In the United States Court of Federal Claims
                                OFFICE OF SPECIAL MASTERS
                                          No. 16-661V
                                     Filed: January 19, 2018
                                      Not to be Published.

*************************************
LINDA YBARRA,                                *
                                             *
              Petitioner,                    *
                                             *           Tdap vaccine; SIRVA; no proof
 v.                                          *           of Table injury or of causation;
                                             *           petitioner moves to dismiss
SECRETARY OF HEALTH                          *
AND HUMAN SERVICES,                          *
                                             *
              Respondent.                    *
                                             *
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John Howie, Jr., Dallas, TX, for petitioner.
Ryan D. Pyles, Washington, DC, for respondent.

MILLMAN, Special Master

                                              DECISION1

       On June 3, 2016, petitioner filed a petition under the National Childhood Vaccine Injury
Act, 42 U.S.C. § 300aa-10-34 (2012), alleging that tetanus, diphtheria, and acellular pertussis
(“Tdap”) vaccine administered on November 10, 2013 caused her shoulder injury related to
vaccine administration (“SIRVA”) and which the vaccine caused. Pet. Preamble and ¶ 20.

        On January 16, 2018, petitioner filed a Motion for a Decision Dismissing her Petition.
She states that “she will be unable to prove that she is entitled to compensation in the Vaccine
Program” and that “to proceed further would be unreasonable and would waste the resources” of
the court, respondent, and the Vaccine Program. Pet’r’s Mot. at 1.

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 Because this unpublished decision contains a reasoned explanation for the special master’s action in this
case, the special master intends to post this unpublished decision on the United States Court of Federal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. 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.
      The undersigned GRANTS petitioner’s Motion for a Decision Dismissing her Petition
and DISMISSES this case.

                                             FACTS

                                        Medical Records

                                    Prevaccination Records

        On June 9, 2011, petitioner saw Deanna E. Wallace, complaining of joint pain in her
neck, shoulders, wrists, hands, lower back, hips, knees, and feet since she was 17 years old but
progressively worsening. Med. recs. Ex. 4, at 5. She was diagnosed with osteoarthritis in her
twenties and thirties. She was also diagnosed with lumbar stenosis. She complained of all-day
fatigue, and aches and pains in her proximal arms and neck. She was diagnosed with
polyarthralgia. Id.

                                    Postvaccination Records

       On November 10, 2013, petitioner received Tdap vaccine. Med. recs. Ex. 2, at 1-2.

        On December 9, 2014, petitioner went to Sports Medicine and Rehabilitation,
complaining of difficulty with daily activities, fatigue, poor endurance, joint stiffness, muscle
weakness, neck pain, upper arm tingling, left upper arm pain, and left forearm and hand pain.
Med. recs. Ex. 9, at 7. She said her current problems began on June 1, 2014 with an insidious
onset of left upper arm pain posteriorly and laterally about six months previously, with a gradual
increase in symptoms and radiation of pain into her left dorsal forearm and hand. She had a
history of neck soreness and stiffness for many years. Id.

                                         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[.]”


                                                 2
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 Tdap vaccine, she would not have SIRVA, but
also that Tdap vaccine was a substantial factor in causing her SIRVA. Shyface v. Sec’y of HHS,
165 F.3d 1344, 1352 (Fed. Cir. 1999). From her medical records, it is doubtful that she even had
SIRVA.

        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. She has not filed a medical expert
opinion in support of her allegations.

        Petitioner moves for a decision dismissing her petition.

        The undersigned GRANTS petitioner’s motion and DISMISSES this petition.

                                            CONCLUSION

     The petition is 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: January 19, 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.
                                                    3
