Strout v. Secretary of Health and Human Services

United States Court of Federal Claims·Decided March 31, 2026·No. 22-1013V·Unpublished

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 22-1013V

CHRIS L. STROUT, as personal representative of ESTATE OF DIANE Chief Special Master Corcoran M. STROUT, Filed: February 26, 2026

Petitioner,

v.

SECRETARY OF HEALTH AND HUMAN SERVICES,

Respondent.

Miriam A. Johnson, Berman & Simmons, P.A., Lewiston, ME, for Petitioner.

Benjamin Patrick Warder, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION ON ATTORNEY’S FEES AND COSTS 1

On August 19, 2022, Chris L. Strout filed a Petition for compensation on behalf of his deceased mother, Diane M. Strout, under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq. 2 (the “Vaccine Act”). Petitioner alleges (under the Vaccine Act Table) that Ms. Strout suffered from Guillain-Barré syndrome (“GBS”), which led to her death, as a result of an influenza (“flu”) vaccine she received on November 18, 2020. Pet. at 1-2. The case was activated and assigned to the “Special Processing Unit” (OSM’s adjudicatory system for resolution of cases deemed likely to settle). ECF No. 8.

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 (2018).

Although the claim was unsuccessful, I find it possessed sufficient reasonable basis to permit an award of attorney’s fees. But a small reduction in the amount of fees and costs to be awarded is appropriate, for the reason stated below.

I. Relevant Procedural History

Following a medical review of this case, Respondent filed his Rule 4(c) Report setting forth his objections to Petitioner’s eligibility for compensation. ECF No. 20. Respondent argued that onset of Ms. Strout’s GBS occurred 25 to 30 hours post vaccination – therefore outside the Table’s 3-42 day window. Id. at 11 (citing Ex. 1 at 282, 354, 474, 578, 584, 592; Ex. 2 at 42-43, 59). Respondent further argued that Petitioner had not offered an expert opinion to explain how Ms. Strout’s GBS satisfied the timing requirements for a causation-in-fact claim. Id. at 13. And Respondent identified record evidence of competing causes for Ms. Strout’s GBS. Id. (citing Ex. 2 at 76, 82, 235).

I thereafter issued an Order to Show Cause in response to the arguments made in Respondent’s Rule 4(c) Report, noting that the filed record revealed that the onset of Ms. Strout’s GBS likely occurred no later than November 20, 2020, thus two days post vaccination (and inconsistent with the Table timeframe). ECF No. 22 at 1 (citing Pet. at 2). Additionally, I noted evidence showing several possible alternate causes for Ms. Strout’s GBS, as she was suffering from a urinary tract infection (“UTI”)/sepsis and her cultures were positive for E.coli at the time she received the subject flu vaccination. Id. (citing Ex. 1 at 272-74, 282-83). I concluded by warning Petitioner that all such facts suggested dismissal was appropriate unless Petitioner could better substantiate the claim. Id. at 5. But I otherwise afforded Petitioner an opportunity to submit additional evidence showing that the onset of GBS could occur so soon after vaccination in the off- Table context, and while explaining the potential alternative factors at issue and evident from the record. Id.

In response, Petitioner filed a Motion to Voluntarily Dismiss his claim pursuant to Vaccine Rule 21(a). ECF No. 24. As requested, I issued a Decision dismissing Petitioner’s claim on November 20, 2023. ECF No. 25. Judgment entered on December 27, 2023. ECF No. 27.

Petitioner subsequently filed a request for an award of $11,861.00 in attorney’s fees and costs. Motion for Attorney’s Fees and Costs, ECF No. 28. Petitioner’s request is comprised of $10,604.40 in fees and $1,256.60 in costs. Id. at 3. Petitioner generally maintains that his claim was filed in good faith and with a reasonable basis. Id. at 1-2.

Respondent reacted to the Petitioner’s request on June 16, 2024. Response, ECF No. 29. Although he failed to specifically elaborate on the presence of good faith and

reasonable basis, he stated that he “is satisfied the statutory requirements for an award of attorneys’ fees and costs are met in this case.” Id. at 2. Respondent asks that I “exercise [my] discretion and determine a reasonable award for attorney’s fees and costs.” Id. at 3. And Petitioner did not file a reply thereafter.

II. Abbreviated Factual Synopsis

Ms. Strout’s pre-vaccination history is relevant for uncontrolled diabetes mellitus type 2 and severe diabetic peripheral neuropathy. See, e.g., Ex. 1 at 51, 211; Ex. 5 at 21. Ms. Strout was taking gabapentin for neuropathic pain as early as 2017. Ex. 3 at 39; Ex. 4 at 126, 152; Ex. 5 at 60. She also reported bladder and bowel incontinence and reduced bilateral extremity control in November of 2017. Ex. 4 at 117-23; Ex. 5 at 52. Ms. Strout experienced other neuropathic symptoms attributed to her diabetes, such as numbness and tingling in the extremities, throughout 2018 and 2019. Ex. 7 at 24-26, 65-66, 71-74, 93-94, 98, 104-05. By September 2019, Ms. Strout was taking Lyrica, gabapentin, and Cymbalta for her peripheral neuropathy and was ambulating with a wheelchair and/or walker. See, e.g., Ex. 1 at 589; Ex. 4 at 41, 44. Ms. Strout experienced dysphagia and vomiting in October 2019. Ex. 1 at 94. In January 2020, Ms. Strout required the assistance of home health aides. Ex. 4 at 12. She complained of ongoing bowel issues in April 2020 and was subsequently diagnosed with irritable bowel syndrome (“IBS”). Ex. 3 at 8-9. Ms. Strout complained of worsening gastrointestinal issues, including increased diarrhea, constipation, and vomiting by October 20, 2020. Id. at 32.

The record specifically reveals treatment Ms. Strout received immediately prior to the vaccination at issue that is relevant to the claim. On November 14, 2020 (four days pre vaccination), Ms. Strout was taken to the emergency room (“ER”) via ambulance for a two-day history of general malaise, nausea and vomiting, abdominal pain, lower back pain, headache, and numbness in her hands and feet. Ex. 1 at 196. She had a fever of 101.3, received IV fluids and Tylenol, and was discharged home. Id. at 219-20, 311.

The next day (November 15, 2020), Ms. Strout was again transported to the ER via ambulance complaining of lower back pain, lower abdomen tenderness, pelvic pain, weakness in her upper extremities (“UEs”), extreme weakness in her bilateral lower extremities (“LEs”), and an “altered mental status caused by UTI.” Ex. 1 at 305. When she arrived, she complained of a continued headache and fever (feeling hot and cold for 2-3 days), as well as UTI symptoms. Id. at 311. Laboratory work revealed an abnormal urinalysis, low white blood cell count, elevated glucose and liver function, and was also positive for E.coli bacteria. Id. at 272-74, 281-82, 320, 470-71. Ms. Strout was diagnosed with a “UTI with sepsis suspect pyelonephritis” (kidney infection) and she was admitted. Id. at 323. While admitted, on November 18, 2020, at 1:43pm, Ms. Strout received the flu vaccine at issue. Id. at 474.

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