Montes v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedOctober 15, 2025
Docket20-0219V
StatusUnpublished

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

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 20-0219V

IGNACIO MONTES, Chief Special Master Corcoran

Petitioner, v. Filed: September 10, 2025

SECRETARY OF HEALTH AND HUMAN SERVICES,

Respondent.

William I. Goldsmith, Goldsmith & Hull, APC, Northridge, CA, for Petitioner.

Alexis B. Babcock, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION DISMISSING PETITION1

On February 27, 2020, Ignacio Montes filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). Petitioner alleges that he received an influenza (“flu”) vaccine on March 1, 2017, resulting in Guillain-Barré syndrome (“GBS”), corresponding to a listing on the Vaccine Injury Table, 42 C.F.R.§§ 100.3(a), (c)(15). Petition (ECF No. 1). The case was assigned to the Special Processing Unit (“SPU”). For the following reasons, I conclude that Petitioner has not carried his burden to prove that he received the alleged vaccine – and his entire claim must be dismissed as a result.

1 Because this Decision contains a reasoned explanation for the action taken 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 section references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). I. Procedural History

During the initial status conference held in June 2020, Respondent questioned whether proof of vaccination could be substantiated. (ECF No. 17). Afterwards, Petitioner received over a year to obtain evidence to support this vital claim element. See generally Ex. 8-14, and Supplemental Statement of Completion filed Nov. 5, 2021 (ECF No. 32). Despite my suggestion, Petitioner did not file a health insurance explanation of benefits (“EOB”) for the relevant time, which would have shown whether or not the alleged vaccination had been billed. See Scheduling Order entered Apr. 20, 2021 (ECF No. 24). Afterwards, the parties briefed the issue. Respondent’s (“Resp.”) Brief filed Feb. 15, 2022 (ECF No. 34); Petitioner’s (“Pet.”) Response filed Mar. 14, 2022 (ECF No. 36); Order to Show Cause entered Apr. 12, 2023 (ECF No. 41);3 Pet. Supplemental (“Supp.”) Response filed May 25, 2023 (ECF No. 42).4 The matter is ripe for adjudication.

II. Parties’ Arguments

Respondent disputes that Petitioner received a flu vaccine - either on the date alleged in the Petition (March 1, 2017), or on any other date. Resp. Brief at 8. According to Respondent, Petitioner’s citation generally to Exhibit 3 does not indicate that he actually received a flu vaccine – and Petitioner had provided no other information regarding the surrounding circumstances “including how he recalled receiving the vaccine in his left arm.” Id. “In fact, Petitioner had a history of refusing vaccinations, including the flu vaccine, on multiple occasions prior to his alleged March 2017 vaccination, so it is unclear why Petitioner would have chosen to receive one in March 2017.” Id.

Respondent also argues that the only supportive evidence – including the 2021 copy of the state immunization record – reflects medical providers’ recordation of “Petitioner’s word alone,” rather than any other individual’s independent knowledge or any corroboration that he actually received the alleged flu vaccine. Resp. Brief at 8-9.

Petitioner argues that he had an adverse reaction to a flu vaccine previously in 2013. Petition (ECF No. 1) at ¶ 5; Pet. Supp. Response (ECF No. 41) at 4.5 But Petitioner maintains that a treater “talked him into” receiving the flu vaccine in 2017, and that alleged

3 An earlier Order to Show Cause entered Mar. 4, 2022 (ECF No. 35) primarily discussed Petitioner’s “non-

compliance with court orders and deadlines throughout the pendency of the case.”

4 Petitioner also filed a neurologist’s expert report (ECF No. 42-1) reacting to my preliminary analysis that

the record might support an alternative explanation for his GBS (ECF No. 41 at 6). 5 Petitioner’s Supplemental Response (ECF No. 41) effectively repeats and expands upon arguments

raised in his first Response (ECF No. 36).

2 vaccination is supported by the treater’s vaccine order, and the inclusion of informational materials about the vaccine within his Kaiser Permanente chart. Id. at 3-4.

Petitioner further contends that he honestly reported a recent vaccination to his medical providers during his subsequent hospitalization for GBS; that the providers accepted that history as explaining his GBS; and that the providers therefore “discontinued” all orders for flu vaccines – including the past order entered by the prior treater. Pet. Supp. Response at 2-3. According to Petitioner, the “discontinued” wording does not establish an actual refusal or failure to administer the vaccine that had been previously ordered. Id. He also maintains that Kaiser Permanente should be faulted for the delayed production and/or inconsistency in the medical records. Id. at 4-7. And he argues that a state immunization record printed in late 2017 was inaccurate, because it contained several omissions – of the at-issue alleged flu vaccine in March 2017, a concurrent Tdap vaccine, a Tdap vaccine in 2015, and a flu vaccine in 2013. Pet. Supp. Response at 4.

III. Authority

Pursuant to Vaccine Act Section 13(a)(1)(A), a petitioner must prove, by a preponderance of the evidence, the matters required in the petition by Vaccine Act Section 11(c)(1). A special master must consider, but is not bound by, any diagnosis, conclusion, judgment, test result, report, or summary concerning the nature, causation, and aggravation of petitioner’s injury or illness that is contained in a medical record. Section 13(b)(1). “Medical records, in general, warrant consideration as trustworthy evidence. The records contain information supplied to or by health professionals to facilitate diagnosis and treatment of medical conditions. With proper treatment hanging in the balance, accuracy has an extra premium. These records are also generally contemporaneous to the medical events.” Cucuras v. Sec’y of Health & Hum. Servs., 993 F.2d 1525, 1528 (Fed. Cir. 1993).

Accordingly, where medical records are clear, consistent, and complete, they should be afforded substantial weight. Lowrie v. Sec’y of Health & Hum. Servs., No. 03- 1585V, 2005 WL 6117475, at *20 (Fed. Cl. Spec. Mstr. Dec. 12, 2005). However, this rule does not always apply.

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