Zatuchni v. Secretary of Health & Human Services

73 Fed. Cl. 451, 2006 U.S. Claims LEXIS 331, 2006 WL 3095950
United States Court of Federal Claims·Decided October 16, 2006·No. No. 94-58V·Published·Cited by 7 cases

Opinion

OPINION AND ORDER

WHEELER, Judge.2

Introduction

This case again is before the Court, this time for review of the Special Master’s May 10, 2006 Decision on Remand. In that decision, the Special Master granted in part and denied in part the petition of E. Barbara Snyder3 for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-l et seq. (2000) (the “Vaccine Act”). Ms. Snyder suffered from the effects of a 1992 measles, mumps, and rubella (“MMR”) vaccination for 13 years before she died in 2005. At issue is whether Ms. Snyder’s estate is entitled to economic losses for her vaccine-related injuries from 1992 to 2005, or whether recovery is limited to the death benefit allowed under the Vaccine Act. See 42 U.S.C. §§ 300aa-15(a).

[452]*452This Court earlier found on review of the Special Master’s May 2005 decision (“Liability Decision”)4 that the debilitating joint pain and fibromyalgia syndrome (“FMS”) that Ms. Snyder experienced from 1992 to 2005 were caused by the rubella component of her vaccination. Zatuchni v. Sec’y of Health & Human Servs., 69 Fed.Cl. 612 (2006). The Court remanded the case to the Special Master to determine whether Ms. Snyder’s death was caused by the vaccine, and to set the amount of compensation due Ms. Snyder’s estate. Id.

The Special Master determined in his Decision on Remand that Ms. Snyder’s death was caused by the vaccine, but he ruled as a matter of law that Ms. Snyder’s estate could recover only the $250,000 death benefit allowed under 42 U.S.C. § 300aa-15(a)(2). Zatuchni v. Sec’y of Health & Human Servs., 2006 WL 1499982 (Fed.Cl.Spee.Mstr. May 10, 2006) (“Remand Decision”). However, acknowledging the “difficult” and “close” legal question of whether the estate also is entitled to economic losses under 42 U.S.C. §§ 300aa-15(a)(l), (3), and (4), the Special Master commendably made findings of the amounts that would be appropriate if on review these economic loss categories were allowed. Id. at *6-8. These additional amounts total $554,323.90, and consist of $174,880.49 in actual reimbursable expenses, $250,000 for pain and suffering, and $129,443.41 in lost earnings. The sum of the death benefit ($250,000) and the economic loss categories ($554,323.90) is $804,323.90.

In a timely motion for review, Petitioner argues that the Special Master’s decision awarding only a $250,000 death benefit is contrary to law. Petitioner contends that a plain reading of the Vaccine Act, as well as the Act’s underlying remedial intent, should permit recovery of a death benefit and any economic losses caused by the vaccine. Respondent opposes the motion for review, arguing that a petitioner’s estate can recover only a $250,000 death benefit under the Vaccine Act when a vaccine is held to be the cause of death.5 The Court heard oral argument on Petitioner’s motion for review on August 17, 2006. The issue of whether a petitioner’s estate may recover a death benefit and lifetime economic losses caused by the same vaccination has not been addressed by the U.S. Court of Appeals for the Federal Circuit.

For the reasons explained below, the Court finds that the Special Master’s Remand Decision is not in accordance with law. Based primarily on a plain reading of the Vaccine Act, the Court concludes that an eligible petitioner who establishes vaccine-related injuries and a vaccine-caused death is entitled to recover both a death benefit and provable economic losses under the Act. The Court cannot accept Respondent’s premise that a woman who suffers 13 years of economic losses during her lifetime somehow forfeits those losses by dying while her case is pending before the Court. Nothing in the Vaccine Act supports such a severe result. The Court therefore vacates the Special Master’s conclusion of law that only a death benefit is allowed, but adopts the Special Master’s findings regarding Petitioner’s economic losses, totaling $554,323.90. The Court enters judgment for Petitioner in the amount of $804,323.90, comprised of the $250,000 death benefit and $554,323.90 in economic losses.

Factual Background6

Barbara Snyder was born on June 15, 1946. On February 10, 1992, at age 45, Ms. Snyder received an MMR vaccination so that she could continue working as a receptionist at the Atlantic City, New Jersey Medical Center. The record before the Court does not indicate any unusual medical history for Ms. Snyder prior to the vaccination. Within [453]*453two weeks of the vaccination, Ms. Snyder developed a number of medical problems, including a rash, swollen lymph nodes, a fever, and severe pain throughout her joints and muscles. Soon thereafter, Ms. Snyder experienced other symptoms, which her physicians diagnosed as continuing chronic arthralgia and FMS attributable to the rubella portion of the MMR vaccination. Over the next 13 years, Ms. Snyder’s physical condition deteriorated rapidly and significantly. Despite her best efforts, Ms. Snyder found it impossible to continue working. Eventually, she ambulated only with a walker, and used a motorized scooter when leaving her residence. She required a nurse’s aid to assist her with daily living functions.

Barbara Snyder died on April 28, 2005, at age 58. The immediate cause of death was found to be cardio-respiratory arrest due to chronic bronchitis and chrome obstructive pulmonary disease. Ms. Snyder’s physician, Dr. Dan Teano, determined that she suffered these health problems as a result of not being able to move and exercise at a normal rate due to her vaccine-related FMS. Ms. Snyder’s death certificate listed “CardioRespiratory Arrest” as the immediate cause of death, and “Post Rubella Vaccination Syndrome” and “Fibromyalgia” as “Other Significant Conditions Contributing to Cause of Death.”

Special Master’s Remand Decision

In determining whether Ms. Snyder’s death was vaccine-related, the Special Master relied upon the Federal Circuit’s Capizzano decision and the Court’s February 9, 2006 decision in this case, instructing that evidence contained in the medical records and opinions of the treating physicians is to be “favored in vaccine cases,” as these physicians are likely to be in the best position to determine whether a vaccine caused an injury or death. See Capizzano v. Sec’y of Health & Human Servs., 440 F.3d 1317, 1326 (Fed.Cir.2006); Zatuchni, 69 Fed.Cl. at 623-24. Based on Ms. Snyder’s death certificate and the testimony of her primary physician, Dr. Teano, the Special Master found it to be “more probable than not” that Ms. Snyder’s joint pain and FMS were “substantial factors” contributing to her death. (Remand Decision at *4). He further determined that “but for” those conditions, which this Court already held to be vaccine-related, Ms. Snyder would not have died when she did. Id.

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Zatuchni v. Secretary of Health & Human Services, 73 Fed. Cl. 451, 2006 U.S. Claims LEXIS 331, 2006 WL 3095950 (uscfc 2006).

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