Correira v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedJuly 8, 2025
Docket22-1269V
StatusUnpublished

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Correira v. Secretary of Health and Human Services, (uscfc 2025).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 22-1269V UNPUBLISHED

ALAN CORREIRA, Chief Special Master Corcoran

Petitioner, Filed: June 3, 2025 v.

SECRETARY OF HEALTH AND HUMAN SERVICES,

Respondent.

Ronald Craig Homer, Conway, Homer, P.C., Boston, MA, for Petitioner.

James Vincent Lopez, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION 1

On August 27, 2021, Alan Correira filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq. 2 (the “Vaccine Act”). Petitioner alleges that he received an influenza (“flu”) vaccine on September 20, 2019, and thereafter suffered Guillain-Barré syndrome (“GBS”) that was caused in fact by the vaccination. Amended Petition at 1. The case was assigned to the Special Processing Unit of the Office of Special Masters. For the reasons discussed below, this claim is hereby DISMISSED.

1 Because this unpublished fact ruling contains a reasoned explanation for the action in this case, I am

required to post it on the United States Court of Federal Claims' website in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services). This means the fact ruling 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, I agree that the identified material fits within this definition, I will redact such material from public access. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease

of citation, all section references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). I. Procedural History

After the claim’s initiation, Petitioner filed an amended petition with citations to the record. Amended Petition (“petition”), ECF No. 18. Respondent filed a Rule 4(c) Report opposing compensation, arguing Petitioner has not provided a medical or scientific showing that the vaccination caused his alleged GBS. Respondent’s Rule 4(c) Report (“Res. Rep”) ECF No. 21, at 1. Petitioner was ordered to show cause why this case should not be dismissed. ECF No. 24. The order noted that onset of Petitioner’s GBS appeared to have occurred outside the longest time accepted for a non-table flu/GBS claim. Id.

Petitioner filed his response and additional evidence on September 12, 2023. Petitioner’s Response to the Court’s August 1, 2023 Show Cause Order (“Pet. Res.”), ECF No. 27. Petitioner argues that he has established a prima facie case for causation. Id. at 22-31.

II. Fact History

a. Medical Records

Petitioner received a flu vaccine on September 20, 2019. Ex. 1 at 1. Ten days later, he underwent prostate surgery that involved nitrous oxide. Ex. 8 at 6 (noting that Petitioner had prostate surgery on October 1, 2019).

On November 23, 2019, Petitioner sought care at the emergency department. Ex. 7 at 5-8. He complained of numbness and tingling in his bilateral upper extremities that began on November 18, 2019, and “[c]onstant sensation for the past 6 days.” Id. A physical exam was unremarkable, and he was diagnosed with bilateral upper extremity neuropathy. Id.

On November 26, 2019, Petitioner saw his primary care physician, Dr. Irvin, for a follow-up. Ex. 2 at 26-27. He reported numbness in his upper extremities, feet, tongue, and lips, but denied weakness. Id. Petitioner also stated that his symptoms had improved over the past three days, but were still present. Id. An examination showed normal gait, and no motor or sensory deficits. Petitioner was assessed with paresthesia of unclear etiology. Id.

Petitioner saw Dr. Leber, a neurologist, on November 27, 2019, for numbness in his forearms, tongue, and left foot. Ex. 8 at 6. He stated that on November 18, 2019, he woke with his hands and forearms feeling cold and somewhat numb. Id. He also reported the prostate surgery on October 1, 2019, which Dr. Leber noted could cause myelopathy in patients with previous anemia. Id. A neurologic exam was “basically unremarkable,” but he recorded a slight Bell’s palsy of the left eyelid and mild absent sensation in the right foot. Id. at 7. Dr. Leber noted that due to the sudden onset of numbness, “one has to think of cervical myelopathy or cervical issues.” Id. at 7-8. A subsequent MRI was unremarkable. Id. 15-16. Additionally, his B12 and folic acid were within normal limits. Id. at 10.

Petitioner returned to Dr. Leber on December 6, 2019, reporting recent onset of stumbling, slurring speech and tingling in his face and scalp. Ex. 8 at 10. Dr. Leber noted there was “no objective abnormality on examination, other than residual from previous left Bell’s palsy.” Id. He also stated he could not explain the described subjective sensory symptoms, and prescribed alprazolam for his anxiety. Id.

Later on December 6, 2019, Petitioner was seen at the emergency department for increased left facial droop that started that morning. Ex. 3 at 32. He was diagnosed with Bell’s palsy. Id. at 35-36. Three days later, on December 9, 2019, Petitioner saw his primary care physician. Ex. 9 at 9. A physical and neurologic examination was unremarkable, but he was referred to a neurologist for a second opinion. Id. at 10.

Petitioner returned to the emergency department on December 12, 2019, complaining of numbness throughout his body, upper extremity pain, dizziness, and difficulty walking that started just prior to his arrival. Ex. 4 at 575. He showed left sided facial droop, absent bilateral reflexes, and an abnormal gait. Id. at 578. A lumbar puncture showed elevated protein levels. Id. at 752. The admitting physician noted that Petitioner “had a flu shot back in September. Question progressive [GBS] versus Lambert-Eaton syndrome.” Id. at 403.

An addendum from December 13, 2019, states that Petitioner reported only subjective symptoms, and no objective abnormalities could be observed. But Dr. Khademi, a neurologist, could not rule out the possibility of an autoimmune neuropathy, “[i]n this case [GBS], predominantly sensory variant….” Ex. 4 at 1451. Dr. Khademi also noted that the nadir of the weakness is usually 3-4 weeks from onset. Id. at 1451, 416. Petitioner was discharged on December 14, 2019, with possible diagnoses including GBS and Labert-Eaton syndrome, an autoimmune neurological condition. Ex. 7 at 9-10.

A follow-up on December 16, 2019, with Dr. Irvin included a suspected diagnoses of the “predominantly sensory form” of GBS. Ex. 2 at 30-31. Petitioner saw Dr. Khademi for a second opinion on December 20, 2019. Ex. 5 at 9-10. An examination showed absent reflexes, left peripheral facial weakness, impaired gait, reduced sensation, but normal motor strength. Id. He was assessed with inflammatory polyneuropathy and possible GBS. Id.

On December 21, 2019, Petitoiner returned to the emergency department for worsening paresthesia, and trouble breathing and swallowing. Ex. 4 at 1052. He exhibited decreased sensation in his trunk and chest, decreased grip strength, left sided facial droop, and absent reflexes. Id. at 1055. The differential diagnosis included GBS versus variant, a more chronic condition such as chronic demyelinating syndrome, and Eaton- Lambert syndrome. Id.

Petitioner saw another neurologist, Dr.

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