# Carrasquillo v. Secretary of Health and Human Services

> United States Court of Federal Claims · May 1, 2024

URL: https://www.frixlaw.com/law-library/cases/10735460

## Case

- **Court:** United States Court of Federal Claims
- **Decided:** May 1, 2024
- **Precedential status:** Unpublished
- **Opinion:** Opinion
- **Judges:** Nora Beth Dorsey
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10735460

## How later opinions describe it (automated extraction)

- affirming dismissal of cases for failure of party to respond to discovery requests
- affirming dismissal of case for failure to prosecute for counsel’s failure to submit pre-trial memorandum
- affirming a special master’s decision to dismiss a petition when petitioner could not establish that she had any of the three diagnoses alleged

## Opinion text

In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
Filed: April 5, 2024
Reissued for Public Availability: May 1, 2024

* * * * * * * * * * * * * * *
BRENDA CARRASQUILLO, * PUBLISHED
*
Petitioner, * No. 21-1866V
*
v. * Special Master Dorsey
*
SECRETARY OF HEALTH * Dismissal Decision; Failure to Prosecute;
AND HUMAN SERVICES, * Insufficient Proof; Entitlement.
*
Respondent. *
*
* * * * * * * * * * * * * * *

Brenda Carrasquillo, pro se, Missouri City, TX, for Petitioner
Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION1

I. INTRODUCTION

On September 16, 2021, Brenda Carrasquillo (“Petitioner”) filed a petition for
compensation in the National Vaccine Injury Program (“Vaccine Act” or “the Program”), 42
U.S.C. § 300aa-10 et seq. (2018).2 Petitioner alleges that as a result of receiving an influenza
(“flu”) vaccine administered on November 3, 2018, she suffered injuries including neuropathy,
neuritis, paresthesia, neuralgia, arthralgia, myalgia, myositis, and chronic fatigue. Petition at
Preamble (ECF No. 1).

1
Pursuant to Vaccine Rule 18(b), this Decision was initially filed on April 5, 2024, and the
parties were afforded 14 days to propose redactions. The parties did not propose any redactions.
Accordingly, this Decision is reissued in its original form for posting on the United States Court
of Federal Claims’ website and/or at https://www.govinfo.gov/app/collection/uscourts/
national/cofc in accordance with the E-Government Act of 2002. 44 U.S.C. § 3501 note (2018)
(Federal Management and Promotion of Electronic Government Services).
2
The National Vaccine Injury Compensation Program is set forth in Part 2 of the National
Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended,
42 U.S.C. §§ 300aa-10 to -34 (2018). All citations in this Decision to individual sections of the
Vaccine Act are to 42 U.S.C. § 300aa.

1
Based on the reasons set forth below and in the Show Cause Order dated December 19,
2023, and for failure to comply with the Show Cause Order, the undersigned DISMISSES this
case for failure to prosecute and insufficient proof.

Moreover, the undersigned finds that Petitioner has failed to prove by preponderant
evidence that the vaccination administered to her on November 3, 2018 caused any injury. See
Althen v. Sec’y of Health & Hum. Servs., 418 F.3d 1274, 1280 (Fed. Cir. 2005). Thus, the
undersigned finds Petitioner is not entitled to compensation.

II. BACKGROUND

A. Procedural History

Petitioner was initially represented by counsel. On September 16, 2021, Petitioner filed a
petition. Petition. Petitioner filed medical records on September 27, 2021. Petitioner’s Exhibits
(“Pet. Exs.”) 1-7. Petitioner filed subsequent medical records on February 25, 2022, and April 5,
2022. Pet. Exs. 17-19.

The case was reassigned to the undersigned on June 8, 2022. Notice of Reassignment
dated June 8, 2022 (ECF No. 25). On January 1, 2023, Respondent filed his Rule 4(c) report
arguing against compensation. Respondent’s Report (“Resp. Rept.”) at 2 (ECF No. 37).
Petitioner was ordered to file an expert report addressing the issues raised in Respondent’s Rule
4(c) report. Order dated Jan. 11, 2023 (ECF No. 38).

On March 13, 2023, Petitioner filed an unopposed motion for extension of time to file an
expert report and/or otherwise take appropriate steps to resolve this action. Pet. Motion for
Extension of Time (“Pet. First Mot. for Extension”), filed Mar. 13, 2023 (ECF No. 39). In her
motion, Petitioner reported that Respondent’s Rule 4(c) report outlined that Petitioner had not
received a definitive diagnosis from her doctors. Id. at 1. Based on communications with her
doctors, Petitioner indicated she suffered from an autoimmune small fiber neuropathy. Id. at 2.
However, that diagnosis had not been listed in her medical records at that time. Id. And
although Petitioner was still significantly suffering from paresthesia and neuropathy, she had not
had recent medical treatment. Id. It was unknown at that time whether she would be able to
timely follow-up with her doctors such that she would have her medical diagnosis clearly listed
in her records. Id. Petitioner also reported that she, through counsel, had been working with
Respondent to possibly resolve the litigation. Id. Petitioner’s counsel was working toward one
of the following three outcomes: resolving the case with Respondent; resolving the case
otherwise with the client’s consent; or submitting an expert report. Id. If Petitioner’s counsel
was unable to achieve one of those three outcomes, Petitioner’s counsel would be withdrawing
as attorney for Petitioner. Id. The undersigned granted Petitioner’s motion for extension. Order
dated Mar. 13, 2023 (ECF No. 40).

On April 26, 2023, Petitioner filed a second motion for extension of time to file an expert
report and/or otherwise take appropriate steps to resolve this action. Pet. Second Mot. for
Extension, filed Apr. 26, 2023 (ECF No. 41). Petitioner’s counsel was then working toward two
outcomes: resolving the case with Petitioner’s consent; or submitting an expert report. Id. at 1-2.

2
If Petitioner’s counsel was unable to achieve one of those two outcomes, Petitioner’s counsel
would be withdrawing as attorney for Petitioner. Id. at 2. The undersigned granted Petitioner’s
motion for extension. Order dated Apr. 26, 2023 (ECF No. 42). Neither of these outcomes were
achieved by the Court-imposed deadline.

In May 2023, Petitioner’s counsel filed a motion for interim attorneys’ fees and costs and
a motion to withdraw as counsel. Pet. Mot. for Interim Attorneys’ Fees and Costs (“Pet. Mot. for
Interim Fees”), filed May 10, 2023 (ECF No. 43); Pet. Mot. to Withdraw as Attorney (“Pet. Mot.
to Withdraw”), filed May 11, 2023 (ECF No. 44). Petitioner’s counsel requested payment be
made directly to counsel since he had lost contact with Petitioner. Pet. Mot. for Interim Fees,
Tab C. Petitioner’s counsel was unsure whether Petitioner intended to continue to pursue her
claim after he withdrew. Pet. Mot. to Withdraw at ¶ 6. The undersigned ordered Petitioner’s
counsel to file an affidavit, setting forth in detail the steps he had taken to attempt to contact his
client since March 2023, and provide the Court with Petitioner’s last known address. Order
dated May 30, 2023 (ECF No. 45). After missing the first deadline, Petitioner’s counsel filed an
affidavit explaining that he made multiple attempts via telephone and mailings to contact
Petitioner, but the attempts were unsuccessful. Order dated June 14, 2023 (ECF No. 46);
Affidavit, filed June 15, 2023 (ECF No. 47). Counsel also provided Petitioner’s last known
address. Affidavit at ¶ 10.

On July 7, 2023, the undersigned issued a decision granting interim attorney fees and
costs. Decision Awarding Interim Attorneys’ Fees and Costs dated July 7, 2023 (ECF No. 48).
On August 1, 2023, the undersigned granted Petitioner’s counsel’s motion to withdraw as
Petitioner’s attorney. Order dated Aug. 1, 2023 (ECF No. 51).

Prior to the withdrawal of Petitioner’s counsel, the next step in the case was for Petitioner
to file an expert report addressing the issues raised in Respondent’s Rule 4(c) report and/or
otherwise take appropriate steps to resolve this action. See Order dated Aug. 16, 2023 (ECF No.
55). Accordingly, on August 16, 2023, Petitioner was ordered to file a status report indicating
how she wished to move the case forward now that she was representing herself. Id. at 1-2. This
order was sent via first class mail to Petitioner’s last known address. Petitioner failed to file a
status report by the Court-imposed deadline of September 15, 2023. Order dated Sept. 22, 2023
(ECF No. 56).

On September 22, 2023, Petitioner was advised that she missed a deadline and was again
ordered to file a status report indicating how she wished to move the case forward now that she
was representing herself. Order dated Sept. 22, 2023. Petitioner was warned that failure to
follow Court orders, as well as failure to file necessary evidence, may result in dismissal of
Petitioner’s claim. Id. at 1. Petitioner again failed to file a status report by the Court-imposed
deadline of October 23, 2023. Order dated Nov. 13, 2023 (ECF No. 57).

On November 13, 2023, Petitioner was advised that she missed another deadline. Order
dated Nov. 13, 2023. Petitioner was ordered to file a status report indicating whether she wished
to continue to pursue her claim and to provide additional contact information. Id. at 2. She was
also to report on her intent, if any, on obtaining new counsel and was given instructions on the
Court’s website about those attorneys who were admitted to practice in the Court. Id. at 1-2.

3
Petitioner was also advised of how to file her status report and that if she wanted to send records
and receive Court notices electronically, she could complete the e-notification consent form. Id.
Petitioner was warned that failure to file a status report by the Court-imposed deadline would
result in an Order to Show Cause as to why this case should not be dismissed. Id. at 1.
Petitioner missed her third deadline by failing to file a status report by December 8, 2023. Order
to Show Cause dated Dec. 19, 2023, at 1 (ECF No. 58).

Accordingly, on December 19, 2023, the undersigned issued an Order to Show Cause,
stating that Petitioner had repeatedly failed to comply with a number of Court orders and failed
to file an expert report. Order to Show Cause at 3. Petitioner was warned that if she did not file
evidence that Petitioner suffered a vaccine-related injury in compliance with the Order to Show
Cause, the case would be dismissed. Id. Petitioner was informed this could be in the form of an
expert report, addressing the issues raised in Respondent’s Rule 4(c) report; medical records,
clarifying/identifying a diagnosis; and/or a status report indicating Petitioner wishes to continue
to pursue her claim, additional contact information, and indicating that she has retained an expert
for review. Id. Petitioner failed to file any evidence suggested by the Court-imposed deadline of
February 16, 2023 and failed to otherwise comply with the Order to Show Cause.

This matter is now ripe for adjudication.

B. Summary of Medical History3

Petitioner received a flu vaccine in her left deltoid on November 3, 2018. Pet. Ex. 2 at
656.

On November 6, 2018, Petitioner presented to the emergency department (“ED”) with
complaints of an itching, burning rash, and discomfort and cramping in her right leg with
numbness and tingling that began one-and-one-half days ago. Pet. Ex. 2 at 368. She reported
she got the flu shot on Saturday and felt her symptoms started after that. Id. at 366. Petitioner
was concerned she had Guillain-Barré syndrome (“GBS”), but the physician assistant (“PA”)
“provided reassurance that there [was] no evidence of any [GBS] from the vaccine.” Id. at 366,
368. Petitioner’s symptoms of numbness and tingling resolved upon Dr. Shideh Imanian Parsa’s
evaluation. Id. at 365. Physical examination was unremarkable, and the assessment was an
acute allergic reaction with an unclear inciting agent, possibly due to a new drug or food. Id. at
364, 367-68. She was discharged to home and advised to follow up with her primary care
provider (“PCP”). Id.

On November 9, 2018, Petitioner returned to the ED with complaints of “progressive
aches and pain [status post] flu shot on Saturday, [Petitioner] [was] also [status post] lithotripsy
on Friday with general anesthesia.” Pet. Ex. 2 at 226. It was noted that she presented three days
earlier for similar symptoms but that now Petitioner developed weakness in both legs. Id. Her
physical exam was unremarkable, and the impression included muscle weakness and “[flu]
vaccine side effect.” Id. at 227. During the hospitalization, Petitioner was evaluated by
neurologist David Hahn, M.D. Id. at 286-88. By the time of Dr. Hahn’s evaluation, Petitioner

3
This summary is only of the pertinent medical records.

4
was “feeling back to her baseline normal self.” Id. at 287. Physical examination was
unremarkable. Id. at 286-87. Dr. Hahn’s impression was “numbness and tingling in the
fingertips and toes with mild weakness in the distal legs in the setting of a recent lithotripsy
procedure as well as a flu vaccination. Her symptoms have resolved since [last night].” Id. at
287. There was an initial concern for GBS, but neither the timing nor resolution of symptoms
was consistent with the diagnosis. Id. He suspected a “possible medication reaction or possible
reaction to flu vaccine,” or a combination “[e]xacerbated by a strong history of anxiety.” Id.
She was discharged and advised to follow up with her PCP and a neurologist. Id.

On November 20, 2018, Petitioner returned to the ED for complaints of facial bloating
and night sweats. Pet. Ex. 2 at 180. Her examination and labs were unremarkable. Id. at 181-
82. Petitioner did not report any numbness, tingling, or weakness. Id. The assessment was
fatigue, with low suspicion of GBS, stroke, or multiple sclerosis. Id. at 182. The plan was to
follow up with her PCP. Id.

On November 23, 2018, Petitioner presented to neurologist Jason Wong, M.D., for follow
up from ED with tingling in her hands and feet. Pet. Ex. 5 at 39. Dr. Wong noted Petitioner’s
symptoms began after receiving a flu shot, receiving ciprofloxacin for the first time, and
undergoing a kidney procedure. Id. at 41-42. It was noted that while hospitalized, Petitioner had
magnetic resonance imaging (“MRI”) “scans of her entire neuro axis which did not reveal any
central nervous system abnormalities.” Id. at 39. Blood work did not reveal any abnormalities
either. Id. Petitioner reported feeling better since discharge from the hospital. Id. She reported
numbness in her left fourth and fifth fingers as well as fatigue and soreness in her shoulder,
elbows, arms and jaw. Id. She also complained of blurry vision. Id. Examination was
unremarkable. Id. at 40-42. The assessment was paresthesia and musculoskeletal disorder. Id.
at 41. She was reassured that there was “absolutely no evidence on her exam to raise concern for
an acquired primary demyelinating poly radicular neuropathy such as [GBS] variants.” Id. at 42.

On December 10, 2018, Petitioner returned to Jessica Marino, M.D., for complaints of
muscle pain. Pet. Ex. 4 at 13. The history noted that Petitioner moved from Puerto Rico three
months earlier and had “pains all over” for the past three months. Id. Her fatigue was
improving, and she was experiencing migraines once per week. Id. She also complained of pain
and “popping” in ears. Id. Examination was unremarkable, and the assessment included fatigue
with diffuse pain, possibly fibromyalgia; migraine headaches; and right ear discomfort. Id. at
13-14.

On December 26, 2018, Petitioner returned to Dr. Wong for a six-week follow up and
new symptoms of lower back pain as well as knee pain while walking. Pet. Ex. 5 at 36.
Petitioner also had complaints of migraines. Id. Examination was unremarkable, and the
assessment was paresthesias, muscle spasms in the back, and migraines. Id. at 36-37.

On January 28, 2019, Petitioner returned to her PCP office for follow up of back pain,
migraines, myalgia and myositis, and nephrolithiasis. Pet. Ex. 4 at 6. Petitioner reported
“ongoing myalgias since receiving flu vaccine” and waking up daily with myalgias in different
places, without a particular pattern of proximal muscle weakness, rash, or stiffness. Id.
Examination was unremarkable, and the assessment was lumbago and myalgia and myositis. Id.

5
at 7. Regarding the myalgias, the etiology was likely post-infectious “vs continuous [side
effects] from flu vaccine vs systemic/autoimmune disease vs metabolic disease vs endocrine
disease.” Id. at 8.

On February 18, 2019, Petitioner presented to rheumatologist Erik Beger, M.D. Pet. Ex.
6 at 10. The assessment was arthralgia, unspecified joint; myalgia; and hypercalcemia. Id.
Petitioner continued to see Dr. Beger for subsequent follow-ups and his assessment remained the
same. See id. at 7, Pet. Ex. 8 at 35.

On February 25, 2019, Petitioner returned to Dr. Wong for a two-month follow up. Pet.
Ex. 5 at 33. Petitioner’s primary concerns at the time were ongoing pain in her mid and low
back, neck, and knees, which Dr. Wong attributed to a musculoskeletal etiology. Id. at 33, 35.
The assessment was neuralgia and neuritis, and migraines. Id. at 34-35. Dr. Wong noted that
Petitioner had improved since initial onset of symptoms. Id. at 35. Additionally, Petitioner’s
examination did “not reveal any evidence to raise concern for large fiber neuropathy, myopathy,
or other underlying neuromuscular disease process,” including any variant of GBS. Id.

Petitioner continued to follow up with Dr. Wong. Pet. Ex. 5 at 7, 11, 15. An updated
brain MRI was performed on May 23, 2019 and was normal. Id. at 43. Dr. Wong’s assessment
remained neuralgia and neuritis. Id. at 13.

On June 4, 2020, Petitioner presented to neurologist Irfan Lalani, M.D., for a two-year
history of numbness and one-year history of tremors. Pet. Ex. 9 at 9. Examination was
unremarkable, and the assessment was paresthesia of the skin and tremors. Id. at 10. The
differential diagnosis included “peripheral neuromuscular disorder such as peripheral
neuropathy.” Id. The plan was to obtain an EMG and return in two weeks. Id. at 10-11. The
EMG was performed on June 18, 2020, and the results were normal. Id. at 6-8, 12.

On August 5, 2020, Petitioner presented to a new neurologist, Greg McLaughlin, M.D.,
with complaints of tingling and tremors. Pet. Ex. 11 at 24. Dr. McLaughlin noted that
Petitioner’s EMG and neurologic examination were normal and reassured that she did not have a
neuromuscular disease. Id. at 24-26.

To date, no other relevant records have been filed and there have been no expert reports.

III. DISCUSSION

When a petitioner fails to comply with court orders to prosecute her case, the court may
dismiss the case. Sapharas v. Sec’y of Health & Hum. Servs., 35 Fed. Cl. 503 (1996); Tsekouras
v. Sec’y of Health & Hum. Servs., 26 Cl. Ct. 439 (1992), aff’d, 991 F.2d 819 (Fed. Cir. 1993);
Vaccine Rule 41(b); see also Claude E. Atkins Enters., Inc. v. United States, 889 F.2d 1180,
1183 (Fed. Cir. 1990) (affirming dismissal of case for failure to prosecute for counsel’s failure to
submit pre-trial memorandum); Adkins v. United States, 816 F.2d 1580, 1583 (Fed. Cir. 1987)
(affirming dismissal of cases for failure of party to respond to discovery requests).

6
Vaccine Program cases that have been dismissed for failure to respond to an Order to
Show Cause include but are not limited to: Byrd v. Sec’y of Health & Hum. Servs., 778 F. App’x
924 (Fed. Cir. 2019); Ghasemipor v. Sec’y of Health & Hum. Servs., No. 20-17V, 2020 WL
7497878 (Fed. Cl. Spec. Mstr. Nov. 23, 2020); Flores v. Sec’y of Health & Hum. Servs., No. 20-
157V, 2020 WL 5798502 (Fed. Cl. Spec. Mstr. Sept. 2, 2020); Button ex rel. W.S.B. v. Sec’y of
Health & Hum. Servs., No. 16-1391V, 2017 WL 2876099 (Fed. Cl. Spec. Mstr. June 5, 2017);
Duncan v. Sec’y of Health & Hum. Servs., No. 16-1367V, 2020 WL 6738118 (Fed. Cl. Spec.
Mstr. Oct. 19, 2020), mot. for rev. denied, 153 Fed. Cl. 642 (2021).

The Vaccine Program also has precedent for dismissing cases due to a failure to submit
sufficient expert reports. See, e.g., M.G. v. Sec’y of Health & Hum. Servs., No. 17-743V, 2022
WL 1311661, at *21-22 (Fed. Cl. Spec. Mstr. May 3, 2022); Stachlewitz ex rel. H.G.S. v. Sec’y
of Health & Hum. Servs., No. 13-220V, 2014 WL 5293629 (Fed. Cl. Spec. Mstr. Sept. 23,
2014); Duncan, 2020 WL 6738118.

Petitioner has had numerous opportunities over the course of almost eight months to file a
status report, and she has failed to do so. The undersigned repeatedly warned Petitioner that
failure to file comply with Court orders would result in the dismissal of the petition for failure to
prosecute. Although the Order to Show Cause permitted Petitioner one last opportunity to show
cause why this case should not be dismissed, she did not offer any evidence to support her
alleged vaccine-related injury.

Petitioner’s failure to file to comply with Court orders and failure to respond to the Order
to Show Cause indicates a disinterest in pursuing her claim. Therefore, the undersigned finds it
appropriate to dismiss this case for failure to prosecute.

Additionally, to receive compensation under the Act, Petitioner must prove either (1) that
she suffered a “Table Injury”—i.e., an injury falling within the Vaccine Injury Table—
corresponding to one of her vaccinations, or (2) that she suffered an injury that was actually
caused by a vaccine. See §§ 11(c)(1), 13(a)(1)(A). The Federal Circuit has made clear, “the
statute places the burden on [P]etitioner to make a showing of at least one defined and
recognized injury.” Lombardi v. Sec’y of Health & Hum. Servs., 656 F.3d 1343, 1353 (Fed. Cir.
2011) (affirming a special master’s decision to dismiss a petition when petitioner could not
establish that she had any of the three diagnoses alleged).

Here, Petitioner has not shown a defined recognizable injury or that her condition was
actually caused by the flu vaccine. Moreover, there is no expert report by a qualified physician
to opine as to causation. See § 13(a)(1); Lett v. Sec’y Health & Hum. Servs., 39 Fed. Cl. 259,
260-61 (1997). Without proof of injury or evidence of causation, the undersigned finds that the
record does not support a claim under the Vaccine Act, or otherwise include preponderant
evidence demonstrating that Petitioner sustained any vaccine injury.

IV. CONCLUSION

Accordingly, this case is DISMISSED for insufficient evidence and for failure to
prosecute. In the absence of a timely filed motion for review pursuant to Vaccine Rule 23, the

7
Clerk of Court SHALL ENTER JUDGMENT in accordance with this Decision.

IT IS SO ORDERED.

s/Nora Beth Dorsey
Nora Beth Dorsey
Special Master

8

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10735460. Public record. Not legal advice.