Graham v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedSeptember 15, 2015
Docket14-48
StatusPublished

This text of Graham v. Secretary of Health and Human Services (Graham 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
Graham v. Secretary of Health and Human Services, (uscfc 2015).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS

******************** * ELMER GRAHAM, as parent and * No. 14-048V natural guardian of G.G.G., * Special Master Christian J. Moran a minor child, * Petitioner, * * Filed: August 4, 2015 v. * * Attorneys’ fees and costs; SECRETARY OF HEALTH * reasonable basis. AND HUMAN SERVICES, * * Respondent. * ******************** * Anne C. Toale, Maglio Christopher and Toale, P.A., Sarasota, FL, for petitioner;

Amy P. Kokot, United States Dep’t of Justice, Washington, D.C., for respondent.

PUBLISHED DECISION DENYING MOTION FOR ATTORNEYS’ FEES AND COSTS1

Elmer Graham filed a petition for compensation, on behalf of his child, G.G.G., under the National Childhood Vaccine Injury Act, 42 U.S.C. §§ 300aa-10 through 34 (2012). His petition alleged that G.G.G. suffered intractable seizures, limbic encephalopathy, respiratory failure, and death as the result of a flu vaccine that she received on October 15, 2012. He failed to establish that the flu vaccine harmed G.G.G. and was denied compensation.

1 The E-Government Act of 2002, Pub. L. No. 107-347, 116 Stat. 2899, 2913 (Dec. 17, 2002), requires that the Court post this ruling on its website. Pursuant to Vaccine Rule 18(b), the parties have 14 days to file a motion proposing redaction of medical information or other information described in 42 U.S.C. § 300aa-12(d)(4). Any redactions ordered by the special master will appear in the document posted on the website. Despite being denied compensation, Mr. Graham has filed a motion for an award of attorneys’ fees and costs as permitted by the Vaccine Act. The Secretary has opposed this motion in many respects. Because Mr. Graham has not established that “reasonable basis” supported his petition, he is not eligible for an award of attorneys’ fees and costs. Therefore, his motion is denied.

G.G.G.’s Medical History2

G.G.G. was born in 2006. At the age of 6, she received a flu vaccine on October 15, 2012. Exhibit 1 at 1-3. In his motion for attorneys’ fees, Mr. Graham emphasizes that the vaccine contained a live, attenuated version of the influenza virus. The tradename for this vaccine is FluMist.

Approximately one month later, G.G.G. started having discomfort when she was urinating and lower back pain. The doctor diagnosed her with a urinary tract infection and prescribed an antibiotic. Exhibit 3 at 54-57.3

On November 19, 2012, G.G.G. reported that she had achiness, a sore throat, and a fever that began the previous day. The doctor again diagnosed her as suffering from a urinary tract infection and prescribed a different antibiotic. Exhibit 3 at 50-53.

On November 21, 2012, G.G.G. went a third time to the urgent care center where she had been seen previously. Id. at 46. She complained about having a fever, headache, and achiness throughout her body. Her temperature was 103.3° F.

2 The parties do not contest the chronology of events at the end of G.G.G.'s life. Compare the petition, filed Jan. 22, 2014, with the Secretary's Rule 4 report, filed May 27, 2014, at 2-7. Accordingly, this decision sets forth only a summary of the facts. 3 The materials submitted with the application for attorneys’ fees include a statement that Mr. Graham provided to Ms. Toale, dated March 22, 2013. App. to Pet’r’s Mem. at 10. Mr. Graham asserted that about 10-14 days after the vaccination, G.G.G. “started having random fevers, she began to be less active, and she was having problems concentrating and staying focused on her school work.” Mr. Graham also stated that “about three to [f]our weeks after the vaccine, I noted that late at night while she was sleeping, she was making a sucking or smacking sound with her mouth. I thought that she was grinding her teeth or dreaming, but now I know that she was having seizures.” Id. at 11. Ms. Toale did not transform the statement into an affidavit and she did not submit Mr. Graham’s statement until after the case on the merits ended.

2 She also had some “spotting” on her face. The doctors interpreted her complete blood count as consistent with a viral infection. She was again diagnosed with a urinary tract infection as well as a rash and fever. Id.

On November 23, 2012, G.G.G. had “seizure-like activity” for which her family called an ambulance. While traveling to the hospital, paramedics observed several seizures. Exhibit 5 at 4-5. In the emergency room, G.G.G. required intubation. Id. at 7, 10. Various tests were performed, including a lumbar puncture to test her cerebrospinal fluid (CSF). The CSF testing was consistent with viral meningitis. Exhibit 5 at 7, 9, 23; exhibit 11 at 99.

The next day, G.G.G. was transferred to Arkansas Children’s Hospital by airlift. Her diagnoses at discharge from the first hospital were viral meningitis, an allergic reaction to antibiotics, and a seizure. Exhibit 5 at 11.

G.G.G. remained in Arkansas Children’s Hospital from November 24, 2012, until her unfortunate death on December 14, 2012. Exhibit 11 at 11. During those three weeks, G.G.G. continued to have seizures despite being placed on multiple anti-seizure medications. Id.

G.G.G. underwent many tests. On December 3, 2012, a test indicated that G.G.G. had elevated levels of thyroglobulin and thyroid peroxidase antibodies. Exhibit 11 at 11, 434. An endocrinologist stated that G.G.G. could possibly be suffering from Hashimoto’s encephalopathy4 but he was uncertain about this diagnosis. Exhibit 11 at 259-60.

When G.G.G. died, the diagnosis included intractable seizures, limbic encephalopathy of unknown etiology, and respiratory failure. Exhibit 3 at 3, 88. Additional information about G.G.G. was learned in an autopsy, which was performed on December 17, 2012 by Carmen Steigman, M.D. Exhibit 11 at 10. In her view, G.G.G.’s brain had nonspecific findings consistent with the findings reported in Hashimoto’s encephalopathy. G.G.G.’s thyroid and other endocrine organs appeared normal. Dr. Steigman concluded “the patient died of

4 The medical records are not consistent about including the apostrophe s in “Hashimoto’s encephalopathy.” The medical records also appear to use “encephalopathy” and “encephalitis” interchangeably.

3 Hashimoto[’s] encephalopathy, complicated by status epilepticus and respiratory failure.” Exhibit 11 at 12. Dr. Steigman also drafted an addendum that discussed whether G.G.G. died of Hashimoto’s encephalitis. Id. at 18.

On January 4, 2013, Mark Heulitt, M.D., completed the death certificate. It states that G.G.G. died from respiratory failure as a consequence of status epilepticus. Exhibit 13 at 1.

Procedural History5

On March 19, 2013, Mr. Graham telephoned Ms. Toale’s office and spoke with a paralegal. Over the next five months, paralegals obtained medical records.6 In October and November, 2013, Ms. Toale reviewed the medical records that had been collected. Ms. Toale’s paralegal continued to work on the case, although the descriptions are so cursory that it is difficult to understand what the paralegal was doing.

On December 13, 2013, Ms. Toale was summarizing additional medical records. Over the next few days, Ms. Toale emailed a pathologist regarding causation. At the end of December 2013, the paralegal was drafting a letter to Douglas C. Miller, M.D., Ph.D. On January 3, 2014, the paralegal was preparing a “package for expert, Dr. Miller.”7

5 Because Mr. Graham asserts that the actions of his attorney, Ms. Toale, support the reasonable basis for his claim, Ms. Toale’s activities are described as part of the procedural history of the case. The basis for Ms.

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