “beyond the scope of his reports and the questions before him” and constituted “an unfair surprise to Petitioner and her experts.” Id. at 10. Petitioner further argues that Dr. Forsthuber’s testimony must be limited to general immunological arguments as it would “be outside his expertise to opinion on issues of diagnosis, specific causation and onset of disease/relapse.” Pet. Mot. at 11. Petitioner asserts that expert testimony was limited or given less weight in circumstances were non-medical doctors offered opinions on specific causation rather than general causation. Id. at 2-6; see Vizcarra v. Sec’y of 3 Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 4 of 7 Health & Hum. Servs., No. 20-488V, 2023 WL 3451495, at *5 (Fed. Cl. Spec. Mstr. May 15, 2023) (limiting an expert immunologist holding a PhD to “opinions on the science behind petitioner’s theory”); Koehn v. Sec’y of Health & Hum. Servs., No. 11-355V, 2013 WL 3214877 (Fed. Cl. May 30, 2013), aff’d, 773 F.3d 1239 (Fed. Cir. 2014) (noting an experts “could decrease the value of his opinion for any of the Althen prongs); Isbell v. Sec’y of Health &Hum. Servs., No. 95-340V, 2001 WL 826724, at *12 (Fed. Cl. Spec. Mstr. May 1, 2001) (giving less weight to non-medical expert opinion on clinical symptoms, an area outside of his expertise). Petitioner requests the undersigned strike the above sections of Dr. Forsthuber’s testimony or give the testimony less weight.3 Pet. Mot. at 11. In the alternative, Petitioner asks that her experts be permitted to file a written response, limited to the new opinions offered, after which the evidentiary record be closed. Id. B. Respondent’s contentions Respondent contends that Dr. Forsthuber a highly respected expert who is qualified to testify to Althen prong one. Resp. Response at 2. Respondent notes that Petitioner did not object to Dr. Forsthuber’s qualifications at the hearing. Id. at 3. Respondent distinguishes the caselaw relied upon by Petitioner in support of exclusion of evidence from the present case on the basis that Vizcarra, Koehn, and Isbell, all deal with an issues of non-medical doctors opining on diagnosis. Resp. Response at 2-4. Respondent notes diagnosis is not at issue in the present case and Dr. Forsthuber deferred to the clinical experts on issues of diagnosis at the hearing. See id. Further, Respondent notes that Dr. Forsthuber maintained his medical license in from 1996 until 2016. Id. at 2. Respondent contends that identified sections of the hearing transcript constitute foundational testimony for Dr. Forsthuber’s opinions and foundational testimony regarding the underlying function of the immune system (Tr. 243:1-21; Tr. 246:20-251:25; Tr. 252:24-254:23; Tr. 255:25-256:12) or consisted of testimony related to his previous three written reports (Tr. 263:1-19; Tr. 280:10-18; Tr. 281:2-20). Resp. Response at 7-8. Additionally, Respondent notes that Petitioner did not object at the hearing to certain testimony that she now seeks to exclude (Tr. 311:9-25, Tr. 312:1-319:25). Id. at 8. Further, Respondent argues that the testimony related to demonstrative exhibit H was permissible and Respondent had no requirement to reference demonstrative exhibit H in the written expert reports. Id. at 8-9. Finally, Respondent argues that even if Dr. Forsthuber’s testimony was improperly introduced, striking his testimony is an extreme and disfavored remedy. Resp. Response at 9. Respondent notes that the procedural rules of the Vaccine Program favor broad inclusion of evidence. Id. at 6. Finally, Respondent asserts that the typical practice in Vaccine Program is for special masters to weigh expert testimony rather than exclude expert testimony. Id. at 5 (citing Garcia v. Sec’y of Health & Hum. Servs., No. 05-0720V, 2010 WL 2507793, at *6 n.7 3 The undersigned does not make any finding on the question of what weight to afford Dr. Forsthuber’s testimony in this Order. 4 Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 5 of 7 (Fed. Cl. Spec. Mstr. May 19, 2010) (“where an expert’s methodology is at least generally aligned with accepted scientific method, his conclusions are weighed on probative merit; they are not excluded, even if the factfinder may consider his testimony to be less persuasive than that of the other party’s expert.”)). Respondent did not raise any specific objections to Petitioner’s experts filing written responses to Dr. Forsthuber’s testimony. III. DISCUSSION A special master must “afford[] each party a full and fair opportunity to present its case.” Vaccine Rule 3(b)(2). Vaccine Rule 8(b)(1) provides that “[i]n receiving evidence, the special master will not be bound by common law or statutory rules of evidence but must consider all relevant and reliable evidence governed by principles of fundamental fairness to both parties.” This rule echoes the statutory requirement that a “special master . . . shall consider . . . all [] relevant medical and scientific evidence contained in the record.” § 13(b)(1). Together, Vaccine Rule 8 and § 13 “direct[] the special master to consider all relevant and reliable evidence, unencumbered by traditional rules of admissibility, while being guided by principles of fairness.” Hazelhurst v. Sec’y of Health & Hum. Servs., 604 F.3d 1343, 1349 (Fed. Cir. 2010). The Vaccine Act further mandates “flexible and informal standards of admissibility of evidence.” § 12(d)(2)(B). Although the Vaccine Rules do not specifically include a mechanism for a motion to strike testimony, Vaccine Rule 1 provides that for any matter not specifically addressed by the Vaccine Rules, the special master may regulate applicable practice consistent with the rules and the purpose of the Vaccine Act. Vaccine Rule 1(b). Vaccine Rule 1 also provides that the Rules of the Court of Federal Claims (“RCFC”) may apply to the extent they are consistent with the Vaccine Rules. Vaccine Rule 1(c). The Court of Federal Claims has found that at a hearing, when an expert attempts to present an opinion not disclosed before the hearing, the opposing party may seek to strike that testimony.4 Childers v. United States, 116 Fed. Cl. 486, 596-99 (2013) (granting motion to strike testimony). Under RCFC 26(a)(2)(B)(i), an expert report must contain “a complete statement of all opinions the witness will express and the basis and reasons for them.” The Court of Federal Claims explained “expert reports must be ‘detailed and complete’” and “[a] complete report must include the substance of the testimony which an expert is expected to give on direct examination together with the reasons therefor.” Id. at 597 (quoting Salgado v. Gen. Motors Corp., 150 F.3d 735, 741 n.6 (7th Cir. 1998)); see Fed. R. Civ. P. 26 Advisory Committee’s note. Additionally, “[t]he report must be complete such that opposing counsel is not forced to depose an expert in order to avoid ambush at trial.” Id. (quoting Salgado, 150 F.3d at 741 n.6). 4 The Federal Circuit has noted a “special master can order the experts to confine their testimony to the issues addressed in their reports.” Simanksi v. Sec’y of Health & Hum. Servs., 671 F.3d 1368, 1382 (Fed. Cir. 2012). The undersigned directed Dr. Forsthuber to confine his testimony to issues addressed in his reports at the entitlement hearing. See, e.g., Tr. 271-72. 5 Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 6 of 7 According to RCFC 37(c)(1), “[i]f a party fails to provide information or identify a witness . . . , the party is not allowed to use that information or witness to supply evidence on a motion, at a hearing, or at a trial, unless the failure was substantially justified or is harmless.” Courts applying the Federal Rules of Civil Procedure counterparts5 have found exclusion mandatory “unless the offending party can show that its violation of Fed. R. Civ. P. 26(a) was either justified or harmless.” Childers, 116 Fed. Cl. at 598 (quoting Scott Timber, Inc. v. United States, 93 Fed. Cl. 221, 226 (2010)). In Vaccine Program cases, however, “exclusion from the record is an exceptional remedy, and should only be applied by the Court where the material sought to be excluded is so unreliable, it patently forfeits every trace of being helpful to the Court’s consideration of the facts of the case.” Veryzer v. Sec’y of Health & Hum. Servs., No. 06-522V, 2010 WL 2507791, at *21 (Fed. Cl. Spec. Mstr. June 15, 2010). “Advance notice of evidence and theories is particularly important in a highly scientific or technical context such as the Vaccine Program, where an adequate response to new information may require additional scientific research and evaluation.” Sumner, 2015 WL 5173644, at *16. Yet, “[t]he Vaccine Rules favor broad inclusion, and ‘the probative value of the evidence or the credibility of the witnesses . . . are matters within the purview of the fact finder.’” R.K. v. Sec’y of Health v. Hum. Servs., No. 03- 0632V, 2015 WL 10911950, at *36 (Fed. Cl. Spec. Mstr. May 23, 2016) (quoting Munn v. Sec’y of Health v. Hum. Servs., 970 F.2d 863, 871 (Fed. Cir. 1992)), mot. for rev. denied, 125 Fed. Cl. 57 (2016), aff’d mem., 671 F. App’x 792 (Fed. Cir. 2016). “Because special masters serve as both fact-finders and judicial officers, and because they have developed an expertise that lay jurors have not, they do not need the same procedural protection that excluding testimony at the outset provides.” Id. at *41. Here, the specific relief requested by Petitioner, a motion to strike testimony, is an exceptional remedy for the issues alleged by Petitioner: that Dr. Forsthuber provided previously undisclosed opinions at the entitlement hearing and testified beyond the scope of his expert reports and expertise. While special masters have the discretionary authority to exclude unreliable evidence from the record, the Vaccine Rules favor broad inclusion and sets a high bar for the exclusion of evidence from the record. Petitioner has not demonstrated that Dr. Forsthuber’s testimony is “so unreliable, it patently forfeits every trace of being helpful.” Veryzer, 2010 WL 2507791, at *21. Instead, Dr. Forsthuber provided opinions on immunological concepts that went beyond scope of his written reports. Compare Tr. 270-271 (discussing the role of T lymphocytes and their interaction with cytokines) with Resp. Ex. F at 3-5 (discussing cytokine levels); see also Resp. Response at 8. The undersigned notes the importance of advanced notice of opinions and theories in the context of the Vaccine Program. And, as she noted at the entitlement hearing, it is prejudicial to Petitioner for Dr. Forsthuber to offer new opinions that were not included in his written expert 5 RCFC 37(c)(1) is identical in relevant part to Rule 37(c)(1) of Federal Rules of Civil Procedure. 6 Case 1:17-vv-02053-UNJ Document 164 Filed 08/18/25 Page 7 of 7 reports and are not foundational basic immunology. Tr. 271-272. However, any prejudice produced by Dr. Forsthuber’s testimony can be remedied through less exceptional measures than exclusion of his testimony. In this case, the alternative relief proposed by Petitioner of submitting responsive written expert reports and then closing the evidentiary record appropriately addresses any prejudice to Petitioner. For these reasons, the undersigned finds it is not necessary to strike Dr. Forsthuber’s testimony. Pursuant to the Vaccine Rules and statute, which favor broad inclusion and principles of fundamental fairness to both parties, the undersigned DENIES Petitioner’s motion to strike. The undersigned will afford alternative relief of allowing Petitioner to file written responses to Dr. Forsthuber’s testimony and thereafter close the evidentiary record. The following is ORDERED: (1) Petitioner may file any final responsive expert reports by Friday, September 19, 2025. (2) Petitioner shall file a joint status report by Friday, September 19, 2025. The joint status report should confirm that the evidentiary record is complete and propose a post-hearing briefing schedule. Any questions regarding this Order may be directed to my law clerk, Audrey Van Winkle, at (202) 357-6345 or at Audrey_VanWinkle@cfc.uscourts.gov. IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Special Master 7 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_17-vv-02053-1 Date issued/filed: 2026-04-10 Pages: 8 Docket text: PUBLIC DECISION (Originally filed: 3/16/2026) regarding 175 DECISION of Special Master - Interim Attorney's Fees. Signed by Special Master Nora Beth Dorsey. (aevw) Service on parties made. -------------------------------------------------------------------------------- Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 1 of 8 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: March 16, 2026 * * * * * * * * * * * * * * * ANGELA GORNOWICZ, * UNPUBLISHED * Petitioner, * No. 17-2053V * v. * Special Master Nora Beth Dorsey * SECRETARY OF HEALTH * Interim Attorneys’ Fees and Costs. AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * Diana Lynn Stadelnikas, mctlaw, Sarasota, FL, for Petitioner. Dima Jawad Atiya, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON INTERIM ATTORNEYS’ FEES AND COSTS1 On December 28, 2017, Angela Gornowicz (“Petitioner”) filed a petition for compensation under the National Vaccine Injury Compensation Program (“Vaccine Act,” “the Program,” or “the Act”), 42 U.S.C. § 300aa-10 et seq. (2018)2 alleging that a tetanus-diphtheria- acellular pertussis (“Tdap”) vaccine she received on May 19, 2016, caused her to suffer multiple sclerosis (“MS”). Petition at 1, 3 (ECF No. 1); Joint Submission, filed Mar. 25, 2025, at 1 (ECF No. 137). 1 Because this Decision contains a reasoned explanation for the action in this case, the undersigned is required to post it on the United States Court of Federal Claims’ website and/or at https://www.govinfo.gov/app/collection/uscourts/national/cofc in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2018) (Federal Management and Promotion of Electronic Government Services). This means the Decision will be available to anyone with access to the Internet. 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 The National Vaccine Injury Compensation Program is set forth in Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended, 42 U.S.C. §§ 300aa-10 to -34 (2018). All citations in this Decision to individual sections of the Vaccine Act are to 42 U.S.C. § 300aa. 1 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 2 of 8 On August 28, 2025, Petitioner filed a motion for interim attorneys’ fees and costs, requesting compensation for the attorneys who worked on her case. Petitioner’s Renewed Motion for Payment of Petitioner’s Interim Attorney’s Fees and Reimbursement of Case Costs (“Pet. Mot.”), filed Aug. 28, 2025 (ECF No. 165). Petitioner’s request can be summarized as follows: Attorneys’ Fees – $459,315.20 Attorneys’ Costs – $69,452.15 Petitioner thus requests a total of $528,767.35. Respondent filed his response on September 11, 2025, stating that he “defers to the [S]pecial [M]aster to determine whether or not [P]etitioner has met the legal standard for an interim fees and costs award . . . and the statutory requirements for an award of attorney’s fees and costs.” Respondent’s Response to Pet. Mot. (“Resp. Response”), filed Sept. 11, 2025, at 2 (ECF No. 166). Petitioner filed a reply on September 19, 2025, reiterating the request for fees and costs. Pet. Reply to Resp. Response, filed Sept. 19, 2025 (ECF No. 169). This matter is now ripe for adjudication. For the reasons discussed below, the undersigned GRANTS IN PART Petitioner’s motion and awards $503,573.98 in attorneys’ fees and costs. I. DISCUSSION Under the Vaccine Act, the special master shall award reasonable attorneys’ fees and costs for any petition that results in an award of compensation. § 15(e)(1). When compensation is not awarded, the special master “may” award reasonable fees and costs “if the special master or court determines that the petition was brought in good faith and there was a reasonable basis for the claim for which the petition was brought.” Id. If a special master has not yet determined entitlement, she may still award attorneys’ fees and costs on an interim basis. Avera v. Sec’y of Health & Hum. Servs., 515 F.3d 1343, 1352 (Fed. Cir. 2008). Such awards “are particularly appropriate in cases where proceedings are protracted and costly experts must be retained.” Id. Similarly, it is proper for a special master to award interim fees and costs “[w]here the claimant establishes that the cost of litigation has imposed an undue hardship and that there exists a good faith basis for the claim.” Shaw v. Sec’y of Health & Hum. Servs., 609 F.3d 1372, 1375 (Fed. Cir. 2010). The claim appears at this point to have been brought in good faith and built on a reasonable basis. Moreover, the undersigned finds that an award of interim attorneys’ fees and costs is appropriate here where there are significant fees to be paid. A. Attorneys’ Fees Counsel must submit fee requests that include contemporaneous and specific billing records indicating the service performed, the number of hours expended on the service, and the name of the person performing the service. See Savin v. Sec’y of Health & Hum. Servs., 85 Fed. Cl. 313, 316-18 (2008). Counsel should not include in their fee requests hours that are 2 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 3 of 8 “excessive, redundant, or otherwise unnecessary.” Saxton v. Sec’y of Health & Hum. Servs., 3 F.3d 1517, 1521 (Fed. Cir. 1993) (quoting Hensley v. Eckerhart, 461 U.S. 424, 434 (1983)). It is “well within the special master’s discretion to reduce the hours to a number that, in [her] experience and judgment, [is] reasonable for the work done.” Id. at 1522. Furthermore, the special master may reduce a fee request sua sponte, apart from objections raised by Respondent and without providing the Petitioner notice and opportunity to respond. See Sabella v. Sec’y of Health & Hum. Servs., 86 Fed. Cl. 201, 209 (2009). A special master need not engage in a line-by-line analysis of Petitioner’s fee application when reducing fees. Broekelschen v. Sec’y of Health & Hum. Servs., 102 Fed. Cl. 719, 729 (2011). Special masters may rely on their experience with the Vaccine Act and its attorneys to determine the reasonable number of hours expended. Wasson v. Sec’y of Health & Hum. Servs., 24 Cl. Ct. 482, 484 (Fed. Cl. 1991), rev’d on other grounds and aff’d in relevant part, 988 F.2d 131 (Fed. Cir. 1993). Just as “[t]rial courts routinely use their prior experience to reduce hourly rates and the number of hours claimed in attorney fee requests . . . [v]accine program special masters are also entitled to use their prior experience in reviewing fee applications.” Saxton, 3 F.3d at 1521. 1. Hourly Rates Petitioner requests the following hourly rates for the work of her counsel: for Mr. Altom Maglio, $362.00 per hour for work performed in 2017 and $381.00 per hour for work performed in 2018; for Ms. Anne Toale, $378.00 per hour for work performed in 2017, $402.00 per hour for work performed in 2018, and $535.00 per hour for work performed in 2023; for Ms. Danielle Strait, $340.00 per hour for work performed in 2019, $415.00 per hour for work performed in 2022, $450.00 per hour for work performed in 2023, and $520.00 per hour for work performed in 2025; for Ms. Diana Stadelnikas, $359.00 per hour for work performed in 2016, $396.00 per hour for work performed in 2018, $415.00 per hour for work performed in 2019, $440.00 per hour for work performed in 2020, $470.00 per hour for work performed in 2021, $490.00 per hour for work performed in 2022, $525.00 per hour for work performed in 2023, $560.00 per hour for work performed in 2024, and $605.00 per hour for work performed in 2025; for Ms. Jessica Olins, $410.00 per hour for work performed in 2025; and for Mr. Joseph Vuckovich, $415.00 per hour for work performed in 2023, $445.00 per hour for work performed in 2024, and $490.00 per hour for work performed in 2025. Petitioner also requests rates between $135.00 and $205.00 per hour for work of her counsel’s paralegals from 2016 to 2025. The undersigned finds that these requested rates are reasonable and in accordance with what has previously been awarded for their Vaccine Program work. See, e.g., Vorwerck v. Sec’y of Health & Hum. Servs., No. 18-749V, 2024 WL 1511985, at *2 (Fed. Cl. Spec. Mstr. Mar. 13, 2024); Mekwinski v. Sec’y of Health & Hum. Servs., No. 22-1354V, 2024 WL 3677474, at *1 (Fed. Cl. Spec. Mstr. July 23, 2024); Garris v. Sec’y of Health & Hum. Servs., No. 22-1354V, 2025 WL 3677474, at *3 (Fed. Cl. Spec. Mstr. Nov. 18, 2025); Berchielli v. Sec’y of Health & Hum. Servs., No. 17-658V, 2025 WL 3079989, at *2 (Fed. Cl. Spec. Mstr. Oct. 8, 2025); Fedler- Deas v. Sec’y of Health & Hum. Servs., No. 21-2065V, 2025 WL 3280929, at *2 (Fed. Cl. Spec. Mstr. Oct. 29, 2025). Thus, the undersigned will award the rates requested. 3 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 4 of 8 2. Reduction of Billable Hours In reducing an award of fees, the goal is to achieve rough justice, and therefore a special master may take into account their overall sense of a case and may use estimates when reducing an award. See Florence v. Sec’y of Health & Hum. Servs., No. 15-255V, 2016 WL 6459592, at *5 (Fed. Cl. Spec. Mstr. Oct. 6, 2016) (citing Fox v. Vice, 563 U.S. 826, 838 (2011)). It is well established that an application for fees and costs must sufficiently detail and explain the time billed so that a special master may determine, from the application and the case file, whether the amount requested is reasonable. Bell v. Sec’y of Health & Hum. Servs., 18 Cl. Ct. 751, 760 (1989). Petitioner bears the burden of documenting the fees and costs claimed. Upon review of the submitted billing records, the undersigned finds the majority of the time billed to be reasonable. The timesheet entries are sufficiently detailed for an assessment to be made of the entries’ reasonableness. However, reductions are necessary for the following reasons. First, there are numerous duplicative billing entries from multiple members of mctlaw throughout the seven years of litigation. And as such, the undersigned finds a reduction necessary for “[u]nreasonably duplicative or excessive billing,” which includes “an attorney billing for a single task on multiple occasions, multiple attorneys billing for a single task, attorneys billing excessively for intra office communications, attorneys billing excessive hours, [and] attorneys entering erroneous billing entries.” Raymo v. Sec’y of Health & Hum. Servs., 129 Fed. Cl. 691, 703 (2016). The undersigned and other special masters have previously noted the inefficiency that results when cases are staffed by multiple individuals and have reduced fees accordingly. See, e.g., Sabella, 86 Fed. Cl. at 209 (affirming a special master's reduction of fees for overstaffing where three attorneys from two different firms worked on the same case); Van Vessem v. Sec’y of Health & Hum. Servs., No. 11-132V, 2018 WL 3989517, at *7 (Fed. Cl. Spec. Mstr. July 3, 2018) (finding that “it is not reasonable for both an attorney and a paralegal to bill for reviewing each filing in the case”). Such inefficiency is evident in this case. For example, there are multiple entries from attorneys and/or paralegals reviewing the same filings. After the petition was filed on December 28, 2017, Ms. Toale billed for reviewing filings on January 1, 2018 and January 3, 2018, for a total of 0.7 hours.3 The only filings at that time were the notice of designation of electronic case (filed in every case), order entering Ms. Heather Pearlman as attorney of record for Respondent (filed in every case), and the notice of assignment to the special master assigned to the case at that time. Then, on January 5, 2018, Ms. Toale billed 0.2 hours for reviewing the notice of assignment and 0.3 hours for “Reviewing draft pleadings,” which at that time was only the petition. 3 Other work was billed during the January 3 entry; however, it is impossible to discern how much time was spent reviewing filings due to counsel’s block billing entry. “It is well established that an application for fees and costs must sufficiently detail and explain the time billed so that a special master may determine, from the application and the case file, whether the amount requested is reasonable.” Mostovoy v. Sec’y of Health & Hum. Servs., No. 02-10V, 2016 WL 720969, at *6 (Fed. Cl. Spec. Mstr. Feb. 4, 2016) (citing Bell, 18 Cl. Ct. at 760); see also Broekelschen, 102 Fed. Cl. at 729. 4 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 5 of 8 On February 9 and 10, 2018, Ms. Toale and a paralegal both billed for reviewing a scheduling order from the Court. On June 7 and June 8, 2018, Ms. Stadelnikas and a paralegal both billed for reviewing a scheduling order from the Court. In August 2018, both Ms. Stadelnikas and a paralegal billed for reviewing an email from Respondent regarding their request for additional time. On October 9, 2018 and October 11, 2019, Ms. Stadelnikas and a paralegal both billed for reviewing a status report from Respondent and reviewing a non-PDF order from the Court. This practice continued over the more than seven years of litigation thus far. There are also duplicative entries for two people attending the same internal conference/meeting. For example, June 29, 2022, a paralegal and Ms. Stadelnikas both billed for a conference/“case consult.” On May 17, 2023, Ms. Stadelnikas and Ms. Strait billed for a conference/meeting to discuss the case. Additionally, there are instances of duplicative billing by the same person for the same task. For example, on August 16, 2023, Ms. Stadelnikas billed twice for “[r]eview scheduling order regarding interim fees.” The second reason the undersigned finds a reduction necessary is due to paralegals billing for preparing documents for filing and filing documents,4 which are non-compensable, administrative tasks. It is well known in the Vaccine Program that billing for some administrative tasks, even at a paralegal rate, is not permitted. See, e.g., Rochester v. United States, 18 Cl. Ct. 379, 387 (1989) (stating that services that are “primarily of a secretarial or clerical nature . . . should be considered as normal overhead office costs included within the attorneys’ fee rates”); Paul v. Sec’y of Health & Hum. Servs., No. 19-1221V, 2023 WL 1956423, at *3 (Fed. Cl. Spec. Mstr. Feb. 13, 2023) (“Clerical and secretarial tasks should not be billed at all, regardless of who performs them.”). The preparation of records and exhibits for filing has repeatedly been deemed administrative and thus noncompensable. See, e.g., Wallace v. Sec’y of Health & Hum. Servs., No. 17-1074V, 2018 WL 6977489, at *2 (Fed. Cl. Spec. Mstr. Nov. 19, 2018) (noting the preparation of medical records an administrative and noncompensable task); Phelan ex rel. A.P. v. Sec’y of Health & Hum. Servs., No. 18-1366V, 2025 WL 1453777, at *3 (Fed. Cl. Spec. Mstr. Apr. 30, 2025) (same). Third, a reduction is necessary due to billing entries from attorneys “[a]dvising paralegal[s]” to prepare, finalize, and/or file documents, while said paralegals were billing for such tasks. See, e.g., Vinocur v. Sec’y of Health & Hum. Servs., No. 17-598V, 2020 WL 3619896, at *2 (Fed. Cl. Spec. Mstr. June 29, 2020) (“In the undersigned’s experience, the time 4 For example, see entries dated December 28, 2017 (“file petition”); April 18, 2018 (“file” motion to substitute); June 6, 2019 (“finalize exhibits,” notice of filing, and exhibit list by paralegal and “revise pleadings, notice[,] and exhibit list” by attorney); October 30, 2019 (“prepare [medical records] for filing”); November 21, 2019 (paralegal billing for finalizing numerous exhibits and “[r]eview confirmation of same”); September 11, 2020 (“prepare [medical records] for filing”); November 9, 2021 (“prepare [medical records] for filing”); April 3, 2023 (“preparation of exhibits”); March 25, 2025 (“facilitate filing”). 5 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 6 of 8 it would take an experienced attorney to direct an experienced paralegal to file a certain document (particularly pro forma documents drafted by the paralegal) is so negligible that it should not be billed for at all.”); O’Leary v. Sec’y of Health & Hum. Servs., No. 18-584V, 2022 WL 1055352, at *2 (Fed. Cl. Spec. Mstr. Mar. 21, 2022) (reducing fees for “attorney time directing paralegals to file documents”); Buchanan v. Sec’y of Health & Hum. Servs., No. 19- 1649V, 2022 WL 9931077, at *2 (Fed. Cl. Spec. Mstr. Sept. 23, 2022) (same); Foster v. Sec’y of Health & Hum. Servs., No. 17-1502V, 2020 WL 3619919, at *2 (Fed. Cl. Spec. Mstr. June 23, 2020) (reducing fees “for excessive time billed by counsel to direct paralegal activity”). For example, on August 15, 2019, Ms. Stadelnikas billed for “[a]dvise paralegal regarding drafting [notice of filing], execution of same” and “[r]eview draft notices[] [and] [s]end correspondence to paralegal regarding same.” And on that same day, the paralegal billed for “draft document,” “[d]raft notice of filing and exhibit list for exhibit 12” and “[r]eview and finalize Notice of Filing and Exhibit list.” In all, there are five separate billing entries pertaining to the preparation and filing of one exhibit on August 15, 2019, which is excessive. Additionally, on other occasions, Ms. Stadelnikas billed for preparing a document for filing (e.g., “[d]raft pleading”) and “[a]dvising paralegal regarding filing of pleading.” See, e.g., Pet. Ex. 47 at 15. Ms. Stadelnikas on other occasions also billed for “approving drafts” for filing and “[a]dvis[ing] paralegal,” which was following by the paralegal billing for “[r]eview and finalize exhibits” and “[r]eview confirmation of same.” Pet. Ex. 93 at 4. A special master need not engage in a line-by-line analysis of a petitioner’s fee application when reducing fees. Broekelschen, 102 Fed. Cl. at 729. It is “well within the special master’s discretion to reduce the hours to a number that, in [her] experience and judgment, [is] reasonable for the work done.” Saxton, 3 F.3d at 1522. In exercising that discretion, special masters may reduce the number of hours submitted by a percentage of the amount charged so long as a “concise but clear” justification for the reduction is provided. Abbott v. Sec’y of Health & Hum. Servs., 135 Fed. Cl. 107,111 (2017). Special masters need not explain how many hours are appropriate. Raymo, 129 Fed. Cl. at 702. “It would be unreasonable, however, to expect the Special Master to explain how each individual entry affected [her] final calculation, as in conducting fee determinations tribunals ‘need not, and indeed should not, become green-eyeshade accountants.’” Abbott, 135 Fed. Cl. at 112 (quoting Fox, 563 U.S. at 838). These are not new issues to Ms. Stadelnikas or mctlaw. See, e.g., Reed ex rel. I.R. v. Sec’y of Health & Hum. Servs., No. 08-650V, 2019 WL 2500417, at *4 (Fed. Cl. Spec. Mstr. May 21, 2019) (reducing fees by 5% for the same issues); Blender v. Sec’y of Health & Hum. Servs., No. 16-1308V, 2020 WL 5090439, at *3 (Fed. Cl. Spec. Mstr. Aug. 5, 2020) (same); Howells v. Sec’y of Health & Hum. Servs., No. 17-142V, 2023 WL 3750380, at *6 (Fed. Cl. Spec. Mstr. June 1, 2023) (same); Morrison v. Sec’y of Health & Hum. Servs., No. 18-386V, 2024 WL 5297958, at *5 (Fed. Cl. Spec. Mstr. Dec. 2, 2024) (same); Vazquez ex rel. A.R. v. Sec’y of Health & Hum. Servs., No. 17-1817V, 2025 WL 3143310, at *5 (Fed. Cl. Spec. Mstr. Oct. 16, 2025) (reducing fees by 5% and reducing pre-hearing briefing time by 10%). For the above-mentioned reasons, the undersigned finds a 5% reduction necessary, reasonable, and appropriate here. See, e.g., Saxton, 3 F.3d at 1521(noting that the court must 6 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 7 of 8 exclude “hours that are excessive, redundant, or otherwise unnecessary” (quoting Hensley, 461 U.S. at 434)). This results in a reduction of $22,965.76.5 B. Attorneys’ Costs Petitioner requests $69,452.15 for miscellaneous costs, including the filing fee, medical records, legal research, medical literature, and postage, and expert services rendered by Dr. Darin Okuda and Dr. Andrew Goodman. The undersigned finds Petitioner has provided adequate documentation supporting most of these costs. A small reduction of $21.116 is necessary due to missing supporting costs documentation. Petitioner may request these costs in her final fees motion. Additionally, Petitioner provided documentation for payment of the hearing transcript ($1,793.50) but did not include this cost in Petitioner’s cost request. See Pet. Ex. 94 at 61-62. The undersigned finds this cost should be awarded and the undersigned will include this cost in Petitioner’s award here, resulting in an addition of $1,793.50. Dr. Okuda requests $26,750.00 for 53.5 hours of work at a rate of $500.00 per hour. The undersigned finds this rate reasonable and in accordance what Dr. Okuda has been granted in the past, and will award it in full. See, e.g., Garris, 2025 WL 3677474, at *4. Dr. Goodman requests $38,910.00 for 77.82 hours of work at a rate of $500.00 per hour. Dr. Goodman’s hourly rate has not previously been awarded in the Program. The undersigned will award the requested rate of $500.00 per hour in this case based on the qualifications of Dr. Goodman as a well-credentialled member of his field. The undersigned notes that other special masters have determined this rate appropriate for other well-qualified neurologists. See, e.g., Rodriguez v. Sec’y of Health & Hum. Servs., No. 19-729V, 2022 WL 16584904, at *6 (Fed. Cl. Spec. Mstr. Sept. 22, 2022) (awarding $500.00 hourly rate for a neurologist); Lewis v. Sec’y of Health & Hum. Servs., 149 Fed. Cl. 308, 317 (2020) (finding that special masters typically award $450.00 to $500.00 for neurologists). As a result, the undersigned finds this rate reasonable. However, the undersigned deducts $4,000.00 for 8 hours of time billed for a third day of a hearing that did not occur. See Pet. Ex. 94 at 60. Thus, Petitioner’s final cost award is $67,224.54.7 II. CONCLUSION Based on all of the above, the undersigned finds that it is reasonable to compensate Petitioner and her counsel as follows: 5 $459,315.20 x 0.05 = $22,965.76. 6 $6.46 (01/10/2017) + $7.10 (01/10/2019) + $6.95 (03/21/2019) +$0.60 (04/28/2020) = $21.11. 7 $69,452.15 - $21.11 + $1,793.50 - $4,000.00 = $67,224.54. 7 Case 1:17-vv-02053-UNJ Document 181 Filed 04/10/26 Page 8 of 8 Requested Attorneys’ Fees: $459,315.20 Reduction of Attorneys’ Fees: - $22,965.76 Awarded Attorneys’ Fees: $436,349.44 Requested Attorneys’ Costs: $69,452.15 Reduction of Attorneys’ Costs: - $4,021.11 Addition of Attorneys’ Costs: + $1,793.50 Awarded Attorneys’ Costs: $67,224.54 Total Attorneys’ Fees and Costs: $503,573.98 Accordingly, the undersigned awards: Petitioner is awarded attorneys’ fees and costs in the amount of $503,573.98 to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement. In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of Court SHALL ENTER JUDGMENT in accordance with this Decision.8 IT IS SO ORDERED. s/ Nora Beth Dorsey Nora Beth Dorsey Special Master 8 Pursuant to Vaccine Rule 11(a), entry of judgment is expedited by the parties’ joint filing of notice renouncing the right to seek review. 8