Stewart-Robinson v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedApril 29, 2024
Docket22-0477V
StatusUnpublished

This text of Stewart-Robinson v. Secretary of Health and Human Services (Stewart-Robinson 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.

Bluebook
Stewart-Robinson v. Secretary of Health and Human Services, (uscfc 2024).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 22-477V

************************* * PATRICIA STEWART-ROBINSON, * * Petitioner, * Chief Special Master Corcoran * v. * Filed: April 1, 2024 * SECRETARY OF HEALTH AND * HUMAN SERVICES * * Respondent. * * *************************

Renee Gentry, Law Office of Renee J. Gentry, Washington, DC, for Petitioner.

Alexa Roggenkamp, U.S. Department of Justice, Washington, DC, for Respondent.

ENTITLEMENT DECISION 1

On April 28, 2022, Patricia Stewart-Robinson filed a petition for compensation under the National Vaccine Injury Compensation Program (the “Program”). 2 She alleges that an influenza (“flu”) vaccine that she received caused her to develop what was eventually diagnosed as multiple sclerosis (“MS”)—although her initial presentation was suggestive of another injury that is typically monophasic and self-limiting, transverse myelitis (“TM”).

Respondent’s Rule 4(c) Report opposed an award of compensation, arguing that it is unlikely the flu vaccine can cause MS—the proper, ultimate diagnosis applicable to Petitioner, as

1 Under Vaccine Rule 18(b), each party has fourteen (14) 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 in its present form. Id.

2 The Vaccine Program comprises Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3758, codified as amended at 42 U.S.C. §§ 300aa-10 through 34 (2012) [hereinafter “Vaccine Act” or “the Act”]. Individual section references hereafter will be to § 300aa of the Act (but will omit that statutory prefix). the medical record indicates. Rule 4(c) Report, dated December 1, 2022 (ECF No. 20) (“Mot.”). 3 I later informed Petitioner that although I doubted that my concerns about the claim’s viability could be overcome, I would allow her the opportunity to set forth arguments against dismissal, and she has done so. Petitioner’s Opposition, dated September 29, 2023 (ECF No. 40) (“Opp.”). Now, for the reasons stated below, I grant Respondent’s motion to dismiss.

I. Factual Background

Petitioner’s prior medical history was significant for anemia, gastroesophageal reflux disorder, epigastric pain, and gastric bypass surgery. Ex. 6 at 32; see also Exs. 10 and 16. Of note, she was briefly hospitalized in January 2017 for fatigue and dizziness, which was attributed to her anemia. See Ex. 10 at 182–255. And a year prior to vaccination, she received treatment for reported pain to the touch on the left side of the head. Ex. 16 at 8. However, there is no record evidence of any pre-vaccination neurologic events, or imaging relevant to her symptoms.

Vaccination and October 2019 Hospitalization

On September 25, 2019, Petitioner (who was 53 at the time) received the flu vaccine at an appointment with Linke Ma, M.D., her primary care provider (“PCP”). Ex. 3 at 2. She was also at this time treated for iron deficiency anemia and vitamin D deficiency. Id.

Almost three weeks later, on October 13, 2019, Petitioner saw Munif Hussain, D.O., now complaining of paresthesia and tingling in both legs that began seven days prior (meaning October 6, 2019—eleven days after vaccination) and that was lasting all day. Ex. 4 at 5. She also reported that she did not feel the sensation of urinating at times and had difficulty sensing her rectum when wiping. Id. at 5–6. She denied back pain, fever, headache, weakness, recent trauma or illness, or abdominal pain, however. Id. at 5. On examination, Petitioner displayed decreased sensation below her knees and lower back, as well as decreased strength in both lower legs, although reflexes were present and normal. Id. at 5–6. Dr. Hussain sent her to an emergency department (“ED”) for additional evaluation. Id. at 6.

That same day, Ms. Stewart-Robinson went to the Brooklyn Hospital Center. Ex. 5 at 12. She informed emergency care treaters that she had for three days (meaning since October 10, 2019) been experiencing bilateral numbness from the waist down, plus chills, difficulty walking, neck pain, and pain in her legs that she rated five out of ten. Id. at 2, 12. She also identified the vaccination as when she had started to experience changes in how she felt, noting specifically that in the three prior days she had felt ascending changes in sensation in her lower extremities that

3 Filed concurrently with the Rule 4(c) Report was Respondent’s Motion to Dismiss—but the latter is a one-page document that contains no specific arguments separate from the Rule 4(c) Report. I therefore treat the Rule 4(c) Report herein as Respondent’s actual “motion,” since it sets forth the substantive grounds offered for dismissal.

2 progressed to numbness. Id. at 12. Consistent with her examination by Dr. Hussain, examination at the ED revealed decreased sensation in Petitioner’s lower extremities, but normal sensation to her abdomen, back, face, and upper extremities. Id. at 12–13. She also denied pain and difficulty walking, but admitted to difficulty sensing the position of her feet. Id. at 14.

Petitioner remained hospitalized until October 20, 2019. Ex. 5 at 32. MRIs performed of the cervical spine in this timeframe initially showed no evidence of MS, but did reveal a mild T2 prolongation measuring six by five by two-and-a-half millimeters at the base of the odontoid process, a second slight T2 prolongation measuring four millimeters at the mid-C3 level, and a third slight T2 prolongation in the lower cervical and upper thoracic cord—all of which were thought suggestive of the presence of a mild demyelinating disorder (although only the prolongation seen at C1-C2 showed enhancement—meaning it was likely a newer/active lesion). 4 Id. at 108, 217. Thoracic spine MRIs taken the same dates showed prolongations at T1-T2 and T3- T4 and an approximately 23-millimeter protrusion at T3-T4, none of which showed enhancement. Id. at 108, 218. A CT of petitioner’s head showed no evidence of infarction, however, and a later MRI of the brain showed no abnormal enhancement. Id. at 124, 189, 219, 280. And Cerebrospinal fluid testing was negative for oligoclonal bands, an MS biomarker. Id. at 427. Petitioner’s discharge diagnosis was bilateral lower extremity weakness. Id. at 33.

After discharge, Ms. Stewart-Robinson went back to see Dr. Ma on October 23, 2019. Ex. 6 at 25. By this time, she was still experiencing bilateral extremity weakness and an unsteady gait, as well as numbness in the lower extremities and pelvic area ataxia. Id. On examination, however, she had full strength in all extremities, and pulses in all extremities were within normal limits. Id. at 26. Dr. Ma increased Petitioner’s neuropathic pain medication and advised her to follow up with a neurologist plus engage in physical therapy. Id. That same day (during a call with Dr. Ma), Petitioner confirmed she had received a TM diagnosis after hospitalization, and expressed the concern that her September vaccination had been causal. Id. at 28. Dr. Ma did not comment on the accuracy of that concern, but instead proposed consultation with a neurologist. Id.

Suspicion of MS (and Later Confirmation of Diagnosis)

On October 25, 2019, Petitioner saw neurologist Eliz Agopian, M.D., at which time she reported the symptoms of lower extremity numbness and tingling that had resulted in her prior hospitalization. Ex. 7 at 4.

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Stewart-Robinson v. Secretary of Health and Human Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stewart-robinson-v-secretary-of-health-and-human-services-uscfc-2024.