In the United States Court of Federal Claims
                                OFFICE OF SPECIAL MASTERS
                                          No. 17-1231V
                                     Filed: October 29, 2018
                                       Not to be Published.

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AZIEB KIDANE,                               *
                                            *
              Petitioner,                   *
                                            *            Influenza (“flu”) vaccine;
 v.                                         *            unspecified reaction; statute of
                                            *            limitations; failure to prosecute;
SECRETARY OF HEALTH                         *            failure to make prima facie case
AND HUMAN SERVICES,                         *
                                            *
              Respondent.                   *
                                            *
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Caryn S. Fennell, Woodstock, GA, for petitioner.
Amy P. Kokot, Washington, DC, for respondent.

MILLMAN, Special Master

                                      DISMISSAL DECISION1

       On September 12, 2017, petitioner filed a petition pro se under the National Childhood
Vaccine Injury Act, 42 U.S.C. § 300aa-10-34 (2012), alleging that an influenza (“flu”)
vaccination she received on September 1, 2014 caused her an unspecified adverse reaction.

        On November 9, 2017, the undersigned held a telephonic status conference with
petitioner and respondent’s counsel. Petitioner said she had a reaction to her flu vaccination the
next day, i.e., on September 2, 2014, consisting of vomiting, heartburn, and fever. She said she
went to her physician on September 3, 2014. She claimed to still be sick. She said her doctor

1
  Because this unpublished decision contains a reasoned explanation for the special master’s action in this
case, the special master intends to post this unpublished decision on the United States Court of Federal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). Vaccine Rule 18(b) states that
all decisions of the special masters will be made available to the public unless they contain trade secrets
or commercial or financial information that is privileged and confidential, or medical or similar
information whose disclosure would constitute a clearly unwarranted invasion of privacy. This means
the decision will be available to anyone with access to the Internet. When such a decision is filed,
petitioner has 14 days to identify and move to redact such information prior to the document’s disclosure.
If the special master, upon review, agrees that the identified material fits within the banned categories
listed above, the special master shall redact such material from public access.
said she had a sinus infection. Petitioner said she did not know it was the vaccination that caused
it. It may have started in 2014 but worsened in 2015.

        Petitioner has not filed proof of vaccination or medical records from her treating
physician in 2014, although medical records from Regions Hospital list a series of flu
vaccinations, including one on September 1, 2014. Med. recs. Ex. 1, at 6. If the symptoms of
her alleged reaction occurred on September 2, 2014, the statute of limitations bars her case
because she filed over three years after the onset. 42 U.S.C. § 300aa-16(a)(2).

        On October 29, 2018, the undersigned held a telephonic status conference with counsel.
Petitioner had retained counsel who filed her medical records. Petitioner’s counsel said that she
could not receive any responses from petitioner although counsel had made repeated efforts.
Therefore, petitioner’s counsel was not going to be filing any more records.

                                             FACTS

        On October 21, 2014, according to medical records from Regions Hospital, petitioner
was diagnosed with physical deconditioning, back pain, and right hip pain. Med. recs. Ex. 1, at
7. This is seven weeks after petitioner’s 2014 flu vaccination. Petitioner received physical
therapy in a pool. Petitioner told physical therapist Greta L. Wolf that she is unsure what
triggered her attacks. She tried the pool about seven years earlier and had about one year of
relief. Id. at 8. Petitioner was not employed and applied for disability. Id.

        Petitioner has additional diagnoses: chronic abdominal pain, irritable colon, disc disease,
sciatica, bilateral sensory hearing loss, hyperlipidemia, multiple thyroid nodules, prediabetes,
sialadenitis, cavernoma, hypertension, bursitis, gluteus medius or minimus syndrome, it band
syndrome, gastroesophageal reflux disease, and vitamin B12 deficiency. Id. at 9. Petitioner is
58 years old. P-T Wolf noted petitioner had poor posture with forward flexion at the waist,
forward head, and rounded/forward shoulders. Id.

         On December 16, 2014, petitioner saw a gastroenterologist, Dr. Daniel J. Virnig. Id. at
44. She had a history of sphincteroplasty for constipation in 1982 followed by incontinence.
She had referrals to the pelvic floor center and gastroenterology (“GI”) clinics for similar
complaints in 2003, with a normal EGD at the time except for a hiatal hernia. Id. Dr. Virnig
notes petitioner had intermittent symptoms for up to 20 years. Id. at 45. She also had a
component of irritable bowel syndrome. He did not know what was causing petitioner’s
symptoms. Petitioner complained of heart burn and abdominal pain. Her symptoms started
many years before but resolved until three years previous, i.e., 2011, when they returned. “Now
it feels like everything causes problems.” Id. She stated 18 years earlier, she went to Africa and
was given some antibiotics for a GI illness which “fixed” her symptoms for 18 years. Id. One of
the other notes states petitioner was given “bacteria.” Id.

        On March 2, 2015, Dr. Vinig noted that the gastric emptying scan showed gastroparesis.
Id. at 59. Augmentin did not improve her abdominal symptoms but did fix some chronic ear

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discomfort. She had not been following a gastroparesis diet. TUMS improved her symptoms.
Petitioner said she thought her symptoms were worse since she was in a car accident this past
summer (2014). Id. On June 17, 2015, petitioner told a P-T Jennifer E. Bredeson that she had a
history of motor vehicle accidents that led to right lower extremity pain specifically at her knee.
Id. at 64. Her first car accident was before 2006. She had a car accident in the summer of 2014
and her knee problems related to that accident. Petitioner worked as a nursing assistant in the
past for about two years and went to nursing school but did not finish the program.

         On December 28, 2015, petitioner saw CNP Michelle L. Schorn as a GI follow up. Id. at
92. Petitioner continued to complain of abdominal pain and reflux symptoms. She thinks her
symptoms are worse since the car accident in 2014. She was not following a gastroparesis diet.
She stated she has a lot of stress in her life and that eating was her stress relief. Petitioner
wanted antibiotic treatment because she felt she had H. pylori. Id. CNP Schorn would not order
antibiotics. Id. at 94. This upset petitioner. Petitioner refused EGD testing. Dr. Virnig came in
to talk to petitioner. Id.

        On January 29, 2016, petitioner saw CNP Schorn. Id. at 98. Testing showed she did not
have Helicobacter pylori. Petitioner continued to say she wants H. pylori treatment and that if
CNP Schorn did not give her that treatment, she did not want any other testing or anything else
done at that time. She stated the visit was a colossal waste of time. Id. Petitioner felt that she
had been having blood in her stool due to her stool sitting for long periods of time in her colon.
Id. at 99. She felt that bacteria was the reason why her food was moving up through her
esophagus and to the back of her throat. She was very adamant that she wanted antibiotic
treatment and that CNP Schorn needed to “google this because you medical people need more
education.” Id. At the end of the appointment, petitioner refused any more treatment except if
CNP Schorn would order treatment for H. Pylori. Id. Petitioner was doing three enemas a day
and states she has to do this to use the toilet. Id. at 100. CNP Schorn was concerned that
petitioner might injure her colon. Petitioner refused any more testing. Petitioner stated her
birthday was in November 1953, not May 1960. She could not remember what day in November
her birthday was. CNP Schorn was concerned with petitioner’s mental health. Id.

        On August 16, 2017, Dr. Irshad Jafri, a gastroenterologist, saw petitioner. Id. at 134.
Petitioner saw her PCP and insisted on trying erythromycin, which her PCP gave her. Petitioner
returned to Dr. Jafri’s clinic, saying she did not have any improvement in her postprandial pain
and constant nausea with postprandial vomiting. She said she could not eat anything and lost 15
pounds since the beginning of the year. Id. Petitioner insisted on being treated for H. pylori. Id.
at 135. Dr. Jafri stated petitioner had significant GERD which her gastroparesis and lax lower
esophageal sphincter probably exacerbated. Plus she has a hiatal hernia. Petitioner insisted on
being treated for H. pylori even though there is no objective evidence of ongoing infection.
However, Dr. Jafri gave her a prescription for triple antibiotic therapy for 10 days. Id.

        On March 22, 2018, petitioner went to the Emergency Department (“ED”) at Regions
Hospital with left-sided pain and tailbone pain after being assaulted. Id. at 141. She was
assaulted in her home and struck on the left side of her head, losing consciousness. When the

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police and medics came, she was lying on her bedroom floor screaming. Id. Petitioner was
diagnosed with contusion of the scalp and of the coccyx. Id. at 143.

      The undersigned sees no mention of a vaccine injury in any of these records dating from
2014-2018. The undersigned doubts there was a reasonable basis to file this petition.

                                          DISCUSSION

       To satisfy her burden of proving causation in fact, petitioner must prove by preponderant
evidence: “(1) a medical theory causally connecting the vaccination and the injury; (2) a logical
sequence of cause and effect showing that the vaccination was the reason for the injury; and (3) a
showing of a proximate temporal relationship between vaccination and injury.” Althen v. Sec’y
of HHS, 418 F.3d 1274, 1278 (Fed. Cir. 2005). In Althen, the Federal Circuit quoted its opinion
in Grant v. Secretary of Health and Human Services, 956 F.2d 1144, 1148 (Fed. Cir. 1992):

               A persuasive medical theory is demonstrated by “proof of a logical
               sequence of cause of and effect showing that the vaccination was
               the reason for the injury [,]” the logical sequence being supported
               by a “reputable medical or scientific explanation[,]” i.e., “evidence
               in the form of scientific studies or expert medical testimony[.]”

418 F.3d at 1278.

       Without more, “evidence showing an absence of other causes does not meet petitioner’s
affirmative duty to show actual or legal causation.” Grant, 956 F.2d at 1149. Mere temporal
association is not sufficient to prove causation in fact. Id. at 1148.

        Petitioner must show not only that but for flu vaccine, she would not have had whatever
reaction she thinks she had, but also that flu vaccine was a substantial factor in causing whatever
reaction she thinks she had. Shyface v. Sec’y of HHS, 165 F.3d 1344, 1352 (Fed. Cir. 1999).

        The Vaccine Act, 42 U.S.C. § 300aa-13(a)(1), prohibits the undersigned from ruling for
petitioner based solely on her allegations unsubstantiated by medical records or medical opinion.
The medical records do not support petitioner’s allegations. Petitioner has not filed any medical
opinion in support of her allegations.

        Moreover, petitioner asserted during a recorded telephonic status conference when she
was still pro se that her reaction began the day after her vaccination, which means that she filed
her petition more than 36 months after the onset of her alleged reaction. 42 U.S.C. § 300aa-
16(a)(2). She received flu vaccine on September 1, 2014. She said her reaction began on
September 2, 2014. She filed her petition on September 12, 2017, after the statute of limitations
had run.

       The undersigned DISMISSES this petition for failure to prosecute, failure to make a

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prima facie case of causation of fact, and failure to file her petition within the statute of
limitations.

                                                CONCLUSION

     This case is now DISMISSED. In the absence of a motion for review filed pursuant to
RCFC Appendix B, the Clerk of Court is directed to enter judgment herewith.2


IT IS SO ORDERED.


Dated: October 29, 2018                                                           /s/ Laura D. Millman
                                                                                  Laura D. Millman
                                                                                  Special Master




2
  Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party, either separately or jointly,
filing a notice renouncing the right to seek review.
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