Eloyan v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedOctober 1, 2025
Docket18-1450V
StatusPublished

This text of Eloyan v. Secretary of Health and Human Services (Eloyan 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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Eloyan v. Secretary of Health and Human Services, (uscfc 2025).

Opinion

In the United States Court of Federal Claims No. 18-1450 Filed: September 11, 2025 Reissued: October 1, 2025 †

VAHAN ELOYAN,

Petitioner,

v.

SECRETARY OF HEALTH AND HUMAN SERVICES,

Respondent.

Vahan Eloyan, Elkins Park, PA, Pro Se Petitioner.

Irene A. Firippis, Trial Attorney, Alexis B. Babcock, Assistant Director, Heather L. Pearlman, Deputy Director, C. Salvatore D’Alessio, Director, Torts Branch, Yaakov M. Roth, Acting Assistant Attorney General, Civil Division, U.S. Department of Justice, Washington, D.C., for Respondent.

MEMORANDUM OPINION AND ORDER

TAPP, Judge.

Disappointment alone may warrant sympathy, but it cannot overturn a sound judgment. In this vaccine case, Vahan Eloyan (“Mr. Eloyan”) previously moved to reconsider the dismissal of his petition, expressing deep dissatisfaction not only with the outcome of his case but also with the representation he received throughout litigation. He now moves for review of the Special Master’s decision denying him relief, arguing that the circumstances call for reconsideration. (Mot. for Review (“Pet’r’s Mot.”), ECF No. 102). Although his disappointment is palpable and his concerns about counsel’s performance are noted, Mr. Eloyan has not met the burden required to disturb the Special Master’s decision. Accordingly, Mr. Eloyan’s Motion for Review is DENIED.

† This Opinion was originally filed under seal on September 11, 2025. (ECF No. 111). The Court provided parties the opportunity to review this Opinion for any proprietary, confidential, or other protected information and submit proposed redactions. In a Joint Status Report filed September 23, (ECF No. 112), the parties indicated that no redactions were required. I. Background

On September 21, 2018, Mr. Eloyan sought relief from the National Vaccine Injury Compensation Program, alleging injury from the influenza (“flu”) and tetanus, diphtheria, acellular pertussis (“Tdap”) vaccines he received on December 14, 2015. (Petition (“Pet.”), ECF No. 1); National Childhood Vaccine Injury Act of 1986 (“Vaccine Act”), Pub. L. No. 99-660, 100 Stat. 3755 (1986) (codified as amended at 42 U.S.C. §§ 300aa-1 to 34). Before receiving the flu and Tdap vaccinations, Mr. Eloyan had been diagnosed with cerebral palsy and diabetes but maintained an active, independent lifestyle. (Pet. at 2). Mr. Eloyan contends that after vaccination, he developed Transverse Myelitis (“TM”), an inflammatory disorder of the spinal cord, often characterized by “motor, sensory, and autonomic dysfunction.” (Id. at 4; Resp’t’s Ex. E-3 (Transverse Myelitis Consortium Working Group, Proposed diagnostic criteria and nosology of acute transverse myelitis, 59 NEUROLOGY 499–505 (2002))). 1 Mr. Eloyan submits that his condition began with tingling and weakness throughout his extremities, back pain, and gross motor skill difficulties; eventually, his condition escalated to hand contracture, spastic quadriplegia, and a paralytic gait. (Pet. at 2–9; Pet’r’s Mot. at 3, 7; Pet’r’s Exs. 5, 6, 23, 24).

A. Petition and Recommendation to Dismiss

Mr. Eloyan, initially represented by attorney Elizabeth Muldowney (“Ms. Muldowney”), supported his claim with several exhibits, including medical records and expert reports from a neurologist. (Pet’r’s Exs. 1–19, 23–51). However, from the outset, the Secretary of Health and Human Services (“the Secretary”) disputed Mr. Eloyan’s TM diagnosis. (Resp’t’s Rule 4(c) Report at 17–18, 20, ECF No. 26). Specifically, the Secretary submitted that, due in part to Mr. Eloyan’s history of cerebral palsy, it was more likely that his myelopathy was due to trauma—an acute spinal cord injury—rather than inflammation associated with TM. (Id. at 17 (“Myelopathy refers to a clinical syndrome that can be caused by many pathologies. When the myelopathy is due to trauma, it is known as an acute spinal cord injury. When the cause is inflammatory, it is known as myelitis. The most common diagnosis petitioner received was myelopathy of unknown etiology[.]”)). The Secretary supported its position with expert reports from a neurologist, immunologist, and neuroradiologist. (Resp’t’s Exs. A, C, E).

Following a Rule 5 conference, Special Master Oler advised the parties that she found the Secretary’s experts persuasive and tentatively concluded that Mr. Eloyan likely had cervical

1 For his underlying claim, Mr. Eloyan’s supporting exhibits are located on the docket at ECF Nos. 5 (Exs. 1–10), 6 (Exs. 11–19), 20 (Exs. 23–28), 33 (Exs. 29–38), 34 (Exs. 39–43), 37 (Exs. 44–47), 38 (Exs. 48–50 (exhibits filed on compact disc)), and 49 (Ex. 51). Likewise, the Secretary of Health and Human Services’ exhibits are located at ECF Nos. 43 (Exs. A–D), 45 (Exs. A1–A3), 46 (Ex. E), 64 (Exs. C1–C19), 55 (Ex. F), and 66 (Exs. E1–E10). For clarity and readability, the Court will refer to relevant exhibit numbers or titles rather than citing docket entries throughout this Opinion, (“Pet’r’s Ex._,” “Resp’t’s Ex. _”). 2 spondylotic myelopathy (“CSM”), not TM. 2 (Rule 5 Order, ECF No. 52). Finding no viable path forward, Special Master Oler advised Mr. Eloyan to withdraw his case. (Id.). Despite her recommendation, Mr. Eloyan requested an entitlement hearing, which was held almost two years later on November 15, 2023. (ECF No. 57).

B. Entitlement Decision

At the entitlement hearing’s conclusion, Special Master Oler ruled that Mr. Eloyan was not entitled to compensation, finding that “preponderant evidence supports the diagnosis of [CSM], and the record does not support a diagnosis of [TM].” (Entitlement Hr’g Tr., Oler, 175:2–6, ECF No. 78). In the written decision, Special Master Oler expounded on her oral findings. See Eloyan v. Sec’y of Health & Hum. Servs., No. 18-1450V, 2023 WL 9053983 at *1 (Fed. Cl. Spec. Mstr. Nov. 17, 2023), (“Eloyan Dismissal Decision”)). There, she noted that because Mr. Eloyan alleged an off-table injury, he would need to “prove by preponderant evidence that he suffered an injury and that this injury was caused by the vaccination at issue.” Eloyan Dismissal Decision at *6 (citing Capizzano, v. Sec’y of Health & Hum. Servs., 440 F.3d 1317, 1320 (Fed. Cir. 2006)); see also de Bazan v. Sec’y of Health & Hum. Servs., 539 F.3d 1347, 1351 (Fed. Cir. 2008) (holding that a petitioner in off-table injury cases “is not afforded a presumption of causation and thus must prove causation-in-fact.”).

Devoid of medical jargon, Special Master Oler ultimately concluded that Mr. Eloyan’s TM diagnosis was incorrect and that his actual ailment, CSM, was something he would have suffered from regardless of the vaccines. See Eloyan Dismissal Decision. Upon reviewing the diagnostic criteria for acute transverse myelitis, Special Master Oler found that Mr. Eloyan failed to satisfy three requisite factors, thereby rendering him ineligible for entitlement. Id. at *6–9. First, Special Master Oler concluded that Mr. Eloyan had not ruled out myelopathy—a compressive etiology—relying on findings from a multi-disciplinary team at the University of California, San Francisco, which determined that Mr. Eloyan was experiencing spinal cord compression rather than TM despite earlier diagnoses. Id. at *7 (citing Pet’r’s Ex. 16 at 6). Next, Special Master Oler found that Mr. Eloyan did not establish that his condition reached its nadir within twenty-one days of vaccination, the required time frame for a TM diagnosis. 3 Id. at *8–9. Finally, Special Master Oler held that Mr.

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