Demore v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedMarch 20, 2025
Docket20-1265V
StatusPublished

This text of Demore v. Secretary of Health and Human Services (Demore 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.

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

Opinion

CORRECTED

In the United States Court of Federal Claims No. 20-1265V (Filed: March 20, 2025 *) ) CHRISTOPHER DEMORE, ) ) Petitioner, ) ) v. ) SECRETARY OF HEALTH AND ) HUMAN SERVICES, ) ) Respondent. ) )

Leah V. Durant, Law Offices of Leah V. Durant, P.L.L.C., Washington, D.C., for Petitioner.

Eleanor A. Hanson, Torts Branch, Civil Division, United States Department of Justice, Washington, D.C., for Respondent. With her on the briefs were Brian M. Boynton, Principal Deputy Assistant Attorney General, C. Salvatore D’Alessio, Director, Heather L. Pearlman, Deputy Director, Julia M. Collison, Assistant Director.

OPINION AND ORDER

SOLOMSON, Judge.

Petitioner, Christopher Demore, filed this action pursuant to the National Vaccine Injury Compensation Program, 42 U.S.C. §§ 300aa-1 et seq. (“Vaccine Act”), alleging that an influenza vaccination (“flu vaccine”) caused him injuries, including a neurological condition known as myasthenia gravis. ECF No. 1 at 1. On September 26, 2024, Special Master Christian J. Moran denied Mr. Demore’s petition for vaccine compensation. ECF No. 82. The Special Master concluded that Mr. Demore did not meet his burden to prove, by a preponderance of evidence, that the flu vaccine caused Mr. Demore’s injury. Id. at 11–12. Mr. Demore now petitions this Court for review of the Special Master’s decision. ECF No. 84. For the reasons explained below, this Court concludes that the Special Master applied the correct standard of review and evidentiary burden to Mr. Demore’s claim. Accordingly, the Special Master’s decision is affirmed.

* This decision was initially issued under seal on February 26, 2025, in accordance with Rule 18(b) of the Vaccine Rules of the United States Court of Federal Claims, to permit the parties time to propose redactions based upon privacy concerns. The parties proposed no redactions and thus this Court reissues the decision for publication. I. FACTUAL AND PROCEDURAL BACKGROUND

Mr. Demore received a flu vaccine on October 2, 2018. ECF No. 82 at 2. At the time, he was 67 years old, worked as a chef, and had no relevant pre-existing medical conditions. ECF No. 84 at 10; ECF No. 82 at 2. Two weeks after receiving the flu vaccine, Mr. Demore developed diplopia, or double vision. ECF No. 4 at 10. He later developed other “stroke-like” symptoms and was seen by several medical professionals inside and outside of a hospital. ECF No. 84 at 11; ECF No. 82 at 2. Eventually, Mr. Demore was diagnosed with myasthenia gravis, which doctors believed to be the cause of his various ailments. ECF No. 84 at 12; ECF No. 82 at 2. The retained experts of both parties agree with that diagnosis. ECF No. 82 at 2. The ebbs and flows of Mr. Demore’s illness are further documented in the medical records that were submitted as record evidence in this case. See ECF No. 64-1. Mr. Demore’s condition has adversely affected his life; it has limited his use of his right hand, impacted his speech, his ability to eat and drink, and was the catalyst for further medical complications. ECF No. 64-3 at 1.

On September 24, 2020, Mr. Demore initiated this case with his filing of a petition for compensation pursuant to the Vaccine Act. ECF No. 1. Mr. Demore asserts that the flu vaccine caused the onset of myasthenia gravis, and that he is therefore entitled to compensation under the Vaccine Act. ECF No. 1. On September 25, 2020, this case was assigned to Chief Special Master Brian H. Corcoran. ECF No. 4. Mr. Demore filed his medical records on October 5, 2020. ECF. No. 6. The case was reassigned to Special Master Moran on November 18, 2020. ECF No. 9.

On September 26, 2024, after the case was briefed by both parties, Special Master Moran concluded that “the evidence regarding how the flu vaccine can cause myasthenia gravis is lacking in persuasiveness,” and, therefore, “Mr. Demore . . . cannot receive compensation.” ECF No. 82 at 12.

On October 28, 2024, Mr. Demore filed a motion for review of the Special Master’s decision, asking this Court both to set aside the Special Master’s conclusions of law and to find that Mr. Demore has satisfied his burden of proving that the vaccine caused his injuries. ECF No. 84 at 26. In the alternative, he asks this Court to remand the case to the Special Master. Id. On November 25, 2024, Respondent filed its response. ECF No. 87. The Court now considers Mr. Demore’s motion for review.

II. STANDARD OF REVIEW

Pursuant to the Vaccine Act, this Court has jurisdiction to review a special master’s decision upon the filing of a petition from either party within thirty days of that decision. 42 U.S.C. § 300aa-12(e)(1). On review, this Court may:

2 (A) uphold the findings of fact and conclusions of law of the special master and sustain the special master’s decision, (B) set aside any findings of fact or conclusion of law of the special master found to be arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law and issue its own findings of fact and conclusions of law, or (C) remand the petition to the special master for further action in accordance with the court’s direction. 42 U.S.C. § 300aa-12(e)(2).

“Under the Vaccine Act, the Court of Federal Claims reviews the Special Master’s decision to determine if it is ‘arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with the law.’” Markovich v. Sec’y of Health & Hum. Servs., 477 F.3d 1353, 1355–56 (Fed. Cir. 2007). “‘Arbitrary and capricious’ is a highly deferential standard of review: ‘[i]f the special master has considered the relevant evidence of record, drawn plausible inferences and articulated a rational basis for the decision, reversible error will be extremely difficult to demonstrate.’” Rodriguez v. Sec’y of Health & Hum. Servs., 632 F.3d 1381, 1384 (Fed. Cir. 2011) (quoting Hines on Behalf of Sevier v. Sec’y of Health & Hum. Servs., 940 F.2d 1518, 1528 (Fed. Cir. 1991)). While a special master’s overall conclusion is reviewed under the deferential standard of review, a special master’s conclusions of law are reviewed de novo. Id. (citing Markovich, 477 F.3d at 1356).

Accordingly, while a special master’s decision “is entitled to deference,” Morse v. Sec’y of Health & Hum. Servs., 93 Fed. Cl. 780, 783 (2010), this Court will find that a special master has abused his discretion if his decision: “(1) is clearly unreasonable, arbitrary, or fanciful; (2) is based on an erroneous conclusion of law; (3) rests on clearly erroneous fact findings; or (4) follows from a record that contains no evidence on which the [special master] could rationally base [his] decision.” Wirtshafter v. Sec’y of Health & Hum. Servs., 155 Fed. Cl. 665, 671 (2021) (quoting Ninestar Tech. Co. v. Int’l Trade Comm’n, 667 F.3d 1373, 1379 (Fed. Cir. 2012)). 1

Our appellate court, the United States Court of Appeals for the Federal Circuit, has thus explained that “the statute contemplates that fact finding will be done by the special master.” Munn v. Sec’y of Health & Hum. Servs., 970 F.2d 863, 870 (Fed. Cir. 1992).

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