Goddard v. Secretary of Health and Human Services

United States Court of Federal Claims·Decided September 3, 2019·No. 18-1873·Unpublished

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: August 8, 2019

* * * * * * * * * * * * * TIMOTHY GODDARD, * UNPUBLISHED

*

Petitioner, * No. 18-1873V

*

v. * Special Master Gowen

*

SECRETARY OF HEALTH * Attorneys’ Fees and Costs; AND HUMAN SERVICES, * Reasonable Basis; Influenza (“Flu”);

* Bell’s Palsy.

Respondent. * * * * * * * * * * * * * *

Shealene P. Mancuso, Muller Brazil, LLP, Dresher, PA, for petitioner. Adriana R. Teitel, United States Department of Justice, Washington, DC, for respondent.

DECISION ON ATTORNEYS’ FEES AND COSTS1

On December 6, 2018, Timothy Goddard (“petitioner”) filed a petition in the National Vaccine Injury Compensation Program.2 Petitioner alleged that as a result of an influenza (“flu”) vaccination received on August 31, 2016, petitioner developed Bell’s Palsy with residual injuries and/ or complications lasting for more than six months. Petition (ECF No. 1) at Preamble, ¶ 7. Petitioner now seeks an award of attorneys’ fees and costs. For the foregoing reasons, I find that there was reasonable basis for filing the petition and throughout its very limited pendency. Accordingly, I award $7,917.37 in reasonable attorneys’ fees and costs.

1 Pursuant to the E-Government Act of 2002, see 44 U.S.C. § 3501 note (2012), because this opinion contains a reasoned explanation for the action in this case, I am required 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. This means the opinion will be available to anyone with access to the Internet. Before the decision 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 opinion. Id. If neither party files a motion for redaction within 14 days, the opinion will be posted on the court’s website without any changes. Id. 2 The Program comprises Part 2 of the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-10 et seq. (hereinafter “Vaccine Act” or “the Act”). Hereafter, individual section references will be to 42 U.S.C. § 300aa of the Act.

I. Summary of Relevant Medical Records

On August 31, 2016, petitioner received an inactivated quadrivalent influenza (“flu”)

vaccine at issue at a local pharmacy. Pet. Ex. 1 at 1.

On November 8, 2016, petitioner presented to a hospital emergency room with a five-day history of right-sided facial droop, right eye irritation, poor appetite, malaise, and a rash over the right external ear. The emergency room physician observed a “classic shingles3 vesicular rash to R external ear and auditory canal.” Pet. Ex. 2 at 13. His assessment was “R facial nerve palsy with shingles rash to R ext ear – Ramsay Hunt4 sx.5” Id. at 14. A neurologist was consulted and agreed with that assessment. The final impression was “facial nerve palsy” and “Ramsay Hunt syndrome (geniculate herpes zoster).” The discharge instructions given to petitioner provided that he had “shingles” and “Bell’s palsy.”6 Petitioner was prescribed a seven-day course of valcyclovir7 as well as erythromycin,8 and was instructed to follow up with an eye care specialist. Pet. Ex. 2.

On November 14, 2016, petitioner presented to an optometrist who diagnosed a central corneal ulcer9 in the right eye. The optometrist recommended continuation of valcyclovir and antibiotics; he also referred petitioner to an ophthalmologist. Pet. Ex. 3.

Also on November 14, 2016, petitioner presented to the ophthalmologist, who recorded complaints of discomfort and pain in the right eye. The ophthalmologist’s impression was a marginal corneal ulcer in the right eye, Bell’s palsy involving a rash on the right ear, keratoconjunctivitis,10 and varicella zoster infection. He recommended continuing valcyclovir and antibiotics. Pet. Ex. 4 at 1-3.

3 Shingles is another term for the zoster strain of the herpes virus, which is an inflammatory skin disease. Herpes zoster is “an acute, infectious, usually self-limited disease believed to represent activation of latent human herpes virus 3 in those who have become partially immune after an attack of chickenpox.” Dorland’s Illustrated Medical Dictionary 32nd Ed. (2012) (hereinafter “Dorland’s”) at 852, 1701. Chickenpox is another term for varicella, a highly contagious infectious disease caused by human herpes virus. Dorland’s at 342.

4 Ramsay Hunt syndrome is herpes zoster involving nerves in the face and the ear. It is often associated with facial paralysis and inflammation of the external ear. Dorland’s at 1845.

5 “Sx” is a medical abbreviation for “symptoms.”

6 Bell’s palsy is a unilateral facial paralysis of sudden onset due to lesion of the facial nerve and resulting in characteristic distortion of the face. Dorland’s at 1365.

7 Valcyclovir is an antiviral drug that is administered orally and used for the treatment of herpes zoster in immunocompetent adults. Dorland’s at 2020.

8 Erythromycin is an antibiotic that is effective against a broad spectrum of bacteria. Dorland’s at 645.

9 Keratitis is defined generally as inflammation of the cornea. The sub-type ulcerative keratitis (also referred to as corneal ulcer) involves the complication of ulceration of the corneal epithelium. Dorland’s at 979-80, 1996.

10 Keratoconjunctivitis is inflammation of the cornea as well as the conjunctiva. Dorland’s at 405, 980.

Petitioner continued treatment and monitoring with the ophthalmologist. At the beginning of that course, petitioner experienced right eye pain, itching, tearing, and blurry vision. Various adjustments were made to petitioner’s medication. Additionally, in December 2016, petitioner underwent a tempary partial tarsorrhaphy11 to facilitate healing of the corneal ulcer. Pet. Ex. 4 at 38-40. Over seven months after the initial onset, on July 7, 2017, the ophthalmologist recorded that petitioner was “gradually improving” but was still experiencing symptoms including discharge, dry and crusty eye, light sensitivity. Petitioner was still using erythromycin and artificial tear eye drops. Pet. Ex. 6 at 46-49.

II. Procedural History

On December 6, 2018, petitioner, through the current counsel of record, timely filed the petition in the Vaccine Program. Petition (ECF No. 1). The petition requests compensation for Bell’s palsy resulting from the adverse effects of the influenza vaccine received on August 31, 2016. Id. at Preamble. The petition refers to the hospital records which reflect that the onset of symptoms of the alleged vaccine injury was approximately November 3, 2016 (64 days after the vaccination). Id. at ¶ 3. The petition was accompanied by supporting medical records and a statement of completion (ECF No. 2).

Following petitioner’s filing of the statement of completion, I suspended the deadline for respondent to file his formal report pursuant to Vaccine Rule 4(c) (which requires respondent to file a report “setting forth a full and complete statement of its position as to why an award should or should not be granted”). However, I required respondent to file a status report indicating that respondent, or at a minimum, respondent’s counsel has conducted a preliminary review of the claim to assess whether there were any missing records and whether respondent would be amenable to informal resolution. I ordered respondent to file this status report within 60 days, by February 5, 2019. See Initial Order entered December 7, 2018 (ECF No. 5); Scheduling Order entered December 7, 2018 (Non-PDF).

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