VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-00186 Package ID: USCOURTS-cofc-1_19-vv-00186 Petitioner: Diana Schmauder Filed: 2019-01-31 Decided: 2021-05-24 Vaccine: Prevnar 13 Vaccination date: 2016-07-13 Condition: shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 72500 AI-assisted case summary: Diana Schmauder filed a petition on January 31, 2019, seeking compensation for a shoulder injury related to vaccine administration (SIRVA) following her Prevnar 13 vaccination on July 13, 2016. The respondent is the Secretary of Health and Human Services. A fact hearing was held on January 28, 2021, to determine the onset of Ms. Schmauder's injury. On February 1, 2021, the Special Master issued a ruling finding that Ms. Schmauder's shoulder pain began within 48 hours of her vaccination. The respondent, in an amended Rule 4(c) report filed on March 30, 2021, stated that they would not defend against the claim, conceding that based on the Special Master's factual finding regarding the onset of injury, Ms. Schmauder was entitled to compensation. The Special Master, Christian J. Moran, issued a ruling on April 16, 2021, finding that Ms. Schmauder was entitled to compensation. A decision was issued on April 26, 2021, awarding compensation. Ms. Schmauder's counsel confirmed on April 13, 2021, that Ms. Schmauder's damages claim was limited to compensation for past pain and suffering, and she was waiving any claims for unreimbursed out-of-pocket expenses or future pain and suffering. The Special Master had previously issued a tentative finding on February 1, 2021, for damages for pain and suffering totaling $72,500. This tentative finding was based on factors including the severity of the injury and interference with daily activities, presence of range of motion issues, whether cortisone injections were received, whether physical therapy was undergone, and whether surgery was performed. Ms. Schmauder experienced significant interference with daily activities and some range of motion issues in the first month post-vaccination, received two cortisone injections, and approximately fifteen physical therapy sessions, with no surgery. Ms. Schmauder accepted the tentative finding of $72,500. The Secretary did not explicitly endorse this amount but did not oppose it. The Special Master awarded Ms. Schmauder a lump sum payment of $72,500 for pain and suffering, payable to Diana Schmauder, representing compensation for all damages available under 42 U.S.C. § 300aa-15(a). Petitioner's counsel was Jeffrey S. Pop of Jeffrey S. Pop & Associates. Respondent's counsel was Adriana R. Teitel of the United States Department of Justice. Special Master Christian J. Moran presided over the case. Theory of causation field: Petitioner Diana Schmauder alleged a shoulder injury related to vaccine administration (SIRVA) following a Prevnar 13 vaccination on July 13, 2016. The Special Master, Christian J. Moran, found that the onset of Ms. Schmauder's shoulder pain occurred within 48 hours of the vaccination. The respondent conceded entitlement based on this factual finding. The case proceeded to damages. Ms. Schmauder sought compensation only for past pain and suffering, waiving claims for out-of-pocket expenses and future pain and suffering. The Special Master awarded $72,500 for pain and suffering, considering factors such as injury severity, interference with daily activities, range of motion issues, cortisone injections, and physical therapy. The public decision does not detail the specific mechanism of injury or name medical experts. The theory of causation is based on the "on-Table" nature of the injury, as indicated by the respondent's concession and the Special Master's ruling on entitlement. The award of $72,500 represents compensation for pain and suffering. Petitioner was represented by Jeffrey S. Pop, and respondent by Adriana R. Teitel. The decision date was April 26, 2021, with an entitlement ruling on April 16, 2021, and a tentative damages finding on February 1, 2021. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_19-vv-00186-0 Date issued/filed: 2021-03-01 Pages: 3 Docket text: PUBLIC ORDER/RULING (Originally filed: 02/01/2021) regarding 49 Findings of Fact & Conclusions of Law Signed by Special Master Christian J. Moran. (hh) Service on parties made. -------------------------------------------------------------------------------- Case 1:19-vv-00186-UNJ Document 55 Filed 03/01/21 Page 1 of 3 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS * * * * * * * * * * * * * * * * * * * * * DIANA SCHMAUDER, * * Petitioner, * No. 19-186V * Special Master Christian J. Moran v. * * SECRETARY OF HEALTH * Filed: February 1, 2021 AND HUMAN SERVICES, * * Onset of shoulder pain, fact ruling Respondent. * * * * * * * * * * * * * * * * * * * * * * Jeffrey S. Pop, Jeffrey S. Pop & Associates, Beverly Hills, CA, for petitioner; Adriana R. Teitel, United States Dep’t of Justice, Washington, DC, for respondent. FINDING OF FACT A one-day hearing was held on January 28, 2021. At the hearing, testimony was taken from petitioner, Ms. Diana Schmauder, and four witnesses, Ms. Judy Adams, Ms. Marianne Thomson, Mr. Randy Schmauder, and Ms. Jennie Turner. All witnesses appeared remotely via videoconferencing. At the end of the hearing, the undersigned found that Ms. Schmauder has met her evidentiary burden of establishing that her shoulder pain started within 48 hours of receiving her Prevnar 13 vaccine on July 13, 2016. The undersigned additionally made a tentative finding of fact with respect to the amount of damages for pain and suffering, which is contained in an order filed concurrently with this fact-finding order. For the purposes of the record, the bases for finding that Ms. Schmauder’s shoulder pain began within 48 hours of the vaccination are briefly reviewed below. * * * Petitioners are required to establish the elements of their case by a preponderance of the evidence. 42 U.S.C. § 300aa–13(1)(a). The preponderance of the evidence standard requires a “trier of fact to believe that the existence of a fact is more probable than its nonexistence before [he] may find in favor of the party who has the burden to persuade the judge of the fact’s existence.” Moberly v. Sec’y of Health & Human Servs., 592 F.3d 1315, 1322 n.2 (Fed. Cir. 2010) (citations omitted). The process for finding facts in the Vaccine Program generally begins with analyzing the medical records, which are required to be filed with the petition. 42 U.S.C. § 300aa–11(c)(2). As a matter of practice, when making findings of facts the undersigned gives substantial weight to records, such as medical records, that are created contemporaneously with the events they Case 1:19-vv-00186-UNJ Document 55 Filed 03/01/21 Page 2 of 3 describe. Appellate courts have recognized that factfinders are well-within their discretion when choosing to give significant weight to contemporaneously created records. See, e.g., Cucuras v. Sec’y of Health & Human Servs., 993 F.2d 1525, 1528 (Fed. Cir. 1993). Of course, the presence or absence of medical records is not dispositive or binding on the outcome. Instead, the undersigned is tasked with evaluating the entirety of the evidence in the record and determining, based on that evidence, which facts are more likely to be true than not. * * * Prior to the hearing, the Secretary contested Ms. Schmauder’s claim that her arm pain began within 48 hours of her vaccination. See Resp’t’s Status Rep., filed Sept. 24, 2020. In response, Ms. Schmauder developed additional evidence. Based on the affidavits of Kristy Major, Jessica Johnson, and Ms. Schmauder herself, the undersigned tentatively found that Ms. Schmauder’s shoulder pain began no later than September 12, 2016. See order, issued Jan. 21, 2021; exhibits 1 ¶ 8, 12 ¶ 4, 15 ¶ 6. Accordingly, at the hearing, the undersigned evaluated whether the existence of onset within 48 hours was more probable than not. Given that the Secretary did not allege any shoulder pain prior to vaccination, the relevant time period for consideration is July 13, 2016 (the date of vaccination), to September 12, 2016. Notably, Ms. Schmauder did not mention her shoulder pain to medical personnel until December 19, 2016, when she called the AARP nurse help line, and did not mention the shoulder pain to one of her ongoing medical providers, Dr. McCoy, until January 6, 2017. She had two medical appointments between vaccination and these dates – (1) a physical therapy appointment to address her BPPV on July 19, 2016, and (2) a gynecology appointment on August 26, 2016. She did not mention shoulder pain at either of these appointments. Preliminarily, the undersigned finds it reasonable that Ms. Schmauder would not report shoulder pain to a gynecologist. Additionally, Ms. Schmauder discontinued physical therapy to address her vertigo after the July 19, 2016 appointment and, therefore, was not attending medical appointments during the relevant time period, in which she could have reported her shoulder pain. With this lack of medical records created in the relevant time period, the undersigned considered the testimonies of the testifying witnesses. The testimonies from the witnesses other than Ms. Schmauder supported the assertion that Ms. Schmauder’s shoulder pain began earlier than when she reported it to the AARP nurse’s line. The testimonies of Ms. Adams and Ms. Thomson support the finding that Ms. Schmauder’s shoulder pain began in mid-July after her vaccination, and that she began to experience mobility issues and trouble with physical tasks involved in her volunteer work with both witnesses approximately 2-3 weeks following the vaccination. The undersigned found both of these witnesses to be credible and, though their accounts are not dispositive, they tend to reinforce each other and support Ms. Schmauder’s account. Similarly, the testimonies of Ms. Schmauder’s children also support Ms. Schmauder’s claim regarding onset, given their memories of changes in her daily life and activities following vaccination, which she attributed to the vaccine. Though Ms. Schmauder’s medical records indicate a significant delay in seeking medical treatment (she did not see a medical provider specifically for treatment of shoulder pain until April 25, 2017), she consistently attributed her pain to the vaccination. See exhibit 1 ¶ 10, and exhibit 26 (call with AARP nurse on December 19, 2016); exhibit 10 at 1 (portal communication 2 Case 1:19-vv-00186-UNJ Document 55 Filed 03/01/21 Page 3 of 3 with Dr. McCoy on January 6, 2017); exhibit 3 at 107 (report to Amanda Pinzon on April 25, 2017). The consistency of these attributions, combined with the consistent testimonies of Ms. Adams, Ms. Thomson, and Ms. Schmauder’s children, bolster Ms. Schmauder’s claim that her shoulder pain began immediately following the vaccination and make it unlikely that Ms. Schmauder is misremembering the date and details of onset. * * * Ultimately, the undersigned has reviewed all the medical records and the testimony provided by Ms. Schmauder and her witnesses. Accordingly, the undersigned finds that preponderant evidence exists to conclude that, more likely than not, Ms. Schmauder’s shoulder pain started within 48 hours of her vaccination. Accordingly, Ms. Schmauder is ORDERED to file a status report regarding proposed next steps by Monday, March 1, 2021. Any questions may be directed to my law clerk, Haley Hawkins, at (202) 357-6360. IT IS SO ORDERED. s/ Christian J. Moran Christian J. Moran Special Master 3 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_19-vv-00186-1 Date issued/filed: 2021-05-03 Pages: 2 Docket text: PUBLIC ORDER/RULING (Originally filed: 04/16/2021) regarding 59 Ruling on Entitlement. Signed by Special Master Christian J. Moran. (hh) Service on parties made. -------------------------------------------------------------------------------- Case 1:19-vv-00186-UNJ Document 61 Filed 05/03/21 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS * * * * * * * * * * * * * * * * * * * * * * * DIANA SCHMAUDER, * * * No. 19-186V * Special Master Christian J. Moran Petitioner, * * v. * Filed: April 16, 2021 * SECRETARY OF HEALTH * Entitlement; On-Table injury. AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * Jeffrey S. Pop, Jeffrey S. Pop & Associates, Beverly Hills, CA, for Petitioner; Adriana R. Teitel, United States Department of Justice, Washington, DC, for Respondent. UNPUBLISHED RULING FINDING ENTITLEMENT1 On January 31, 2019, Diana Schmauder sought compensation for shoulder injury related to vaccine administration (“SIRVA”) following her Prevnar 13 vaccination on July 13, 2016. Ms. Schmauder seeks compensation pursuant to the National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 through 34 (2012). On January 28, 2021, a fact hearing was held to determine the onset of Ms. Schmauder’s injury. A ruling was then issued on February 1, 2021, finding that Ms. Schmauder’s shoulder pain began within 48 hours of her vaccination. Also, on February 1, 2021, the undersigned issued a tentative finding regarding the amount of damages for pain and suffering totaling $72,500. In an amended Rule 4(c) report filed on March 30, 2021, respondent stated that he will not continue to the defend against Ms. Schmauder’s claim. Respondent stated that the Division of Vaccine Injury Compensation, Department of Health and Human Services, has reviewed the 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. This posting will make the ruling available to anyone with the internet. 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 1:19-vv-00186-UNJ Document 61 Filed 05/03/21 Page 2 of 2 facts of this case and have concluded that “[r]ecognizing that the Special Master’s factual finding, that the onset of petitioner’s shoulder pain occurred within forty-eight hours of her vaccination, is the law of the case, respondent advises that he will not defend the case on other grounds during further proceedings before the Office of Special Masters.” Resp’t’s Am. Rep., filed Mar. 30, 2021, at 2. Special masters may determine whether a petitioner is entitled to compensation based upon the record. A hearing is not required. 42 U.S.C. § 300aa-13; Vaccine Rule 8(d). Based upon a review of the record as a whole, the undersigned finds that petitioner has established that she is entitled to compensation for her injury. Accordingly, Ms. Schmauder is entitled to compensation. Any questions may be directed to my law clerk, Haley Hawkins, at (202) 357-6360. IT IS SO ORDERED. s/Christian J. Moran Christian J. Moran Special Master 2 ================================================================================ DOCUMENT 3: USCOURTS-cofc-1_19-vv-00186-2 Date issued/filed: 2021-05-24 Pages: 3 Docket text: PUBLIC DECISION (Originally filed: 04/26/2021) regarding 60 DECISION of Special Master. Signed by Special Master Christian J. Moran. (hh) Service on parties made. -------------------------------------------------------------------------------- Case 1:19-vv-00186-UNJ Document 62 Filed 05/24/21 Page 1 of 3 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS * * * * * * * * * * * * * * * * * * * * * DIANA SCHMAUDER, * * No. 19-186V Petitioner, * Special Master Christian J. Moran * v. * Filed: April 26, 2021 * SECRETARY OF HEALTH * Damages; Prevnar 13 vaccine; AND HUMAN SERVICES, * SIRVA; shoulder injury. * Respondent. * * * * * * * * * * * * * * * * * * * * * * Jeffrey S. Pop, Jeffrey S. Pop & Associates, Beverly Hills, CA, for petitioner; Adriana R. Teitel, United States Dep’t of Justice, Washington, DC, for respondent. UNPUBLISHED DECISION AWARDING COMPENSATION1 On January 31, 2019, Diana Schmauder sought compensation for shoulder injury related to vaccine administration (“SIRVA”) following her Prevnar 13 vaccination on July 13, 2016. Ms. Schmauder seeks compensation pursuant to the National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 through 34 (2012). A fact hearing was held on January 28, 2021. In advance of the hearing, the undersigned reviewed all documentary evidence. The parties highlighted the most important documents during the hearing through the oral testimony of Ms. Schmauder and other percipient witnesses. 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 decision 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 1:19-vv-00186-UNJ Document 62 Filed 05/24/21 Page 2 of 3 The undersigned issued two documents on February 1, 2021. First, the undersigned issued a ruling finding the onset of Ms. Schmauder’s shoulder pain began within two days of her vaccination. Second, the undersigned issued a tentative finding indicating a reasonable amount of damages for pain and suffering totaled $72,500. This tentative finding was based on the facts and circumstances of Ms. Schmauder’s case. In reaching this tentative finding, the undersigned considered other roughly analogous cases in the Vaccine Program. Factors considered in comparing Ms. Schmauder’s case included: (1) severity of the injury and interference with daily activities, (2) presence of range of motion issues, (3) whether petitioner received cortisone injections, (4) whether petitioners underwent physical therapy, and (5) whether petitioners had surgery related to the injury. Ms. Schmauder experienced significant interference with daily and routine activities, and some range of motion issues in the first month following her vaccination. She also received two cortisone injections, approximately fifteen physical therapy sessions, and no surgery. The ruling regarding onset altered the Secretary’s assessment of the case. The Secretary conceded that based upon the finding of fact, Ms. Schmauder was entitled to compensation. Resp’t’s Am. Rep., filed Mar. 30, 2021. A status conference was held on April 13, 2021. In this status conference, Ms. Schmauder’s counsel confirmed that Ms. Schmauder’s damages claim is limited to compensation for past pain and suffering. She was waiving any minimal unreimbursed out-of-pocket expenses. She also was not claiming any compensation for future pain and suffering. The undersigned then issued a ruling finding entitlement on April 16, 2021. The remaining question is the amount of compensation to which Ms. Schmauder is entitled. For the reasons explained in the February 1, 2021 order presenting a tentative finding regarding the amount of compensation, Ms. Schmauder’s pain and suffering merits an award of $72,500. In the April 13, 2021 status conference, Ms. Schmauder accepted this tentative finding. While the Secretary did not explicitly endorse this tentative finding, the Secretary also did not oppose it. The Secretary has not presented any reason why the tentative finding is not reasonable. See Vaccine Rule 8(f). Accordingly, Ms. Schmauder’s damages are as follows: 2 Case 1:19-vv-00186-UNJ Document 62 Filed 05/24/21 Page 3 of 3 A lump sum payment of $72,500 representing compensation for pain and suffering, in the form of a check payable to petitioner, Diana Schmauder. This amount represents compensation for all damages available under 42 U.S.C. § 300aa-15(a). In the absence of a motion for review filed pursuant to RCFC, Appendix B, the clerk is directed to enter judgment according to this decision.2 IT IS SO ORDERED. s/Christian J. Moran Christian J. Moran Special Master 2 Pursuant to Vaccine Rule 11(a), the parties can expedite entry of judgment by each party filing a notice renouncing the right to seek review by a United States Court of Federal Claims judge. 3