Sanchez v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedMarch 9, 2016
Docket11-685
StatusPublished

This text of Sanchez v. Secretary of Health and Human Services (Sanchez 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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Sanchez v. Secretary of Health and Human Services, (uscfc 2016).

Opinion

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

*********************** TRYSTAN SANCHEZ, by and through * his parents, GERMAIN SANCHEZ and * JENNIFER SANCHEZ, * * No. 11-685V Petitioners, * * Filed: February 17, 2016 v. * * SECRETARY OF HEALTH * Attorneys’ Fees and Costs on an AND HUMAN SERVICES, * Interim Basis; Reasonable Basis; * Reasonable Number of Attorney Respondent. * Hours. ***********************

Lisa A. Roquemore, Law Office of Lisa A. Roquemore, Rancho Santa Margarita, CA, for petitioners; Jennifer L. Reynaud, United States Dep’t of Justice, Washington, D.C., for respondent.

PUBLISHED DECISION AWARDING INTERIM ATTORNEYS’ FEES AND COSTS 1

Petitioners, Mr. and Mrs. Sanchez, seek compensation pursuant to the National Childhood Vaccine Injury Compensation Program, 42 U.S.C. § 300aa— 10 through 34 (2012). They allege that a set of vaccines that their son, Trystan, received on February 5, 2009, caused him to suffer fever and subsequent seizure activity / disorder leading to his developmental issues. Pet. at 12.

1 The E-Government Act, 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services), requires that the Court post this decision 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. While the question of whether petitioners are entitled to any compensation remains pending, they filed a motion requesting an award of attorneys’ fees and costs on an interim basis. Pet’rs’ Fee Appl’n, filed Sept. 16, 2014. The Secretary opposed this request. Resp’t’s Resp., filed Nov. 24, 2014. A detailed analysis shows that a reasonable amount of attorneys’ fees and costs is $94,885.35.

I. Procedural History

The course of this case has been lengthy. It has moved through several discrete phases, which are summarized below.

Events before the Ruling Finding Facts

An abbreviated recitation of the procedural history begins with the filing of the petition, medical records (exhibit 1), expert report of Lawrence Steinman, M.D. (exhibit 2), and affidavits (exhibits 3-8) on October 21, 2011. The medical records show that on February 5, 2009, Trystan received the diphtheria-tetanus-acellular pertussis (“DTaP”), hepatitis B, haemophilus influenzae type B, and pneumococcal conjugate vaccines.

In Mrs. Sanchez’s affidavit, she asserted that Trystan was meeting all of his developmental milestones until he was six months old when he received vaccinations on February 5, 2009. Exhibit 3 at ¶ 4. Mrs. Sanchez asserted that on February 16, 2009, Trystan had a seizure. Id. at ¶ 6. She also maintained that between February 7, 2009 and April 29, 2009, Trystan’s “developmental pace seemed to slow.” Id. at ¶ 8.

Unlike most petitioners, the Sanchezes included a report from their expert, Dr. Steinman, in the initial submissions. Exhibit 2. Dr. Steinman accepted the accuracy of Mrs. Sanchez’s allegations. Relying on Mrs. Sanchez’s allegations, Dr. Steinman stated Trystan “may have had a seizure.” Id. at 1. He proposed that the pertussis vaccine and the alum adjuvant in it can cause seizures. Id. at 10. Ultimately, Dr. Steinman opined that based upon the temporal relationship, his medical expertise, and the medical literature, Trystan would not have suffered from seizures and developmental delay had he not received the vaccinations. Id. at 14.

The Secretary filed her report pursuant to Vaccine Rule 4 on February 28, 2012, and indicated that petitioners were not entitled to compensation. The Secretary argued that although Dr. Steinman opined that Trystan had seizures

2 beginning 11 days after receiving his six-month vaccinations, no contemporaneous medical records indicated Trystan in fact suffered these seizures. Id. at 12. 2

The Sanchezes recognized that the recitation of events in the affidavits did not match the events in the contemporaneous medical records. Pet’rs’ Supp. to Pet., filed March 6, 2012. The affidavits asserted that shortly after Trystan received his vaccinations, he experienced seizures and developmental delay. However, there are no records from around February 2009 that discuss either seizures or developmental delay. Because of this discrepancy, a fact hearing was held on May 15, 2012. Mr. and Mrs. Sanchez testified as well as Germain’s mother and aunt, Lupe Sanchez and Bertha Sanchez, and Jennifer’s mother, Emma Fernandez.

Ruling Finding Facts

On April 10, 2013, the undersigned issued a Ruling Finding Facts. The Ruling Finding Facts generally accepted the accuracy of medical records created contemporaneously with events described in the records. The ruling, therefore, generally did not credit testimony given much later in time. For example, the Ruling Finding Facts expressly found that Trystan did not contort his arm in February 2009. Ruling Finding Facts at 13, ¶ 11. The Ruling Finding Facts also ordered the parties to provide the ruling to any expert they retained.

Events from the Ruling Finding Facts through Anticipated Start of Hearing

On May 22, 2013, the Sanchezes filed an amended expert report by Dr. Steinman. Exhibit 17. Dr. Steinman repeatedly asserted that Trystan suffered from seizures. Dr. Steinman stated that Trystan’s arm contortions started as early as February 16, 2009. Exhibit 17 at 2, n.1, 3. However, these assertions did match the Ruling Finding Facts. See order, issued June 14, 2013. In addition, Dr. Steinman’s May 17, 2013 report was not clear about the medically appropriate interval. Thus, the Sanchezes were ordered to file another supplemental report from Dr. Steinman.

2 With her report, the Secretary filed a report from Gerald Raymond, M.D. Dr. Raymond disagreed with Dr. Steinman and concluded that although Trystan suffered from “developmental delay with associated imaging abnormalities,” there was “no evidence that his condition resulted from or was exacerbated by any of the immunizations received.” Exhibit A at 7. 3 The Sanchezes filed a third report by Dr. Steinman on September 16, 2013. Exhibit 28. Dr. Steinman again asserted that Trystan had a seizure on February 16, 2009. Exhibit 28 at 2. The Secretary questioned the basis for this assertion and also requested clarification as to whether Dr. Steinman believed that Trystan suffered other seizures. The Sanchezes were ordered to file a status report addressing seizures. Order, issued Dec. 11, 2013.3 In addition, the parties were ordered to plan for a hearing in July, August, or September 2014.

The Sanchezes filed the status report regarding seizure activity on December 18, 2013. They maintained that Trystan suffered seizure activity, including arm contortions, in “March 2009, (April and May 2009 per Dr. Friedman medical record notes), August 2009, October/ November 2009 after another set of vaccinations, December 2009, September and October 2010.” Pet’rs’ Status Rep., filed Dec. 18, 2013, at 4.

In a January 28, 2014 status conference held to discuss the petitioners’ status report about seizures, the Secretary’s attorney characterized the Sanchezes’ position as “logical insanity.” In the Secretary’s view, the Sanchezes could not rely upon Dr. Friedman’s August 3, 2010 record to deviate from the findings of fact.

On April 4, 2014, the Secretary filed supplemental reports from Drs. Raymond and McGeady. Exhibits E-F.

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