                                                                                REISSUED FOR PUBLICATION
          ORIG\NAL                                                                               MAY 1 2018
                                                                                                 OSM
                                                                                     U.S. COURT OF FEDERAL CLAIMS
               1fn tbe Wniteb $tates QCourt of jfeberal QClaitns
                                    OFFICE OF SPECIAL MASTERS
                                          Filed : April 3, 20 18

* * * * * * * * * * * * *
BEVERLY ANN NORMAND,                                   *        UNPUBLISHED
                                                       *
                  Petitioner,                          *        No. 16-720
v.                                                     *        Special Master Gowen
                                                       *
SECRETARY OF HEAL TH                                   *        Dismissal; Insufficient Proof;
AND HUMAN SERVICES,                                    *        Failure to Respond to Court
                                                       *        Orders.
                  Respondent.                          *
* * * * * * * * * * * * *
Beverly Ann Normand, appearing prose, for petitioner.
Amy Paula Kokot, United States Department of Justice, Washington, DC, for respondent.

                                  DECISION DISMISSING PETITION 1

        On June 21 , 2016, Beverly Ann Normand filed a prose petition in the National Vaccine
Injury Compensation Program ["Program"]. 2 Petitioner alleged that as a result of a tetanus
vaccination administered on June 14, 201 3, she subsequently experienced "severe pain" in her
shoulder, as well as her feet and ankles. Petition at 1, [ECF No. 1]. For the reasons stated
herein, petitioner's claim is dismissed for insufficient proof and failure to respond to court
orders.

     I.   Procedural History

       Petitioner filed her petition with accompanying medical records on June 21, 2016, and on
July 28, 20 16, the undersigned held an initial status conference with petitioner and respondent's
counsel, which was digitally recorded. During the status conference, the undersigned informed

1 Pursuant to the E-Government Act of 2002, see 44 U.S.C. § 350 1 note (20 12), because this d ecision contains a

reasoned expla na tion for the action in this case, I intend to post it on th e we bsite of the United States Court of
Federal Claims. T he court's website is at http://www.uscfc.uscou1ts.gov/aggrcgator/sources/7. Before the decision
is posted on the court's website, each party has 14 days to file a motion requesting redaction "of any info1mation
furnished by that party: ( 1) that is a trade secret or commercial or financial in substance and is privileged or
confidential; or (2) that includes medical files or similar files, the di sclosure of which would constitute a clearly
unwarranted invasion of privacy." Vaccine Rule l 8(b). "An objecting paity must provide the court with a proposed
redacted version of the decision." Id If neither pa rty files a motion for redaction within 14 days, the decision
will be posted on the court's website without a ny changes. Id.

2
 The Program compri ses Part 2 of the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa- I 0 et
seq. (hereinafter "Vaccine Act" or "the Act"). Hereafter, individual section references will be to 42 U.S.C. § 300aa
of the Act.
petitioner that based on the allegations in her petition, the statute of limitations to file a claim in
the Program had run prior to her filing the petition. 3 The undersigned informed petitioner that
the statute of limitations for the Vaccine Act is three years, and petitioner had missed the
deadline by a few days. The undersigned further noted that "if [petitioner's] recollection [of the
date of her vaccination] is accurate, [he] will have no choice but to dismiss this case because it
[was] not filed within the statute oflimitations, which is three years from the date of onset of the
symptoms." 4 The undersigned offered petitioner 45 days to collect and submit additional
medical records that may support her claim, to which she agreed. Scheduling Order issued July
29, 2016, [ECF No. 6]. The undersigned also recommended that petitioner consult with an
attorney who has experience with vaccine cases. Id. After the status conference, petitioner was
mailed an order summarizing what was discussed during the status conference as well as a list of
attorneys who practice in the Program. Id.

        Petitioner failed to file a motion for substitution of counsel or any medical records by the
deadline; consequently, on September 29, 2016, the undersigned issued an Order to Show Cause
directing petitioner to file her complete medical records no later than October 27, 2016, [ECF
No. 7]. The Order explained that if petitioner failed to file the additional medical records, her
claim could be dismissed for failure to prosecute. Id.

        On October 17, 2016, petitioner submitted a response to the Order to Show Cause ("Pet.
Resp."), [ECF No. 8]. She explained her delayed response to the Court and provided additional
medical records, including those from South Shore Hospital and Dr. Kumar Kaliana, an internist.
Id. Within the records, Dr. Kaliana's notes dated June 22, 2013, indicated that petitioner had
"pain in foot[ ... ] since 6/16/13, swelling to leg, hard to walk on foot." Id. at 18. 5 However,
shortly thereafter, on October 24, 2016, petitioner submitted the same medical record from Dr.
Kaliana, and her cover letter indicated that Dr. Kaliana "has corrected the official record of onset
of[her] having problem with feet and walking from 6-16-13 to 6-21-13." Pet. Ex. 9 at 1.
Petitioner submitted a new copy of the June 22, 2013 entry from Dr. Kaliana's chart with "June
16, 2013" crossed out and "June 21, 2013" substituted with Dr. Kaliana's initials beside it. Id. at
2.

        On November 8, 2016, the undersigned ordered respondent to file a motion to dismiss if
he believed the case was filed out of time. Order issued November 8, 2016, [ECF No. 11]. In
response to this Order, respondent filed a status report requesting time to file a Rule 4( c) Report.
Resp. Status Report filed December 2, 2016, [ECF No. 13]. Respondent filed his Rule 4(c)
Report on February 10, 2017, and asserted that petitioner had failed to file her claim within the
statutory time limitation set by the Vaccine Act. Resp. Report at 8-9, [ECF No. 16] ("[petitioner]
needed to file her petition by June 16, 2016, but it was not filed until June 21, 2016.").

3
  As discussed during the initial status conference, "[N]o petition may be filed for compensation .... after the
expiration of thirty-six months after the date of the occun·ence of the first sympto1n or 1nanifestation of onset ... .of
such injury." 42 U.S.C. §§ 300aa-16(a)(2).

4   Initial Status Conference at 4:20:50, Normand v. Sec'y of Health & Human Servs., (2016)(No. 16-720V).

5 Because petitioner's medical records do not have exhibit or page numbers, the page numbers cited herein refer to
the CM/ECF page numbers.



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Respondent also argued that petitioner's medical records did not provide any reliable evidence of
actual causation and that she had failed to meet her burden of proof under the Act. Id. at 5-8.

         On March 23, 2017, the undersigned held another status conference with petitioner and
respondent's counsel, during which he once again discussed the timeliness of petitioner's claim.
The undersigned again noted petitioner's claim for her alleged shoulder injury was untimely as
petitioner alleged it began hours after her vaccination on June 14, 2013. Order issued March 27,
2017, at 1, [ECF No. 20]. The undersigned then addressed petitioner's foot pain. Petitioner
argued during the conference that the foot pain began on or after June 21, 2013, which she
contended would make her claim for that injury timely. She argued that her foot and ankle pain
should be viewed as a separate injury from the shoulder and thus would be timely filed ifthe
medical record from Dr. Kaliana were accepted as corrected. However, the undersigned noted
that it seemed unlikely for Dr. Kaliana to have an independent recollection of petitioner's onset
date and to make the correction more than three years later, especially when records show that he
saw petitioner the day after the newly-alleged onset of the foot pain, on June 22, 2013, and at
that time noted that the pain began on June 16, 2013. The undersigned also noted that even if
petitioner could establish that her foot pain began on or after June 21, 2013, which would put her
claim for that injury within the statute oflimitations, because she alleged that both her shoulder
and her foot pain were related to a single peripheral neuropathy, and because her shoulder injury
claim was not timely, the two injuries claimed would need to be separated. Id. at 2.
Consequently, the undersigned ordered respondent to file a motion to dismiss addressing the
issue of whether petitioner's foot symptoms could be treated as a separate injury from her
shoulder symptoms under the circumstances alleged in the case. Id.

        On June 7, 2017, respondent filed a Motion for Ruling on the Record, requesting that the
undersigned dismiss petitioner's case because she "has not satisfied the Vaccine Act's statute of
limitations requirement as set forth [and] has failed to provide preponderant evidence in support
of any causation-in-fact claim." Motion for Ruling on the Record at 11, [ECF No. 23].
Petitioner did not file a response to the Motion, and in an order issued on August 29, 2017, she
was ordered to file a notarized affidavit from Dr. Kaliana confirming that he made the change in
petitioner's medical records regarding the onset of her foot pain and his reasons for doing so.
Order issued August 29, 2017, [ECF No. 24]. Respondent's Motion was held in abeyance until
after petitioner filed the affidavit, but petitioner was warned that if she did not file the required
affidavit or seek other relief from the court by the deadline her case would be dismissed. Id.

       Petitioner filed the affidavit from Dr. Kaliana on September 5, 2017, and a status
conference was held thereafter on November 11, 2015. During the status conference, the
undersigned discussed the details of Dr. Kaliana's affidavit with the patties, and respondent
noted that Dr. Kaliana only changed the medical record after petitioner told him that her foot
pain had actually stmied on June 21, 2013. Order issued November 21, 2017, [ECF No. 31].
The undersigned explained to petitioner that he could not find her entitled to compensation based
on her claims alone and that she would need more than her own recollection to substantiate her
claim. Id. The undersigned then further noted that petitioner had not received a definitive
diagnosis regarding her foot and ankle symptoms or an explanation of how the vaccine could
have caused the problem. Id. Petitioner stated that she had read medical literature linking her
foot symptoms with the vaccine, due to an interaction with her hemi medication, and she was



                                                  3
ordered to file that literature into the record, as well as all relevant medical records and an expert
report addressing both her diagnosis and causation, by no later than January 22, 2018. Id.
Petitioner was again encouraged to obtain an attorney and warned that if she did not comply with
the Order by the deadline her case would be dismissed. Id.

        On January 19, 2018, petitioner filed a motion for extension of time to comply with the
Order. Pet. Mot. filed January 19, 2018, [ECF No. 32]. The undersigned granted petitioner an
additional 60 days to comply with the Order, but again encouraged petitioner to obtain an
attorney and warned that she would not receive any more extensions and her case would be
dismissed if she did not address the significant issues in her case and comply with the previous
Order by March 26, 2018.

       To date, petitioner has not obtained an attorney, filed additional medical records, filed the
requested medical literature, or filed an expert report.

 II.    Conclusion

         A petitioner must establish entitlement to compensation in the Vaccine Program in one of
two ways. The first is to establish that he or she suffered a "Table Injury," i.e., that he or she
received a vaccine listed on the Vaccine Injury Table and subsequently developed a
corresponding injury within a corresponding period of time. § 300aa-1 l(c)(l). The second way
is to establish that the vaccine actually caused the onset or significant aggravation of a condition
in the vaccinee. § 300aa-13(a)(l)(A). To prove actual causation, petitioner must present: (1) a
medical theory; (2) a logical sequence of cause and effect; and (3) a medically acceptable
temporal relationship between the vaccination and the injury. A/then v. Sec '.Y of Health &
Human Servs., 418 F.3d 1274, 1278 (Fed. Cir. 2005).

         In the present case, petitioner did not allege, nor do the medical records indicate, that she
suffered a Table Injury. Thus, to prevail on entitlement, petitioner must establish that the
vaccine is the actual cause of her injuries. Under the Vaccine Act, a petitioner may not be
awarded compensation based solely on the petitioner's claims. Rather, the petition must be
supported by either medical records or by the opinion of a competent physician. § 300aa-
l 3(a)(l ). In the present case, the submitted medical records alone are insufficient to establish
entitlement to compensation by showing vaccine causation, and petitioner has not submitted an
expert report providing a definitive diagnosis or a medical theory linking her injury to the tetanus
vaccine administered on June 14, 2013. Despite receiving multiple extension of time to do so,
petitioner has not fulfilled her burden under the Vaccine Act and A/then, and it is therefore
appropriate to dismiss her claim for insufficient proof.

         Further, when a petitioner fails to follow comi orders, the special master may dismiss the
petitioner's claim. Tsekouras v. Sec'y a/Health & Human Servs., 26 Cl. Ct. 439 (1992), ajj"d
per curiam, 991F.2d810 (Fed. Cir. 1993); Saphasas v. Sec '.Y of Health & Human Servi>'., 35 Fed.
Cl. 503 (1996); Vaccine Rule 21(b). Petitioner was granted multiple extensions of time but she
still has not complied with cou1i orders, nor has she contacted my chambers regarding her most
recent missed filing deadline. This repeated failure to meet deadlines or otherwise inform the




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court consti tutes a failure to prosecute, which is a separate ground for dismissal of petitioner's
claim.

        Pursuant to Rule 21(b) of the Rules of the United States Court of Federal Claims,
this claim is DISMISSED for petitioner's failure to prosecute by providing proof of a
relevant diagnosis or expert opinion as to vaccine causation. The Clerk of the Court shall
enter judgment accordingly.

        IT IS SO ORDERED.



                                                       Thomas L. Gowen
                                                       Special Master




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