VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-01032 Package ID: USCOURTS-cofc-1_19-vv-01032 Petitioner: K.B. Filed: 2019-07-17 Decided: 2021-08-30 Vaccine: HPV Vaccination date: 2018-06-28 Condition: postural orthostatic tachycardia syndrome and neuropathic pain symptoms Outcome: dismissed Award amount USD: AI-assisted case summary: Evonne Callaghan, on behalf of her minor daughter K.B., filed a claim under the National Childhood Vaccine Injury Act on July 17, 2019. Petitioner alleged that K.B. suffered from postural orthostatic tachycardia syndrome (POTS) and neuropathic pain symptoms as a result of her June 28, 2018 Human Papilloma Virus (HPV) and Hepatitis A vaccinations. Respondent filed a Rule 4 report recommending against compensation. Following a review of expert reports and a Rule 5 conference, the Special Master noted that existing literature did not support a causal link between the HPV vaccine and POTS, and that petitioner's expert, Dr. Henrickson, was not raising a novel theory of causation. Petitioner's counsel requested time to confer with their client. On August 3, 2021, petitioner filed a Motion for a Decision Dismissing her Petition, stating that an investigation of the facts and science demonstrated an inability to prove entitlement to compensation and that further proceedings would be unreasonable. The Special Master granted the motion, dismissing the petition for failure to establish a prima facie case of entitlement, as neither K.B.'s medical records nor the expert reports supported the allegations by a preponderance of the evidence, and respondent's expert reports rebutted the claim. Judgment was entered dismissing the petition. The public decision does not describe the specific onset of symptoms, diagnostic tests performed, treatments received, or the names of the respondent's experts. Petitioner's counsel was Anthony James Bucher of Gatlin Voelker, PLLC, and respondent's counsel was Ida Nassar of the U.S. Department of Justice. Special Master Daniel T. Horner issued the decision. Theory of causation field: Petitioner K.B. alleged injury from the June 28, 2018 Human Papilloma Virus (HPV) and Hepatitis A vaccinations, resulting in postural orthostatic tachycardia syndrome (POTS) and neuropathic pain symptoms. The Special Master noted that existing literature did not support a causal link between the HPV vaccine and POTS, and petitioner's expert, Dr. Henrickson, was not presenting a novel theory. Petitioner's counsel subsequently filed a motion to dismiss, acknowledging an inability to prove entitlement to compensation. The Special Master granted the motion, dismissing the petition for failure to establish a prima facie case, as neither K.B.'s medical records nor petitioner's expert reports supported the allegations by a preponderance of the evidence, and respondent's expert reports rebutted the claim. The decision does not specify the mechanism of injury or reference the Vaccine Injury Table. Petitioner's counsel was Anthony James Bucher, and respondent's counsel was Ida Nassar. Special Master Daniel T. Horner issued the decision on August 30, 2021. No award was made as the petition was dismissed. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_19-vv-01032-0 Date issued/filed: 2021-08-30 Pages: 3 Docket text: PUBLIC DECISION (Originally filed: 08/04/2021) regarding 38 DECISION of Special Master. Signed by Special Master Daniel T. Horner. (mly) Service on parties made. -------------------------------------------------------------------------------- Case 1:19-vv-01032-UNJ Document 42 Filed 08/30/21 Page 1 of 3 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 19-1032V Filed: August 4, 2021 UNPUBLISHED EVONNE CALLAGHAN, on behalf of Special Master Horner K.B., Petitioner, Petitioner’s Motion for Decision v. Dismissing Petition; Hepatitis A (Hep A) vaccine; Human SECRETARY OF HEALTH AND Papilloma Virus (HPV) vaccine; HUMAN SERVICES, dysautonomia; Postural Orthostatic Hypertension Respondent. (POTS) Anthony James Bucher, Gatlin Voelker, PLLC, Covington, KY, for petitioner. Ida Nassar, U.S. Department of Justice, Washington, DC, for respondent. DECISION1 On July 17, 2019, petitioner filed a claim under the National Childhood Vaccine Injury Act, 42 U.S.C. § 300aa-10-34 (2012), on behalf of her minor daughter, K.B. (ECF No. 1.) Petitioner alleged that K.B. suffered postural orthostatic tachycardia syndrome and neuropathic pain symptoms as the result of her June 28, 2018 Human Papilloma Virus (“HPV”) and/or Hepatitis A vaccinations. (ECF No. 1.) On November 13, 2019, respondent filed his Rule 4 report, recommending against compensation. (ECF No. 12.) Following a round of expert reports, (see ECF Nos. 21-24, 31-34), I held a Rule 5 conference where I explained based on prior Program experience that: A significant body of literature exists that explores whether POTS may be autoimmune and, if so, whether it can be caused by the HPV vaccine. So far, it has not appeared as though that research has borne out either of 1 Because this decision contains a reasoned explanation for the special master’s 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. See 44 U.S.C. § 3501 note (2012) (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 the special master, upon review, agrees that the identified material fits within this definition, it will be redacted from public access. Case 1:19-vv-01032-UNJ Document 42 Filed 08/30/21 Page 2 of 3 these hypotheses. Upon my preliminary review, it did not appear that Dr. Henrickson was raising any novel theory of causation. Accordingly, if Dr. Henrickson is to file a supplemental report, it will need to continue to address the core issues of the state of this area of research. Without more, expounding on peripheral areas of disagreement with respondent’s experts will be unlikely to resolve the case. (ECF No. 35, pp. 1-2.) Petitioner’s counsel requested time to confer with his client. On August 3, 2021, petitioner filed a Motion for a Decision Dismissing her Petition. (ECF No. 37.) Petitioner indicated that “[a]n investigation of the facts and science supporting her case has demonstrated to petitioner that she will be unable to prove that she is entitled to compensation in the Vaccine Program,” and that “to proceed further would be unreasonable and would waste the resources of the Court, the respondent and Vaccine Program.” (Id. at 1.) Petitioner further stated that she “understands that a decision by the Special Master dismissing her petition will result in a judgment against her. [Petitioner] has been advised that such a judgment will end all of her rights in the Vaccine Program. Petitioner understands that she may apply for costs once her case is dismissed and judgment is entered against her.” (Id. at 1.) To receive compensation in the Vaccine Program, petitioner must prove either (1) that she suffered a “Table Injury” – i.e., an injury falling within the Vaccine Injury Table – corresponding to a covered vaccine, or (2) that she suffered an injury that was actually caused by a covered vaccine. See §§ 13(a)(1)(A) and 11(c)(1). To satisfy her burden of proving causation in fact, petitioner must show by preponderant evidence: “(1) a medical theory causally connecting the vaccination and the injury; (2) a logical sequence of cause and effect showing that the vaccination was the reason for the injury; and (3) a showing of a proximate temporal relationship between vaccination and injury.” Althen v. Sec’y of Health & Human Servs., 418 F.3d 1274, 1278 (Fed. Cir. 2005). The Vaccine Act, 42 U.S.C. § 300aa-13(a)(1), prohibits the undersigned from ruling for petitioner based solely on her allegations unsubstantiated by medical records or medical opinion. Neither K.B.’s medical records nor the expert report filed by petitioner support petitioner’s allegations by a preponderance of the evidence. Moreover, respondent filed competing expert reports rebutting petitioner’s claim. Accordingly, the undersigned GRANTS petitioner’s Motion for Decision Dismissing Petition and DISMISSES this petition for failure to establish a prima facie case of entitlement to compensation. 2 Case 1:19-vv-01032-UNJ Document 42 Filed 08/30/21 Page 3 of 3 CONCLUSION This case is now DISMISSED. The clerk of the court is directed to enter judgment in accordance with this decision.2 IT IS SO ORDERED. s/Daniel T. Horner Daniel T. Horner Special Master 2 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party, either separately or jointly, filing a notice renouncing the right to seek review. 3