Wilson v. Secretary of Health and Human Services

United States Court of Federal Claims·Decided November 4, 2021·No. 20-588·Unpublished

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 20-588V UNPUBLISHED

BYRON WILSON, Chief Special Master Corcoran

Petitioner, Filed: October 5, 2021 v. Special Processing Unit (SPU); SECRETARY OF HEALTH AND Decision Awarding Damages; Pain HUMAN SERVICES, and Suffering; Influenza (Flu) Vaccine; Guillain-Barré Syndrome Respondent. (GBS)

Matthew B. Vianello, Jacobson Press P.C., Clayton, MO, for Petitioner.

Tyler King, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION AWARDING DAMAGES1

On May 12, 2020, Byron Wilson filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). Petitioner alleges that he suffered Guillain-Barré syndrome (“GBS”) as a result of an influenza (“flu”) vaccine administered to him on October 2, 2019. Petition at 1. The case was assigned to the Special Processing Unit of the Office of Special Masters – and although entitlement was conceded, the parties could not settle damages to be awarded.

For the reasons set forth below, and after hearing argument from the parties, I find that Petitioner is entitled to compensation in the amount of $176,123.85, representing

1 Because this unpublished Decision contains a reasoned explanation for the action in this case, I am required to post it on the United States Court of Federal Claims' website in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2012) (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.

2National 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 (2012). $175,000.00 for actual pain and suffering, plus $1,123.85 for past unreimbursable expenses.

I. Relevant Procedural History

Approximately 9 months after this case was initiated, Respondent filed his Rule 4(c) Report on February 8, 2021, conceding that Petitioner was entitled to compensation. ECF No. 27. A Ruling on Entitlement was subsequently issued on February 22, 2021. ECF No. 28. The parties thereafter attempted to informally resolve damages but were unsuccessful. ECF No. 32. A status conference was held on May 18, 2021, and on that same date, I issued a scheduling order regarding the briefing of disputed damages issues. ECF No. 33. The parties filed their respective briefs (ECF Nos. 34 (“Br.”), 35 (“Opp.”), and 37 (“Resp.”)). I thereafter proposed that the parties be given the opportunity to argue their positions at a “Motions Day” hearing, at which time I would decide the disputed damages issues. ECF. No. 39. The hearing was held on September 24, 2021,3 and the case is now ripe for a determination.

II. Relevant Medical History

A complete recitation of the facts can be found in the Petition, the medical records, the parties’ respective pre-hearing briefs, and in Respondent’s Rule 4(c) Report. In brief summary, on October 2, 2019, Mr. Wilson received a flu vaccine. Ex. 15 at 5. Prior to vaccination, Mr. Wilson had no significant medical history, and was able to walk three to four miles daily and go fishing. Ex. 4 at 67; Ex. 7 at 499, 506.

According to Mr. Wilson, nearly three weeks after vaccination (on October 18, 2019) he began experiencing numbness and tingling in his feet, which over the course of the next three days spread to his hands, arms, and legs. Ex. 3 at 1; Ex. 4 at 67; Ex. 5 at 34. After presenting to his primary care physician, Mr. Wilson’s physician referred him to the emergency room (ER). After a series of tests, including laboratory tests, a lumbar puncture, a chest x-ray, and a head CT scan, Mr. Wilson was discharged from the ER on October 22, 2019, with diagnoses of weakness and numbness. See Ex. 6 generally.

Mr. Wilson’s condition worsened, and on October 23, 2019, the day after he was discharged from the ER, he presented to a different hospital with “progressive weakness rapidly progressing over the course of 3 days now creating subjective difficulty with breathing . . .” which was “concerning for [GBS].” Ex. 5 at 238. Mr. Wilson was referred

3 At the end of the hearing held on September 24, 2021, I issued an oral ruling from the bench on damages in this case. That ruling is set forth fully in the transcript from the hearing, which is yet to be filed with the case’s docket. The transcript from the hearing is, however, fully incorporated into this Decision.

2 and admitted to the neuro intensive care unit (NICU). Id. On admission, he was diagnosed with Acute Motor Axonal Neuropathy (AMAN) variant of GBS and was started on plasma exchange therapy (PLEX). Id. at 110, 118. Mr. Wilson received five sessions of PLEX therapy during his inpatient hospitalization. Id. at 272.

Mr. Wilson’s condition continued to worsen during his hospitalization, including absent reflexes, tetraparesis, and worsening respiratory issues. Ex. 5 at 248. Given his worsening respiratory status, Mr. Wilson was intubated on October 25, 2019. Id. at 110. On October 29, 2019, while Mr. Wilson was intubated, he abruptly experienced an episode of asystolic arrest. Ex. 5 at 232. Chest compressions were initiated for approximately sixty seconds and return of spontaneous circulation (ROSC) was obtained. Id. The cardiologist noted that the asystolic arrest was probably driven and related to AIDP (acute inflammatory demyelinating polyneuropathy), a form of GBS. Id. at 259.

Mr. Wilson’s condition subsequently improved, he was extubated on November 1, 2019, and on November 6, 2019, he was discharged from the hospital and admitted to inpatient rehabilitation at a skilled nursing facility (SNF). Ex. 5 at 118, 341; Ex. 7 at 1. Mr. Wilson was admitted to the SNF for skilled physical therapy (PT), occupational therapy (OT), and speech therapy (ST). Ex. 7 at 184-186. On December 9, 2019, Mr. Wilson was discharged from the SNF to outpatient therapy. Ex. 7 at 2. At the time of his discharge, Mr. Wilson’s condition further improved including “significant progress in functional mobility including ambulating, transferring with less assist, and initiating manual wheelchair training . . . .” Ex. 7 at 57. Mr. Wilson, however, was still non-ambulatory and during his SNF stay he developed a bed sore and shingles. Id. at 155, 690,1726; Ex. 3 at 2. Mr. Wilson attended outpatient physical therapy between December 2019, and May 2020, for a total of 62 sessions. See Exs. 8 and 13 generally. Mr. Wilson attended outpatient occupational therapy between December 2019, and March 2020, for a total of 32 sessions. See Ex. 9 generally.

By March 2020, Mr. Wilson was continuing to experience effusion, swelling, mild fatigue and some pain, but by August 2020, his strength was full. Ex. 4 at 86-97; Ex. 16 at 1. Mr. Wilson’s complaint during that visit was hamstring and low back tightness as well as shoulder pain and popping noises. Id.

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

Wilson v. Secretary of Health and Human Services, (uscfc 2021).

Wilson v. Secretary of Health and Human Services (Wilson v. Secretary of Health and Human Services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related