K.T. v. HHS - HPV, debilitating arm, shoulder, thoracic, and neurological injuries (2024)

Filed 2022-08-26Decided 2024-12-17Vaccine HPV
dismissed

Case summary [AI summaries can sometimes make mistakes]

On August 26, 2022, Melanie Bostic, on behalf of her minor child K.T., filed a petition alleging that K.T. suffered debilitating arm, shoulder, thoracic, and neurological injuries as a direct result of receiving the Gardasil 9 HPV vaccine on August 26, 2019. The petition also stated that K.T. received a Boostrix Tdap vaccine on the same date.

The alleged onset of symptoms began the same day as the vaccination. Initially, the petitioner was represented by counsel, Andrew Downing, who entered the case on September 27, 2022.

However, the petitioner later proceeded pro se after her counsel withdrew. The court issued multiple orders directing the petitioner to file outstanding medical records necessary for the case.

Despite warnings that the case could be dismissed for failure to prosecute, the petitioner failed to comply with several deadlines and orders. The medical records that were filed suggest K.T. experienced shoulder pain and limited range of motion, which could be consistent with a Table SIRVA (Shoulder Injury Related to Vaccine Administration) injury.

However, the records also indicated neurological symptoms such as numbness and loss of sensation, which are incompatible with a SIRVA diagnosis. The public decision does not describe the specific mechanism of injury or provide expert medical opinions.

Due to the insufficient medical record to demonstrate a vaccine-caused neurologic injury or establish causation by a preponderance of the evidence, and the petitioner's failure to prosecute the case by not filing required documents and missing deadlines, Special Master Daniel T. Horner dismissed the petition on December 17, 2024.

The dismissal was based on both the insufficient evidence to support the claim and the petitioner's failure to prosecute. The decision was reissued for public availability on December 17, 2024.

Theory of causation

Petitioner K.T., a minor, received the Gardasil 9 HPV vaccine and a Boostrix Tdap vaccine on August 26, 2019. The petition alleged debilitating arm, shoulder, thoracic, and neurological injuries starting the same day. The case was filed on August 26, 2022. The petitioner, initially represented by counsel, later proceeded pro se. The Special Master, Daniel T. Horner, dismissed the petition on December 17, 2024, due to failure to prosecute and insufficient evidence. The filed medical records suggested shoulder pain and limited range of motion, potentially consistent with a Table SIRVA injury, but also indicated neurological symptoms (numbness, loss of sensation) incompatible with SIRVA. The public decision does not describe a specific medical theory of causation, name experts, or detail the mechanism of injury. The records were insufficient to preponderantly demonstrate a vaccine-caused neurologic injury, as no specific neurologic diagnosis was made and no expert medical opinion was provided. The petitioner failed to comply with multiple court orders to file outstanding medical records, leading to dismissal for failure to prosecute under Vaccine Rule 21(c). The decision was reissued for public availability on December 17, 2024. Attorneys involved were Debra A. Filteau Begley for the respondent. Petitioner counsel Andrew Downing withdrew from the case.

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