holding that “side effects from medical treatment may themselves constitute an impairment under the ADA . . . .”
How later courts described this case
- holding that “side effects from medical treatment may themselves constitute an impairment under the ADA . . . .”
- explaining that “to succeed” on an ADA discrimination claim, “[plaintiff] must be disabled under the ADA . . . .”
- “a finding of a disability ‘is not necessarily based on the name or diagnosis of the impairment the person has.’ ” (quoting 29 C.F.R. § 1630.2(j))
- explaining that courts assess whether one qualifies as “disabled” under the ADA on a case-by- case basis
Written by the judges who cited it.
The opinion
THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION
SHAKERAH HUNTER )
)
Plaintiff, ) No. 24 2529
v. )
) Chief Judge Virginia M. Kendall
CARL BUDDIG AND COMPANY, and )
NEXUS PAYROLL, INC. )
)
Defendants. )
)
OPINION AND ORDER
Pending before the Court is Defendants’ Carl Buddig and Company, and Nexus Payroll,
Inc.’s Motion to Dismiss. (Dkt. 55). Plaintiff Shakerah Hunter alleges in her five-count Second
Amended Complaint that Carl Buddig and Nexus’s conduct violated the Americans with
Disabilities Act (ADA), 42 U.S.C. §1981, and Title VII of the 1964 Civil Rights Act. (Dkt. 46-
1). Carl Buddig and Nexus move to dismiss Counts I and II of Hunter’s Second Amended
Complaint—the ADA discrimination and retaliation claims (Dkt. 55). For the following reasons,
the Court denies Defendants’ motion [55].
BACKGROUND
The following facts are taken from Hunter’s Second Amended Complaint (Dkt. 46-1).1
Nexus is a staffing services provider that hired Hunter to work for Carl Buddig at a food processing
facility. Hunter worked for Nexus and Carl Buddig from November 1, 2023, to around January 18,
2024, when both Defendants terminated Hunter. Though Hunter checked in with Nexus employees
each day, Carl Buddig employees supervised and gave Hunter daily assignments. Nexus was
1 The Court assumes familiarity with facts of this case based on its October 5, 2024, Order, granting in part,
Defendants’ motion to dismiss Plaintiff’s First Amended Complaint. (Dkt. 44).
responsible for paying Hunter, while Carl Buddig set Hunter’s compensation rates. During her
tenure at Carl Buddig, Hunter met or exceeded performance expectations.
Hunter has high blood pressure, which causes headaches, dizziness, chest pain, nausea, and
vomiting. Without medication, Hunter experiences these symptoms at least once a week. When
experiencing symptoms, Hunter’s ability to stand, lift, bend, care for herself, sleep, and perform
work is substantially limited. Hunter takes medication to treat the high blood pressure, which
mitigates symptoms, but causes her to urinate frequently, resulting in many daily trips to the
bathroom. Hunter informed Carl Buddig and Nexus of her condition, its symptoms, and the side
effects of Hunter’s medication. Because of Hunter’s frequent urination, Hunter requested an
accommodation to have better access to a bathroom.
Around January 18, 2024, Hunter’s Carl Buddig supervisor reprimanded Hunter after
Hunter requested to use the bathroom. The supervisor said the bathroom was “off limits” and “that
there was always an issue with ‘you people.’ ” Hunter’s Carl Buddig supervisor prevented Hunter
from using the bathroom closest to her work station. When Hunter brought the incident to the
Nexus onsite manager’s attention, the Nexus manager berated Hunter for not raising the issue
directly with Nexus instead of the Carl Buddig supervisor. The Nexus supervisor prevented Hunter
from complaining to Nexus’s Human Resources, confiscated Hunter’s badge, and sent her home.
That day, Carl Buddig suspended and subsequently, terminated Hunter. Immediately after Hunter
complained about Carl Buddig’s alleged discrimination to the Nexus manager, Nexus also
terminated Hunter.
Hunter filed an initial Complaint against Carl Buddig and Nexus alleging ADA and Title
VII violations in March 2024. (Dkt. 55 at 1). Subsequently, Hunter amended her Complaint. (Id.)
The Court then granted Carl Buddig and Nexus’s partial Motion to Dismiss. (Dkt. 44). Now, Carl
Buddig and Nexus move to dismiss Hunter’s Second Amended Complaint. (Dkt. 55).
LEGAL STANDARD
To survive a motion to dismiss for failure to state a claim, the complaint must contain “a
short and plain statement of the claim showing that the pleader is entitled to relief.” Kaminski v.
Elite Staffing, 23 F.4th 774, 776 (7th Cir. 2022) (quoting Fed. R. Civ. P. 8(a)(2)). Specifically, “a
plaintiff must allege ‘enough facts to state a claim that is plausible on its face.’ ” Allen v. Brown
Advisory, LLC, 41 F.4th 843, 850 (7th Cir. 2022) (quoting Bell Atl. Corp. v. Twombly, 550 U.S.
544, 570 (2007)). A claim is facially plausible “when the plaintiff pleads factual content that allows
the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.”
Id. (quoting Ashcroft v. Iqbal, 556 U.S. 662 (2009)).
At the same time, “allegations in the form of legal conclusions are insufficient to survive a
Rule 12(b)(6) motion.” McReynolds v. Merrill Lynch & Co., Inc., 694 F.3d 873, 885 (7th Cir.
2012) (citing Iqbal, 556 U.S. at 678). As such, “[t]hreadbare recitals of the elements of the cause
of action, supported by mere conclusory statements, do not suffice.” Iqbal, 556 U.S. at 678.
Further, the moving party bears the burden of establishing the insufficiency of the plaintiff's
allegations. Marcure v. Lynn, 992 F.3d 625, 631 (7th Cir. 2021).
DISCUSSION
Carl Buddig and Nexus move to dismiss Counts I (ADA discrimination) and II (ADA
retaliation) of Hunter’s Second Amended Complaint. (Dkt. 55 at 4).
I. ADA Discrimination (Count I)
Nexus and Carl Buddig argue that Hunter’s Second Amended Complaint provides
insufficient details to establish that Hunter qualifies as “disabled” under the ADA. (Dkt. 55 at 4,
6); 42 U.S.C. § 12102(1). Specifically, Carl Buddig and Nexus contend that Hunter’s pleading
relies on merely “having high blood pressure” without providing more details, which would
qualify Hunter as disabled. Powers v. USF Holland, Inc., 667 F.3d 815, 819 (7th Cir. 2011).
Separately, Defendants argue—without caselaw to support their proposition—that because Hunter
took medication to controls her symptoms that “it’s not plausible that [Hunter] was experiencing
the symptoms of high blood pressure to effect a major life activity” when she was employed by
Carl Buddig and Nexus. (Dkt. 55 at 7).
To make a prima facie case of ADA discrimination, “a plaintiff must show that: (1) he is
disabled; (2) he is otherwise qualified to perform the essential functions of the job with or without
reasonable accommodation; and (3) the adverse job action was caused by his disability.” Roberts
v. City of Chicago, 817 F.3d 561, 565 (7th Cir. 2016); see also Bruno v. Wells-Armstrong, 93 F.4th
1049, 1053 (7th Cir. 2024) (“The ADA bars discrimination against a qualified person ‘on the basis
of disability.’ ” (citing 42 U.S.C. § 12112(a))); Fleishman v. Cont'l Cas. Co., 698 F.3d 598, 606
(7th Cir. 2012) (explaining that “to succeed” on an ADA discrimination claim, “[plaintiff] must
be disabled under the ADA . . . .”). The ADA defines “disability” as “(A) a physical or mental
impairment that substantially limits one or more major life activities . . . ; (B) a record of such an
impairment; or (C) being regarded as having such an impairment . . . ” 42 U.S.C. § 12102(1). A
non-exhaustive list of “major life activities” includes sleeping, walking, breathing,
communicating, working, or the operation of major bodily functions including immune system
and bladder. 42 U.S.C. § 12102(2). Whether an impairment substantially limits a major life activity
is “ ‘not meant to be a demanding standard,’ and ‘shall be construed broadly in favor of expansive
coverage.’ ” Frazier-Hill v. Chicago Transit Auth., 75 F.4th 797, 803 (7th Cir. 2023) (quoting 29
C.F.R. § 1630.2(j)(1)(i)); see also DePaoli v. Abbott Labs., 140 F.3d 668, 672 (7th Cir. 1998)
(explaining that courts assess whether one qualifies as “disabled” under the ADA on a case-by-
case basis).
While it is true that Hunter’s claim cannot rest simply on having high blood pressure, Nexus
and Carl Buddig’s argument fails because Hunter’s Second Amended Complaint goes much
further than that. Homeyer v. Stanley Tulchin Assocs., Inc., 91 F.3d 959, 962 (7th Cir. 1996) (“a
finding of a disability ‘is not necessarily based on the name or diagnosis of the impairment the
person has.’ ” (quoting 29 C.F.R. § 1630.2(j))); Fleishman, 698 F.3d at 607 (citing Burnett v. LFW
Inc., 472 F.3d 471, 483 (7th Cir.2006)); (Dkt. 46-1, Exhibit A, Plaintiff’s Second Amended
Complaint). On the contrary, Hunter alleges that her high blood pressure “manifests in symptoms
including but not limited to” headaches, dizziness, chest pain, nausea, and vomiting. (Dkt. 46-1 at
5). If Hunter does not take her medication, when Hunter’s “blood pressure spikes,” which can
occur “on a weekly basis,” she experiences all of these symptoms. (Id.) Furthermore, unlike in
Hunter’s First Amended Complaint, Hunter now claims that “[d]ue to her disability, [she] suffers
substantial limitation to her ability to stand, lift, bend, care for herself, sleep, and perform work
when experiencing symptoms.” (Dkt. 46-1 at 5). Hunter also contends that the medication she
takes to control high blood pressure causes frequent urination. (Dkt. 1 at 4); (Dkt. 30 at 5); (Dkt.
46-1 at 5).
These details animate Hunter’s claim, demonstrating how Hunter’s high blood pressure
symptoms and medication side effects impair her life. Without medication, Hunter’s blood
pressure causes a long list of symptoms consistent with a physical impairment “that substantially
limits one or more major life activities.” 42 U.S.C. § 12102(1). Because Hunter takes medication
to treat these symptoms, Hunter experiences frequent urination—a sign of an impaired, major
bodily function. See 42 U.S.C. § 12102(2); Kauffman v. Petersen Health Care VII, LLC, 769 F.3d
958, 961 (7th Cir. 2014) (explaining that bladder problems can constitute a disability under the
ADA). Accordingly, Hunter does not rest her ADA disability status merely on her high blood
pressure diagnosis.
Nexus and Carl Buddig’s other contention, that because Hunter’s medication alleviates her
symptoms, Hunter does not qualify as disabled, also lacks merit. (Dkt. 55 at 7). First, even if the
medication does fully mitigate symptoms, Hunter’s medication itself allegedly causes side
effects—frequent urination—which independently impair “the operation of [a] major bodily
function[].” 42 U.S.C. § 12102(2). The Seventh Circuit concluded in Christian v. St. Anthony Med.
Ctr., Inc., if a patient “undergo[es] a disabling treatment,” which is “truly necessary, and not
merely an attractive option” the treatment itself can qualify as “disabl[ing]” the plaintiff under the
ADA. 117 F.3d 1051, 1052 (7th Cir. 1997); see also Sulima v. Tobyhanna Army Depot, 602 F.3d
177, 187 (3d Cir. 2010) (holding that “side effects from medical treatment may themselves
constitute an impairment under the ADA . . . .”). Though Hunter does not provide records
indicating whether medication is “truly necessary” to manage her high blood pressure, Hunter’s
description of the symptoms (i.e., weekly bouts of headaches, dizziness, chest pain, nausea, and
vomiting) certainly suggest medication is necessary. (Dkt. 46-1 at 2). Liberally construing
Hunter’s Second Amended Complaint, as the Court is required to do, dismissing Hunter’s claim
on this ground would, therefore, be premature. Frazier-Hill, 75 F.4th at 803. Accordingly, based
on the additional facts in Hunter’s Second Amended Complaint, Hunter has established that she is
disabled under the ADA.
Second, even if Hunter did not experience side effects causing frequent urination from her
blood pressure medication, Hunter could still establish a disability. In Gogos v. AMS Mech. Sys.,
Inc., the Seventh Circuit dealt with a similar issue and underscored that “when ‘determin[ing]
whether an impairment substantially limits a major life activity[,] the ameliorative effects of
mitigating measures such as . . . medication’ are not relevant.” 737 F.3d at 1173 (quoting 42 U.S.C.
§ 12102(4)(E)(i)(I)). Therefore, the fact that Hunter takes medication to alleviate symptoms of her
high blood pressure is not relevant to the Court’s examination into whether Hunter is “disabled.”
Nexus and Carl Buddig do not make any arguments with respect to the second and third
elements of an ADA discrimination claim (i.e., that Hunter is otherwise able to perform her job
and that an adverse action was taken against Hunter because of her disability). (See generally Dkt.
55). Evaluating Hunter’s Second Amended Complaint, Hunter alleges facts to establish these
elements. Hunter claims she exceeded performance expectations. (Dkt. 46-1 at 6). Further, Hunter
alleges that on the day the Carl Buddig supervisor prevented Hunter from using the closest
bathroom, her Nexus supervisor reprimanded her. (Id. at 8). That same day, Carl Buddig
terminated Hunter—a decision which Nexus later ratified. (Id.) Therefore, because Hunter
established that she is disabled under the ADA and adequately alleged the other elements, Hunter
has sufficiently made a prima facie ADA discrimination claim against Carl Buddig and Nexus.
Accordingly, the Court denies Nexus and Carl Buddig’s Motion to Dismiss Hunter’s ADA
discrimination claim.
II. ADA Retaliation (Count II)
Carl Buddig and Nexus also move to dismiss Hunter’s ADA retaliation claim. (Dkt. 55 at
8). To establish a retaliation claim, Hunter “ ‘must demonstrate that she engaged in protected
activity, that she suffered an adverse action, and that there is a causal connection between the
two.’ ” Rowlands v. United Parcel Serv. - Fort Wayne, 901 F.3d 792, 801 (7th Cir. 2018) (quoting
Rodrigo v. Carle Found. Hosp., 879 F.3d 236, 243 (7th Cir. 2018).2 “Protected activities include
2 While the ADA protects only “qualified individuals against discrimination, the statute protects any individual
against retaliation. 42 U.S.C. § 122203(a) (emphasis added); see Rodrigo, 879 F.3d at 243
asserting one's rights under the Act either by seeking accommodation or by raising a claim of
discrimination due to disability.” Rodrigo, 879 F.3d at 243; see Preddie v. Bartholomew Consol.
Sch. Corp., 799 F.3d 806, 815 (7th Cir. 2015) Indirect evidence of retaliation includes: “(1)
suspicious timing; (2) ambiguous statements or behavior towards other employees in the protected
group; (3) evidence, statistical or otherwise, that similarly situated employees outside of the
protected group systematically receiv[ing] better treatment; and (4) evidence that the employer
offered a pretextual reason for an adverse employment action.” Rowlands, 901 F.3d at 802 (cleaned
up).
Like Hunter’s discrimination claim, Carl Buddig and Nexus argue that Hunter’s retaliation
claim must be dismissed for two distinct reasons. (Dkt. 55 at 8–9). First, Nexus and Carl Buddig
argue that “[Hunter] does not allege that she informed anyone that she recently ingested her
medication” and therefore, Carl Buddig and Nexus’s terminations of Hunter could not have been
in response to Hunter’s frequent urination. (Id. at 8).
Hunter’s Second Amended Complaint belies this claim. According to the Second Amended
Complaint, when Hunter began working at Carl Buddig, Hunter informed the Carl Buddig Human
Resources representative that she had a condition, which required her to urinate frequently; she
requested Carl Buddig accommodate her by giving her access to a restroom. (Dkt. 46-1 at 5–6).
Hunter also informed the Nexus manager of her condition, which required bathroom access. (Id.
at 5). Hunter, therefore, put both Carl Buddig and Nexus on notice of her condition and requested
accommodation. Moreover, contrary to Defendants’ contention, nothing indicates that Hunter’s
frequent urination is an acute rather than cumulate effect of taking her medication. Therefore,
whether Hunter “ingested her medication” on January 18, 2024, would be irrelevant to the Court’s
inquiry into the ADA retaliation claim. (Dkt. 55 at 8). Taken together, these facts undermine Nexus
and Carl Buddig’s claim that Hunter’s termination could not have had a “causal connection” to her
accommodation request. Rowlands, 879 F.3d at 801.
Nexus and Carl Buddig’s second argument—that Hunter’s retaliation claim fails because
Hunter was not prevented outright from using the restroom, but merely the “closest” restroom—
also fails. (Dkt. 55 at 9). Hunter’s claim is not based solely on Carl Buddig’s manager denying
Hunter’s access to the closest restroom, despite the manager knowing Hunter was taking
medication, which required her to use the bathroom often. Instead, Hunter’s retaliation claim is
based on a claim that (i) Carl Buddig terminated Hunter for requesting to use the closest bathroom
and (ii) Nexus terminated Hunter after Hunter complained about the incident. (Dkt. 57 at 7). Thus,
Hunter’s claim appears to be predicated not on Carl Buddig denying her right to use the closest
bathroom, but on Carl Buddig and Nexus terminating Hunter for requesting to use that bathroom.
(See Dkt. 46-1 at 6–9).
In short, based on Hunter’s Second Amended Complaint, it is facially plausible that Nexus
and Carl Buddig terminated Hunter because she engaged in a protected activity. (Dkt. 46-1).
Though Hunter provides no direct evidence of retaliation, under the mosaic approach, “a retaliation
case can ‘be made by assembling a number of pieces of evidence none meaningful in itself,
consistent with the proposition of statistical theory that a number of observations each of which
supports a proposition only weakly can, when taken as a whole, provide strong support if all point
in the same direction.’ Coleman v. Donahoe, 667 F.3d 835, 862 (7th Cir. 2012) (quoting Cole v.
Illinois, 562 F.3d 812, 815 n. 2 (7th Cir. 2009).
Hunter offers sufficient evidence to make such a showing. With respect to Carl Buddig,
after Hunter engaged in a protected activity by attempting to use the closest restroom. (Id. at 8).
The onsite manager prevented Hunter from using the closest restroom calling it “off limits.” (Id.)
He reprimanded Hunter saying “you people” always cause issues. (/d. at 7). That day, Carl Buddig
suspended, and later terminated Hunter. (/d.) With respect to Nexus, Hunter reported the incident
to an onsite Nexus manager (‘a protected activity”) who, according to Hunter’s complaint,
“berated” Hunter for not reporting the alleged discrimination sooner. (/d. at 6); Rowlands, 901
F.3d at 801. Soon after, Nexus terminated Hunter as well. (/d. at 9). Taking these facts as true,
Hunter has sufficiently alleged an ADA retaliation claim against each former employer.
Accordingly, Nexus and Carl Buddig’s Motion to Dismiss Hunter’s ADA retaliation claim
is denied.
CONCLUSION
For the reasons set forth above, Defendants’ Motion to Dismiss [55] is denied.
A Sabet
Pope
ia M. Kendall
United States District Judge
Date: January 31, 2025
10