VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-01161 Package ID: USCOURTS-cofc-1_18-vv-01161 Petitioner: Heather Doucette Filed: 2018-08-09 Decided: 2020-02-10 Vaccine: influenza Vaccination date: 2016-10-14 Condition: Guillain-Barre syndrome (GBS) Outcome: dismissed Award amount USD: AI-assisted case summary: Heather Doucette filed a petition alleging that she suffered from Guillain-Barre Syndrome (GBS) as a result of receiving an influenza vaccine on October 14, 2016. The case was filed on August 9, 2018. However, Ms. Doucette later moved for a decision dismissing her petition, stating that she would be unable to prove entitlement to compensation. The court noted that to receive compensation, a petitioner must prove either a "Table Injury" or that the vaccination actually caused the injury. The decision highlighted that Ms. Doucette's alleged vaccine-related injury symptoms resolved within four to five months, failing to meet the six-month residual effect requirement for compensation. Furthermore, the court found that her injury did not meet the Vaccine Injury Table criteria for GBS following a flu vaccination, as her reported symptoms did not align with the diagnostic requirements, and her treating physicians had suggested alternative diagnoses such as sinusitis and fibromyalgia. The court also noted the absence of supporting medical records or an expert physician's opinion. Consequently, the case was dismissed for insufficient proof of causation, and Ms. Doucette was informed that this judgment would end her rights in the Vaccine Program. Theory of causation field: Table Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_18-vv-01161-0 Date issued/filed: 2020-02-10 Pages: 3 Docket text: PUBLIC DECISION (Originally filed: 1/16/2020) regarding 40 DECISION of Special Master Signed by Special Master Nora Beth Dorsey. (mca) Service on parties made. -------------------------------------------------------------------------------- Case 1:18-vv-01161-UNJ Document 41 Filed 02/10/20 Page 1 of 3 In the United States Court of Federal Claims . OFFICE OF SPECIAL MASTERS Filed: January 16, 2020 * * * * * * * * * * * * * * * HEATHER DOUCETTE, * UNPUBLISHED * Petitioner, * No. 18-1161V * v. * Special Master Nora Beth Dorsey * SECRETARY OF HEALTH * AND HUMAN SERVICES, * Petitioner’s Motion for Dismissal; * Insufficient Proof of Causation; Respondent. * Influenza (Flu) Vaccine; * Guillain-Barre Syndrome (GBS) * * * * * * * * * * * * * * * Bridget C. McCullough, Muller Brazil, L.L.P., Dresher, PA, for petitioner. Darryl R. Wishard, U.S. Department of Justice, Washington, DC, for respondent. DECISION DISMISSING CASE1 On August 9, 2018, Heather Doucette (“petitioner”) filed a petition pursuant to the National Vaccine Injury Compensation Program.2 Petitioner alleges that as a result of the receipt of the Influenza (“flu”) vaccine on October 14, 2016, she suffered from Guillain-Barre syndrome (“GBS”). Vaccine Rule 4(c) Report at Procedural History. The information in the record, however, does not show entitlement to an award under the Program. On December 4, 2019, petitioner moved for a decision dismissing her petition, stating that “[a]n investigation of the facts and science supporting has demonstrated to the petitioner that 1 This decision will be posted on the website of the United States Court of Federal Claims, in accordance with the E-Government Act of 2002, 44 U.S.C. § 3501 (2012). This means the Decision will be available to anyone with access to the internet. As provided by 42 U.S.C. § 300aa-12(d)(4)B), however, the parties may object to the published Decision’s inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party has 14 days within which to request redaction “of any information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). Otherwise, the whole decision will be available to the public in its current form. Id. 2 The Program comprises Part 2 of the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-10 et seq. (hereinafter “Vaccine Act” or “the Act”). Case 1:18-vv-01161-UNJ Document 41 Filed 02/10/20 Page 2 of 3 she will be unable to prove that she is entitled to compensation” and that “to proceed any further would be unreasonable and would waste the resources of the Court, the respondent, and the Vaccine Program.” Petitioner’s Motion for Decision Dismissing Her Petition at ¶¶ 1, 2. Petitioner states that she understands that a decision by the Special Master dismissing her petition will result in a judgment against her, and that she has been advised that such a judgment will end all of her rights in the Vaccine Program. Id. at ¶ 3. Petitioner states that she intends to protect her right to file a civil action. Id. at ¶ 5. To receive compensation under the Program, petitioner must prove either (1) that she suffered a “Table Injury”—i.e., an injury falling within the Vaccine Injury Table—corresponding to the vaccination, or (2) that she suffered an injury that was actually caused by the vaccination. See §§ 13(a)(1)(A) and 11(c)(1). The records submitted by petitioner show that she does not meet the statutory requirement under 42 U.S.C. § 300aa-11(c)(1)(D)(i) to establish entitlement to compensation. The Federal Circuit has explained that the eligibility requirements in Section 11(c) are not mere pleading requirements or matters of proof at trial, but instead are “threshold criteri[a] for seeking entry into the compensation program.” Black v. HHS, 93 F.3d 781, 785-87 (Fed. Cir. 1996). Furthermore, the Federal Circuit has characterized the requirement that residual effects persist for more than six months after vaccination as “a condition precedent to filing a petition for compensation.” Cloer v. HHS, 654 F.3d 1322, 1335 (Fed. Cir. 2011). Petitioner bears the burden of proving by a preponderance of the evidence that she meets the six- month residual effect requirement. Song v. HHS, 31 Fed. Cl. 61, 65-66 (1994), aff’d, 41 F.3d 1520 (Fed. Cir. 1994). In this case, there is an issue as to whether petitioner has proven by preponderant evidence that she suffered the residual effects of her alleged vaccine-related injury for more than six months. She was vaccinated on October 14, 2016. Petition at 1. On February 16, 2017, Dr. Nasser found that petitioner’s vaccine-related symptoms had fully resolved. Exh. 6 at 3. On September 7, 2017, petitioner reported to her gastroenterologist that her vaccine-related injury resolved by March 2017. Exh. 10 at 4. Petitioner’s medical records report that her alleged vaccine-related injury symptoms resolved at four months or alternatively five months from the administration date of the vaccine. Moreover, the record also suggests that petitioner’s evidence fails to meet her burden for a “Table Injury” for GBS after a flu vaccination. Her injury does not meet the Table’s Qualifications and Aids to Interpretation for GBS, as defined on the Vaccine Injury Table. See 42 C.F.R. § 100.3(a) and (c)(15). Petitioner’s complaints to her treating physicians did not include limb weakness, diminished or absent reflexes, nor motor weakness. See Exh. 3 at 41-44 and Exh. 6 at 6. In support of clinical or diagnostic findings of GBS or sensory GBS, petitioner cites Dr. Nasser’s assessment on December 8, 2016 that petitioner’s symptoms, “could be a mild case of Pure sensory Guillain Barre.” Exh. 6 at 4. Contemporaneous diagnoses, however, suggested by her treating physicians included sinusitis, pharyngitis, pericarditis, pneumonitis, and fibromyalgia. See Exh. 2 at 3-13; see Exh. 6 at 7-12.; and see Exh. 7 at 5-11. The petitioner did not have CSF studies or EMG/NCS testing to confirm the diagnosis of GSB or sensory GBS. Under the Vaccine Act, a petitioner may not receive a Program award based solely on the petitioner’s claims alone. Rather, the petition must be supported by either medical records or by 2 Case 1:18-vv-01161-UNJ Document 41 Filed 02/10/20 Page 3 of 3 the opinion of a competent physician. § 13(a)(1). In this case, there are insufficient medical records supporting petitioner’s claim and petitioner has not filed an expert report. Accordingly, it is clear from the record in this case that petitioner has failed to demonstrate either that she suffered a “Table Injury” or that the injuries were “actually caused” by her October 14, 2016, vaccination. Thus, this case is dismissed for insufficient proof. The Clerk shall enter judgment accordingly. IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Chief Special Master 3