Ultimo v. Secretary of the Department of Health & Human Services

28 Fed. Cl. 148, 1993 U.S. Claims LEXIS 17, 1993 WL 129177
CourtUnited States Court of Federal Claims
DecidedApril 6, 1993
DocketNo. 90-2045V
StatusPublished
Cited by25 cases

This text of 28 Fed. Cl. 148 (Ultimo v. Secretary of the Department 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
Ultimo v. Secretary of the Department of Health & Human Services, 28 Fed. Cl. 148, 1993 U.S. Claims LEXIS 17, 1993 WL 129177 (uscfc 1993).

Opinion

ORDER

MOODY R. TIDWELL, III, Judge:

This case is before the court on petitioner’s motion for review of Chief Special Master Gary J. Golkiewicz’s December 11, 1992, decision denying her compensation under the National Childhood Vaccine Injury Act of 1986, as amended, 42 U.S.C.A. §§ 300aa-l — 300aa-34 (West 1991 & Supp. 1992) (Vaccine Act). For the reasons set forth below, the court denies petitioner’s motion for review and affirms the Chief Special Master’s decision.

FACTS

The facts of this case have been set forth in the Chief Special Master’s decision, published as Ultimo v. Secretary of HHS, No. 90-2045V, 1992 WL 392629 (Fed.Cl. Spec.Mstr. Dec. 11, 1992). Therefore, the court will only repeat facts as necessary for disposition of petitioner’s motion.

On January 11, 1993, petitioner moved the court for review of the Chief Special Master’s decision, raising four objections: first, that the Chief Special Master erred in not finding that the manifestation of the Table injury occurred within three days after the vaccine administration; second, that the Chief Special Master incorrectly stated that there was no evidence of further afebrile seizures within one year of the vaccination; third, that petitioner demonstrated causation in fact as well as demonstrating a Table case; finally, that the Chief Special Master “has demonstrated a [150]*150consistent pattern of bias in [similar] cases, making them more adversarial than Congress had intended and requiring a higher level of proof than a jury could possibly require.” On February 10, 1993, respondent filed a memorandum in response to petitioner’s motion for review.

DISCUSSION

I. Standard of Review

In reviewing the decision of a special master, this court has authority to “set aside any findings of fact or conclusion[s] of law ... found to be arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law.” 42 U.S.C. § 300aa-12(e)(2)(B). By the plain language of the statute, de novo review of legal conclusions or factual findings is not appropriate. Stotts v. Secretary of HHS, 23 Cl.Ct. 352, 358-61 (1991); see Hines v. Secretary of HHS, 940 F.2d 1518, 1523-24 (Fed.Cir.1991); Murphy v. Secretary of HHS, 23 Cl.Ct. 726, 729-30 (1991). “ ‘[Arbitrary and capricious’ is a highly deferential standard of review.” Hines, 940 F.2d at 1528. A reviewing court may not substitute its own judgment for that of a special master if the special master has considered all relevant factors, and has made no clear error of judgment. See Citizens to Preserve Overton Park, Inc. v. Volpe, 401 U.S. 402, 416, 91 S.Ct. 814, 823, 28 L.Ed.2d 136 (1971); Hyundai Elecs. Indus. v. United States Int’l Trade Comm’n, 899 F.2d 1204, 1209 (Fed.Cir.1990); Gamalski v. Secretary of HHS, 21 Cl.Ct. 450, 451-52 (1990). Accordingly, this court must grant the Chief Special Master wide latitude in reviewing the propriety of his denial of petitioner’s claim.

II. Recovery Under the Vaccine Act

For petitioner to recover under the Vaccine Act, a showing of causation must be established in one of two ways. Causation is presumed if petitioner supports, with medical records or expert testimony, a claim of an injury listed on the Vaccine Injury Table (Table), 42 U.S.C. § 300aa-14(a), and shows by a preponderance of the evidence that the injury occurred within the time period described by the Table. 42 U.S.C. § 300aa-13(a)(l)(A). If these requirements are met, petitioner will recover unless respondent alternatively shows by a preponderance of the evidence that the injury resulted from factors “unrelated to the administration of the vaccine described in the petition.” 42 U.S.C. § 300aa-13(a)(1)(B).

Alternatively, a petitioner may recover by showing actual causation, a more difficult route to recovery. This method requires petitioner to prove by a preponderance of the evidence that a vaccination caused the alleged injury. Compensation for non-Table injuries is authorized under 42 U.S.C. § 300aa-l 1(c)(1), and includes any “illness, disability, injury, or condition” not listed on the Table, or not meeting the Table’s requirements. See 42 U.S.C. § 300aa-ll(c)(l)(C)(ii)(I)-(II). To recover, scientific certainty that a vaccination caused an injury is not required. Bunting v. Secretary of HHS, 931 F.2d 867, 873 (Fed.Cir.1991). If “a reputable medical or scientific explanation” is used to support a proposed theory of causation, a prima facie case will be established. McClendon v. Secretary of HHS, 24 Cl.Ct. 329, 334 (1991) (quoting Strother v. Secretary of HHS, 18 Cl.Ct. 816, 820 (1989)). The burden then shifts to respondent to show by a preponderance of the evidence that something other than the vaccination caused the reaction. McClendon, 24 Cl.Ct. at 334. Here, petitioner attempted to prove both a Table injury and actual causation. The Chief Special Master determined that petitioner had not met her burden of proof under either method of recovery. Ultimo, 1992 WL 392629, at *4.

III. Petitioner’s Objections

A.

The Chief Special Master found that Dante Ultimo’s first seizure did not occur until approximately 78-80 hours after his receipt of the vaccination, id. at *1, and that the evidence showed that the earliest Dante could have seized was 75 hours after the vaccination. Id. The court sustains this factual finding. Petitioner argues that [151]*151the Chief Special Master erred in applying a literal definition of three days to determine whether or not Dante’s seizure occurred within the statutorily prescribed time limit for demonstration of a Table injury, rather than applying a legal definition of three days. That is, petitioner argues that “3 days,” 42 U.S.C. § 300aa-14(a)(1), does not mean 72 hours, but means three calendar days. Therefore, petitioner urges the court to liberally construe the Table, and find that petitioner has demonstrated a Table injury. While it is at least arguable that “3 days” means three calendar days, and not 72 hours,1 the Chief Special Master correctly interpreted the statutory language in light of relevant case law. See Ultimo, 1992 WL 392629, at *1 (citing Jensen v. Secretary of HHS, No. 90-1606V, 1992 WL 182187, at *3 (Cl.Ct. Spec.Mstr. July 10, 1992), appeal pending; Tweten v. Secretary of HHS, No.

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Bluebook (online)
28 Fed. Cl. 148, 1993 U.S. Claims LEXIS 17, 1993 WL 129177, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ultimo-v-secretary-of-the-department-of-health-human-services-uscfc-1993.