         In the United States Court of Federal Claims
                                  OFFICE OF SPECIAL MASTERS
                                           No. 17-1529V
                                      Filed: August 13, 2019
                                          UNPUBLISHED


    RYAN THOMPSON,

                         Petitioner,                          Special Processing Unit (SPU);
    v.                                                        Findings of Fact; Onset; Influenza
                                                              (Flu) Vaccine; Shoulder Injury
    SECRETARY OF HEALTH AND                                   Related to Vaccine Administration
    HUMAN SERVICES,                                           (SIRVA)

                        Respondent.


Jessica Olins, Maglio Christopher & Toale, PA, Washington, DC, for petitioner.
Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for respondent.

                                         FINDINGS OF FACT1

Dorsey, Chief Special Master:

      On October 16, 2017, petitioner 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 a shoulder injury related to vaccine
administration (“SIRVA”) in his left shoulder from an influenza (“flu”) vaccine
administered on October 16, 2016. Petition at 1, 3. The case was assigned to the
Special Processing Unit of the Office of Special Masters.



1The undersigned intends to post this ruling on the United States Court of Federal Claims' website. This
means the ruling 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, the undersigned
agrees that the identified material fits within this definition, the undersigned will redact such material from
public access. Because this unpublished ruling contains a reasoned explanation for the action in this
case, undersigned is 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).

2National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for
ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. §
300aa (2012).
      For the reasons discussed below, the undersigned finds the onset of petitioner’s
shoulder injury related to vaccine administration (“SIRVA”) occurred within 48 hours of
vaccination. Specifically, petitioner suffered pain within 48 hours of vaccination.


   I.     Relevant Procedural History

       In support of his claim, petitioner filed medical records (Exs. 1-6, 8-10, 13-15), his
own affidavit (Exs. 7), and witness affidavits (Ex. 16, Aff. of Angela Thompson (wife);
Ex. 17, Aff. of Brenda Thompson (mother); Ex. 18, Aff. of Ashley Wendler (sister)).
Deadlines for respondent to report his position in the case were set following the
December 15, 2017 initial status conference. Orders, ECF Nos. 9, 18, 21.

        On June 18, 2018, respondent reported that he was interested in exploring an
informal resolution of the case. ECF No. 23. The parties spent nearly a year discussing
settlement. See generally ECF Nos. 25-40. On June 7, 2019, petitioner reported a
“belief” that “respondent has a fact issue in this case with regards to onset of
symptoms.” Pet.’s Status Report, ECF No. 42. A status conference was held on June
13, 2019, to discuss petitioner’s status report. Order, ECF No. 43. During the
conference, petitioner requested that the undersigned issue a fact ruling on onset. Id.

         Thereafter, the undersigned reviewed the evidence and determined that fact
hearing or briefing would not be necessary. Order, ECF No. 43. A deadline was set for
closing the record on the matter of onset. Id. In response, petitioner filed witness
affidavits. Exs. 16-18. Respondent filed a status report indicating that he did not intend
to file anything in regards to onset. ECF No. 45. The matter is now ripe for
adjudication.


   II.    Issue

        At issue is whether petitioner’s first symptom or manifestation of onset after
vaccine administration was within 48 hours as set forth in the Vaccine Injury Table. 42
C.F.R. § 100.3(a) XIV.B. (2017) (influenza vaccination). Additionally, the Qualifications
and aids to interpretation (“QAI”) for a Table SIRVA require that a petitioner’s pain occur
within this same time frame, 48 hours. 42 C.F.R. § 100.3(c)(10).


   III.   Authority

       Pursuant to Vaccine Act § 13(a)(1)(A), a petitioner must prove, by a
preponderance of the evidence, the matters required in the petition by Vaccine Act
§ 11(c)(1). A special master may find that the first symptom or manifestation of onset of
an injury occurred “within the time period described in the Vaccine Injury Table even

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though the occurrence of such symptom or manifestation was not recorded or was
incorrectly recorded as having occurred outside such period.” Vaccine Act § 13(b)(2).
“Such a finding may be made only upon demonstration by a preponderance of the
evidence that the onset [of the injury] . . . did in fact occur within the time period
described in the Vaccine Injury Table.” Id.
       A special master must consider, but is not bound by, any diagnosis, conclusion,
judgment, test result, report, or summary concerning the nature, causation, and
aggravation of petitioner’s injury or illness that is contained in a medical record.
Vaccine Act § 13(b)(1). “Medical records, in general, warrant consideration as
trustworthy evidence. The records contain information supplied to or by health
professionals to facilitate diagnosis and treatment of medical conditions. With proper
treatment hanging in the balance, accuracy has an extra premium. These records are
also generally contemporaneous to the medical events.” Curcuras v. Sec’y of Health &
Human Servs., 993 F.2d 1525, 1528 (Fed. Cir. 1993).

   IV.       Finding of Fact

        The undersigned makes the finding after a complete review of the record to
include all medical records, affidavits, testimony, expert reports, respondent’s Rule 4
report, and additional evidence filed. Specifically, the undersigned bases the finding on
the following evidence:

         •   On October 6, 2016, petitioner received an influenza vaccination in his left
             deltoid, at Federal Occupational Health in Washington, DC. Petitioner’s
             Exhibit (“Ex.”) 1 at 1.
         •   Petitioner recalls pain in his left shoulder immediately upon receiving the
             vaccination, and states that the following day his “left shoulder felt worse and
             throughout the day continued to get worse.” Ex. 7 at 1.
         •   On October 24, 2016, petitioner went to his primary care physician’s office
             (“PCP”) and was seen by Jessica Martin, N.P., at his with complaints of left
             deltoid pain following the influenza vaccination. Ex. 2 at 5. (“complained of
             left deltoid pain after taking flu shot last Oct 6”). Petitioner complained of
             popping sensations and weakness with raising his left arm. Id. Petitioner had
             been “dealing” with the pain, which was aching and weak. Id. Nurse
             Practitioner Martin diagnosed petitioner with left shoulder bursitis and ordered
             an MRI. Id.
         •   On November 1, 2016, petitioner was seen by board certified radiologist, Uma
             J. Thakur, M.D., for MRI imaging of his left shoulder. Ex. 2 at 10. Dr. Thakur
             noted petitioner’s history as “29-year-old man with left shoulder pain and loss
             of range of motion for one month following flu shot, pain with abduction in all
             directions.” Id. Petitioner’s MRI report states, “trace fluid at the
             myotendinous junction of the teres minor muscle extending to the attachment
             site on the humeral head where there are small subcortical cysts.” Id.




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        •   On November 21, 2016, Christopher Koth, P.T., evaluated petitioner’s left
            shoulder pain. Ex. 5 at 2. Physical Therapist Koth noted petitioner’s history
            as “Pt got a flu shot on 10/6/16 and afterwards had left shoulder soreness
            that then turned just to pain.” Id.
        •   On December 19, 2016, petitioner returned to his PCP and again was
            evaluated by Nurse Practitioner Martin. Ex. 2 at 6. Nurse Practitioner Martin
            noted petitioner’s continued shoulder pain since receiving a flu shot and that
            petitioner had been attending physical therapy for 6-7 sessions without
            improvement and was experiencing a decreased range of motion. Id. Nurse
            Practitioner Martin referred Petitioner to an orthopedic physician. Id.
        •   On January 4, 2017, petitioner was seen by board certified orthopedic
            surgeon, Professor Robert J. Neviaser, M.D., of the George Washington
            University School of Medicine for evaluation of his left shoulder pain. Ex. 3 at
            2. Dr. Neviaser noted petitioner’s history as “[f]ollowing a [] on October 6,
            2016, within a couple of days, he had severe pain in his left shoulder.” Id.
            Neviaser also noted that “other than the flu shot, he recalls nothing that might
            have caused this” when discussing petitioner’s shoulder pain. Id. Dr.
            Neviaser administered a subacromial injection. Id.
        •   On January 26, 2017, petitioner submitted a Vaccine Adverse Event Report
            indicating the onset of his left shoulder pain as October 6, 2016, the day he
            received the flu vaccination. Ex. 19 at 2.
        •   Petitioner’s wife, mother, and sister all saw him on the day of his October 6,
            2016 flu vaccination and recall him mentioning having left shoulder pain. Exs.
            16-18.

        The above medical entries are consistent with petitioner’s affidavit testimony that
his left shoulder pain began at the time he received the flu vaccine on October 6, 2016.
The undersigned finds the sworn testimony of petitioner’s witnesses to be credible and
in agreement with the contemporaneously created treatment records. As such, the
undersigned finds preponderant evidence that the onset of petitioner’s left shoulder
injury occurred within 48 hours of his October 6, 2016 flu vaccination.


   V.       Scheduling Order

        Respondent shall file a Rule 4(c) report by Wednesday, September 25, 2019.


IT IS SO ORDERED.

                                    s/Nora Beth Dorsey
                                    Nora Beth Dorsey
                                    Chief Special Master




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