Schneider v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedJanuary 10, 2022
Docket17-1504
StatusUnpublished

This text of Schneider v. Secretary of Health and Human Services (Schneider 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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Schneider v. Secretary of Health and Human Services, (uscfc 2022).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 17-1504V Filed: December 15, 2021

* * * * * * * * * * * * * * * CLIFFORD SCHNEIDER, * To Be Published * Petitioner, * v. * Decision on Attorneys’ Fees and Costs; * Good Faith; Reasonable Basis SECRETARY OF HEALTH * AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * *

Paul Brazil, Esq., Muller Brazil, LLP, Dresher, PA, for petitioner. Darryl Wishard, Esq., U.S. Department of Justice, Washington, DC, for respondent.

DECISION ON ATTORNEYS’ FEES AND COSTS1

Roth, Special Master:

On October 13, 2017, Clifford Schneider (“Mr. Schneider,” or “petitioner”) filed a petition for compensation under the National Vaccine Injury Compensation Program .2 Petitioner alleges that he developed a shoulder injury related to vaccine administration (“SIRVA”) after receiving an influenza (“flu”) vaccination on October 22, 2014. Petition (“Pet.”), ECF No. 1. Petitioner now seeks an award of attorneys’ fees and costs. Based on the record, I award a lump sum of $20,630.47 in fees and costs.

I. BACKGROUND

A. Summary of Relevant Medical Records

1 This Decision has been formally designated “to be published,” which means it will be posted on the Court of Federal Claims’ website, in accordance with the E-Government Act of 2002, Pub. L. No. 107-347, 116 Stat. 2899, 2913 (codified as amended at 44 U.S.C. § 3501 note (2006)). This means the Decision will be available to anyone with access to the internet. However, the parties may object to the Decision’s inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party has fourteen days within which to request 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). Otherwise, the whole Decision will be available to the public. Id. 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). a. Medical History Prior to the Allegedly Causal Flu Vaccine

Petitioner’s medical history prior to the subject flu vaccine included seizure disorder well- controlled by medication, osteoporosis related to seizure medication, right shoulder arthroscopy, low back pain, sciatica, neck pain, lumbar radiculopathy, lumbar canal stenosis, mild thoracic spondylosis, chronic right knee pain, right hip pain, hypertension, and cervicalgia associated with a whiplash injury. See Petitioner’s Exhibit (“Pet. Ex.”) 13 at 1-8; Pet. Ex. 14 at 9, 90-91, 101-102, 103; Pet. Ex. 15 at 5, 8.

Petitioner received the allegedly causal flu vaccine in his left arm on October 22, 2014 at CVS. Pet. Ex. 1 at 1.

b. Medical History After Receipt of the Allegedly Causal Flu Vaccine

i. 2014

On December 3, 2014, petitioner presented to his primary care physician, Dr. Josephson for a routine visit. No shoulder concerns were recorded. Pet. Ex. 3 at 1. The record documents a well visit. Id. at 2. Pet. Ex. 15 at 4.

ii. 2015

On January 14, 2015, petitioner presented to Dr. Dernbach, an orthopedic with complaints of neck and shoulder pain following a rear end motor vehicle accident on December 18, 2014. He had similar neck pain following an accident in 1980 that resolved. Pet. Ex. 14 at 23. The assessment was cervicalgia and imaging was ordered. Id. at 25. Cervical x-rays performed on January 20, 2015 showed degenerative disc disease and moderate right C1-C2 facet osteoarthritis. Id. at 29, 113. Cervical MRI on January 27, 2015 showed mild stenosis at C3-C4. Id. at 29, 122.

On February 11, 2015, petitioner returned to Dr. Dernbach reporting improving but not resolved neck and right occipital pain, worse with movement, and “some left shoulder pain and proximal left arm pain which began after a flu shot at the pharmacy .” Pet. Ex. 14 at 27. On examination, petitioner’s muscle tone, motor strength, and grip strength of the upper extremities were normal. Id. at 28. Based on X-rays performed on January 20, 2015 and cervical MRI performed on January 27, 2015, Dr. Dernbach’s assessment was spondylosis and cervicalgia. Id. at 28-29.

On June 3, 2015 and December 28, 2015, petitioner presented to Dr. Josephson for routine check-ups; all systems and active problems were reviewed with petitioner. There was no documentation of left shoulder or arm pain at either appointment. Pet. Ex. 15 at 338, 987-92.

ii. 2016

On January 7, 2016, petitioner presented to Dr. Josephson with an upper respiratory infection. Pet. Ex. 3 at 19. All systems and active problems were reviewed; there was no documentation of left shoulder or arm pain. Id. at 20.

2 On June 8, 2016, petitioner presented to Dr. Josephson. The “Review of Systems” documented no musculoskeletal trauma, injury, joint, or muscle pain. “No pain or paresthesias” was noted under Neurologic System. Pet. Ex. 15 at 787. At the end of the record, Dr. Josephson included left nerve pain and paresthesia since the October 22, 2014 flu vaccine which was not resolving. Id. at 791. Petitioner was referred for neurology consult.

On June 11, 2016, petitioner presented to Dr. Kandel, a neurologist and reported that a flu vaccine on October 22, 2014 caused left arm pain that began approximately ten days after vaccination. Pet. Ex. 8 at 1. He reported numbness, pain and tingling in his left arm. Id. Dr. Kandel diagnosed petitioner with cervical radiculopathy. He confirmed the diagnosis by cervical MRI and EMG testing. Id. at 5-6, 12. On August 7, 2016, petitioner advised Dr. Kandel that he was filing a vaccine claim and requested that Dr. Kandel confirm that his pain was caused by his October 22, 2014 vaccination. Id. at 141. Dr. Kandel advised that he could not do so with any medical certainty. See id.

Petitioner returned to Dr. Kandel on August 19, 2016 with continued neck, left shoulder, and left arm pain with numbness. Id. at 17. Dr. Kandel wrote that petitioner believed all his pain was associated with a possible adverse vaccine event though it did not seem to be consistent with the clinical and paraclinical findings. Id.

Petitioner presented to Dr. Gates, an orthopedist, on August 22, 2016 for right hip arthritis. Pet. Ex. 7 at 5. Upon examination, petitioner displayed full range of motion in both right and left upper extremities. Id. at 15-16. Petitioner included “SIRVA” on his patient health intake form. Id. at 17.

On August 25, 2016, petitioner returned to Dr. Gates for left ring finger stiffness and triggering. Pet. Ex. 7 at 11. Dr. Gates conducted a left upper extremity examination; petitioner demonstrated full range of motion at the shoulder and 5/5 strength of the deltoid, biceps, triceps, forearm rotators, wrist extensors, digital flexors, and intrinsic strength. Id. at 12. Petitioner underwent left ring trigger finger release surgery on August 30, 2016. Id. at 9; 28.

Petitioner presented to Dr. Worden for pain management on September 19, 2016 for his left arm and shoulder. Pet. Ex. 9 at 20. Dr. Worden’s assessment after examination was left cervical radiculopathy, cervical spinal stenosis, and residual right lumbar radiculopathy. Id. at 19. Petitioner received cervical injections at this visit. Id. at 8, 15.

On December 7, 2016, petitioner returned to Dr. Josephson for his annual examination. Pet.

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