Fuller v. Secretary of Health and Human Services

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: January 29, 2024

* * * * * * * * * * * * * * * * ANDREA FULLER, on behalf of her * UNPUBLISHED Minor Child, B.F., * * Petitioner, * No. 15-1470V * v. * Special Master Dorsey * SECRETARY OF HEALTH * Damages Award; Diphtheria-Tetanus- AND HUMAN SERVICES, * Acellular Pertussis (“DTaP”) Vaccine; * Measles Mumps Rubella (“MMR”) Vaccine; Respondent. * Febrile Seizures; Epilepsy. * * * * * * * * * * * * * * * * *

Curtis R. Webb, Monmouth, OR, for Petitioner. Mary Eileen Holmes, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION AWARDING DAMAGES BASED ON PROFFER1

On December 4, 2015, Andrea Fuller (“Petitioner”), on behalf of her minor child, B.F., filed a petition for compensation under the National Vaccine Injury Compensation Program (“Vaccine Act” or “the Program”), 42 U.S.C. § 300aa-10 et seq. (2018).2 Petitioner alleged that as a result of receiving a diphtheria-tetanus-acellular-pertussis (“DTaP”) vaccine on March 12, 2014, B.F. suffered from complex febrile seizures and developed epilepsy, and a measles mumps rubella (“MMR”) vaccine B.F. received on September 18, 2014 significantly aggravated B.F.’s

1 Because this Decision contains a reasoned explanation for the action in this case, the undersigned is required to post it on the United States Court of Federal Claims’ website and/or at https://www.govinfo.gov/app/collection/uscourts/national/cofc in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2018) (Federal Management and Promotion of Electronic Government Services). This means the Decision 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, the undersigned agrees that the identified material fits within this definition, the undersigned will redact such material from public access.

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 (2018). All citations in this Decision to individual sections of the Vaccine Act are to 42 U.S.C. § 300aa.

1 condition. Amended Petition (“Am. Petition”) at 2 (ECF No. 132). On December 17, 2019, the undersigned issued a ruling finding Petitioner entitled to compensation. Ruling on Entitlement dated Dec. 17, 2019 (ECF No. 140).

On January 29, 2024, Respondent filed a Proffer on Award of Compensation (“Proffer”), attached hereto as Appendix A. In the Proffer, Respondent represented that Petitioner agrees with the proffered award. Proffer at 1-3. Based on the record as a whole, the undersigned finds that Petitioner is entitled to an award as stated in the Proffer.

Pursuant to the terms stated in the attached Proffer, the undersigned awards Petitioner:

(1) A lump sum payment of $678,053.89, representing compensation for life care expenses in the first year after judgment ($58,710.52), partial lost future earnings ($404,343.37), and pain and suffering ($215,000.00), in the form of a check payable to Petitioner, as guardian(s)/ conservator(s) of the estate of B.F., for the benefit of B.F. (2) A lump sum payment of $10,272.66, representing compensation for past unreimbursable expenses, in the form of a check payable to Petitioner, Andrea Fuller. (3) An amount sufficient to purchase the annuity contract, subject to the conditions described in Section II.C., that will provide payments for the life care items contained in the life care plan, as illustrated by the chart at Tab A attached to the Proffer, paid to the life insurance company from which the annuity will be purchased.

Proffer at 3-4.

In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of the Court SHALL ENTER JUDGMENT herewith.3

IT IS SO ORDERED.

s/Nora Beth Dorsey Nora Beth Dorsey Special Master

3 Pursuant to Vaccine Rule 11(a), entry of judgment is expedited by the parties’ joint filing of notice renouncing the right to seek review.

2 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS __________________________________________ ) ANDREA FULLER, on behalf of her ) Minor Child, B.F., ) Petitioner, ) ) v. ) No. 15-1470V ) Special Master Dorsey SECRETARY OF THE DEPARTMENT OF ) ECF HEALTH AND HUMAN SERVICES, ) ) Respondent. ) __________________________________________)

RESPONDENT'S PROFFER ON AWARD OF COMPENSATION

On December 4, 2015, Andrea Fuller (“petitioner”), on behalf of her minor child, B.F.,

filed a petition for compensation under the National Childhood Vaccine Injury Act of 1986, 42

U.S.C. §§ 300aa-1 to -34 (“Vaccine Act” or “Act”), alleging that as a result of receiving a

diphtheria-tetanus-acellular-pertussis (“DTaP”) vaccine on March 12, 2014, B.F. suffered from

complex febrile seizures and developed epilepsy, and further alleging that a measles mumps

rubella (“MMR”) vaccine B.F. received on September 18, 2014 significantly aggravated B.F.’s

condition. Amended Petition at 2 (ECF No. 132). On December 17, 2019, Special Master

Dorsey issued a Ruling on Entitlement in favor of petitioner. ECF No. 142. Respondent now

proffers the following regarding the amount of compensation to be awarded.1

1 The parties have no objection to the amount of the proffered award of damages. However, respondent reserves his right, pursuant to 42 U.S.C. § 300aa-12(f), to seek review of the Special Master’s December 17, 2019, Ruling on Entitlement, finding petitioner entitled to an award under the Vaccine Act. This right accrues following the issuance of the damages decision. -1- I. Items of Compensation

A. Life Care Items

Respondent engaged life care planner M. Virginia Walton, M.S.N., RN, FNP, CNLCP,

and petitioner engaged Liz Kattman, M.S. and Helen Woodard, M.A., of ReEntry Rehabilitation

Services, Inc., to provide an estimation of B.F.’s future vaccine-injury related needs. For the

purposes of this proffer, the term “vaccine related” is as described in the Special Master’s

December 17, 2019 Ruling on Entitlement. All items of compensation identified in the life care

plan are supported by the evidence and are illustrated by the chart entitled Appendix A: Items of

Compensation for B.F., attached hereto as Tab A.2 Petitioner agrees.

B. Partial Lost Future Earnings

The parties agree that based upon the evidence of record, B.F. is not likely to be fully

employed in the future. Therefore, respondent proffers that B.F. should be awarded partial lost

future earnings as provided under the Vaccine Act, 42 U.S.C. § 300aa-15(a)(3)(B). Respondent

proffers that the appropriate award for B.F.'s partial lost future earnings is $404,343.37.

Petitioner agrees.

C. Pain and Suffering

Respondent proffers that B.F. should be awarded $215,000.00 in actual pain and

suffering. See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.

2 The chart at Tab A illustrates the annual benefits provided by the life care plan. The annual benefit years run from the date of judgment up to the first anniversary of the date of judgment, and every year thereafter up to the anniversary of the date of judgment. -2- D. Past Unreimbursable Expenses

Evidence supplied by petitioner documents her expenditure of past unreimbursable

expenses related to B.F.’s vaccine-related injury. Respondent proffers that petitioner should be

awarded past unreimbursable expenses in the amount of $10,272.66. Petitioner agrees.

II. Form of the Award

The parties recommend that the compensation provided to B.F. should be made through a

combination of lump sum payments and future annuity payments as described below, and request

that the Special Master's decision and the Court's judgment award the following:3

A. A lump sum payment of $678,053.89, representing compensation for life care

expenses in the first year after judgment ($58,710.52), partial lost future earnings ($404,343.37),

and pain and suffering ($215,000.00), in the form of a check payable to petitioner, as

guardian(s)/ conservator(s) of the estate of B.F., for the benefit of B.F. No payments shall be

made until petitioner provides respondent with documentation establishing that she has been

appointed as the guardian(s)/conservator(s) of B.F.’s estate. If petitioner is not authorized by a

court of competent jurisdiction to serve as guardian(s)/conservator(s) of the estate of B.F., any

such payment shall be made to the party or parties appointed by a court of competent jurisdiction

to serve as guardian(s)/conservator(s) of the estate of B.F. upon submission of written

documentation of such appointment to the Secretary.

B. A lump sum payment of $10,272.66, representing compensation for past

unreimbursable expenses, in the form of a check payable to petitioner, Andrea Fuller.

3 Should B.F. die prior to entry of judgment, the parties reserve the right to move the Court for appropriate relief. In particular, respondent would oppose any award for future medical expenses, lost future earnings, and future pain and suffering.

-3- C. An amount sufficient to purchase the annuity contract,4 subject to the conditions

described below, that will provide payments for the life care items contained in the life care plan,

as illustrated by the chart at Tab A attached hereto, paid to the life insurance company5 from

which the annuity will be purchased.6 Compensation for Year Two (beginning on the first

anniversary of the date of judgment) and all subsequent years shall be provided through

respondent's purchase of an annuity, which annuity shall make payments directly to petitioner

only so long as B.F. is alive at the time a particular payment is due. At the Secretary's sole

discretion, the periodic payments may be provided to petitioner in monthly, quarterly, annual or

other installments. The "annual amounts" set forth in the chart at Tab A describe only the total

yearly sum to be paid to petitioner and do not require that the payment be made in one annual

installment.

4 In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life insurance companies. 5 The Life Insurance Company must have a minimum of $250,000,000 capital and surplus, exclusive of any mandatory security valuation reserve. The Life Insurance Company must have one of the following ratings from two of the following rating organizations:

a. A. M. Best Company: A++, A+, A+g, A+p, A+r, or A+s;

b. Moody's Investor Service Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa;

c. Standard and Poor's Corporation Insurer Claims-Paying Ability Rating: AA-, AA, AA+, or AAA;

d. Fitch Credit Rating Company, Insurance Company Claims Paying Ability Rating: AA-, AA, AA+, or AAA. 6 Petitioner authorizes the disclosure of certain documents filed by the petitioner in this case consistent with the Privacy Act and the routine uses described in the National Vaccine Injury Compensation Program System of Records, No. 09-15-0056. -4- 1. Growth Rate

Respondent proffers that a four percent (4%) growth rate should be applied to all non-

medical life care items, and a five percent (5%) growth rate should be applied to all medical life

care items. Thus, the benefits illustrated in the chart at Tab A that are to be paid through annuity

payments should grow as follows: four percent (4%) compounded annually from the date of

judgment for non-medical items, and five percent (5%) compounded annually from the date of

judgment for medical items. Petitioner agrees.

2. Life-Contingent Annuity

The petitioner will continue to receive the annuity payments from the Life Insurance

Company only so long as B.F. is alive at the time that a particular payment is due. Written

notice shall be provided to the Secretary of Health and Human Services and the Life Insurance

Company within twenty (20) days of B.F.’s death.

3. Guardianship

No payments shall be made until petitioner provides respondent with documentation

establishing that she has been appointed as the guardian(s)/conservator(s) of B.F.’s estate. If

petitioner is not authorized by a court of competent jurisdiction to serve as guardian(s)/

conservator(s) of the estate of B.F., any such payment shall be made to the party or parties

appointed by a court of competent jurisdiction to serve as guardian(s)/conservator(s) of the estate

of B.F. upon submission of written documentation of such appointment to the Secretary.

-5- III. Summary of Recommended Payments Following Judgment

A. Lump Sum paid to the court-appointed guardian(s)/ conservator(s) of the estate of B.F. for the benefit of B.F.: $678,053.89

B. Past unreimbursable expenses payable to petitioner: $ 10,272.66

C. An amount sufficient to purchase the annuity contract described above in section II. C.

Respectfully submitted,

BRIAN M. BOYNTON Principal Deputy Assistant Attorney General

C. SALVATORE D’ALESSIO Director Torts Branch, Civil Division

HEATHER L. PEARLMAN Deputy Director Torts Branch, Civil Division

DARRYL R. WISHARD Assistant Director Torts Branch, Civil Division

/s/Mary E. Holmes MARY E. HOLMES Trial Attorney Torts Branch, Civil Division U. S. Department of Justice P.O. Box l46, Benjamin Franklin Station Washington, D.C. 20044-0146 Direct dial: (202) 616-5022 Mary.E.Holmes@usdoj.gov

Dated: January 29, 2024

-6- Appendix A: Items of Compensation for B. F. Page 1 of 14

Lump Sum ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 2024 2025 2026 2027 2028 2029 2030 2031 BlueCross Deductible/ Maximum out of Pocket 5% 2,500.00 2,500.00 500.00 500.00 500.00 500.00 500.00 500.00 ACA Premium 5% M ACA Deductible 5% Medicare Part B Deductible 5% Medigap 5% M Medicare Part D 5% M Prmimary Care Physician 5% * 62.50 62.50 62.50 62.50 62.50 62.50 Neurologist 5% * 75.00 75.00 75.00 75.00 75.00 75.00 Psychiatry 5% * 100.00 100.00 100.00 100.00 100.00 100.00 Depakote 5% * 96.00 96.00 96.00 96.00 96.00 96.00 Diastat 5% * 159.40 159.40 159.40 159.40 159.40 159.40 Clonazepam 5% * 8.00 8.00 8.00 8.00 8.00 8.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 14.40 14.40 14.40 14.40 14.40 14.40 Depakote Level 5% * 24.60 24.60 24.60 24.60 24.60 24.60 CBC w/ Differential 5% * 13.80 13.80 13.80 13.80 13.80 13.80 CMP 5% * 86.40 86.40 86.40 86.40 86.40 86.40 EEG Sleep Deprived 5% * 107.50 107.50 107.50 107.50 107.50 107.50 EEG 5% * 466.00 Respite Care 4% M 19,440.00 19,440.00 19,440.00 19,440.00 19,440.00 19,440.00 19,440.00 Aide Level Care 4% M 12,090.00 12,090.00 12,090.00 12,090.00 12,090.00 12,090.00 12,090.00 22,568.00 Assistance for Transportation 4% 360.00 Life Coaching 4% M 6,600.00 6,600.00 6,600.00 13,200.00 13,200.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 900.00 900.00 900.00 900.00 600.00 600.00 Neuropsych Evaluation 4% * 2,050.00 Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M 18,000.00 12,240.00 Appendix A: Items of Compensation for B. F. Page 2 of 14

Lump Sum ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 2024 2025 2026 2027 2028 2029 2030 2031 Tutoring 4% M 2,736.00 2,736.00 2,736.00 2,736.00 2,736.00 2,736.00 2,736.00 2,736.00 Voc Rehab Assess 4% 2,160.00 Heavy Housekeeping 4% M Seizure Monitoring Watch 4% 249.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% 530.00 530.00 Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 10.00 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 146.52 146.52 146.52 146.52 146.52 146.52 146.52 146.52 Partial Lost Future Earnings 404,343.37 Pain and Suffering 215,000.00 Past Unreimbursable Expenses 10,272.66 Annual Totals 688,326.55 52,247.85 39,655.45 48,305.45 46,721.45 48,945.45 52,555.45 43,953.45 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent. Appendix A: Items of Compensation for B. F. Page 3 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16 2032 2033 2034 2035 2036 2037 2038 2039 BlueCross Deductible/ Maximum out of Pocket 5% 500.00 500.00 500.00 500.00 500.00 500.00 500.00 ACA Premium 5% M 4,019.64 ACA Deductible 5% 600.00 Medicare Part B Deductible 5% Medigap 5% M Medicare Part D 5% M Prmimary Care Physician 5% * 62.50 62.50 62.50 62.50 62.50 62.50 62.50 37.50 Neurologist 5% * 25.00 25.00 25.00 25.00 25.00 25.00 25.00 40.00 Psychiatry 5% * 100.00 100.00 100.00 100.00 100.00 100.00 100.00 160.00 Depakote 5% * 96.00 96.00 96.00 96.00 96.00 96.00 96.00 420.00 Diastat 5% * 159.40 159.40 159.40 159.40 159.40 159.40 159.40 100.00 Clonazepam 5% * 8.00 8.00 8.00 8.00 8.00 8.00 8.00 10.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 14.40 14.40 14.40 14.40 14.40 14.40 14.40 20.00 Depakote Level 5% * 24.60 24.60 24.60 24.60 24.60 24.60 24.60 20.00 CBC w/ Differential 5% * 13.80 13.80 13.80 13.80 13.80 13.80 20.00 CMP 5% * 86.40 86.40 86.40 86.40 86.40 86.40 86.40 20.00 EEG Sleep Deprived 5% * 107.50 107.50 107.50 107.50 107.50 107.50 350.00 EEG 5% * Respite Care 4% M Aide Level Care 4% M 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 Assistance for Transportation 4% 360.00 360.00 360.00 360.00 360.00 360.00 360.00 360.00 Life Coaching 4% M 13,200.00 13,200.00 13,200.00 13,200.00 13,200.00 6,600.00 6,600.00 3,300.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 600.00 600.00 600.00 600.00 600.00 600.00 600.00 180.00 Neuropsych Evaluation 4% * Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M Appendix A: Items of Compensation for B. F. Page 4 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16 2032 2033 2034 2035 2036 2037 2038 2039 Tutoring 4% M 2,736.00 2,736.00 Voc Rehab Assess 4% 432.00 432.00 432.00 432.00 432.00 432.00 432.00 Heavy Housekeeping 4% M 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 Seizure Monitoring Watch 4% 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 3.33 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 48.84 48.84 48.84 48.84 48.84 48.84 48.84 48.84 Partial Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 44,885.77 45,317.77 42,581.77 42,581.77 42,581.77 35,981.77 35,860.47 36,881.31 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent. Appendix A: Items of Compensation for B. F. Page 5 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 17 Year 18 Year 19 Year 20 Year 21 Year 22 Year 23 Year 24 2040 2041 2042 2043 2044 2045 2046 2047 BlueCross Deductible/ Maximum out of Pocket 5% ACA Premium 5% M 4,113.84 4,266.96 4,392.48 4,455.36 4,549.56 4,643.76 4,702.68 4,765.44 ACA Deductible 5% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Medicare Part B Deductible 5% Medigap 5% M Medicare Part D 5% M Prmimary Care Physician 5% * 37.50 37.50 37.50 37.50 37.50 37.50 37.50 37.50 Neurologist 5% * 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 Psychiatry 5% * 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 Depakote 5% * 420.00 420.00 420.00 420.00 420.00 420.00 420.00 420.00 Diastat 5% * 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 Clonazepam 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 Depakote Level 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 CBC w/ Differential 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 CMP 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 EEG Sleep Deprived 5% * 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 EEG 5% * Respite Care 4% M Aide Level Care 4% M 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 Assistance for Transportation 4% 360.00 360.00 360.00 360.00 360.00 360.00 360.00 360.00 Life Coaching 4% M 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 180.00 180.00 180.00 180.00 180.00 180.00 180.00 180.00 Neuropsych Evaluation 4% * Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M Appendix A: Items of Compensation for B. F. Page 6 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 17 Year 18 Year 19 Year 20 Year 21 Year 22 Year 23 Year 24 2040 2041 2042 2043 2044 2045 2046 2047 Tutoring 4% M Voc Rehab Assess 4% 432.00 432.00 432.00 432.00 432.00 432.00 432.00 432.00 Heavy Housekeeping 4% M 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 Seizure Monitoring Watch 4% 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 3.33 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 48.84 48.84 48.84 48.84 48.84 48.84 48.84 48.84 Partial Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 36,790.51 36,943.63 37,069.15 37,132.03 37,226.23 37,320.43 37,379.35 37,442.11 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent. Appendix A: Items of Compensation for B. F. Page 7 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 25 Year 26 Year 27 Year 28 Year 29 Year 30 Year 31 Year 32 2048 2049 2050 2051 2052 2053 2054 2055 BlueCross Deductible/ Maximum out of Pocket 5% ACA Premium 5% M 4,796.88 4,828.20 4,859.64 4,891.08 4,953.84 5,016.72 5,110.92 5,201.16 ACA Deductible 5% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Medicare Part B Deductible 5% Medigap 5% M Medicare Part D 5% M Prmimary Care Physician 5% * 37.50 37.50 37.50 37.50 37.50 37.50 37.50 37.50 Neurologist 5% * 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 Psychiatry 5% * 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 Depakote 5% * 420.00 420.00 420.00 420.00 420.00 420.00 420.00 420.00 Diastat 5% * 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 Clonazepam 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 Depakote Level 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 CBC w/ Differential 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 CMP 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 EEG Sleep Deprived 5% * 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 EEG 5% * Respite Care 4% M Aide Level Care 4% M 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 Assistance for Transportation 4% 360.00 360.00 360.00 360.00 360.00 360.00 360.00 360.00 Life Coaching 4% M 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 180.00 75.00 75.00 75.00 75.00 75.00 75.00 75.00 Neuropsych Evaluation 4% * Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M Appendix A: Items of Compensation for B. F. Page 8 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 25 Year 26 Year 27 Year 28 Year 29 Year 30 Year 31 Year 32 2048 2049 2050 2051 2052 2053 2054 2055 Tutoring 4% M Voc Rehab Assess 4% 432.00 432.00 432.00 432.00 432.00 432.00 432.00 432.00 Heavy Housekeeping 4% M 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 Seizure Monitoring Watch 4% 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 3.33 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 48.84 48.84 48.84 48.84 48.84 48.84 48.84 48.84 Partial Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 37,473.55 37,399.87 37,431.31 37,462.75 37,525.51 37,588.39 37,682.59 37,772.83 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent. Appendix A: Items of Compensation for B. F. Page 9 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 33 Year 34 Year 35 Year 36 Year 37 Year 38 Year 39 Year 40 2056 2057 2058 2059 2060 2061 2062 2063 BlueCross Deductible/ Maximum out of Pocket 5% ACA Premium 5% M 5,326.80 5,483.76 5,668.32 5,888.16 6,135.36 6,418.08 6,696.72 7,010.76 ACA Deductible 5% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Medicare Part B Deductible 5% Medigap 5% M Medicare Part D 5% M Prmimary Care Physician 5% * 37.50 37.50 37.50 37.50 37.50 37.50 37.50 37.50 Neurologist 5% * 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 Psychiatry 5% * 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 Depakote 5% * 420.00 420.00 420.00 420.00 420.00 420.00 420.00 420.00 Diastat 5% * 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 Clonazepam 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 Depakote Level 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 CBC w/ Differential 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 CMP 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 EEG Sleep Deprived 5% * 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 EEG 5% * Respite Care 4% M Aide Level Care 4% M 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 Assistance for Transportation 4% 360.00 360.00 360.00 360.00 360.00 360.00 360.00 360.00 Life Coaching 4% M 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 75.00 75.00 75.00 75.00 75.00 75.00 75.00 75.00 Neuropsych Evaluation 4% * Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M Appendix A: Items of Compensation for B. F. Page 10 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 33 Year 34 Year 35 Year 36 Year 37 Year 38 Year 39 Year 40 2056 2057 2058 2059 2060 2061 2062 2063 Tutoring 4% M Voc Rehab Assess 4% 432.00 432.00 432.00 432.00 432.00 432.00 432.00 432.00 Heavy Housekeeping 4% M 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 Seizure Monitoring Watch 4% 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 3.33 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 48.84 48.84 48.84 48.84 48.84 48.84 48.84 48.84 Partial Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 37,898.47 38,055.43 38,239.99 38,459.83 38,707.03 38,989.75 39,268.39 39,582.43 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent. Appendix A: Items of Compensation for B. F. Page 11 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 41 Year 42 Year 43 Year 44 Year 45 Year 46 Year 47 Year 48 2064 2065 2066 2067 2068 2069 2070 2071 BlueCross Deductible/ Maximum out of Pocket 5% ACA Premium 5% M 7,320.84 7,662.36 8,007.84 8,380.80 8,753.64 9,158.04 9,566.28 10,002.00 ACA Deductible 5% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Medicare Part B Deductible 5% Medigap 5% M Medicare Part D 5% M Prmimary Care Physician 5% * 37.50 37.50 37.50 37.50 37.50 37.50 37.50 37.50 Neurologist 5% * 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 Psychiatry 5% * 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 Depakote 5% * 420.00 420.00 420.00 420.00 420.00 420.00 420.00 420.00 Diastat 5% * 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 Clonazepam 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 Depakote Level 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 CBC w/ Differential 5% * 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 CMP 5% * 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 EEG Sleep Deprived 5% * 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 EEG 5% * Respite Care 4% M Aide Level Care 4% M 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 Assistance for Transportation 4% 360.00 360.00 360.00 360.00 360.00 360.00 360.00 360.00 Life Coaching 4% M 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 75.00 75.00 75.00 75.00 75.00 75.00 75.00 75.00 Neuropsych Evaluation 4% * Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M Appendix A: Items of Compensation for B. F. Page 12 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 41 Year 42 Year 43 Year 44 Year 45 Year 46 Year 47 Year 48 2064 2065 2066 2067 2068 2069 2070 2071 Tutoring 4% M Voc Rehab Assess 4% 432.00 432.00 432.00 432.00 432.00 432.00 432.00 432.00 Heavy Housekeeping 4% M 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 Seizure Monitoring Watch 4% 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 3.33 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 48.84 48.84 48.84 48.84 48.84 48.84 48.84 48.84 Partial Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 39,892.51 40,234.03 40,579.51 40,952.47 41,325.31 41,729.71 42,137.95 42,573.67 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent. Appendix A: Items of Compensation for B. F. Page 13 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 49 Year 50 Year 51 Year 52 Year 53 Year 54 Years 55-56 Years 57-Life 2072 2073 2074 2075 2076 2077 2078-2079 2080-Life BlueCross Deductible/ Maximum out of Pocket 5% ACA Premium 5% M 10,217.88 10,653.60 11,030.40 11,277.72 11,587.80 11,775.96 ACA Deductible 5% 600.00 600.00 600.00 600.00 600.00 600.00 Medicare Part B Deductible 5% 240.00 240.00 Medigap 5% M 2,412.00 2,412.00 Medicare Part D 5% M 1,715.16 1,715.16 Prmimary Care Physician 5% * 37.50 37.50 37.50 37.50 37.50 37.50 Neurologist 5% * 40.00 40.00 40.00 40.00 40.00 40.00 Psychiatry 5% * 160.00 160.00 160.00 160.00 160.00 160.00 Depakote 5% * 420.00 420.00 420.00 420.00 420.00 420.00 Diastat 5% * 100.00 100.00 100.00 100.00 100.00 100.00 Clonazepam 5% * 10.00 10.00 10.00 10.00 10.00 10.00 Luna OTC 4% 127.00 127.00 127.00 127.00 127.00 127.00 127.00 127.00 Lab Testing Draw Fee 5% * 20.00 20.00 20.00 20.00 20.00 20.00 Depakote Level 5% * 20.00 20.00 20.00 20.00 20.00 20.00 CBC w/ Differential 5% * 10.00 10.00 10.00 10.00 10.00 10.00 CMP 5% * 20.00 20.00 20.00 20.00 20.00 20.00 EEG Sleep Deprived 5% * 175.00 175.00 175.00 175.00 175.00 175.00 EEG 5% * Respite Care 4% M Aide Level Care 4% M 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 22,568.00 Assistance for Transportation 4% 360.00 360.00 360.00 360.00 360.00 360.00 360.00 360.00 Life Coaching 4% M 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 Cognitive Behavioral Therapy 4% * Psychological Counseling 4% * 75.00 75.00 75.00 75.00 75.00 75.00 Neuropsych Evaluation 4% * Case Management 4% M 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 2,592.00 Speech Therapy Evaluations & Speech Therapy 4% * M Appendix A: Items of Compensation for B. F. Page 14 of 14

ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation COMPENSATION G.R. * M Year 49 Year 50 Year 51 Year 52 Year 53 Year 54 Years 55-56 Years 57-Life 2072 2073 2074 2075 2076 2077 2078-2079 2080-Life Tutoring 4% M Voc Rehab Assess 4% 432.00 432.00 432.00 432.00 432.00 432.00 432.00 Heavy Housekeeping 4% M 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 1,080.00 Seizure Monitoring Watch 4% 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 Seizure Monitoring Watch Monitoring 4% 240.00 240.00 240.00 240.00 240.00 240.00 240.00 240.00 Video Monitoring 4% Cooling Towels/Blankets/Fan 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Pill Box 4% 3.33 3.33 3.33 3.33 3.33 3.33 3.33 3.33 Medical Mileage 4% 48.84 48.84 48.84 48.84 48.84 48.84 48.84 48.84 Partial Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 42,789.55 43,225.27 43,602.07 43,849.39 44,159.47 44,347.63 35,251.33 34,819.33 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/ conservators(s) of the estate of B.F., for the benefit of B.F., for partial lost future earnings ($404,343.37), pain and suffering ($215,000.00), and Yr 1 life care expenses ($58,710.52): $678,053.89. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner, Andrea Fuller, for past un-reimbursable expenses: $10,272.66. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.