Miyahara v. Secretary of Health and Human Services

• Court: United States Court of Federal Claims
• Decided: July 3, 2025
• Docket: 22-1497V
• Status: Unpublished

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 22-1497V

************************* * * MICHIKO MIYAHARA, * * * Petitioner, * Special Master Jennifer A. Shah * v. * * * Filed: June 4, 2025 SECRETARY OF HEALTH AND * HUMAN SERVICES, * * * Respondent. * * * ************************* *

Courtney Christine Jorgenson, Siri & Glimstad, LLP, Phoenix, AZ, for Petitioner. Katherine C. Esposito, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION AWARDING INTERIM ATTORNEYS’ FEES AND COSTS1

On October 12, 2022, Michiko Miyahara (“Petitioner”) filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10, et seq.2 (the “Vaccine Act” or “Program”), alleging that she developed tinnitus and Sudden Sensorineural Hearing Loss (“SSHL”) caused by the influenza (“flu”) vaccination she received November 18, 2020. ECF No. 1 (“Pet.”) at 1.

1 Because this Decision contains a reasoned explanation for the action in this case, it must be made publicly accessible and will be posted 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, I agree that the identified material fits within this definition, I will redact such material from public access. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012).

1 On December 19, 2023, Respondent filed his Rule 4(c) Report, contending that entitlement to compensation should be denied. ECF No. 23 at 2. Thereafter, the parties submitted expert reports and medical literature. See ECF Nos. 27-31, 33, 35.

On January 1, 2025, Petitioner filed an application for interim attorneys’ fees and costs, requesting a total of $26,089.16, comprised of $20,030.00 for attorneys’ fees and $6,059.16 for attorneys’ costs. ECF No. 36 (“Fees App.”) at 6; ECF No. 38 (“Fees App. Supp.”) at 1. Although Petitioner requested $26,089.16 for interim attorneys’ fees and costs, he has provided documentation for an additional $158.63 for attorney’s costs for medical records requests and filed a supplement to his motion seeking an additional $3,000.00 in attorney’s costs for expert costs. Fees App. at 13; Fees Supp. at 1. Petitioner’s total request for interim attorney’s fees and costs is $29,247.79. This is Petitioner’s first motion for interim fees and costs. Petitioner has not incurred any personal costs. Fees App. at 1, 10.

Respondent filed a response on January 2, 2025, deferring to me as to whether Petitioner has met the legal standard for an award of interim attorneys’ fees and costs. ECF No. 37 (“Fees Resp.”) at 2.

Petitioner was initially represented by Mr. Andrew D. Downing. On January 3, 2025, Mr. John Beaulieu filed a motion to substitute as counsel for Petitioner. ECF No. 39. On January 24, 2025, Ms. Courtney Jorgenson filed a motion to substitute as counsel for Petitioner. ECF No. 41.

I hereby GRANT IN PART Petitioner’s application and award a total of $27,851.79 in interim attorneys’ fees and costs.

I. Legal Standard

A. Interim Attorneys’ Fees and Costs

The Federal Circuit has held that an award of interim attorneys’ fees and costs is permissible under the Vaccine Act. Shaw v. Sec’y of Health & Hum. Servs., 609 F.3d 1372 (Fed. Cir. 2010); Avera v. Sec’y of Health & Hum. Servs., 515 F.3d 1343 (Fed. Cir. 2008). In Cloer, the Federal Circuit noted that “Congress [has] made clear that denying interim attorneys’ fees under the Vaccine Act is contrary to an underlying purpose of the Vaccine Act.” Cloer v. Sec’y of Health & Hum. Servs., 675 F.3d 1358, 1361-62 (Fed. Cir. 2012).

In Avera, the Federal Circuit stated that “[i]nterim fees are particularly appropriate in cases where proceedings are protracted, and costly experts must be retained.” Avera, 515 F.3d at 1352. Likewise, in Shaw, the Federal Circuit held that “where the claimant establishes that the cost of litigation has imposed an undue hardship and there exists a good faith basis for the claim, it is proper for the special master to award interim attorneys’ fees.” 609 F.3d at 1375. Avera did not, however, define when interim fees are appropriate; rather, it has been interpreted to allow special masters discretion. See Avera, 515 F.3d at 1352; Kirk v. Sec’y of Health & Hum. Servs., No. 08- 241V, 2009 WL 775396, at *2 (Fed. Cl. Spec. Mstr. Mar. 13, 2009); Bear v. Sec’y of Health & Hum. Servs., No. 11-362V, 2013 WL 691963, at *4 (Fed. Cl. Spec. Mstr. Feb. 4, 2013). Special masters have viewed the three Avera criteria -- protracted proceedings, costly expert testimony,

2 and undue hardship -- as factors to consider in a flexible balancing test. Avera, 515 F.3d at 1352; see Al-Uffi v. Sec’y of Health & Hum. Servs., No. 13-956V, 2015 WL 6181669, at *7 (Fed. Cl. Spec. Mstr. Sept. 30, 2015).

The undue hardship inquiry looks at more than just financial involvement of a petitioner; it also looks at any money expended by a petitioner’s counsel. Kirk, 2009 WL 775396, at *2. Referring to Avera, former Chief Special Master Golkiewicz in Kirk found that “the general principle underlying an award of interim fees [is] clear: avoid working a substantial financial hardship on petitioners and their counsel.” Id.

B. Good Faith

A petitioner is eligible for an interim award of reasonable attorneys’ fees and costs only if the special master finds that the petition was brought in good faith and with a reasonable basis. §15(e)(1); Avera, 515 F.3d at 1352; Shaw, 609 F.3d at 1372; Woods v. Sec’y of Health & Hum. Servs, 105 Fed. Cl. 148, 154 (2012); Friedman v. Sec’y of Health & Hum. Servs., 94 Fed. Cl. 323, 334 (2010); Doe 21 v. Sec’y of Health & Hum. Servs., 89 Fed. Cl. 661, 668 (2009); Bear, 2013 WL 691963, at *5; Lumsden v. Sec’y of Health & Hum. Servs., No. 97-588V, 2012 WL 1450520, at *4 (Fed. Cl. Spec. Mstr. Mar. 28, 2012). The good faith requirement is met through a subjective inquiry. Di Roma v. Sec’y of Health & Hum. Servs., No. 90-3277V, 1993 WL 496981, at *1 (Fed. Cl. Spec. Mstr. Nov. 18, 1993). It “focuses upon whether [P]etitioner honestly believed he had a legitimate claim for compensation.” Turner v. Sec’y of Health & Hum. Servs., No. 99-544V, 2007 WL 4410030, at *5 (Fed. Cl. Spec. Mstr. Nov. 30, 2007). Without evidence of bad faith, “petitioners are entitled to a presumption of good faith.” Grice v. Sec’y of Health & Hum. Servs., 36 Fed. Cl. 114, 121 (1996). Thus, so long as Petitioner had an honest belief that his claim could succeed, the good faith requirement is satisfied. See Riley v. Sec’y of Health & Hum. Servs., No. 09-276V, 2011 WL 2036976, at *2 (Fed. Cl. Spec. Mstr. Apr. 29, 2011) (citing Di Roma, 1993 WL 496981, at *1); Turner, 2007 WL 4410030, at *5.

C. Reasonable Basis

Unlike the good faith inquiry, an analysis of reasonable basis requires more than just a petitioner’s belief in his claim. Turner, 2007 WL 4410030, at *6-7. Instead, the claim must be supported by objective evidence -- medical records or medical opinion. Sharp-Roundtree v. Sec’y of Health & Hum. Servs., No. 14-804V, 2015 WL 12600336, at *3 (Fed. Cl. Spec. Mstr. Nov. 3, 2015).

Although the statute does not define the quantum of proof needed to establish reasonable basis, it is “something less than the preponderant evidence ultimately required to prevail on one’s vaccine-injury claim.” Chuisano v. United States, 116 Fed. Cl. 276, 283 (2014). The Court of Federal Claims affirmed in Chuisano that “[a]t the most basic level, a petitioner who submits no evidence would not be found to have reasonable basis. . .” Id. at 286. The Court in Chuisano found that a petition that relies on temporal proximity and a petitioner’s affidavit is not sufficient to establish reasonable basis. Id. at 290; see also Turpin v. Sec’y Health & Hum. Servs., No. 99- 564V, 2005 WL 1026714, *2 (Fed. Cl. Spec. Mstr. Feb. 10, 2005) (finding no reasonable basis when petitioner submitted an affidavit and no other records); Brown v. Sec’y Health & Hum.

3 Servs., No. 99-539V, 2005 WL 1026713, *2 (Fed. Cl. Spec. Mstr. Mar. 11, 2005) (finding no reasonable basis when petitioner presented only e-mails between her and her attorney). The Federal Circuit has affirmed that “more than a mere scintilla but less than a preponderance of proof could provide sufficient grounds for a special master to find reasonable basis.” Cottingham v. Sec’y of Health & Hum. Servs., No. 2019-1596, 971 F.3d 1337, 1346 (Fed. Cir. 2020) (finding Petitioner submitted objective evidence supporting causation when she submitted medical records and a vaccine package insert); see also James-Cornelius v. Sec’y of Health & Hum. Servs., 984 F.3d 1374, 1380 (Fed. Cir. 2021) (finding that “the lack of an express medical opinion on causation did not by itself negate the claim's reasonable basis”).

“[I]n deciding reasonable basis the [s]pecial [m]aster needs to focus on the requirements for a petition under the Vaccine Act to determine if the elements have been asserted with sufficient evidence to make a feasible claim for recovery.” Santacroce v. Sec’y of Health & Hum. Servs., No. 15-555V, 2018 WL 405121, at *7 (Fed. Cl. Jan. 5, 2018). Special masters cannot award compensation “based on the claims of petitioner alone, unsubstantiated by medical records or by medical opinion.” 42 U.S.C. § 300aa-13(a)(1). Special masters and judges of the Court of Federal Claims have interpreted this provision to mean that petitioners must submit medical records or expert medical opinion in support of causation-in-fact claims. See Waterman v. Sec’y of Health & Hum. Servs., 123 Fed. Cl. 564, 574 (2015) (citing Dickerson v. Sec’y of Health & Hum. Servs., 35 Fed. Cl. 593, 599 (1996) (stating that medical opinion evidence is required to support an on-Table theory where medical records fail to establish a Table injury)).

When determining if a reasonable basis exists, a special master may consider a myriad of factors, including “the factual basis of the claim, the medical and scientific support for the claim, the novelty of the vaccine, and the novelty of the theory of causation.” Amankwaa, 138 Fed. Cl. at 289. This approach allows the special master to look at each application for attorneys’ fees and costs on a case-by-case basis. Hamrick v. Sec’y of Health & Hum. Servs., No. 99-683V, 2007 WL 4793152, at *4 (Fed. Cl. Spec. Mstr. Nov. 19, 2007).

II. Discussion

A. Undue Financial Hardship

The Federal Circuit has noted that interim fees “are particularly appropriate in cases where proceedings are protracted, and costly experts must be retained.” Avera, 515 F.3d at 1352 (Fed. Cir. 2008). Petitioner’s counsel has worked on this case since 2022 and has not yet been awarded interim fees and costs. Counsel has filed medical records, retained an expert, and filed two expert reports and supporting medical literature. See ECF Nos. 6, 10, 12, 14, 27-31, 35. I find that Petitioner would suffer undue hardship without such an award.

B. Good Faith and Reasonable Basis

Respondent has not raised any specific objection to Petitioner’s good faith or reasonable basis for this claim, and he leaves the determination to my discretion. Fees Resp. at 2. I find that the petition was filed in good faith.

4 As discussed above, the threshold for reasonable basis is much lower than the burden to prove entitlement to compensation, which requires preponderant evidence. Petitioner filed extensive medical records and two expert reports. I find that Petitioner has maintained a reasonable basis for his claim.

As there is no other reason to deny an award of interim attorneys’ fees and costs, I will award Petitioner’s reasonable fees and costs as described below.

C. Attorneys’ Fees

Petitioner requests a total of $20,030.00 in attorneys’ fees for Downing, Allison & Jorgenson, LLC (“Downing, Allison & Jorgenson”). Fees App. at 6. Petitioner bears the burden of establishing that the rates charged, hours expended, and costs incurred are reasonable. Wasson v. Sec’y of Health & Hum. Servs., 24 Cl. Ct. 482, 484 (1993).

1. Reasonable Hourly Rate

A reasonable hourly rate is defined as the rate “prevailing in the community for similar services by lawyers of reasonably comparable skill, experience and reputation.” Avera, 515 F.3d at 1348 (quoting Blum, 465 U.S. at 896 n.11). In general, this rate is based on “the forum rate for the District of Columbia” rather than “the rate in the geographic area of the practice of [P]etitioner’s attorney.” Rodriguez v. Sec’y of Health & Hum. Servs., 632 F.3d 1381, 1384 (Fed. Cir. 2011) (citing Avera, 515 F. 3d at 1349).

McCulloch provides the framework for determining the appropriate compensation for attorneys’ fees based upon the attorneys’ experience. See McCulloch v. Sec’y of Health & Hum. Servs., No. 09–293V, 2015 WL 5634323 (Fed. Cl. Spec. Mstr. Sept. 1, 2015). The Office of Special Masters has accepted the decision in McCulloch and has issued a Fee Schedule for subsequent years.3

Petitioner requests compensation for his counsel, Mr. Andrew Downing, at the following hourly rates: $385.00 per hour for work performed in 2021; $445.00 per hour for work performed in 2022; $445.00 per hour for work performed in 2023; and $485.00 for work performed in 2024. Fees App. at 9. Petitioner requests compensation for Ms. Ann Allison, counsel, at the following rates: $415.00 per hour for work performed in 2022; $415.00 per hour for work performed in 2023; and $435.00 per hour for work performed in 2024. Id. Petitioner requests compensation for Ms. Courtney Jorgenson, counsel, at the following rates: $275.00 per hour for work performed in 2021; $345.00 per hour for work performed in 2022; $345.00 per hour for work performed in 2023; and $375.00 per hour for work performed in 2024. Id.

Petitioner also requests compensation for paralegal work. Fees App. at 9. Petitioner requests compensation for Ms. Danielle Avery, paralegal, at the following hourly rates: $135.00

3 The Office of Special Masters Attorneys’ Forum Hourly Rate Fee Schedule for 2015 through 2025 can be accessed at: https://www.uscfc.uscourts.gov/osm-attorneys-forum-hourly-rate-fee-schedules. The hourly rates contained within the schedules are updated based on the decision in McCulloch, 2015 WL 5634323.

5 per hour for work performed in 2021; $155.00 per hour for work performed in 2022; $155.00 per hour for work performed in 2023; and $175.00 per hour for work performed in 2024. Id. Petitioner requests compensation for Mr. Alex Malvick, paralegal, at the following rates: $155 per hour for work completed in 2023; and $175 per hour for work performed in 2024. Id. Lastly, Petitioner requests compensation for Ms. Samantha Perez, paralegal, at a rate of $175.00 per hour for work performed in 2024. Id.

Mr. Downing and Ms. Jorgenson’s requested rates for work performed during 2021, 2023, and 2024 are consistent with what they have previously been awarded and are in accordance with the Office of Special Masters’ Fee Schedule; however, the requested rates for Mr. Downing and Ms. Jorgenson for 2022 require adjustment, as they are inconsistent with previously awarded rates. See Coons v. Sec’y of Health & Hum. Servs., No. 20-1067V, 2025 WL 1011347, at *2 (Fed. Cl. Spec. Mstr. Jan. 17, 2025) (awarding Mr. Downing a rate of $415.00 per hour for work performed in 2022 and Ms. Jorgenson a rate of $325.00 per hour for work performed in 2022); see also Wakileh v. Sec’y of Health & Hum. Servs., No. 21-1136V, 2023 WL 9228198, at *3 (Fed. Cl. Spec. Mstr. Dec. 18, 2023). Accordingly, the 2022 rates for Mr. Downing and Ms. Jorgenson will be reduced to their previously awarded rates: $415.00 per hour for Mr. Downing and $325.00 per hour for Ms. Jorgenson. This results in a $396.00 reduction.4

Ms. Allison’s requested rates are consistent with what she has previously been awarded and are in accordance with the Office of Special Masters’ Fee Schedule. See Coons, 2025 WL 1011347, at *2; see also Wakileh, 2023 WL 9228198, at *3. Accordingly, I find Ms. Allison’s requested rates are reasonable and that no adjustment is warranted.

Additionally, I find the requested paralegal rates are reasonable, based on the Office of Special Masters’ Fee Schedule and what Mr. Downing’s staff have previously been awarded. See Martin v. Sec’y of Health & Hum. Servs., No. 22-384V, 2025 WL 996725 (Fed. Cl. Spec. Mstr. Feb. 27, 2025).

2. Hours Reasonably Expended

Attorneys’ fees are awarded for the “number of hours reasonably expended on the litigation.” Avera, 515 F.3d at 1348. Ultimately, it is “well within the Special Master’s discretion to reduce the hours to a number that, in [her] experience and judgment, [is] reasonable for the work done.” Saxton ex rel. Saxton v. Sec’y of Health & Hum. Servs., 3 F.3d 1517, 1522 (Fed. Cir. 1993). In exercising that discretion, special masters may reduce the number of hours submitted by a percentage of the amount charged. See Broekelschen v. Sec’y of Health & Hum. Servs., 102 Fed. Cl. 719, 728-29 (2011) (affirming the special master's reduction of attorney and paralegal hours); Guy v. Sec’y of Health & Hum. Servs., 38 Fed. Cl. 403, 406 (1997) (affirming the special master’s

4 Applying Mr. Downing’s previously awarded rate of $415.00 for work performed in 2022 results in a $30.00 reduction ($445.00 - $415.00 = $30.00 x 1.0 hrs. = $30.00 reduction);

Applying Ms. Jorgenson’s previously awarded rate of $325.00 for work performed in 2022 results in a $366.00 reduction ($345.00 - $325.00 = $20.00 x 18.3 hrs. = $366.00 reduction);

The total reduction is $396.00 ($30.00 + $366.00 = $396.00).

6 reduction of attorney and paralegal hours). Further, special masters may reduce awards sua sponte, independent of enumerated objections from the respondent. Sabella v. Sec’y of Health & Hum. Servs., 86 Fed. Cl. 201, 208-09 (Fed. Cl. 2009); Savin v. Sec’y of Health & Hum. Servs., 85 Fed. Cl. 313, 318 (Fed. Cl. 2008), aff’d, No. 99-573V, 2008 WL 2066611 (Fed. Cl. Spec. Mstr. Apr. 22, 2008).

A special master need not engage in a line-by-line analysis of petitioner’s fee application when reducing fees. Broekelschen v. Sec’y of Health & Hum. Servs., 102 Fed. Cl. 719, 729 (Fed. Cl. 2011). Special masters may look to their experience and judgment to reduce an award of fees and costs to a level they find reasonable for the work performed. Saxton v. Sec’y of Health & Hum. Servs., 3 F.3d 1517, 1521 (Fed. Cir. 1993). It is within a special master’s discretion to make a global reduction to the total amount of fees requested. See Hines v. Sec’y of Health & Hum. Servs., 22 Cl. Ct. 750, 753 (1991) (“special masters have wide latitude in determining the reasonableness of both attorneys’ fees and costs”); Hocraffer v. Sec’y of Health & Hum. Servs., No. 99-533V, 2011 WL 3705153 (Fed. Cl. Spec. Mstr. July 25, 2011), mot. for rev. denied, 2011 WL 6292218, at *13 (Fed. Cl. 2011) (denying review of the special master’s decision and endorsing “a global – rather than line-by-line – approach to determine the reasonable number of hours expended in this case”).

While attorneys may be compensated for non-attorney-level work, the rate must be comparable to what would be paid for a paralegal or secretary. See O’Neill v. Sec’y of Health & Hum. Servs., No. 08–243V, 2015 WL 2399211, at *9 (Fed. Cl. Spec. Mstr. Apr. 28, 2015). Clerical and secretarial tasks should not be billed at all, regardless of who performs them. See, e.g., McCulloch, 2015 WL 5634323, at *26. It is well-established that billing for administrative and clerical tasks is not permitted in the Vaccine Program. Rochester v. United States, 18 Cl. Ct. 379, 387 (1989).

The overall hours spent on this matter appear to be largely reasonable; however, a minor reduction is necessary due to paralegal time billed for administrative and clerical tasks and excessive paralegal time billed for review of filings. The majority of these entries are for between 0.1 and 0.4 hours to receive and review status reports and scheduling orders. See Fees App., Ex. A. Examples include (but are not limited to):

• October 13, 2022: 0.4 hours billed by Ms. Avery to “Receive and review Court’s ECF notification re: filed Petition; receive and review Court’s Notice re: ECF, Order Directing appearance and Notice of Assignment to Special Master; brief memo to file re: same.”

• May 1, 2024: 0.3 hours billed by Ms. Avery to “Finalize and file Notice of Filing; receive and review Court’s ECF notification; memo to file re: completion.”

• December 16, 2024: 0.3 hours billed by Ms. Perez to “Receive and review ECF Notification; Scheduling Order - Joint Status Report Deadline; memo to file.”

Id. (emphasis added). The paralegals billed approximately 7.6 hours for these tasks, resulting in charges of $1,204.00. These issues have previously been raised with Mr. Downing. See Coons,

7 2025 WL 1011347 at *3; Wakileh, 2023 WL 9228198, at *3; Hoover on behalf of L.H. v. Sec’y of Health & Hum. Servs., No. 20-1394V, 2021 WL 5575768, at *9 (Fed. Cl. Spec. Mstr. Nov. 1, 2021). I will apply a flat $1,000.00 deduction from the requested attorneys’ fees for these charges.

Accordingly, Petitioner is awarded attorneys’ fees in the amount of $18,634.00.5

D. Reasonable Costs

Petitioner requests a total of $9,059.16 for attorneys’ costs; however, Petitioner provided documentation for a total of $9,217.79 in attorneys’ costs, consisting of $236.08 for medical record requests; $2.65 for postage; $27.06 for mailing costs; $402.00 for a new petition filing fee; and $8,550.00 for Dr. Art’s expert report. Fees App., Ex. A at 11-31, 35-37; Fee App. Supp. at 3.

Petitioner provided documentation for the costs associated with the medical record requests, postage costs, and filing expenses. Fees App., Ex. A at 11-26. 30-31, 35-37. I find the costs for these items to be reasonable and award them in full. I discuss Petitioner’s expert costs below.

1. Petitioner’s Expert Costs for Henry Alexander Arts, M.D., F.A.C.S.

Petitioner requests $8,550.00 for Dr. Arts’ fee at a rate of $500.00 per hour. Fee App., Ex. A at 11, 27-29; Fee App. Supp. at 3. Dr. Arts has been awarded his requested hourly rate by other special masters, and I see no reason to disturb his request. See Mayo v. Sec’y of Health & Hum. Servs., No. 22-1421V, 2025 WL 707854 (Fed. Cl. Spec. Mstr. Feb. 6, 2025); see also Lund v. Sec’y of Health & Hum. Servs., No. 20-1454V, 2024 WL 5378643, at *3 (Fed. Cl. Spec. Mstr. Nov. 15. 2024). I find the overall number of hours expended by Dr. Arts to be reasonable, and I will award his expert costs in full.

I award Petitioner a total of $9,217.79 in attorneys’ costs.6

III. Conclusion

Accordingly, in the exercise of the discretion afforded to me in determining the propriety of awards of interim attorneys’ fees and costs, and based on the foregoing, I GRANT IN PART Petitioner’s application. Petitioner is awarded interim attorneys’ fees and costs in the total amount of $27,851.79 as follows:

• A lump sum in the amount of $27,851.79, representing reimbursement of Petitioner’s interim attorneys’ fees and costs, to be paid through an ACH deposit to Petitioner’s former counsel’s IOLTA account for prompt disbursement. 5 This total reflects Petitioner’s $20,030.00 request for attorneys’ fees minus the $396.00 reduction for Mr. Downing’s and Ms. Jorgenson’s work in 2022, minus the $1000.00 reduction for paralegal billings. ($20,030.00 - $396.00 - $1000.00 = $18,634.00). 6 Petitioner is awarded $236.08 for medical records requests; $2.65 for postage; $27.06 for mailing costs; $402.00 for filing expenses; and $8,550.00 for Dr. Arts’ work; totaling $9,217.79.

8 In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of Court SHALL ENTER JUDGMENT in accordance with this decision.7

IT IS SO ORDERED.

s/ Jennifer A. Shah Jennifer A. Shah Special Master

7 Pursuant to Vaccine Rule 11(a), the parties may expedite entry of judgment by filing a joint notice renouncing their right to seek review.