# Scheffler v. Secretary of Health and Human Services

> United States Court of Federal Claims · November 1, 2022

URL: https://www.frixlaw.com/law-library/cases/8407266

## Case

- **Court:** United States Court of Federal Claims
- **Decided:** November 1, 2022
- **Precedential status:** Unpublished
- **Opinion:** Opinion
- **Judges:** Katherine E. Oler
- **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/8407266

## How later opinions describe it (automated extraction)

- affirming the special master's reduction of attorney and paralegal hours
- affirming the special master's reduction of attorney and paralegal hours
- stating that medical opinion evidence is required to support an on-Table theory where medical records fail to establish a Table injury

## Opinion text

In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-260V

************************* *
*
SCOTT SCHEFFLER, *
* UNPUBLISHED
*
Petitioner, *
* Special Master Katherine E. Oler
v. *
*
* Filed: October 3, 2022
SECRETARY OF HEALTH AND *
HUMAN SERVICES, * Interim Attorneys’ Fees and Costs
*
*
Respondent. *
*
************************* *

Anne Toale, Maglio, Christopher, and Toale, Sarasota, FL, for Petitioner
Austin Egan, U.S. Department of Justice, Washington, DC, for Respondent

DECISION AWARDING INTERIM ATTORNEYS’ FEES AND COSTS1

On February 15, 2019, Scott Scheffler (“Petitioner”) filed a petition seeking compensation
under the National Vaccine Injury Compensation Program (“the Vaccine Program”).2 Pet., ECF
No. 1. Petitioner alleges that he developed Henoch-Schonlein purpura (“HSP”)/IgA vasculitis from
the Hepatitis A and B (Twinrix) vaccines he received on May 2, 2018 and/or a second dose of
Twinrix he received on June 2, 2018. Pet. at 1, 5.

Petitioner filed a Motion for Interim Attorneys’ Fees and Costs on June 1, 2022, requesting

1
Because this unpublished Decision contains a reasoned explanation for the action in this case, I intend to
post this Decision on the United States Court of Federal Claims’ website, in accordance with the E-
Government Act of 2002, Pub. L. No. 107-347, § 205, 116 Stat. 2899, 2913 (codified as amended at 44
U.S.C. § 3501 note (2012)). This means the Decision will be available to anyone with access to the
internet. As provided by 42 U.S.C. § 300aa-12(d)(4)(B), however the parties may object to the Decision’s
inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party
has fourteen days within which to request redaction “of any information furnished by that party: (1) that is
a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes
medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of
privacy.” Vaccine Rule 18(b). Otherwise, the Decision in its present form will be available. Id.
2
The Vaccine Program comprises Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L.
No. 99-660, 100 Stat. 3755 (codified as amended at 42 U.S.C. §§ 300aa-10–34 (2012)) (hereinafter
“Vaccine Act” or “the Act”). All subsequent references to sections of the Vaccine Act shall be to the
pertinent subparagraph of 42 U.S.C. § 300aa.

1
a total of $100,891.28. Fees App. at 4, ECF No. 39. Respondent did not file a response to
Petitioner’s motion.

I hereby GRANT Petitioner’s application award a total of $99,391.28 in interim attorneys’
fees and costs.

I. Legal Standard

A. Interim Attorneys’ Fees and Costs

The Federal Circuit has held that an award of interim attorneys’ fees and costs is
permissible under the Vaccine Act. Shaw v. Sec’y of Health & Hum. Servs., 609 F.3d 1372 (Fed.
Cir. 2010); Avera v. Sec’y of Health & Hum. Servs., 515 F.3d 1343 (Fed. Cir. 2008). In Cloer, the
Federal Circuit noted that “Congress [has] made clear that denying interim attorneys' fees under
the Vaccine Act is contrary to an underlying purpose of the Vaccine Act.” Cloer v. Sec’y of Health
& Hum. Servs., 675 F.3d 1358, 1361-62 (Fed. Cir. 2012).

In Avera, the Federal Circuit stated, “[i]nterim fees are particularly appropriate in cases
where proceedings are protracted, and costly experts must be retained.” Avera, 515 F.3d at 1352.
Likewise, in Shaw, the Federal Circuit held that “where the claimant establishes that the cost of
litigation has imposed an undue hardship and there exists a good faith basis for the claim, it is
proper for the special master to award interim attorneys' fees.” 609 F.3d at 1375. Avera did not,
however, define when interim fees are appropriate; rather, it has been interpreted to allow special
masters discretion. See Avera, 515 F.3d; Kirk v. Sec’y of Health & Hum. Servs., No. 08-241V,
2009 WL 775396, at *2 (Fed. Cl. Spec. Mstr. Mar. 13, 2009); Bear v. Sec’y of Health & Hum.
Servs., No. 11-362V, 2013 WL 691963, at *4 (Fed. Cl. Spec. Mstr. Feb. 4, 2013). Even though it
has been argued that a petitioner must meet the three Avera criteria -- protracted proceedings,
costly expert testimony, and undue hardship -- special masters have instead treated these criteria
as possible factors in a flexible balancing test. Avera, 515 F.3d at 1352; see Al-Uffi v. Sec’y of
Health & Hum. Servs., No. 13-956V, 2015 WL 6181669, at *7 (Fed. Cl. Spec. Mstr. Sept. 30,
2015).

A petitioner is eligible for an interim award of reasonable attorneys’ fees and costs if the
special master finds that a petitioner has brought his petition in good faith and with a reasonable
basis. §15(e)(1); Avera, 515 F.3d at 1352; Shaw, 609 F.3d at 1372; Woods v. Sec’y of Health &
Hum. Servs, 105 Fed. Cl. 148 (2012), at 154; Friedman v. Sec’y of Health & Hum. Servs., 94 Fed.
Cl. 323, 334 (2010); Doe 21 v. Sec’y of Health & Hum. Servs., 89 Fed. Cl. 661, 668 (2009); Bear,
2013 WL 691963, at *5; Lumsden v. Sec’y of Health & Hum. Servs., No. 97-588V, 2012 WL
1450520, at *4 (Fed. Cl. Spec. Mstr. Mar. 28, 2012). The undue hardship inquiry looks at more
than just financial involvement of a petitioner; it also looks at any money expended by a
petitioner’s counsel. Kirk, 2009 WL 775396, at *2. Referring to Avera, former Chief Special
Master Golkiewicz in Kirk found that “the general principle underlying an award of interim fees
[is] clear: avoid working a substantial financial hardship on petitioners and their counsel.” Id.

B. Good Faith

2
The good faith requirement is met through a subjective inquiry. Di Roma v. Sec’y of Health
& Hum. Servs., No. 90-3277V, 1993 WL 496981, at *1 (Fed. Cl. Spec. Mstr. Nov. 18, 1993). Such
a requirement is a “subjective standard that focuses upon whether [P]etitioner honestly believed
he had a legitimate claim for compensation.” Turner v. Sec’y of Health & Hum. Servs., No. 99-
544V, 2007 WL 4410030, at *5 (Fed. Cl. Spec. Mstr. Nov. 30, 2007). Without evidence of bad
faith, “petitioners are entitled to a presumption of good faith.” Grice v. Sec’y of Health & Hum.
Servs., 36 Fed. Cl. 114, 121 (1996). Thus, so long as Petitioner had an honest belief that his claim
could succeed, the good faith requirement is satisfied. See Riley v. Sec’y of Health & Hum. Servs.,
No. 09-276V, 2011 WL 2036976, at *2 (Fed. Cl. Spec. Mstr. Apr. 29, 2011) (citing Di Roma, 1993
WL 496981, at *1); Turner, 2007 WL 4410030, at *5.

C. Reasonable Basis

Unlike the good-faith inquiry, an analysis of reasonable basis requires more than just a
petitioner’s belief in his claim. Turner, 2007 WL 4410030, at *6-7. Instead, the claim must at least
be supported by objective evidence -- medical records or medical opinion. Sharp-Roundtree v.
Sec’y of Health & Hum. Servs., No. 14-804V, 2015 WL 12600336, at *3 (Fed. Cl. Spec. Mstr.
Nov. 3, 2015).

While the statute does not define the quantum of proof needed to establish reasonable basis,
it is “something less than the preponderant evidence ultimately required to prevail on one’s
vaccine-injury claim.” Chuisano v. United States, 116 Fed. Cl. 276, 283 (2014). The Court of
Federal Claims affirmed in Chuisano that “[a]t the most basic level, a petitioner who submits no
evidence would not be found to have reasonable basis….” Id. at 286. The Court in Chuisano found
that a petition which relies on temporal proximity and a petitioner’s affidavit is not sufficient to
establish reasonable basis. Id. at 290; see also Turpin v. Sec'y Health & Hum. Servs., No. 99-564V,
2005 WL 1026714, *2 (Fed. Cl. Spec. Mstr. Feb. 10, 2005) (finding no reasonable basis when
petitioner submitted an affidavit and no other records); Brown v. Sec'y Health & Hum. Servs., No.
99-539V, 2005 WL 1026713, *2 (Fed. Cl. Spec. Mstr. Mar. 11, 2005) (finding no reasonable basis
when petitioner presented only e-mails between her and her attorney). The Federal Circuit has
affirmed that “more than a mere scintilla but less than a preponderance of proof could provide
sufficient grounds for a special master to find reasonable basis.” Cottingham v. Sec’y of Health &
Hum. Servs., No. 2019-1596, 971 F.3d 1337, 1346 (Fed. Cir. Aug. 19, 2020) (finding Petitioner
submitted objective evidence supporting causation when she submitted medical records and a
vaccine package insert); see also James-Cornelius v. Sec'y of Health & Hum. Servs., 984 F.3d
1374, 1380 (Fed. Cir. 2021) (finding that “the lack of an express medical opinion on causation did
not by itself negate the claim's reasonable basis.”).

Temporal proximity between vaccination and onset of symptoms is a necessary component
in establishing causation in non-Table cases, but without more, temporal proximity alone “fails to
establish a reasonable basis for a vaccine claim.” Chuisano, 116 Fed. Cl. at 291.

The Federal Circuit has stated that reasonable basis “is an objective inquiry” and concluded
that “counsel may not use [an] impending statute of limitations deadline to establish a reasonable
basis for [appellant’s] claim.” Simmons v. Sec’y of Health & Hum. Servs., 875 F.3d 632, 636 (Fed.
Cir. 2017). Further, an impending statute of limitations should not even be one of several factors

3
the special master considers in her reasonable basis analysis. “[T]he Federal Circuit forbade,
altogether, the consideration of statutory limitations deadlines—and all conduct of counsel—in
determining whether there was a reasonable basis for a claim.” Amankwaa v. Sec’y of Health &
Hum. Servs., 138 Fed. Cl. 282, 289 (2018).

“[I]n deciding reasonable basis the [s]pecial [m]aster needs to focus on the requirements
for a petition under the Vaccine Act to determine if the elements have been asserted with sufficient
evidence to make a feasible claim for recovery.” Santacroce v. Sec’y of Health & Hum. Servs., No.
15-555V, 2018 WL 405121, at *7 (Fed. Cl. Jan. 5, 2018). Special masters cannot award
compensation “based on the claims of petitioner alone, unsubstantiated by medical records or by
medical opinion.” 42 U.S.C. § 300aa-13(a)(1). Special masters and judges of the Court of Federal
Claims have interpreted this provision to mean that petitioners must submit medical records or
expert medical opinion in support of causation-in-fact claims. See Waterman v. Sec'y of Health &
Hum. Servs., 123 Fed. Cl. 564, 574 (2015) (citing Dickerson v. Sec'y of Health & Hum. Servs., 35
Fed. Cl. 593, 599 (1996) (stating that medical opinion evidence is required to support an on-Table
theory where medical records fail to establish a Table injury).

When determining if a reasonable basis exists, many special masters and judges consider
a myriad of factors. The factors to be considered may include “the factual basis of the claim, the
medical and scientific support for the claim, the novelty of the vaccine, and the novelty of the
theory of causation.” Amankwaa, 138 Fed. Cl. at 289. This approach allows the special master to
look at each application for attorneys’ fees and costs on a case-by-case basis. Hamrick v. Sec’y of
Health & Hum. Servs., No. 99-683V, 2007 WL 4793152, at *4 (Fed. Cl. Spec. Mstr. Nov. 19,
2007).

II. Discussion

A. Undue Financial Hardship

The undue hardship inquiry looks at more than just financial involvement of a petitioner;
it also looks at any money expended by petitioner’s counsel. Kirk, 2013 WL 775396, at *2 (finding
“the general principle underlying an award of interim fees was clear: avoid working a substantial
financial hardship on petitioners and their counsel.”). I also note that the COVID-19 pandemic has
had a significant impact on the United States economy and such impact has been recognized by
this court. See Monge-Landry v. Sec'y of Health & Hum. Servs, No. 14-853V, 2020 WL 4219821
*5 (Fed. Cl. Spec. Mstr. Jun. 30, 2020) (recognizing the COVID-19 pandemic's continued
disruption of the airline industry in its calculation of appropriate interim fees). As Petitioner notes,
this case is unlikely to be resolved in the near future and Petitioner’s counsel has incurred
significant expert costs in the course of litigation. Fees App. at 1. Petitioner’s counsel has indicated
that she will “suffer from undue hardship if no award is made.” Id. at 2. Given these unprecedented
economic circumstances, and the time already spent litigating this case, I find that the Petitioner
would suffer undue hardship in the absence of an award of interim attorneys’ fees and costs.

B. Good Faith and Reasonable Basis

4
Respondent did not file a response to Petitioner’s fees application, and therefore has not
raised any objection to the good faith or reasonable basis for this claim. I find that the petition was
filed in good faith.

With regards to reasonable basis, Petitioner has submitted four expert reports; two from
Dr. Lindsay Lally, a board certified rheumatologist, and two from Dr. Michael Lee, a board
certified cardiologist at the University of California Los Angeles School of Medicine. See Exs. 17,
34, 40, 41; see also Exs. 18 (hereinafter “Lally CV”); 35 (hereinafter “Lee CV”). Dr. Lally opined
that the exact mechanism for IgA vasculitis is unknown but theorized an upregulation of immune
response following vaccination can lead “to an exuberant host response inappropriately resulting
in increased IgA production, and immune complex formation with resultant deposition into small
blood vessels leading to disease propagation.” Ex. 17 at 6. A number of rheumatologic conditions
are known to follow hepatitis B vaccination. Id. at 7. Lastly, Hepatitis A and B infections are
associated with IgA vasculitis, albeit rarely. Id.; see also Ex. 29. This constitutes sufficient
evidence to establish a reasonable basis for the claim.

As there is no other reason to deny an award of interim attorneys’ fees and costs, I will
award Petitioner’s reasonable fees and costs in this instance.

C. Attorneys’ Fees

Petitioner requests a total of $71,308.50 in attorneys’ fees. Fees App. at 3.

1. Reasonable Hourly Rate

A reasonable hourly rate is defined as the rate “prevailing in the community for similar
services by lawyers of reasonably comparable skill, experience and reputation.” Avera, 515 F.3d
at 1348 (quoting Blum, 465 U.S. at 896 n.11). In general, this rate is based on “the forum rate for
the District of Columbia” rather than “the rate in the geographic area of the practice of [P]etitioner's
attorney.” Rodriguez v. Sec'y of Health & Hum. Servs., 632 F.3d 1381, 1384 (Fed. Cir. 2011)
(citing Avera, 515 F. 3d at 1349).

McCulloch provides the framework for determining the appropriate compensation for
attorneys' fees based upon the attorneys' experience. See McCulloch v. Sec'y of Health & Hum.
Servs., No. 09–293V, 2015 WL 5634323 (Fed. Cl. Spec. Mstr. Sept. 1, 2015). The Office of
Special Masters has accepted the decision in McCulloch and has issued a Fee Schedule for
subsequent years. 3

3
The 2018 Fee Schedule can be accessed at: http://www.cofc.uscourts.gov/sites/default/files/Attorneys%
27%20Forum%20Rate%20Fee%20Schedule%202018.pdf.
The 2019 Fee Schedule can be accessed at: http://www.cofc.uscourts.gov/sites/default/files/Attorneys%2
7%20Forum%20Rate%20Fee%20Schedule%202019.pdf.
The 2020 Fee Schedule can be accessed at: http://www.cofc.uscourts.gov/sites/default/files/Attorneys%2
7%20Forum%20Rate%20Fee%20Schedule%202020.PPI_OL.pdf
The 2021 Fee Schedule can be accessed at: http://www.cofc.uscourts.gov/sites/default/files/Attorneys-Fo
rum-Rate-Fee-Schedule-2021-PPI-OL.pdf
The hourly rates contained within the schedules are updated from the decision in McCulloch, 2015 WL
5
Petitioner’s attorney, Ms. Anne Toale, requests an hourly rate of $378.00 for work
performed in 2017; $402.00 for work performed in 2018; $420.00 for work performed in 2019;
$445.00 for work performed in 2020; $475.00 for work performed in 2021; and $500.00 for work
performed in 2022. Ex. 53 at 2-3. Ms. Toale also requests compensation for her colleague Ms.
Diana Stadelnikas: $396.00 for work performed in 2018, $470.00 for work performed in 2021, and
$490.00 for work performed in 2022. Ex. 50 at 26. Lastly, Ms. Toale requests compensation for
MCT paralegals ranging between $140.00 to $170.00 per hour for work performed between 2018-
2022. Id.

This request is consistent with what I and other special masters have previously awarded
Ms. Toale and the MCT firm. See, e.g., Brienen v. Sec’y of Health & Hum. Servs., No. 20-668V,
2022 WL 3100319 (Fed. Cl. Spec. Mstr. Jun. 30, 2022); Barber v. Sec’y of Health & Hum. Servs.,
No. 19-607V, 2022 WL 2663230 (Fed. Cl. Spec. Mstr. Jun. 30, 2022); Correa v. Sec’y of Health
& Hum. Servs., No. 19-592V, 2022 WL 2222485 (Fed. Cl. Spec. Mstr. May 24, 2022); Stolberg
v. Sec’y of Health & Hum. Servs., No. 17-1815V, 2021 WL 5410532 (Fed. Cl. Spec. Mstr. Oct.
25, 2021). Accordingly, I find the requested rates are reasonable and that no adjustment is
warranted.

2. Hours Reasonably Expended

Attorneys' fees are awarded for the “number of hours reasonably expended on the
litigation.” Avera, 515 F.3d at 1348. Ultimately, it is “well within the Special Master's discretion
to reduce the hours to a number that, in [her] experience and judgment, [is] reasonable for the work
done.” Saxton ex rel. Saxton v. Sec'y of Health & Hum. Servs., 3 F.3d 1517, 1522 (Fed. Cir. 1993).
In exercising that discretion, special masters may reduce the number of hours submitted by a
percentage of the amount charged. See Broekelschen v. Sec'y of Health & Hum. Servs., 102 Fed.
Cl. 719, 728-29 (2011) (affirming the special master's reduction of attorney and paralegal hours);
Guy v. Sec'y of Health & Hum. Servs., 38 Fed. Cl. 403, 406 (1997) (affirming the special master's
reduction of attorney and paralegal hours). Petitioner bears the burden of establishing that the rates
charged, hours expended, and costs incurred are reasonable. Wasson v. Sec’y of Health & Hum.
Servs., 24 Cl. Ct. 482, 484 (1993). However, special masters may reduce awards sua sponte,
independent of enumerated objections from the respondent. Sabella v. Sec’y of Health & Hum.
Servs., 86 Fed. Cl. 201, 208-09 (Fed. Cl. 2009); Savin v. Sec’y of Health & Hum. Servs., 85 Fed.
Cl. 313, 318 (Fed. Cl. 2008), aff’d No. 99-573V, 2008 WL 2066611 (Fed. Cl. Spec. Mstr. Apr. 22,
2008).

A special master need not engage in a line-by-line analysis of petitioner's fee application
when reducing fees. Broekelschen v. Sec'y of Health & Hum. Servs., 102 Fed. Cl. 719, 729 (Fed.
Cl. 2011). Special masters may look to their experience and judgment to reduce an award of fees
and costs to a level they find reasonable for the work performed. Saxton v. Sec’y of Health & Hum.
Servs., 3 F.3d 1517, 1521 (Fed. Cl. 1993). It is within a special master's discretion to instead make
a global reduction to the total amount of fees requested. See Hines v. Sec'y of Health & Hum.
Servs., 22 Cl. Ct. 750, 753 (1991) (“special masters have wide latitude in determining the
reasonableness of both attorneys’ fees and costs”); Hocraffer v. Sec'y of Health & Hum. Servs.,

5634323.
6
No. 99-533V, 2011 WL 3705153 (Fed. Cl. Spec. Mstr. July 25, 2011), mot. for rev. denied, 2011
WL 6292218, at *13 (Fed. Cl. 2011) (denying review of the special master's decision and
endorsing “a global – rather than line-by-line – approach to determine the reasonable number of
hours expended in this case”).

While attorneys may be compensated for non-attorney-level work, the rate must be
comparable to what would be paid for a paralegal or secretary. See O'Neill v. Sec'y of Health &
Hum. Servs., No. 08–243V, 2015 WL 2399211, at *9 (Fed. Cl. Spec. Mstr. Apr. 28, 2015). Clerical
and secretarial tasks should not be billed at all, regardless of who performs them. See, e.g.,
McCulloch, 2015 WL 5634323, at *26.

Petitioner’s counsel has provided a breakdown of hours billed. See Ex. 51. I find the hours
to be largely reasonable however, I will deduct for what I believe to be excessive hours collecting
medical records. Over 2.5 years, I counted approximately 20 hours dedicated to collecting medical
records, and most of those hours involved communicating with Norton Healthcare and Baptist
Health. Based on my experience in reviewing applications for attorneys’ fees and costs, I find this
amount of time to be excessive. I also note that there were a number of errors made by the
paralegals which resulted in the excessive time billed.4 I find that a reasonable deduction is
$1,500.00.

Total attorneys’ fees to be awarded: $69,808.50

D. Reasonable Costs

Petitioner requests a total of $29,582.78 in costs. Specifically, Petitioner requests $400.00
for the Court’s filing fee; $7,250.00 for Dr. Lally’s expert fee; $13,475.00 for Dr. Lee’s expert fee;
$4,500.00 for Dr. Wright’s expert fee; $2,500.00 for Guidepoint Global for an expert search;
$209.80 for medical literature; $173.00 for records requests; $180.77 for legal research; $194.34
for mail/shipping expenses; $698.87 for travel expenses; and $1.00 PACER fee. Documentation for
the Court’s filing fee, legal research, medical literature, records requests, and Ms. Toale’s travel to
visit Petitioner have been provided and I grant these costs in full. I discuss the remaining expenses
below.

1. Petitioner’s Expert Costs for Dr. Lindsay Lally

Petitioner requests an hourly rate of $500.00 for 14.5 hours of work performed by Dr. Lally,
for a total of $7,250.00. Dr. Lally received her medical degree from Weill Cornell Medical College
and performed an internal medicine residency and rheumatology fellowship. Lally CV at 2. Dr.
Lally is currently an assistant professor of medicine at Weill Cornell Medical College and Hospital
4
See entry on 9/30/2019 Review records from Norton Health Care and determine as duplicates; entry on
11/5/2019 Review correspondence from Norton Healthcare regarding notice of rejection; entry on
11/6/2019 Review correspondence from Norton Healthcare rejecting medical records request. Update
request and resubmit through online portal. Update notes and follow up reminders accordingly; entry on
11/14/2019 Review correspondence from Baptist Health – Louisville regarding notice of rejection. Update
file; entry on 1/29/2020 Review and respond to correspondence from Norton Healthcare rejecting request
for records. Update notes to file.

7
of Special Surgery. Id. at 5. Dr. Lally has published six peer-reviewed papers and three book
chapters. This is Dr. Lally’s first time as an expert in the Program. Her reports were detailed and
offered a well-reasoned opinion as to how the Twinrix vaccine could have caused Petitioner’s IgA
vasculitis. See Ex. 17 at 5-10. As such, I believe Dr. Lally should be awarded her requested hourly
rate of $500.00. The number of hours Dr. Lally expended on this case is reasonable, thus I grant
her expert fees in full.

2. Petitioner’s Expert Costs for Dr. Michael S. Lee

Petitioner request an hourly rate of $500.00 for 26.95 hours of work performed by Dr. Lee,
for a total of $13,475.00. Dr. Lee received his medical degree from St. George University School
of Medicine and performed a cardiology fellowship at St. Luke’s-Roosevelt Hospital Center and at
the College of Physicians and Surgeons at Columbia University, and an interventional cardiology
fellowship at Cedars-Sinai Medical Center at the UCLA School of Medicine. Lee CV at 1. Dr. Lee
is board certified in internal medicine, clinical cardiology, and interventional cardiology. Id. Dr.
Lee is currently an associate clinical professor at the UCLA School of Medicine. Id. at 2. Dr. Lee
has published 117 peer-reviewed papers, 44 abstracts, and 11 book chapters. Id. at 34-46, 53-57.
This is also Dr. Lee’s first time as an expert in the Vaccine Program. Dr. Lee provided two reports
on the impact of Petitioner’s aortic valve replacement in relation to IgA vasculitis. See generally
Exs. 34, 41. Dr. Lee opined that he did not believe that Petitioner’s aortic regurgitation was
consistent with chronic aortic regurgitation, and that it was more consistent with Petitioner’s
development of IgA vasculitis caused by the Twinrix vaccine. Ex. 34 at 9. Dr. Lee is well
credentialed and provided substantive reports. As such, I believe Dr. lee should be awarded his
requested hourly rate of $500.00. The number of hours Dr. Lee expended on this case is reasonable,
thus I grant his expert fees in full.

3. Petitioner’s Expert Costs for Dr. C. Michael Wright

Petitioner requests an hourly rate of $450.00 for 10 hours of work performed by Dr. Wright,
for a total of $4,500.00. Ex. 51 at 28. Dr. Wright spent approximately 7 hours reviewing medical
records and medical literature, and 3 hours writing an expert report that was not submitted. See id.
These hours seem appropriate for the tasks performed. Dr. Wright has not practiced before the
Program before and has not been awarded his requested rate. Dr. Wright’s CV was not submitted
in this matter, nor was his expert report. A Google search for Dr. Wright shows that he is a
cardiologist at the University of California San Diego Health. C. Michael Wright, UC San Diego
Health, https://providers.ucsd.edu/details/1770830911/primary-care (last visited Sep. 27, 2022).
Dr. Wright received his medical degree from Mount Sinai School of Medicine, performed his
residency at Washington University School of Medicine in St. Louis, and is board certified in
internal medicine and cardiovascular diseases. See id. I see no reason not to award Dr. Wright’s
requested fees; accordingly, I grant them in full.5

4. Other Expenses

5
I note that in finding Dr. Wright’s expert work reasonable, I do not specifically endorse any particular
hourly rate billed by Dr. Wright. Rather, I find the total amount billed for the work is reasonable in light of
the invoice submitted.

8
Petitioner requests a total of $194.34 for mailing and shipping costs. I note that most
documentation was provided, but 4 expenditures totaling $63.55 were not. I will grant those costs
but warn counsel that costs without documentation will not be awarded in the future.

Total costs to be awarded: $29,582.78

III. Conclusion

Accordingly, in the exercise of the discretion afforded to me in determining the propriety of
interim fee and cost awards, and based on the foregoing, I GRANT Petitioner’s application, as
follows:

A lump sum in the amount of $99,391.28, representing reimbursement of Petitioner’s
interim attorneys’ fees and costs in the form of a check jointly payable to Petitioner and his
attorney, Ms. Anne Toale

In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of
Court SHALL ENTER JUDGMENT in accordance with this decision.6

IT IS SO ORDERED.

s/ Katherine E. Oler
Katherine E. Oler
Special Master

6
Pursuant to Vaccine Rule 11(a), the parties may expedite entry of judgment by filing a joint notice
renouncing their right to seek review.
9

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/8407266. Public record. Not legal advice.