Lucille Dalpe v. Secretary of Health and Human Services ( 2013 )


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  •   In the United States Court of Federal Claims
    OFFICE OF SPECIAL MASTERS
    ***************** *** *
    LUCILLE DALPE,           *                           No. 13-602V
    *                           Special Master Christian J. Moran
    Petitioner, *
    *                           Filed: October 8, 2013
    v.                       *
    *                           Motion to dismiss petition;
    SECRETARY OF HEALTH      *                           Pneumococcal vaccine
    AND HUMAN SERVICES,      *
    *
    Respondent. *
    ******************** *
    Heather M. Bonnet-Hebert, Mandell, Schwartz & Boisclair, Ltd., Providence, RI,
    for petitioner;
    Lisa A.Watts, United States Dep’t of Justice, Washington, D.C., for respondent.
    UNPUBLISHED DECISION GRANTING MOTION TO DISMISS 1
    On August 22, 2013, Lucille Dalpe filed a petition seeking compensation
    under the National Childhood Vaccine Injury Act of 1986 (“Vaccine Act”). 42
    U.S.C. §300a-1 to 34. Ms. Dalpe’s petition alleged that she developed shoulder
    injury related to vaccine administration (“SIRVA”), as a result of receiving the
    pneumococcal vaccine, Pneumovax, on November 2, 2011.2 Pet. at 1; exhibit 1A
    at 14.
    1
    The E-Government Act of 2002, Pub. L. No. 107-347, 116 Stat. 2899, 2913 (Dec. 17,
    2002), requires that the Court post this ruling on its website. Pursuant to Vaccine Rule 18(b), the
    parties have 14 days to file a motion proposing redaction of medical information or other
    information described in 42 U.S.C. § 300aa-12(d)(4). Any redactions ordered by the special
    master will appear in the document posted on the website.
    2
    Pneumovax is the brand name for a polysaccharide-type vaccine used to vaccinate
    against pneumococcus. The Pneumovax vaccine consists of a “mixture of highly purified
    capsular polysaccharides from the 23 most prevalent or invasive pneumococcal types of
    Streptococcus pneumoniae, including the six serotypes that most frequently cause invasive drug
    resistant pneumococcal infections among children and adults in the United States.” Physicians'
    Desk Reference, 1994 (55th ed.2001).
    For the reasons explained below, Ms. Dalpe is unable to demonstrate that
    she “received a vaccine set forth in the Vaccine Injury Table.” 42 U.S.C. §
    300aa11(c)(1)(a). Consequently, her petition is DISMISSED.
    I.     Factual and Procedural History
    On the morning of November 2, 2011, Ms. Dalpe received a Pneumovax
    vaccination in her upper right arm. Pet. at 1; exhibit 1A at 14. Later that same
    day, Ms. Dalpe sought treatment at Barrington Urgent Care for pain, redness and
    swelling in her upper right arm. Pet. at 2. Following vaccination, Ms. Dalpe
    continued to seek treatment, including physical therapy, for pain and decreased
    range of motion in her right arm. Pet. at 2-4.
    On August 22, 2013, Ms. Dalpe filed a petition seeking compensation for
    her injuries. Pet. at 1. With her petition, Ms. Dalpe filed an affidavit from Dr. Todd
    Handel (exhibit 1), a set of medical records (exhibits 1A-1G), and information
    regarding a proposed vaccine injury table update (exhibit 2). Following the filing
    of Ms. Dalpe’s petition, the Court ordered respondent to file her Rule 4 report by
    November 20, 2013, and set a status conference for September 23, 2013.
    On September 10, 2013, prior to the scheduled status conference, respondent
    filed a motion to dismiss Ms. Dalpe’s petition for failure to state a claim upon
    which relief may be granted. Resp’t Mot. at 1. In her motion, respondent argues
    that Ms. Dalpe cannot receive compensation for her alleged injuries because the
    vaccine she received, Pneumovax, is not listed in the Vaccine Injury Table, 42
    C.F.R. § 100.3 (a). Resp’t Mot. at 1-2.
    An initial status conference was held on September 23, 2013. At this
    conference, the parties discussed whether the pneumococcal polysaccharide
    vaccine was covered by the Vaccine Act. Ms. Dalpe requested additional time to
    A number of cases have concerned the Pneumovax vaccine; all have resulted in
    dismissals. See Schmidt v. Sec'y of Health & Human Servs., 11-401V, 
    2011 WL 6148590
    (Fed.
    Cl. Nov. 21, 2011); Evans v. Sec'y of Health & Human Servs., No. 08–365V, 
    2008 WL 2683299
    (Fed. Cl. June 19, 2008); Morrison v. Sec'y of Health & Human Servs., No. 04–1683, 
    2005 WL 2008245
    (Fed.Cl. July 26, 2005); Finley v. Sec'y of Health & Human Servs., No. 04–874V, 
    2004 WL 2059490
    (Fed. Cl. Aug. 24, 2004).
    The alternative type of vaccine used to vaccinate against pneumococcus is the conjugate-
    type vaccine. The conjugate-type of pneumococcal vaccine is expressly covered under Category
    XII of the Vaccine Injury Table. 42 C.F.R. § 100.3(a)(XII) (2010); see also 66 Fed.Reg. 28,166
    (May 22, 2001) (placing conjugate-type pneumococcal vaccine on the Vaccine Injury Table).
    2
    reply to respondent’s motion. On September 25, 2013, the Court issued an order
    granting Ms. Dalpe an extension for her reply until October 4, 2013.
    On October 4, 2013, Ms. Dalpe filed a motion for decision on the record
    incorporating by reference the facts and legal arguments set forth in her petition.
    Pet’r Mot. at 1.
    II.   Standards for Adjudication
    The court may dismiss a petition for failure to state a claim, pursuant to
    RCFC 12(b)(6). To properly state a claim, the petitioner must provide “a short and
    plain statement of the claim, which shows that the petitioner is entitled to relief.”
    Totes-Isotoner Corp. v. United States, 
    594 F.3d 1346
    (Fed. Cir. 2010), quoting Bell
    Atl. Corp. v. Twombly, 
    550 U.S. 544
    , 555 (2007). A complaint does not need
    detailed factual allegations, but “factual allegations must be enough to raise a right
    to relief above the speculative level, on the assumption that all the allegations in
    the complaint are true (even if doubtful in fact).” Bell Atl. Corp. v. 
    Twombly, 550 U.S. at 555
    .
    III. Analysis
    To receive compensation under the National Vaccine Injury Compensation
    Program (hereinafter “the Program”), Ms. Dalpe must first prove that she “received
    a vaccine set forth in the Vaccine Injury Table.” 42 U.S.C. § 300aa11(c)(1)(a).
    Ms. Daple’s medical records indicate that she received Pneumovax 23 vaccine
    from Merck on November 2, 2011. See Exhibit 1A at 14-17. Pneumovax 23,
    however, is not listed on the Vaccine Injury Table. 42 C.F.R. § 100.3(a).
    The Vaccine Act expressly authorizes the United States Department of
    Health and Human Services to revise the Vaccine Injury Table. See 42 U.S.C. §
    300aa-14(c)(1). When adding vaccines to the Vaccine Injury Table after August 1,
    1993, the Act states that the Secretary of the United States Department of Health
    and Human Services shall “amend the Vaccine Injury Table,” only after the
    Centers for Disease Control and Prevention “recommends a vaccine to the
    Secretary for routine administration to children.” The Secretary of the United
    States Department of Health and Human Services has two years from the date of
    the Centers for Disease Control and Prevention’s recommendation within which to
    amend the Table. § 300aa-14(e)(2). In addition, Congress must approve an excise
    tax providing funds for the payment of compensation related to any vaccine that
    the Secretary of the United States Department of Health and Human Services adds
    3
    to the Table. See 26 U.S.C. § 4131(a); see also Omnibus Budget Reconciliation
    Act of 1993, Pub. L. No. 103-66, §13632(a)(3), 107 Stat. 312 (1993) (stating that a
    revision by the Secretary shall take effect upon the effective date of a tax enacted
    to provide funds for compensation paid with respect to the vaccine to be added to
    the Vaccine Injury Table).
    The Secretary of the United States Department of Health and Human
    Services has not published a notice of coverage related to Pneumovax, and
    Congress has not enacted an excise tax related to Pneumovax. Therefore,
    Pneumovax is not included under Category XIII of the Vaccine Injury Table.
    Congress has restricted compensation to only those people who “received a
    vaccine set forth in the Vaccine Injury Table.” 42 U.S.C. § 300aa-11(c)(1)(a). As
    explained above, Ms. Dalpe has not established that she meets this criterion for
    compensation. Any suggestion that a special master overlook this requirement
    would exceed the authority given to special masters. See Martin v. Sec’y of Health
    & Human Servs., 
    62 F.3d 1403
    , 1405 (Fed. Cir. 1995); Schumacher v. Sec’y of
    Health & Human Servs., 
    2 F.3d 1128
    , 1135 n.12 (Fed. Cir. 1993) (stating “a
    waiver of sovereign immunity must be ‘unequivocally expressed’ and not merely
    implied by a court”); Jessup v. Sec’y of Health & Human Servs., 
    26 Cl. Ct. 350
    ,
    352-53 (1992) (“limitations and conditions upon which the Government consents
    to be sued must be strictly observed and exceptions thereto are not to be implied”).
    Ms. Dalpe cannot demonstrate that she “received a vaccine set forth in the
    Vaccine Injury Table.” 42 U.S.C. § 300aa-11(c)(1)(a). When a person seeking
    compensation from the government does not comply with the exact terms of the
    statute, the court may not grant relief. See Inter-Coastal Xpress, Inc. v. United
    States, 
    296 F.3d 1357
    , 1373 (Fed. Cir. 2002). Therefore, her petition is
    DISMISSED.
    IV.   Conclusion
    For the reasons explained above, respondent’s motion to dismiss is
    GRANTED and Ms. Dalpe’s petition is DISMISSED. The Clerk shall enter
    judgment accordingly.
    IT IS SO ORDERED.
    s/Christian J. Moran
    Christian J. Moran
    Special Master
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