Snyder ex rel. Snyder v. Secretary of Health & Human Services

88 Fed. Cl. 706, 2009 U.S. Claims LEXIS 280, 2009 WL 2569773
CourtUnited States Court of Federal Claims
DecidedAugust 11, 2009
DocketNo. 01-162V
StatusPublished
Cited by590 cases

This text of 88 Fed. Cl. 706 (Snyder ex rel. Snyder v. Secretary of Health & 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
Snyder ex rel. Snyder v. Secretary of Health & Human Services, 88 Fed. Cl. 706, 2009 U.S. Claims LEXIS 280, 2009 WL 2569773 (uscfc 2009).

Opinion

OPINION AND ORDER

SWEENEY, Judge.

Petitioners seek compensation under the National Childhood Vaccine Injury Act of 1986 (“Vaccine Act”), 42 U.S.C. §§ 300aa-l to -34 (2006), alleging that their son, Colten, developed a pervasive developmental disorder caused by a combination of thimerosal-containing vaccines and the Measles-Mumps-Rubella (“MMR”) vaccine. This ease is one of over 4,700 currently pending before the United States Court of Federal Claims’ Office of Special Masters (“OSM”) in the Omnibus Autism Proceeding, which was established to manage the large number of claims brought by various petitioners alleging that vaccines caused their, or their child’s, autism or similar neurodevelopmental disorder. Moreover, it was selected to be one of three cases to test the first theory of causation advanced by the Omnibus Autism Proceeding petitioners.2 After the Omnibus Autism Proceeding petitioners had been afforded an unprecedented amount of time to develop the evidentiary record, the special master assigned to this ease, Special Master Denise K. Vowell, issued a well-reasoned, fully supported, and comprehensive decision denying — in this particular case only — entitlement to Vaccine Act compensation. Presently before the court is petitioners’ motion for review of the special master’s decision. For the reasons set forth below, the court sustains the ruling of the special master.

[709]*709I. BACKGROUND

The special master’s decision contains a thorough recitation of both the factual and procedural history of this case. See Snyder, by & Through Snyder v. Sec’y of HHS, No. 01-162V, 2009 WL 332044 (Fed.Cl.Spec.Mstr. Feb. 12, 2009). Thus, for context purposes only, the court presents an abbreviated version here.

A. Factual History3

Colten was born on January 9, 1997. Id. at *149. During the first fifteen months of his life, Colten “exhibited early signs of food allergies and asthma, in addition to a number of fevers and several gastrointestinal, respiratory, and throat infections.” Id. at *150. There was “an early sign of developmental delay followed by apparently normal development” and evidence of “some behaviors that, at least in retrospect, refleet[ed] areas of concern.” Id. at *149. Colten received his scheduled childhood vaccinations throughout this period.4 Id. at **149-50 & nn. 421-22.

On April 23, 1998, at age fifteen months, Colten received his first MMR vaccination during a well-child visit with his pediatrician. Id. at *151. At this visit, Colten appeared healthy and had “no signs of any receptive language disorders.” Id. at **151-52. However, on May 26, 1998, after visits to the emergency room on each of the prior two days, Colten was hospitalized with “fever, diarrhea, dehydration, gastroenteritis, and pharyngitis,” as well as “ ‘mental-status type changes.’ ” Id. at **153-54 (quoting the relevant medical record). On his discharge on May 28,1998, Colten had a normal neurological examination and “was behaving in an age-appropriate manner.” Id. at *155.

Between his hospitalization and his two-year well-child visit, Colten experienced several infections, in approximately the same pattern as the those he experienced prior to his MMR vaccination.5 Id. at **156-58. In addition, at age seventeen months, one of his physicians noted that Colten had only a three-word vocabulary, and at age nineteen months, his mother noted that “he seemed to arrest his progress, and was no longer speaking well.” Id. at **156, 158. In fact, at the two-year well-child visit on January 27, 1999, Colten’s mother expressed “concerns regarding tantrums, discipline, and developmental milestones.” Id. at *158. Col-ten’s pediatrician “noted an avoidance of eye contact” and “right-sided weakness,” causing him to refer “Colten to a pediatric neurologist and Easter Seals for motor and speech delays.” Id. at *159. Colten was evaluated for his motor and speech delays on March 25, 1999, and “was recommended for psychological evaluation, an exceptional educational program, audiological evaluation, speech therapy, and parental education.” Id. at *160. Colten started speech therapy and was placed on a gluten-free, casein-free diet. Id. at **161-63.

On July 28, 1999, Colten was seen by Dr. J. Jeffrey Bradstreet, id. at *163, “a family physician who has chosen to limit his practice to children with” autism spectrum disorders and attention deficit hyperactivity disorder, id. at *21. One of Dr. Bradstreet’s initial diagnoses for Colten was autism. Id. at **163, 165. There is no evidence that Dr. Bradstreet used any of the accepted autism rating scales to reach this diagnosis. Id. at *163 n. 467. In contrast, less than a month later, a psychologist who evaluated Colten using the Childhood Autism Rating Seale diagnosed him with a pervasive developmental disorder, albeit “not at the intensity or frequency of symptoms necessary to meet the diagnostic criteria for autistic disorder.” [710]*710Id. at *160. In other words, she diagnosed Colten with a pervasive developmental disorder-not otherwise specified (“PDD-NOS”). See id. at *31 (‘“Pervasive Developmental Disorder’ is an umbrella term for a collection of disorders. Pervasive developmental disorders include autistic disorder, Rett’s disorder, childhood disintegrative disorder, Asper-ger’s disorder, and PDD-NOS.” (footnote omitted)).

Over the next eight years, Dr. Bradstreet continued to see Colten as a patient, treating him with “a wide variety of dietary supplements, secretin infusions, immunoglobulin therapy, chelation, glutathione, and prednili-sone.” Id. at *163 (footnote omitted); see also id. at **173-80 (describing the treatments in more detail). His recorded diagnoses varied over time, and, aside from autism, included autoimmune encephalopathy; autoimmune disease not elsewhere classified; unspecified disorder of immune mechanism; allergic gastroenteritis; autoimmune disease; unspecified urticaria; unspecified encephalopathy; gastroenteritis; colitis; disturbance of sulphur-bearing amino acid metabolism; unspecified disorder of metabolism; and toxic effect of mercury and its compounds. Id. at *163. Dr. Bradstreet also ordered a wide variety of tests during his treatment of Col-ten, including testing for the presence of measles viras in Colten’s blood, cerebrospinal fluid (“CSF”), and gut tissue. Id. See generally id. at **166-73 (describing the various tests in detail). Dr. Bradstreet sent the blood, CSF, and tissue samples to Unigenet-ies, a laboratory in Dublin, Ireland. Id. at **172-73. The laboratory reported that the CSF sample tested positive for measles virus, that the blood sample tested negative for measles virus, and that the gut tissue sample tested positive for the measles virus, albeit in a very low amount. Id.

In the years following his PDD-NOS diagnosis, Colten exhibited a marked improvement in his language skills. “Although Colten started the first grade classified as developmentally delayed and language impaired, at seven and one-half years of age, Colten’s vocabulary and sentence structure was that of a nine year old.” Id. at *165 (citation omitted).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
88 Fed. Cl. 706, 2009 U.S. Claims LEXIS 280, 2009 WL 2569773, Counsel Stack Legal Research, https://law.counselstack.com/opinion/snyder-ex-rel-snyder-v-secretary-of-health-human-services-uscfc-2009.