Cruz v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedJuly 18, 2018
Docket14-1119
StatusPublished

This text of Cruz v. Secretary of Health and Human Services (Cruz v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Cruz v. Secretary of Health and Human Services, (uscfc 2018).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: June 20, 2018

* * * * * * * * * * * * * EVA CRUZ and OMAR LOPEZ * JIMENEZ, Special Administrators of * UNPUBLISHED the Estate of L.J.L., * * No. 14-1119V Petitioners, * v. * Special Master Gowen * SECRETARY OF HEALTH * Ruling on Facts; Diphtheria-Tetanus- AND HUMAN SERVICES, * acellular-Pertussis (“DTaP”), Inactivated * Poliovirus (“IPV”), Haemophilus Influenzae Respondent. * B (“HiB”), Prevnar 13, and Rotavirus * * * * * * * * * * * * * Vaccinations; Death.

Karen H. Ross, Law Offices of Karen Ross, Henderson, NV, for petitioners. Camille M. Collett, United States Department of Justice, Washington, D.C., for respondent.

RULING ON FACTS1

On November 18, 2014, Eva Cruz and Omar Lopez Jimenez (“petitioners”; “the parents”; or individually, “the mother” and “the father”), as special administrators of the estate of L.J.L. (“the baby”) timely filed a petition in the National Vaccine Injury Compensation Program (the “Vaccine Act” or the “Vaccine Program”).2 A fact hearing took place on May 1, 2018, in Las Vegas, Nevada. After carefully considering the full record, I hereby issue these final findings of fact.3

1 Pursuant to the E-Government Act of 2002, see 44 U.S.C. § 3501 note (2012), because this ruling contains a reasoned explanation for the action in this case, I intend to post it on the website of the United States Court of Federal Claims. The court’s website is at http://www.uscfc.uscourts.gov/aggregator/sources/7. Before the ruling is posted on the court’s website, each party has 14 days to file a motion requesting 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). “An objecting party must provide the court with a proposed redacted version of the decision.” Id. If neither party files a motion for redaction within 14 days, the ruling will be posted on the court’s website without any changes. Id. 2 The National Vaccine Injury Compensation Program is set forth in Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended, 42 U.S.C. §§ 300aa-10 to 34 (2012). All citations in this decision to individual sections of the Vaccine Act are to 42 U.S.C. § 300aa. 3 Pursuant to Section 13(a)(1), in order to reach my decision, I have considered the entire record including all of the medical records, statements, expert reports, and medical literature submitted by the parties. This decision discusses the elements of the record I found most relevant to the outcome.

1 I. Procedural History

The petition provides that on November 19, 2012, the baby received five two-month old vaccinations: Diphtheria-Tetanus- acellular Pertussis ("DTaP”); Inactivated Poliovirus (“IPV”); Haemophilus Influenzae B (“HiB”); Prevnar 13; and Rotavirus. On the morning of November 21, 2012, the baby was found unresponsive in his bassinet and was later pronounced deceased. The petition alleges that in the period between the baby’s vaccinations and his death, he demonstrated clinical signs and symptoms of a “significantly decreased level of consciousness,” meeting the definition of an “acute encephalopathy” on the Vaccine Injury Table. The petition alleges that in the alternative, the vaccinations caused-in-fact an Off-Table Injury, namely an acute toxic metabolic encephalopathy and death. Petition (ECF No. 1). The petition was accompanied by affidavits from petitioners, Ms. Cruz (“the mother”) and Mr. Lopez (“the father”), as well as Ms. Cruz’s mother, Ms. Digna Cruz (“the grandmother”). Petitioners’ Exhibit (“Pet. Ex.”) 3.

Respondent recommended against compensation. See Respondent’s Rule 4(c) Report (“Resp. Rept.”) filed February 18, 2015 (ECF No. 10). Specifically, respondent contended that the contemporaneous records from the medical providers, the police, and the coroner conflicted with the witnesses’ later allegations about the baby’s behavior.

Over the next three years, each party filed multiple expert reports. An entitlement hearing was set for May 1-4, 2018. It was initially contemplated that this hearing would take both fact and expert testimony. On March 2, 2018, petitioners filed a prehearing brief. Pet. Brief (ECF No. 61). On April 11, 2018, respondent filed a responsive prehearing brief. Resp. Brief (ECF No. 71). After several status conferences with counsel addressing multiple aspects of the claim, I determined that the impending hearing would be limited to fact testimony. Afterwards, I would issue binding findings of fact to align the parties and their experts’ understanding of the case. See Orders (ECF Nos. 69, 74).

A fact hearing was held on May 1, 2018, in Las Vegas, Nevada. The mother, father, and grandfather testified. On May 4, 2018, I issued an order summarizing my tentative factual findings. Order (ECF No. 87). This order provided that if either party would like post-hearing briefing, they could file a status report on the same within 7 days of the transcript. Id. at 7, n. 2. The transcript was filed on May 10, 2018. Transcript (“Tr.”) (ECF No. 89). Neither party has requested post-hearing briefing. Thus, this matter is now ripe for adjudication.

II. Legal Standards Regarding Fact Finding

The process for making determinations in Vaccine Program cases regarding factual issues begins with consideration of the medical records, which are required to be filed with the petition. §11(c)(2). The Federal Circuit has made clear that medical records “warrant consideration as trustworthy evidence.” Cucuras, 993 F.2d at 1528. Medical records that are created contemporaneously with the events they describe are presumed to be accurate and “complete” (i.e., presenting all relevant information on a patient’s health problems). Cucuras, 993 F.2d at 1528; see also Reusser v. Sec’y of Health & Human Servs., 28 Fed. Cl. 516 (1993) (providing that written documentation recorded by a disinterested person at or soon after an event is

2 generally more reliable than the recollection of a party to a lawsuit many years later).

Accordingly, where medical records are clear, consistent, and complete, they should be afforded substantial weight. Lowrie v. Sec’y of Health & Human Servs., No. 03-1585V, 2005 WL 6117475, at *20 (Fed. Cl. Spec. Mstr. Dec. 12, 2005). However, this rule does not always apply. In Lowrie, the special master wrote that “written records which are, themselves, inconsistent, should be accorded less deference than those which are internally consistent.” Lowrie, at *19.

The Court of Federal Claims has recognized that “medical records may be incomplete or inaccurate.” Camery v. Sec’y of Health & Human Servs., 42 Fed. Cl. 381, 391 (1998). The Court later outlined four possible explanations for inconsistencies between contemporaneously created medical records and later testimony: (1) a person’s failure to recount to the medical professional everything that happened during the relevant time period; (2) the medical professional’s failure to document everything reported to her or him; (3) a person’s faulty recollection of the events when presenting testimony; or (4) a person’s purposeful recounting of symptoms that did not exist. La Londe v. Sec’y of Health & Human Servs., 110 Fed. Cl. 184, 203-04 (2013), aff’d, 746 F.3d 1335 (Fed. Cir. 2014).

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