Petition for Writ of Certiorari — Plummer v. Lederle Laboratories

Supreme Court brief1987

Ask Donna

What actually matters in this document.

Text

EDITOR'S NOTE

THE FOLLOWING PAGES WERE POOR HARD COPY

AT THE TIME OF FILMING, Ik AND WHEN A

BETTER COPY CAN BE OBTAINED, A NEW FICHE

WILL BE ISSUED,

87-2800

O. FILED

4UG 18 1987

JOSEPH F. SPANIOL, UR

Supreme Court of the United Stes —“ __

In The

October Term, 1987

HARRY PLUMMER,

Petitioner,

VS.

LEDERLE LABORATORIES, A Division of AMERICAN

CYANAMID COMPANY,

Respondent.

PETITION FOR A WRIT OF CERTIORARI TO THE UNITED

STATES COURT OF APPEALS FOR THE SECOND CIRCUIT

ALFRED S. JULIEN

JULIEN & SCHLESINGER, P.C.

Attorneys for Petitioner

Two Lafayette Street

New York, New York 10007

(212) 962-8920

STUART A. SCHLESINGER

Of Counsel

4873

*NJ 201) 257-6850¢'800) 3 APPEAL *NY 212) 340-4640°MA 617) 542-1114

OC 202) 783-7288*¢PA 215) 925-0500*USA 300) 5 APPEAL

pe bd .

yp rimters.ine.

QUESTION PRESENTED

1. In a product liability case involving the oral polio vaccine,

where two juries answered special interrogatories and specifically

found that the respondent drug manufacturer’s warnings were

inadequate and that this was a proximate cause of the petitioner’s

injuries, was the United States Court of Appeals for the Second

Circuit correct in entering judgment, notwithstanding the verdict,

in favor of the respondent, on the alleged ground that a

‘*reasonable jury could not have found proximate cause’’ and

thus in essence, deprived the petitioner of his constitutional Seventh

Amendment right to a jury trial?

LIST OF PARTIES

The parties in the litigation in the United States Court of

Appeals for the Second Circuit are all identified in the caption.

il

TABLE OF CONTENTS

Page

Question Presented... sc 5 5 sn cea ee i

Riot oF Parties oo 5 ces es ieee eee i

Tabite of Comeeeea . «oc i ein eee ll

Tabs of CMON. £060 ae ee ee il

Opinions Below «2... 6.005 5 ckcddisesspussen ene 2

Sectement of Juriedictios. .... 665.0. k cin 02a sa thee eee 2

Cunmiiiand Provisions Involved .............0ce00s 2

Statement of the Case... .i.cisc0useu meee eaten 3

Reasons for Granting the Wit... . <<. see ce denees 5

I. Article Seven of the Constitution prohibits the court

from reexamining the findings of fact made by the

jury which are supported by the record.......... 6

Comelusion ... 0.6 cccsssesesan eee 10

TABLE OF CITATIONS

Cases Cited:

Flood v. Wyeth Laboratories, 228 Cal. Rptr. 700 (Ct. App.

20 Dist., Aumpuet &; FR. s..acdinnc cece 5

il

Contents

Givens v. Lederle, 556 F. 2d 1341 (Sth Cir. 1977)....... 3

Lavender v. Kurn, 327 U.S. 645. 66 S. Ct. 740 (1946)

A ea IEE N Er ae a a 7, 8

Layne & Bowler Corp. v. Western Well Works, Inc., 261

me ot, So ok. S22, 67 L. Ed. 712 (1922)....... 9

Mattivi v. South African Marine Corporation, ‘‘Huguenot’’,

er ee Ge, COM sive kes eccnsneocss 8

Paul v. Boschenstein, 105 A.D. 2d 248, 482 N.Y.S. 2d 870

EE s,s 5 sk kos WA Ooo eo he O88 3

Tennant v. Peoria & P.U. Ry. Co., 321 U.S. 802, 64S. Ct.

go sg lige oe ea 7

Statute Cited:

ee ee ee 2

Rule Cited:

I i in cnc acu ases bine uvscesese's 8

United States Constitution Cited:

re eee i esudaddewes Be Me eg tu

Other Authorities Cited:

New York Times, Saturday Nov. 15, 1986 pg. 1 ........ 5

Piyescweme Teek Reference ................... ccc eees 3

iv

Contents

APPENDIX

Appendix A—Order of the Second Circuit Denying Plaintiff’s

RE COe TRI oi a oon cc hk a oe eee hades.

Appendix B—Decision of the United States Court of Appeals

for the Second Circuit, Reported at 819 F. 2d 349

ee en, NE, ny ha 8e AVR Rees Te oe bek cowe Rees.

Appendix C—Mandate of the Second Circuit Granting

Lederle’s Appeal Granting Lederle Judgment N.O.V.

and Dismissing the Complaint Denying Plaintiff’s

I iad ce hea Rad ek RUA eens

Appendix D—Judgment Dated August 11, 1986 in Favor

to hc cated aaa eka an eae ee uae <

Appendix E—Order of the District Court, Honorable John

E. Sprizzo, Dated July 24, 1986, Refusing to Set

Asi@e the Jury’s Socomd Verdict ...........020005-

Appendix F—Order Dated September 2, 1986, Denying

the Plaintiff’s Motion to Amend the Judgment for

Interest Running from an Earlier Date.............

Appendix G—Transcript of Court’s Decision Dated February

es WN coca caesar Nakai eda a eee es cs

Appendix H—Order of the Honorable John E. Sprizzo

Dated February 24, 1986, Granting Defendant’s Motion

for a New Trial After the First Jury’s Verdict in Favor

of Plaintiff and Limiting the Issues for the Second Trial

Pursuant to the Court’s Oral Directions in the Opinion

Contained in the Transcript of February 21, 1986

2a

Page

la

3a

26a

28a

30a

36a

60a

No.

In The

Supreme Court of the United States

October Term, 1987

HARRY PLUMMER,

Petitioner,

VS.

LEDERLE LABORATORIES, A Division of AMERICAN

CYANAMID COMPANY,

Respondent.

PETITION FOR WRIT OF CERTIORARI TO THE UNITED

STATES COURT OF APPEALS FOR THE SECOND CIRCUIT

To the Honorable William H. Rehnquist, Chief Justice of the

United States, and to the Honorable Associate Justices of the

United States Supreme Court:

Petitioner, Harry Plummer, respectfully prays that a writ of

certiorari be issued to review the decision dated May 19, 1987

and the mandate and judgment dated July 16, 1987, of the United

States Court of Appeals for the Second Circuit, which were entered

in this case granted the respondent judgment n.o.v. and dismissed

the petitioner’s claim.

OPINIONS BELOW

The opinion of the United States District Court for the

Southern District of New York, the Honorable John E. Sprizzo,

dated February 21, 1986 on the respondent’s motion to set aside

the first jury’s verdict is reproduced in the Appendix and has not

been reported officially or unofficially. The opinion and order

of the United States District Court, Southern District of New York,

the Honorable John E. Sprizzo, dated July 24, 1986, denying

the respondent’s application for a new trial or judgment n.o.v.

following the second trial is printed in the Appendix and has not

been reported officially or unofficially. The opinion of the United

States Court of Appeals for the Second Circuit is printed in the

Appendix and is officially reported at 819 F.2d 349 (2d Cir. 1987).

The order of the United States Court of Appeals for the Second

Circuit, denying the petitioner’s motion for rehearing en banc

is reproduced in the Appendix and has not been reported officially

or unofficially.

STATEMENT OF JURISDICTION

The mandate of the United States Court of Appeals for the

Second Circuit which is sought to be reviewed is dated July 16,

1987. The opinion of the United States Court of Appeals for the

Second Circuit is dated May 19, 1987. The order denying the

motion for a rehearing en banc is dated July 2, 1987. The

jurisdiciton of this Court is invoked under 28 U.S.C. § 1254(1).

CONSTITUTIONAL PROVISIONS INVOLVED

The Seventh Amendment provides in pertinent part:

‘‘In Suits at common law, where the value in

controversy shall exceed twenty dollars, the right

of trial by jury shall be preserved, and no fact tried

by a jury, shall be otherwise reexamined in any

Court of the United States, than according to the

rules of common law.’’

STATEMENT OF THE CASE

This petition is being brought by a 51 year old man who

is now confined to a wheelchair because he contacted polio when

he came into contact with his granddaughter who had recently

been immunized with the defendant’s oral polio vaccine (Orimune).

‘For years the respondent claimed that its vaccine could not cause

polio to persons who came into contact with someone who had

been vaccinated with it. See Givens v. Lederle, 556 F.2d 1341,

1344 (Sth Cir. 1977). The respondent now admits that contact

polio is possible, in fact, claims that it was so well known that

there was no need to warn of it.

The polio vaccine had been administered by a doctor in South

Lake Tahoe, California, who in his testimony, claimed that he

was aware of the risks of contact polio.* Petitioner brought the

action claiming that this respondent, the manufacturer and

distributor of the vaccine, had failed to adequately warn of the

real risks of developing contact polio and had failed to warn of

what precautions must be taken to avoid contact polio, which

is totally avoidable if the proper precautions are taken.

Contact polio is polio which afflicts someone who has himself

not been vaccinated and who comes into contact with someone

who has been vaccinated with the live polio vaccine manufactured

by the respondent. In order to avoid contact polio, an adult who

° This doctor is a defendant in an action brought in the State of California

and of necessity had to claim that he was aware of those risks of contact polio

which had been published in the Physician’s Desk Reference (P.D.R.). if not,

he would be admitting his own negligence. See Paul v. Boschenstein, 105 A.D.2d

248, 482 N.Y.S.2d 870 (2d Dept. 1984).

has not been vaccinated should avoid contact with an infant’s

spittle or stool for thirty days after the vaccination.

The case came on to be heard in the United States District

Court for the Southern District of New York. A jury answered

special interrogatories, specifically finding that the respondent’s

warnings were inadequate and that this was a proximate cause

of the petitioners injuries and entered a general verdict in favor

of the plaintiff for $3,200,000.

The District Court set aside the first jury’s verdict on grounds

not raised by the respondent, but raised sua sponte by the District

Court, that in giving a supplemental charge to the jury, the court

erred in failing to specifically recharge the jury that the petitioner

might somehow be a cause of his coming down with polio.

The District Court specifically found that there was sufficient

evidence for the jury to have ruled in favor of the petitioner and

limited the retrial to the issue of causation.

At the second trial a second jury answered 7 special

interrogatories and again found that the respondent’s warnings

were inadequate and that this was a cause of the petitioner’s

injuries. The respondent’s motion to set aside the second verdict

was denied and judgment entered for the petitioner.

The respondent then appealed from that judgment. The

United States Court of Appeals for the Second Circuit made the

astonishing finding that judgment notwithstanding the verdict

should be entered for Lederle ‘‘because a reasonabie jury could

not have found proximate cause,’’ 819 F.2d at 359, and then went

on to direct the dismissal of the petitioner’s complaint.

REASONS FOR GRANTING THE WRIT |

The decision and order of the United States Court of Appeals

for the Second Circuit should be reviewed by this Court because

any reasonable reading of the record indicates that there was

sufficient evidence for two juries to make their specific findings

that the respondent’s warnings were inadequate and that this was

a proximate cause of the petitioner’s harm.

What the Second Circuit did, in violation of the Seventh

Amendment, was in fact legislation by judicial fiat and social

engineering, under the guise of a judicial decision; it reexamined

the jury’s findings of fact, which were fully supported by the

record, when they had no right to do so, under the Seventh

Amendment.

The issue of products liability and the right to bring actions

against manufacturers of vaccines is now before the courts on

numerous occasions. See e.g., Flood v. Wyeth Laboratories, 228

Cal. Rptr. 700 (Ct. App. 2d Dist., August 8, 1986), and there

are various bills in the United States Congress dealing with

immunity for makers of vaccine, compensation for victims injured

by vaccines, etc. See New York Times, Saturday Nov. 15, 1986,

pg. 1. It is admittedly a hot topic upon which there are strong

opinions on each side.

The issue before this Court is whether the United States Court

of Appeals may, contrary to the Seventh Amendment and because

of its own views on the propriety of bringing a product liability

claim against a manufacturer of a polio vaccine, overrule the jury’s

findings of fact, which are clearly supported by the record, so

as to dismiss a plaintiff’s claim when the law and the Seventh

Amendment require otherwise.

The issue before this Court is to make it clear that the United

States Courts of Appeal and District Courts do not have a right

to reexamine or overrule the jury’s findings of fact, so long as

the findings are contained in and supported by the trial record

and the jury’s determination was reasonable.

Issues as to whether or not a negligence or product liability

claim should be permitted against vaccine manufacturers should

be determined by state legislatures and the United States Congress

and not by the Court of Appeals, simply because a jury’s findings,

supported by the record, may not agree with the court’s own views.

ARTICLE SEVEN OF THE CONSTITUTION PROHIBITS

THE COURT FROM REEXAMINING THE FINDINGS OF

FACT MADE BY THE JURY WHICH ARE SUPPORTED BY

THE RECORD.

In the case now before the Court, a review of the record

makes it clear that the jury’s findings were fully supported by

the record. The respondent, in warning of the risks of getting

contact polio, deliberately misstated the risk. The respondent, in

reporting the risk, made it appear that the risk of getting contact

polio was more than one per.million. This was misleading in that

the only people at risk were those adults who iiad not been

vaccinated, and for those persons, the risk was far more

substantial.

In the United States between 1969 and 1976, there were 34

cases of contact polio reported. This was far more than people

getting polio from any other source.

This is not to say that the jury of necessity had to find in

favor of the plaintiff, but once two juries found in favor of the

plaintiff by answering special interrogatories finding that the

warnings were inadequate as had been carefully explained by

petitioner’s expert, Dr. Darryl Salk, there was no basis for the

Court of Appeals to state that no reasonable jury could have so

found.

If the record is reviewed in this case by this Court it will

become clear that the only basis for the Court of Appeals decision

was legislation by judicial fiat and that the record does not support

the decision of the Second Circuit.

It has unfortunately become the custom that many courts

have sought to impose the view of the judge or panel of judges

SO as tO create a social structure acceptable to the court. That,

however, is not the law and limits must be put upon the courts

legislating by judicial fiat in violation of the United States

Constitution and petitioner’s Seventh Amendment rights.

The Constitution makes it clear in the Seventh Amendment

that the findings of fact by a iury shall not be ‘‘reexamined in

any court of the United States.’’ This Court has made it clear

time and again, as it stated in Tennant v. Peoria & P.U. Ry. Co..,

321 U.S. 802, 64 S. Ct. 610 (1944):

‘**Courts are not free to reweigh the evidence and

set aside the jury verdict merely because the jury

could have drawn different inferences or

conclusions or because judges feel that other results

are more reasonable.’’ 321 U.S. at 35.

Similarly, in Lavender v. Kurn, 327 U.S. 645, 66 S.Ct. 740

(1946), this Court stated:

**. . . where, as here, there is an evidentiary basis

for the jury’s verdict, the jury is free to discard

or disbelieve whatever facts are inconsistent with

its conclusion. And the appellate court’s function

is exhausted when that evidentiary basis becomes

apparent, it being immaterial that the court might

draw a contrary inference or feel that another

conclusion is more reasonable.’’ 327 U.S. at 653.

There is no question that where there is no

evidence supporting the jury’s verdict, or that the

verdict could not have been reached on any fair

evaluation of the evidence, that the verdict may

be set aside. See F.R.C.P. Rule 50(b).

However, as the Second Circuit stated in

Mattivi v. South African Marine Corporation,

“‘Huguenot’’, 618 F.2d 163, 167 (2d Cir. 1980),

Judgment n.o.v. should be granted only wien:

‘**(1) there is such a complete absence of evidence

supporting the verdict that the jury’s findings could

only have been the result of sheer surmise and

conjecture, or

(2) there is such an overwhelming amount of

evidence in favor of the movant that reasonable

and fair minded men could not arrive at a verdict

against him.’’ 618 F.2d at 168.

In the case now before the Court, the evidence clearly supports

the specific interrogatories answered by two juries that: (a) the

respondent’s warnings were inadequate; and (b) that this was a

proximate cause of the petitioner’s harm.

For the Second Circuit to have set aside the jury’s verdict

by their reexamining the evidence and claiming that no reasonable

jury could have so found, deprived the petitioner of his

constitutional Seventh Amendment right to a jury trial.

To say that a plaintiff is entitled to a jury trial is merely

lip service if the court may later set aside the jury’s findings if

the court does not agree with the result reached by the jury,

although the jury’s result is reasonable, based upon the evidence.

We are not, in this case, asking this Court to review this

serious personal -injury matter on an individual basis. What is

being asked is that this Court make it clear to the District Courts,

the United States Courts of Appeal and the various state courts,

that the Seventh Amendment is not to be avoided by granting

a jury trial to a party and then having the court make that right

meaningless by the court granting judgment n.o.v., if the court,

for any reason, does not agree with the jury’s findings.

This is a matter -which is of importance to the public as

distinguished from being simply an issue important to the parties

to this litigaiton. See Layne & Bowler Corp. v. Western Well

Works, Inc., 261 U.S. 387, 393, 43 S. Ct. 422, 423, 67 L. Ed.

712 (1922). The issue that is of importance to the public is that

this Court must make it clear that the Seventh Amendment

provides for a meaningful right to a jury trial and that if the jury’s

verdict is supported by the record, judgment n.o.v. may not be

granted, no matter what may be the court’s own views, or the

court’s opinion of what a preferable result would have been. The

courts should not legislate by judicial fiat, reexamining the findings

of a jury which is what occurred in this case.

10

CONCLUSION

For the foregoing reasons, this petition for a writ of certiorari

should be granted.

Respectfully submitted,

ALFRED S. JULIEN

JULIEN & SCHLESINGER, P.C.

Attorneys for Peittioner

STUART A. SCHLESINGER

Of Counsel

la

APPENDIX A — ORDER OF THE SECOND CIRCUIT

DENYING PLAINTIFF’S MOTION FOR REARGUMENT

UNITED STATES COURT OF APPEALS

SECOND CIRCUIT

Nos. 86-7768, 86-7798

FILED JUL 2 1987

At a stated Term of the United States Court of Appeals,

in and for the Second Circuit, held at the United States

Courthouse, in the City of New York, on the 2nd day of July

one thousand nine hundred and eighty-seven.

HARRY PLUMMER,

Plaintiff-Appellee,

Cross-Appellant,

«V.*

LEDERLE LABORATORIES, Division of AMERICAN

CYANAMID COMPANY,

Defendant-Appellant,

Cross-Appellee.

A petition for rehearing containing a suggestion that the action

be reheard in banc having been filed herein by plaintiff-appellee,

cross-appellant Harry Plummer,

Upon consideration by the panel that heard the appeal, it is

ORDERED that said petition for rehearing is DENIED.

2a

Appendix A

It is further noted that the suggestion for rehearing in banc

has been transmitted to the judges of the court in regular active

service and to any other judge that heard the appeal and that

no such has requested that a vote be taken thereon.

S/Eiaine B. Goldsmith

Elaine B. Goldsmith

Clerk

3a

APPENDIX B—DECISION OF THE UNITED STATES

COURT OF APPEALS FOR THE SECOND CIRCUIT,

REPORTED AT 819 F.2d 349 (2d CIR. 1987)

Harry PLUMMER,

Plaintiff-Appellee, Cross-Appellant,

LEDERLE LABORATORIES, DIVISION OF AMERICAN

CYANAMID COMPANY,

Defendant-Appellant, Cross-Appellee.

Nos. 692, 1366, Dockets

86-7768, 86-7798

United States Court of Appeals,

Second Circuit

Argued Jan. 14, 1987.

Decided May 19, 1987.

Products liability action was brought based on alleged failure

of manufacturer of oral polio vaccine to warn of danger associated

with taking vaccine. The United States District Court for the

Southern District of New York, John E. Sprizzo, J., entered a

judgment for plaintiff and defendant appealed. The Court of

Appeals, Tenney, District Judge, sitting by designation, held that:

(1) warnings given by manufacturer of oral polio vaccine were

adequate as a matter of law, and (2) plaintiff failed to establish

that inadequacy of warning of manufacturer of oral polio vaccine

was proximate cause of his contracting polio.

4a

Appendix B

Vacated and remanded.

David Jaroslawicz, New York City (Alfred S. Julien, Stuart

A. Schlesinger, Edward J. Sanocki, Jr., Julien & Schlesinger, New

York City, on the brief), for plaintiff-appellee, cross-appellant.

J. Peter Coll, Jr., New York City (Charles W. Gerdts, III,

Laurie J. Gentile, Donovan, Leisure, Newton & Irvine, New York

City, on the brief), fur defendant-appellant, cross-appellee.

Before PRATT and MINER, Circuit Judges, and TENNEY,

District Judge.*

TENNEY, District Judge.

This is an appeal and cross appeal from a final judgment

of the United States District Court for the Southern District of

New York, Sprizzo, Judge, entered upon interrogatory answers

following two jury trials. The first trial commenced on Octcber

1, 1984, and at the conclusion thereof the jury answered special

interrogatories and returned a general verdict for plaintiff Harry

Plummer of $3.2 million. The district court reserved decision on

the motion of defendant Lederle Laboratories (‘‘Lederle’’) to set

aside the verdict, and ordered a second trial limited to the issue

of proximate causation. The second trial commenced on June

2, 1986, and at the conclusion thereof, the jury returned

interrogatory answers in favor of Plummer. A final judgment

awarding $3.2 million in damages to Plummer was entered on

August 13, 1986.

* The Honorable Charles H. Tenney, Senior District Court Judge of the

United States District Court for the Southern District of New York, sitting by

designation.

Sa

Appendix B

Lederle appeals from the district court’s final judgment as

well as its rulings and orders denying Lederle’s motions for

summary judgment, judgment notwithstanding the verdict, or a

new trial. Plummer cross-appeals from the district court’s order

directing a second trial on the issue of proximate causation and

refusing to award him interest from the date of the first jury’s

verdict. We vacate the district court’s judgment and remand for

entry of judgment notwithstanding the verdict. The cross-appeal

is rejected in all respects.

BACKGROUND

This products liability action involves Orimune, a polio

vaccine manufactured by Lederle. All agree that the development

of vaccines against poliomyelitis has been a major achievement

of modern preventive medicine. Ironically, the very success of

the polio vaccines underlies the charge of negligence in this action.

At the outset, it should be noted that there are two different

types of polio vaccine. Oral polio vaccine, technically referred

to as poliovirus vaccine, live, oral, trivalent (“‘OPV’’), developed

by Dr. Albert Sabin, contains three live but weakened strains of

virus that nonetheless provoke the vaccinee’s immune system to

respond and develop antibodies effective against the wild strain

of the virus. Injected polio virus (‘‘IPV’’), developed by Dr. Jonas

Salk, contains killed, or inactivated strains of virus. The Salk

iPV vaccine was developed first and the Sabin OPV vaccine

became avaiiable shortly thereafter. Orimune is the trade name

for the OPV vaccine manufactured by Lederle. Both vaccines aided

in greatly reducing the incidence of polio in the United States.

Notwithstanding certain inherent risks, OPV became the

vaccine of choice in the United States and most of the world for

a number of reasons. First, because OPV is administered orally,

6a

Appendix B

commonly on a sugar cube, it is far easier to distribute than IP V

which must be injected with a hypodermic needle. Second, the

interaction of the live virus in OPV with the immunological system

confers lifetime immunity. IPV, in contrast, requires periodic

readministration in the form of ‘‘booster shots’’ to maintain

immunity. Third, the oral administr::ion of OPV stimulates

production of antibodies in the gastrointestinal tract as well as

in the bloodstream, thus producing bowel immunity which

interrupts the method of transmitting the wild strain of the virus.

Over time, the interruption of the virus’ transmission path is

expected to eradicate the wild strain. Finally, persons vaccinated

with OPV shed vaccine viruses through feces and saliva to

nonvaccinated persons, thereby conferring immunity on them as

well.

To understand the risks inherent in OPV, it is necessary to

comprehend the immunization process. The live but weakened

viruses of OPV grow in the intestinal tract of the vaccinee. The

growing viruses trigger the vaccinee’s immune system to produce

antibodies which render the vaccinee immune to the disease after

30 days. Rarely, but at a statistically predicable rate, the virus

reproduced in the vaccinee’s intestinal tract reverts to the virulent

form. When this occurs, the vaccinee or persons coming in close

contact with the vaccinee during the 30-day period may contract

polio. Unvaccinated adults can take two precautions to avoid the

risk of ‘‘contact polio’’: (i) alternative vaccination with IP V prior

to contact with the vaccinee; and (ii) avoidance of contact with

the vaccinee for one month, during which time live polio viruses

are being shed from the intestional tract of the vaccinee via the

saliva and feces.

In November 1979, Orimune was prescribed and administered

to Plummer’s infant granddaughter, Mavis Lyster, by Dr. Abby

Cohen. Dr. Cohen did not convey any warnings to Mavis’ mother.

7a

Appendix B

Plummer thereafter contracted a condition diagnosed as paralytic

poliomyelitis. It is undisputed for the purposes of this appeal that

Plummer had never been vaccinated and contracted polio through

contact with his granddaughter.

In a deposition, Dr. Cohen stated that his education and

training had informed him that there was a slight risk in

administering OPV inasmuch as the vaccinee or those coming in

contact with the vaccinee could potentially develop paralytic

disease. His reading of professional journals confirmed that polio

could be transmitted via ‘‘secretions from the mouth, but much

more commonly by way of stool.’’ Joint Appendix (‘‘JA’’) 184.

He described the risk of contact polio as ‘‘small,’’ admitting that

he ‘‘probably did not know [the statistics on its occurrence].”’

He also indicated he was aware that both the 1977 package insert

for Orimune and articles in professional journals recommended

that doctors warn patients concerning the risks of OPV. However,

he expressed his view concerning the necessity of conveying

warnings as follows:

My feeling . . . was that there is an extremely

minute percentage of people who will have the

complications from the drug. I felt that, again,

because I had never experienced [other practicing

physicians] giving these warnings, it . . . wasn’t

necessary for me to do it; and. ..I felt... that

giving the warning .. . could scare off parents

from bringing children in for future vaccinations,

which to me were much more important than the

warning itself for the few number of people who

are going to contract disease... .

JA 182-83.

8a

Appendix B

The Warnings at Issue

Under established law, the sellers of dangerous products may

be required to include on containers of these products directions

or warnings as to their use. Restatement (Second) of Torts, § 402A

comment j (1965). It is undisputed that certain types of drugs,

such as polio vaccines, are dangerous. /d., comment k. Therefore,

in assessing the potential liability of prescription drug

manufacturers, it is essential to review the informational inserts

provided with the drugs.

The Orimune package insert describes in detail the risks of

administering OPV. The ‘*‘Adverse Reactions”’ section of the June

1979 package insert, the principal warning at issue here, states

in pertinent part:

Paralytic disease following the ingestion of live

poliovirus vaccines has been, on rare occasion,

reported in individuals receiving the vaccine, as

well as in persons who were in close contact with

vaccinees. Most reports of paralytic disease

following ingestion of the vaccine or contact with

a recent vaccinee are based on epidemiological

analysis and temporal association between

vaccination or contact and the onset of symptoms.

Most authorities believe that a causal relationship

exists.

The Center for Disease Control reports [the ’

number of doses distributed for certain years and

the number of occurences of contact polio and

vaccine-associated polio]... .

a ©

9a

Appendix B

The risk is estimated to be one case in a recipient

for every 20 million doses of vaccine distributed

and one case in a contact for every 6 million doses

distributed.

The risk of vaccine-associated paralysis is extremely

small for vaccinees, susceptible family members

and other close personal contacts. However, the

responsible physician should convey or specifically

direct personnel acting under his authority to

convey the warnings to the vaccinee [or] parent

of the possibility of vaccine-associated

paralysis prior to administration of the vaccine.

When the attenuated vaccine strains are to be

introduced into a household with adults who have

never been vaccinated, some physicians may choose

to wive these adults at least two doses of IPV a

month apart ... before the children receive

ORIMUNE. The benefit of being protected against

polio is believed to greatly outweigh any risk from

polio vaccine.

Thus, the 1979 package insert advises that unvaccinated

individuals may avoid the risk of contracting contact polio from

Orimune vaccinees by receiving an IPV vaccination prior to

contact.

The 1977 Orimune package insert' was also introduced into

1. The ‘‘Adverse Reactions’’ section of the 1977 insert states in pertinent

part:

Expert opinion is in agreement that the administration

(Cont'd)

10a

Appendix B

evidence and it varies from the 1979 insert by stating that ‘‘expert

opinion is in agreement that the administration of [OPV] is

generally an effective and safe method of protecting populations

against the natural disease’, and that ‘‘[t]he estimated risk of

vaccine-induced paralytic disease occurring in vaccinees or those

in close contact with vaccinees is extremely !ow.’’ It did not give

a breakdown of the estimated number of cases of contact polio,

as the 1979 warning did. Also, it did not advise physicians to

consider administering IPV to previously unvaccinated individuals

who might come in contact with the Orimune vaccinee, as a

precaution against contact polio. Rather, it merely stated that

(Cont'd)

of live oral poliovirus vaccines is generally an effective and

safe method of protecting populations against the natural

disease. Paralytic disease following the ingestion of live

poliovirus vaccines has been reported in individuals receiving

the vaccine, and in some instances, in persons who were in

close contact with subjects who had been given live oral

poliovirus vaccine. The rare occurrence of ‘‘vaccine related

cases’’ were considered ‘‘compatible”’ with vaccine induced

disease where certain epidemiological criteria including certain

incubation, clinical and laboratory values could be judged

compatible with vaccine as a cause. It has been estimated

that the risk of vaccine induced paralytic poliomyelitis is about

one chance per million doses.

The estimated risk of vaccine-induced paralytic disease

occurring in vaccines or those in close contact with vaccinees

is extremely low. However, the ‘‘risk’* should be considered

by the physician and such information should be conveyed

to the parent(s) at the time of vaccination. Those parents of

a vaccinee who have noi had previous polio vaccination should

probably be considered among those aduits as subject to

increased risk of exposure and in this special situation, in

the judgment of the physician responsible, protection may

be needed for these intimate contacts.

lla

Appendix B

‘‘parents of a vaccinee who have not had previous polio

vaccination should probably be considered among those adults

as subject to increased risk of exposure and in this special situation,

in the judgement of the physician responsible, protection may

be needed for these intimate contacts.’’

Dr. Darrell Salk, son of the doctor who discovered IPV,

testified as an expert witness for the plaintiff. He stated that in

his opinion Lederle’s warnings inaccurately estimated the number

of occurrences of contact polio per doses distributed as one in

6 million, and misleading failea to compare the risk of contracting

contact polio relative to the risk of contracting wild polio.

However, he admitted that Lederle’s method of stating the risk

is also used by most medical authorities in the United States,

including the United States Public Health Service Advisory

Committee on Immunization Practice (JA 298, 304; 314-19) and

Centers for Disease Control (JA 334-35), the Committee on

infectious Diseases of the American Academy of Pediatrics (JA

308), and an Institute of Medicine Study of Poliovirus vaccines

(JA 334-38).

The Centers for Disease Control provided the data in the

1979 insert stating the risk of contact polio per doses distributed.

JA 334-336; Brief for Appellant, at 39. The insert was approved

by the Bureau of Biologics (presently the Office of Biologics

Research and Review) of the Food and Drug Administration in

June, 1979, as required by 21 C.F.R. §§ 600-601 (1986).

Procedural Rulings

Although Plummer’s compiaint originally alleged several

theories of liability, the case did not proceed to trial on all of

them. After the completion of discovery, Lederle moved for

i2a

Appendix B

summary judgment on the grounds that (i) its warnings were

adequate as a matter of law and (ii) there was no proof that claimed

inadequacies in the warnings proximately caused the injury because

Dr. Cohen knew of the risks of contact polio but made a conscious

decision not to convey any warning to the parents of the vaccinee.

Plummer contended that the warnings were inadequate because

they failed to recommend any precautions that could be taken

to avoid the risk of contact polio, citing as examples (i) alternative

administration of IPV to unvaccinated individuals prior to contact

with the vaccinee, or (ii) avoiding contact with the vaccinee for

one month.

The district court rendered an oral ruling denying Lederle’s

pre-trial motion for summary judgment but substantially

narrowing the issues to be tried. In accordance with this ruling,

the parties prepared a Joint Pre-Trial Order dated May 4, 1984

which reflected the district court’s view that the only issues

remaining to be tried, as a matter of law, were (i) whether Lederie

had a duty adequately to advise the reasonable physician of

precautions to be taken in connection with the prescription and

administration of Orimune; (ii) whether Lederle satisfied such a

duty; (iii) assuming that Lederle did not satisfy its duty, whether

that failure was the proximate cause of plaintiff’s damages.

The case proceeded to trial. The jury returned a verdict that

Lederle was liable to Plummer for damages in the amount of $3.2

million, finding that the 1977 insert was inadequate because it

did not include general precautions on either of the two specified

precautions for avoiding the risk and the 1979 insert was

inadequate because it did not include general precautions or the

second specified precaution, although it was adequate in

recommending the first specified precaution, alternative

administration of IPV. The jury further found that Lederle had

13a

Appendix B

used reasonable efforts in distributing the 1979 insert and that

it had been received by Dr. Cohen. The jury concluded that

Lederle’s inadequate warnings were a proximate cause of plaintiff’s

injury and Dr. Cohen’s failure to warn was not the sole cause

of plaintiff’s injury.’

2. The first jury was asked:

1. Do you find that the ... [1977 insert] ... failed

to advise a reasonably prudent private physician that [an

unimmunized adult should be given an IPV inoculation?}

2. Do you find that the. . . [1977 insert] . . . failed to

advise that unimmunized adults should [avoid contact with

OPV-vaccinated infant for one month]?

3. Do you find that the .. . [1977 insert] . . . failed to

advise 2 reasonably prudent private physician of the necessary

precautions to be taken to avoid contact with any individual

immunized with [OPV]?

4. [Same as question (1), with respect to 1979 insert]

5. [Same as question (2), with respect to 1979 insert]

6. [Same as question (3), with respect to 1979 insert]

7. Do you find ... that the 1979 insert ... was

disseminated in a reasonable manner to the medical profession

prior to November 3, 1979?

8. Do you find . . . that Dr. Cohen received the 1979

insert... prior to November 3, 1979?

9. If the amswer to any one of questions #1 through #6

is **Yes"’ do you find . . . that the inadequacy of defendant’s

warning was a proximate cause of the plaintiff’s injury?

(Cont’d)

l4a

Appendix B

Lederle moved for judgment notwithstanding the verdict or

a new trial, contending that its warnings were adequate as a matter

of law and that the charge on proximate causation was erroneous.

The district court ordered a new trial limited to the issue of

proximate cause, reasoning that the jury might have been misled

by an erroneous supplemental instruction which failed to point

out that the defendant could be exonerated not only by the doctor’s

negligence but also by the patient’s contributory negligence. The

judge ruled over Lederle’s objection that it would allow Plummer

to introduce evidence at the second trial concerning his theory

- that the package inserts ‘‘minimized the risk’’ of contact polio.

The second jury answered seven questions. In response to

questions | and 2, the jury agreed that the defendant’s package

insert minimized the risk of contact polio and that this

minimization influenced Dr. Cohen to not give any warnings. The

remaining five questions asked whether each inadequacy of the

inserts (as found by the first jury) was a legal cause of plaintiff’s

injury. All of these questions were answered affirmatively except

question 7, to which the jury responded that the 1979 insert’s

failure to advise of general precautions was not a legal cause of

plaintiff’s injury.’ The clerk entered a judgment in favor of

plaintiff.

(Cont'd)

10. Do you find . . . that the plaintiff’s injury was caused

solely by the independent decision of Dr. Cohen to administer

[OPV] to the plaintiff’s grandchild without informing the

plaintiff’s daughter of the risks incident thereto and the

precautions to be taken in that regard?

All of the questions except numbers 4 and 10 were answered affirmatively.

JAS4-57.

3. The second jury was asked:

(Cont’d)

15a

Appendix B

Lederle again moved for a new trial, on the ground that the

second jury’s answers to questions 6 and 7 were irreconcilably

inconsistent. Lederle claimed that questions 6 and 7 were

redundant, and therefore the jury could not simultaneously

conclude: (i) that the 1979 insert was inadequate in failing to

recommend as a specified precaution avoidance of contact with

the vaccinee for one month (response to question 6) and (ii) that

(Cont'd)

1. Do you find ... that the manner in which the

defendant described the risk of vaccine associated contact

polio in the package insert minimized that risk?

2. If [yes to the above], did that description influence

Dr. Cohen to not give any warnings?

3. Do you find. . . that the defendant’s failure to advise

[physician in 1977 insert] that a program of IPV inoculation

for unimmunized adults should be considered was a legal cause

of the plaintiff’s injury?

4. Do you find. . . that the defendant’s failure [to advise

physician in 1977 insert] that unimmunized adults should not

come in contact with [OPV-vaccinated infant] for

approximately one month was a legal cause of plaintiff’s

injury?

5. Do you find. . . that the defendant’s failure (to advise

physician in 1977 insert] of the necessary precautions to be

taken to avoid contact with [OPV-vaccinated infant] was a

legal cause of plaintiff’s injury?

6. Same as question (4), with respect to 1979 insert.

7. Same as question (5), with respect to 1979 insert.

All of the questions except number 7 were answered affirmatively. JA

133-34.

l6a

Appendix B

the insert adequately recommended general precautions (response

to question 7). Lederle’s motion was denied in an order dated

July 24, 1986.

DISCUSSION

A federal court sitting in diversity must follow the law directed

by the Supreme Court of the state whose law is found to be

applicable, and if there is no direct decision by the highest court

of that state, the federal court should determine what it believes

that state’s highest court would find if the issues were before it.

See Meredith v. Winter Haven, 320 U.S. 228, 234-37, 64 S.Ct.

7, 10-12, 88 L.Ed.9 (1943). Plaintiff is a California resident, his

granddaughter was inoculated with Orimune in California, and

he developed polio in California, as well. Thus, New York’s choice

of law rules, which apply to this action by virtue of the holding

in Klaxon Co. v. Stentor Elec. Mfg., 313 U.S. 487, 496, 61 S.Ct.

1020, 1021-22, 85 L.Ed. 1477 (1941), dictate that California

substantive law applies because that is the place where plaintiff’s

injury occurred. Fort Howard Paper Co. v. William D. Witter,

Inc., 787 F.2d 784, 795 (2d Cir. 1986); Wright v. Carter Prod.,

Inc., 244 F.2d 53, 56-57 (2d Cir. 1957).

Issue of the Adequacy of the Warnings

_ It is undisputed that polio vaccines are inherently dangerous

drugs. The seller of such a product may be required to give

directions or warning as to use on the product’s container.

Restatement (Second) of Torts, § 402A comment j (1965).* Once

4. Restatement (Second) of Torts, § 402A comment j, states:

In order to prevent the product from being unreasonably

(Cont'd)

17a

Appendix B

the warning is given, there is a presumption that it will be read

and heeded. Jd. Comment k to § 402A of the Restatement

(Second) of Torts acknowledges that vaccines may sometimes cause

damaging consequences when injected, but that the diseases they

are designed to combat also are terrible. The comment provides:

(Cont’d)

dangerous, the seiler may be required to give directions or

warning, on the container, as to its use. The seller may

reasonably assume that those with common allergies, as for

example to eggs or strawberries, will be aware of them, and

he is not required to warn against them. Where, however,

the product contains an ingredient to which a substantial

number of the population are allergic, and the ingredient is

one whose danger is not generally known, or if known is one

which the consumer would reasonably not expect to find in

the product, the seller is required to give warning against it,

if he has knowledge, or by the application of reasonable,

developed human skill and foresight should have knowledge,

of the presence of the ingredient and the danger. Likewise

in the case of poisonous drugs, or those unduly dangerous

for other reasons, warning as to use may be required.

But a seller is not required to warn with respect to

products, or ingredients in them, which are only dangerous,

or potentially so, when consumed in excessive quantity, or

over a long period of time, when the danger, or potentiality

of danger, is generally known and recognized. Again the

dangers of alcoholic beverages are an example, as are also

those of foods containing such substances as saturated fats,

which may over a period of time have a deleterious effect

upon the human heart.

Where warning is given, the seller may reasonably assume

that it will be read and heeded; and a product bearing such

a warning, which is safe for use if it is followed, is not in

defective condition, nor is it unreasonably dangerous.

18a

Appendix B

[B]oth the marketing and the use of the vaccine

are fully justified, notwithstanding the unavoidable

high degree of risk which they involve. Such a

product, properly prepared, and accompanied by

proper directions and warning, is not defective,

nor is it unreasonably-dangerous. The same is true

of many other drugs, vaccines, and the like, many

of which for this very reason cannot legally be sold

except to physicians, or under the prescription of

a physician. It is also true in particular of many

new or experimental drugs as to which, because

of lack of time and opportunity for sufficient

medical experience, there can be no assurance of

safety, or perhaps even of purity of ingredients,

but such experience as there is justifies the

marketing and use of the drug notwithstanding a

medically recognizable risk. The seller of such

products, again with the qualification that they are

properly prepared and marketed, and proper

warning is given, where the situation calls for it,

is not to be held to strict liability for unfortunate

consequences attending their use, merely because

he has undertaken to supply the public with an

apparently useful and desirable product, attended

with a known but apparently reasonable risk.

Thus, drug manufacturers are obligated by law to provide

doctors and/or consumers with adequate knowledge of the hazards

of the drugs they manufacture. If they do so, they are held not

to a strict liability standard for the consequences attending the

use of the product, but to a negligence standard. Brown v. Superior

Court, 182 Cal.App.3d 1125, 227 Cal.Rptr. 768 (1 Dist.), petition

for review granted, 229 Cal.Rptr. 663, 723 P.2d 1248 (1986). In

19a

Appendix B

a negligence action, the adequacy of warnings is determined based

on their ‘‘reasonableness.’’ Finn v. G.D. Searle & Co., 35 Cal.3d

691, 700, 200 Cal.Rptr. 870, 875, 677 P.2d 1147, 1152 (1984).

If the drug is given under clinic-type conditions the manufacturer

is obliged to warn consumers directly. In the case of prescription

drugs dispensed: by physicians, the obligation is to warn the

physician. This ‘‘prescription drug rule’’ has been followed by

the courts of California. See Fogo v. Cutter Laboratories, Inc.,

68 Cal.App.3d 744, 754, 137 Cal.Rptr. 417, 423 (1 Dist.1977);

Magee v. Wyeth Laboratories, Inc., 214 Cal.App.2d 340, 348,

29 Cal.Rptr. 322, 328 (2 Dist.1963). The rule was explained in

Reyes v. Wyeth Laboratories, 498 F.2d 1264 (Sth Cir.), cert.

denied, 419 U.S. 1096, 95 S.Ct. 687, 42 L.Ed.2d 688 (1974), as

follows:

Prescription drugs are likely to be complex

medicines, esoteric in formula and varied in effect.

As a medical expert, the prescribing physician can

take into account the propensities of the drug, as

well as the susceptibilities of his patient. His is the

task of weighing the benefits of any medication

against its potential dangers. The choice he makes

is an informed one, an individualized medical

judgment bottomed on a knowledge of both

patient and palliative. Pharmaceutical companies

then, who must warn ultimate purchasers of

dangers inherent in patent drugs sold over the

counter, in selling prescription drugs are required

to warn only the prescribing physician, who acts

as a ‘‘learned intermediary’’ between manufacturer

and consumer.

498 F.2d at 1276.

20a

Appendix B

The parties do not seriously dispute that in the present case

we are considering Lederle’s duty to direct warnings to the

prescribing physician and the medical profession in general, rather

than to the patient. The parties’ primary dispute is over the type

of warnings required to be given to meet the manufacturer’s duty

under California law.

The second jury agreed with Plummer’s claims that the

warnings issued by Lederle regarding Orimune improperly (i)

minimized the risk of contact polio and (ii) failed to specify

precautions that could be taken to avoid these risks. On this appeal,

we must determine whether the district court properly construed

California law applicable to this action as allowing Lederle to

be found liable to Plummer if inadequacies of this nature were

present in Lederle’s warnings. Lederle contends that such

inadequacies are, as a matter of law, insufficient to support the

jury’s verdict.

With regard to the issue of alleged minimization of the risk

in product warnings, the California authority most closely

analogous to the instant case is Kearl v. Lederle Laboratories,

172 Cal.App.3d 812, 218 Cal.Rptr. 453 (1 Dist.1985). The facts

underlying Kear/ differ in only two ways from those in the present

case: (i) contact polio was not involved (i.e., the vaccinee herself

contracted the disease from the administration of Orimune); and

(ii) the vaccine was administered in a clinic-type setting so the

court was required to review manufacturer warnings transmitted

directly to the patient, rather than through a ‘“‘learned

intermediary’’ such as a doctor. The claims regarding the adequacy

of the warnings in Kear/ are almost identical to those asserted

by Plummer in the present case. The Kear/ court noted that Lederle

had warned the patient directly of the risk of contracting polio

from the vaccine, and mentioned the alternative vaccine, IPV.

2la

Appendix B

The court concluded that this warning adequately informed

plaintiff of the foreseeable risks. It iejected plaintiff’s contention

that the warning was inadequate for failing to state precisely the

exact known risks of contracting polio from OPV relative to

contracting it from wild polio viruses (i.e., without being

vaccinated). The court concluded: ‘‘whatever duty a manufacturer

may have to inform of risks associated with nonuse of a product,

such a duty most certainly cannot be imposed when the relationship

between use and nonuse is statistically close (and quite possibly

immeasurable) and the probability of injury from either course

is extremely remote.*’ 172 Cal.App.3d at 835, 218 Cal.Rptr. at

468. The court held the warning to be adequate as a matter of law.

In the present case, we similarly hold that the warning was

adequate as a matter of law. The first jury found that Lederle

took reasonable efforts to disseminate the 1979 package insert

to the medical profession. The 1979 insert contained statistics

compiled by public health authorities estimating the number of

cases of contact polio per doses of vaccine distributed. This method

of stating the risk of contact polio is used not only by Lederle,

but also by established medical authorities. Even assuming, as

the second jury found, that the warnings did minimize the risk

of contracting contact polio, the fact remains that the probability

of contracting either contact polio or wild polio is extremely

remote. The Kear/ decision thus establishes that the verdict here

cannot be supported by Plummer’s theory that Lederle negligently

minimized the risks of contracting contact polio in its package

inserts.

Plummer further claims that the California Supreme Court

has endorsed an approach that requires manufacturers of

prescription drugs to give warnings of specific precautions that

can be taken to avoid the hazards of its drug, citing Finn, supra,.

22a

Appendix B

This contention is not supportable. Finn merely recognized in

dictum that two types of warnings exist: those which instruct the

consumer regarding use of a product and those which inform him

regarding risks that may follow from use of a product. 35 Cal.3d

at 699, 200 Cal.Rptr. at 875, 677 P.2d at 1152. Nowhere did the

court state that a prescription drug manufacturer would be deemed

negligent for failing to specify precautions in its package inserts.

The California courts have not yet addressed the question of

whether precautions must be specified as a matter of law in

prescription drug cases.

However, Lederle correctly points out that in Dunn v.: Lederle

Laboratories, 121 Mich.App. 73, 328 N.W.2d 576 (1982), a

Michigan appellate court was presented with this same proposed

theory of liability in a contact polio case and was asked to reverse

judgment in favor of Lederle. The court refused to find a duty

to warn of precautions to be taken in connection with prescribing

Orimune. That court stated: ‘‘[cJonsidering the slight risk of

contact polio, the variability of risks of harm (depending on many

personal factors, including cleanliness and frequency and type

of contact with a recently-vaccinated child), the introduction of

individualized medical judgment, and . . . other policy reasons

.., we do not accept plaintiffs’ invitation to add new

requirements to a manufacturer’s duty to warn.’” 121 Mich.App.

at 83, 328 N.W.2d at 581 (footnotes omitted).

In the present case, the judgment of the district court rests

on the jury’s finding that Lederle’s warnings were legally

inadequate because they failed to specify precautions for avoiding

contact polio. We must determine what the California Supreme

Court would decide if it were faced with this question. In the

absence of any applicable California precedent in the prescription

drug context based on a duty to specify precautions, we believe

23a

Appendix B

the California Supreme Court would not expand a manufacturer’s

duty and require that specified precautions be stated, especially

where the warnings are being directed to a ‘‘learned intermediary”’

such as a doctor. In short, judgment notwithstanding the verdict

should have been directed since there is no duty under California

law to specify precautions in the prescription drug context.

The Proximate Causation Issue

The second major issue on appeal relates to the proof of

proximate cause. Lederle claims that Plummer failed to make a

showing sufficient to establish all the elements essential to his

case, thus the motion for judgment notwithstanding the verdict

should have been granted. See Celotex Corp. v. Catrett,

—__.U.S.___, 106 S.Ct.2548, 2554, 91 L.Ed.2d 265 (1986). In

particular, Lederle claims Plummer did not prove that inadequacy

of the warnings was the proximate cause of his injury, since the

testimony established that Dr. Cohen was aware of the risks of

contact polio but as a matter of practice, did not convey these

warnings to the parents of the patient. Lederle claims that the

verdict must be set aside because of. this failure of proof of

proximate causation.

Plummer responds by arguing that the jury was entitled to

discredit Dr. Cohen’s testimony and reach its own conclusion on

proximate cause. Presumably, Plummer contends that the jury’s

conclusion in response to the question on minimization of the

risk, i.e., that Dr. Cohen was prompted not to warn the patients

based on the inadequacies in the warnings to state the true risk,

is the substitute for a finding on proximate cause. In support,

plaintiff cites Stevens v. Parke, Davis & Co., 9 Cal.3d 51, 107

Cal.Rptr. 45, 507 P.2d 653 (1973), a case which imposed liability

on a drug manufacturer because its overpromotion of a dangerous

24a

Appendix B

drug to the medical profession was coupled with a gross

minimization of the risk of prescribing the drug in the product

warnings.

Stevens is distinguishable because in the present case there

is no evidence that Lederle overpromoted Orimune, nor is there

proof that Lederle grossly minimized the risk. At best, Lederele

understated a small risk to make it appear even smaller.

Furthermore, as Lederle notes, the plaintiff failed to prove that

a proper warning would have altered the doctor’s conduct.’ Dr.

Cohen testified that he knew of the information plaintiff claimed

should have been in the insert—that an unimmunized person

should avoid contact with the vaccinee for 30 days— but still did

not warn Plummer’s daughter. As the California intermediate

appellate court has stated, ‘‘no harm could have been caused by

failure to warn of a risk already known.’’ Rosburg v. Minnesota

Mining & Mfg. Co., 181 Cal.App.3d 726, 730, 226 Cal.Rptr. 299,

305 (1 Dist.1986).

According to Plummer, Dr. Cohen’s testimony that he had

a practice of failing to warn his patients of the risk of contact

polio should not be credited because he was an interested witness.

It may be true that Dr. Cohen was an interested witness, but his

was the only testimony on the issue of proximate cause. Even

if the jury failed to credit him, Plummer has not proven an essential

element of his case. Furthermore, even if the warnings had been

stronger, a reasonable jury could not have concluded that Dr.

Cohen would have warned the vaccinee’s mother. Thus, judgment

notwithstanding the verdict should be entered for Lederle because

a reasonable jury could not have found proximate cause.

5. There is no claim or evidence that defendant had knowledge of Dr.

Cohen’s practice not to warn, or of such practice by other physicians.

25a

Appendix B

See Dunn,121 Mich.App. at 85, 328 N.W.2d at 582; Stanback

v. Parke, Davis & Co., 657 F.2d 642, 646 (4th Cir.1981) (doctor

testified he knew of risk but had practice of not informing patients

about it); Lindsay v. Ortho Pharmaceutical Corp., 637 F.2d 87,

92 (2d Cir. 1980) (‘‘no one eds notice of that which he aiready

knows’’).

CONCLUSION

On Lederle’s appeal, we vacate the judgment of the district

court and remand for entry of judgment notwithstanding the

verdict. Thus, it is not necessary to address Lederle’s claims that

various evidentiary rulings and instructions to the jury were

erroneous, and that the second jury’s answers to certain questions

were inconsistent.

In view of our decision that judgment notwithstanding the

verdict should be granted, Plummer’s cross-appeal is denied in

all respects.

26a

APPENDIX C—MANDATE OF THE SECOND CIRCUIT

GRANTING LEDERLE’S APPEAL GRANTING LEDERLE

JUDGMENT N.O.V. AND DISMISSING THE COMPLAINT,

DENYING PLAINTIFF’S CROSS APPEAL

UNITED STATES COURT OF APPEALS

FOR THE SECOND CIRCUIT

86-7768

86-7798

FILED MAY 19 1987

At a stated Term of the United States Court of Appeals for

the Second Circuit, held at the United States Courthouse in the

City of New York, on the 19th day of May one thousand nine

hundred and eighty-seven.

Present:

HON. GEORGE C. PRATT,

HON. ROGER J. MINER, Circuit Judges.

HON. CHARLES H. TENNEY, District Judge.*

HARRY PLUMMER,

Plaintiff-Appellee, Cross-Appellant,

-V .*

LEDERLE LABORATORIES, Division of AMERICAN

CYANAMID COMPANY,

Defendant-Appellant, Cross-Appellee

* The Honorable Charles H. Tenney, senior District Court Judge of the

United States District Court for the Southern District of New York, sitting by

designation.

27a

Appendix C

Appeal from the United States District Court for the District

of New York

This cause came on to be heard on the transcript of record

from the United States District Court for the District of New York,

and was argued by counsel.

ON CONSIDERATION WHEREOF, it is now hereby

ordered, adjudged and decreed that the judgment in the Lederle

appeal from said District Court be and it hereby is vacated and

remanded to the said District Court for entry of judgment not

withstanding the verdict in accordance with the opinion of this

court.

Further ordered that the Plummer cross-appeal is denied in

all respects pursuant to the opinion of this court.

s/ Elaine B. Goldsmith

Clerk

s/ Edward J. Guardaro

By: Edward J. Guardaro

Deputy Clerk

THIS DOCKET WAS ENTERED ON THE DOCKET ON

7-17-87

28a

APPENDIX D—JUDGMENT DATED AUGUST 11, 1986 IN

FAVOR OF THE PLAINTIFF

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

81 CIVIL 2037 JES

FILED AUG 11 1986

HARRY PLUMMER

Plaintiff

-against-

LEDERLE LABORATORIES, Division of AMERICAN

CYANAMID COMPANY,

Defendant.

A jury trial before the Honorable John E. Sprizzc, U.S.D.J.,

having begun on October |, 1984, and at the conclusion of the

trial the jury having answered the attached interrogatories, and

the jury in so doing having returned a verdict in favor of the

plaintiff in the sum of $3,200,000.00, and the Court having

reserved decision on defendant’s motion to set aside the verdict

and the Court having set aside the verdict and ordered a new

trial as to the issues of proximate cause, a second jury trial having

begun on June 2, 1986, as to the issue of proximate cause only

and at the conclusion of the trial the jury having answered the

attached questions, and the jury in so doing having returned a

verdict in favor of the plaintiff; and the Court having reserved

decision, pending briefing on defendant’s motion to set aside the

verdict; and the Court thereafter on July 28, 1986, having handed

29a

Appendix D

down its order denying defendant’s motion for a new trial, it is,

ORDERED, ADJUDGED AND DECREED: That the

plaintiff have judgment as against the defendant in the sum of

$3,200,000.00.

s/ Raymond F. Burghardt

Clerk

DATED: NEW YORK, N.Y.

August 11, 1986

APPROVED:

s/ John E. Sprizzo

U.S.D.J.

THIS DOCUMENT WAS ENTERED ON THE DOCKET ON

8-13-86.

30a

APPENDIX E—ORDER OF THE DiSTRICT COURT,

HONORABLE JOHN E. SPRIZZO, DATED JULY 24, 1986,

REFUSING TO SET ASIDE THE JURY’S SECOND VERDICT

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

81 Civ. 2037 (JES)

Harry Plummer,

Plaintiff,

-against

Lederle Laboratories, etc.,

Defendant.

The above-captioned action having come before the Court,

and counsel for defendant having filed a memorandum of law

in support of defendant’s oral application for a new trial, and

the Court having considered all issues raised in defendant’s

memorandum and in plaintiff’s responding memorandum, and

all issues raised with respect to defendant’s motion for a new trial,

and the Court having determined that the second jury’s answers

to Questions 6 and 7 are not irreconcilably inconsistent answers

to redundant questions, compare Bernardini v. Rederi A/B

Saturnus, 512 F.2d 660, 662-63 (2d Cir. 1975) with Brunner y.

Maritime Overseas Corp., 779 F.2d 296, 299 (Sth Cir. 1986); Julien

J. Studley, Inc. v. Guif Oil Corp., 407 F.2d 521, 526-27 (2d Cir.

1969), but, rather, distinct answers to separate questions based

upon separate and distinct theories of liability and causation as

advanced by plaintiff at the trials of this action, and the Court

having concluded that the answers to Questions 6 and 7 can and

3la

Appendix E

should be reconciled, see, e.g., Gallick v. Baltimore & Ohio R.

Co., 372 U.S. 108, 119 (1963), and, indeed that all of the jury’s

answers to all of the questions can be so reconciled and that the

jury’s findings support the judgment against the defendant, it is

ORDERED that defendant’s motion for a new trial be, and

hereby is denied.

Dated: New York, New York

July 24, 1986

s/John E. Sprizzo

United States District Judge

32a

Appendix E

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

81 Civ 2037 (JES)

Case Number

JUDGE JOHN E. SPRIZZO

HARRY PLUMMER

as

LEDERLE LABORATORIES, Division of AMERICAN

CYANAMID COMPANY

(FULL TITLE OF CASE - IF NECESSARY USE OTHER SIDE)

APPEARANCES: (include firm name and telephone #)

FOR PLAINTIFF:

Edward Sanocki, Jr. & Ira Newman

Julien & Schlesinger, P.C., 2 Lafayette St.,

NY, NY 212-962-8020

FOR DEFENDANT:

J. Peter Coll & Charles Gerdts III

Donovan Liesure Newton & Irvine,

30 Rockefeller Plaza, NY, NY 212-307-41

TRIAL (JURY) BEGUN: (retrial of proximate cause issue) 6/2/86

continued: 6/3/86, 6/4/86, and concluded 6/5/86.

33a

Appendix E

Jury verdict for Plaintiff on Special Interrogatory questions 1-6.

Jury verdict for Defendant on Special Interrogatory question 7.

Decision reserved pending briefing on Defendant motion to set

aside verdict.

(AN EXTRACT OF THE MINUTES)

CLERK HOWARD VIGORITA

COURT REPORTER William Cohen

34a

Appendix E

QUESTIONS FOR THE JURY

1. Do you find that plaintiff has established by a fair

preponderance of the evidence that the manner in which the

defendant described the risk of vaccine associated contact polio

in the package insert minimized that risk?

Yes x No

2. If you answered the above question yes, did that description

influence Dr. Cohen to not give any warnings?

Yes x No

3. Do you find that plaintiff has established by a fair

preponderance of the evidence that the defendant’s failure to advise

a reasonably prudent private physician in its 1977 insert that a

program of IPV inoculation for unimmunized adults should be

considered was a legal cause of the plaintiff’s injury?

Yes x No

4. Do you find that plaintiff has established by a fair

preponderance of the evidence that the defendant’s failure in its

1977 insert to advise a reasonably prudent private physician that

unimmunized adults should not come in contact with an infant

recently vaccinated with oral polio vaccine for approximately one

month was a legal cause of plaintiff’s injury?

Yes x No.

5. Do you find that plaintiff has established by a fair

preponderance of the evidence that the defendant’s failure in its

35a

Appendix E

1977 insert to advise a reasonably prudent private physician of

the necessary precautions to be taken to avoid contact with an

individual immunized with oral polio vaccine was a legal cause

of plaintiff’s injury?

Yes x No.

6. Do you find that the plaintiff has established by a fair

preponderance of the evidence that the defendant’s failure in its

1979 insert to advise a reasonably prudent private physician that

unimmunized adults should not come in contact with an infant

recently vaccinated with oral polio vaccine for approximately one

month was a legal cause of plaintiff’s injury?

Yes x No

7. Do you find that plaintiff has established by a fair

preponderance of the evidence that the defendant’s failure in its

1979 insert to advise a reasonably prudent private physician of

the necessary precautions to be taken to avoid contact with any

individual immunized with oral polio vaccine was a legal cause

of plaintiff’s injury?

Yes No. x

36a

APPENDIX F—ORDER DATED SEPTEMBER 2, 1986

DENYING THE PLAINTIFF’S MOTION TO AMEND THE

JUDGMENT FOR INTEREST RUNNING FROM AN

EARLIER DATE !

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

81 Civ. 2037 (JES)

FILED SEP 5 1986

Harry Plummer,

Plaintiff,

-against-

Lederle Laboratories, etc.,

Defendant.

ORDER

The above-captioned action having come before the Court

and plaintiff having requested, by letter dated August 21, 1986,

‘*that the Court direct the clerk to enter judgment providing for

interest from October 12, 1984,’ and the Court having considered

all issues with respect to that request,

ORDERED that plaintiff’s request that the Court amend the

Judgment previously entered in the above-captioned case on

August 11, 1986 to provide for interest from October 12, 1984

be, and hereby is denied.

37a

Appendix F

s/ John E. Sprizzo

United States District Judge

Dated: New York, New York

September 2, 1986

38a

APPENDIX G—TRANSCRIPT OF COURT’S DECISION

DATED FEBRUARY 21, 1986

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

81 Civ. 2037

HARRY PLUMMER,

Plaintiff,

-against-

LEDERLE LABORATORIES, Division of AMERICAN

CYANAMID COMPANY,

Defendants.

New York, N.Y.

February 21, 1986

4:30 p.m.

Before:

HON. JOHN E. SPRIZZO,

District Judge

APPEARANCES:

JULIEN & SCHLESINGER

Attorneys for Plaintiff

BY: DAVID JAROSLAWICZ

EDWARD J. SANOCKI

39a

Appendix G

DONOVAN, LEISURE, NEWTON & IRVINE

Attorneys for Defendants

BY: J. PETER COLL, JR.

CHARLES W. GERDTS

THE COURT: Good afternoon. I read your papers. | called

you in because I am going to rule on your motions and I figured

I might as well do it now rather than have you wait until I write

an opinion, since this case has already been delayed a while because

there was some mixup with the filing of plaintiff’s papers and

we didn’t get them.

I have considered all the applications, and the Court rules

as follows:

First of all, the motion for a new trial based upon insufficiency

is denied. I have reviewed the cases, checked the case authorities,

and I am convinced the evidence is sufficient. So I adhere to what

I indicated to you earlier.

With respect to the charge, the argument that the Court

should have charged as to substantial factor in causation I don’t

think is supported by the California Pattern Jury Instructions

nor by anything I see in the law of California, except some

language in appellate opinions which has never been translated

into the jury instructions. So I am not persuaded that the law

of California requires that charge. What’s more, I think the

plaintiff is quite correct in stating that that particular charge was

never requested. I looked at your requests to charge and it isn’t

there. So I would not be inclined to grant a new trial for that

reason.

However, upon reviewing the charge, I think there was an

40a

Appendix G

error in the charge which requires a new trial on the causation

issue. When I gave my supplemental instructions to the jury—

and this is not an argument that was precisely made, but when

I read the charge again, upon reflection I think there is an error

there—I told the jury that the only basis upon which the defendant

could be exonerated is if the doctor was the sole cause of the

injury. That may have had the effect of taking away from the

earlier portion of my charge which correctly pointed out to the

jury the theory as to the plaintiff’s not following the doctor’s

advice. There were two theories upon which the defendant could

have been exonerated, as I put the case to the jury in my main

charge. One was that the doctor was the sole cause, in the sense

that he, by an independent act of his own, decided not to give

the advice; the other one was that, even assuning that the doctor

had given that advice, the plaintiif would not have followed it.

Those were two possible theories upon which the defendant could

have been exonerated. The Court’s charge in its supplemental

instructions took away the second possibility, which had been

pointed out earlier in the charge.

That argument was not made precisely in that form in the

motions. But upon reviewing the charge, I| think it was error to

tell the jury that the sole predicate upon which the defendant could

be exonerated is that the doctor was the sole cause of the injury.

I am still convinced, as I was before, that there is a factual issue

in the case as to whether the doctor’s conduct was impacted by

misinformation which the defendant may have circulated in the

community. I think that raises a jury question.

Therefore, I think the case has to be retried before a jury.

I am not inclined to grant judgment for the defendant, but I think,

since my charge left open the possibility that the jury would think

that the only basis upon which they could exonerate the defendant

4la

Appendix G

was that the doctor was the sole cause of the injury, it eliminated

the possibility that the plaintiff might be a cause. The plaintiff’s

conduct being the sole cause was an issue which was testified about

and was argued and is in the record, and I think my earlier charge

correctly put that to the jury. But that supplemental instruction,

coming as it did when the jury specifically requested a charge

on causation—ordinarily, you could take the position that the

charge as a whole put that issue fairly to the jury—in fairness,

requires a new trial of that issue only.

I am satisfied that the evidence is sufficient, and I am satisfied

that the damage award is adequate. I don’t know that that was

even raised on the motion.

MR. COLL: It was not.

THE COURT: But I think we have to have a new trial on

the causation question, which is one question for the jury. I think

on all other aspects the trial was correct. It will give you time

before the next trial on the causation question, Mr. Coll, to give

me some cases arguing the proposition that the California law

requires a substantial factor instruction.

MR. COLL: I understand.

THE COURT: It is not present in the California jury

instructions, as they correctly point out.

MR. JAROSLAWICZ: Your Honor, if I can be heard—I

don’t think I can change your Honor’s mind—

THE COURT: You can be heard if you want to, but I

considered it very carefully, | read the charge, and | think it is

erroneous.

42a

Appendix G

MR. JAROSLAWICZ: I don’t think there was any objection

made in time so that your Honor could have cured it without

putting the plaintiff—

THE COURT: But there was an objection made, there was

an objection specifically taken to my supplemental instruction.

It was there.

MR. JAROSLAWICZ: Number two, your Honor—

THE COURT: I read the record on it.

MR. JAROSLAWICZ: The jury could have made a finding

of contributory negligence or comparative negligence on the part

of the plaintiff. Their finding that there was no comparative

negligence takes that issue your Honor has raised right out of

the case. They might have found that the doctor was negligent,

the plaintiff was 25 percent comparative negligent, in which case

your Honor would have reduced the verdict.

THE COURT: Did we ask the question as to whether the

plaintiff was contributorily negligent?

MR. JAROSLAWICZ: That was in your Honor’s charge.

THE COURT: Was it in a specific question to the jury? If

I had an answer to a specific question that the plaintiff was not

at all negligent, that would perhaps indicate to me that, even

though my charge was erroneous, it had no impact upon the jury.

MR. COLL: I don’t believe we argued, your Honor, the

plaintiff’s contributory negligence here, because this wasn’t a case

where the plaintiff had made some sort of conscious decision or

43a

Appendix G

that we could argue that there was any evidence from which the

plaintiff-—

THE COURT: Do you have the questions there?

~ MR. COLL: I do. I am pulling them out. But I don’t believe

that there was.

MR. JAROSLAWICZ: Your Honor, there was no argument

that the plaintiff was contributorily negligent, and the issue your

Honor has raised does not require a new trial.

THE COURT: No, but if you go back earlier in my charge,

I did tell the jury that you would have to find that the plaintiff

was to follow the instructions of the doctor. I think I did tell

them that, and I think the plaintiff testified to that.

MR. JAROSLAWICZ: That’s correct.

MR. COLL: There is no such question, your Honor. | have

the questions right here.

MR. JAROSLAWICZ: Your Honor is now setting aside the

verdict on an issue that was never raised to this jury because it

just wasn’t an issue.

THE COURT: The plaintiff testified about it and I put it

to the jurv the first time around. Do you have my instructions

the first time around?

MR. JAROSLAWICZ: That was part of the standard

instructions. But the defendant never requested a charge or

question on comparative negligence, because it just wasn’t in this

case.

44a

Appendix G

THE COURT: No, but the charge was plainly incorrect in

telling the jury that the only basis upon which they could exonerate

the defendant is that the doctor’s negligence was the sole cause

of the accident. I am still inclined to think that is the theory upon

which they have to recover before we even get to the plaintiff’s

negligence. But the jury could have found that the doctor’s

negligence in not warning was a cause, or they could have found

the plaintiff would not have followed the doctor’s instructions.

MR. JAROSLAWICZ: Your Honor, if they found the

doctor’s negligence in not warning was ‘‘a’’ cause—it does not

have to be ‘‘the’’ cause—if it is ‘‘a’’ cause, at most you can reduce

it by the amount that the plaintiff might have been negligent.

THE COURT: I understand that, but the charge told the

jury that the only basis upon which the defendant could be

exonerated is if the doctor’s negligence was the sole cause of the

accident. I think that is error.

MR. JAROSLAWICZ: It is error to the plaintiff. The

defendant got a more favorable charge than they were entitled

to. They were told that the doctor had to be the sole cause instead

of simply being a cause. That charge was more favorable to the

defendant than they were entitled to.

THE COURT: Just let me look at the earlier portion of the

charge.

I said here, starting at page 695, and I will read it to you:

‘“*In that regard the defendant’s contention, as I have told

you’’—and I think this portion of the charge is correct—‘‘is that

even if you find the defendant’s conduct to be negligent or that

45a

Appendix G

they are liable to the plaintiff on the theory of strict liability because

the product is defective—and I have drawn that distinction for

you, that is, if you find that the defendant’s conduct was improper

either on the theory of strict liability or on the theory of negligence

in that they didn’t give an adequate warning to the medical

profession at large, in which case you must reach the question

of causation—then the defendant’s argument here is that they

are not responsible for the plaintiff’s injury because there was

a separate and independent intervening cause which broke the

chain of causation.

‘*That is what Mr. Coll referred to in his summation. He

said that Dr. Cohen knew everything there was to know, everything

_the defendant could have told him in any kind of warning, he

made his own judgment not to tell the patient, and but for his

conduct in not disclosing the risk and his conduct in not taking

the precautions, Plummer would not have suffered his injury.

‘In short, the defendant claims that Dr. Cohen’s con@uct

was the sole cause of the plaintiff’s injury and that therefore,

even if you find the conduct of the defendant to be improper

and negligent in any regard, the defendant should not be held

liable, because Dr. Cohen is a separate and independent intervening

cause. That is for you to decide.

‘**The plaintiff argues, on the other hand, this is not so, that

the warning was inadequate. The plaintiff claims that the defendant

contributed to whatever misinformation Dr. Cohen may or may

not have had about the danger of this vaccine, not only because

of the inadequacy of the defendant’s insert but because they had

other advertisements out in the public at large that tended to

contribute to a misunderstanding or which tended to underestimate

the risk, and therefore the defendant contributed to Dr. Cohen’s

46a

Appendix G

misunderstanding of the risks involved and the defendant bears

some responsibility for what happened, even if we assume that

Dr. Cohen was also a cause.

‘*In short, as Mr. Sanocki argued to you on the summation,

the plaintiff’s argument is that even if the doctor is in part

responsible, the defendant is also in part responsible.

But for purposes of the defendant’s defense based upon

causation, if you find that the conduct of the doctor, Dr. Cohen,

was the sole cause of the plaintiff’s injury and that but for his

conduct the injury wouid not have occurred, notwithstanding the

adequacy or inadequacy of the warnings, then you should find

for the defendant on that issue.

“*The defendant has not argued this specifically, but of course

you must find as credible the testimony you have heard from the

piaintiff’s witnesses that if the parents of the child had been told,

they would have refrained from contact or abided by whatever

instructions the doctor gave them:in that regard with respect to

other persons. That is also part of it. That testimony has not

been contradicted. But that is also something you must find.

Obviously, if the doctor had instructed them and if they wouldn’t

have listened to him anyway, then the chain of causation would

also have been broken. I don’t think there has been any testimony

as to that.’’

What I am saying to you is that I put to the jury correctly the

first time that the chain of causation could have been broken either

by the doctor’s conduct or by the plaintiff’s conduct. In giving

my supplemental instruction, I told the jury that the only basis

upon which they could exonerate the defendant was if the doctor’s

conduct was the sole cause.

47a

Appendix G

I think that is error, and I think if you go to the Court of

Appeals on it, it will surely be reversed and you will have wasted

the time and effort of an appeal, so we might just as well correct

it now.

MR. JAROSLAWICZ: Your Honor, I don’t think it is error,

because the jury—

THE COURT: It is nice for you to tell me so, but I think

it is error and it is my charge. I think if one makes a mistake,

the whole purpose of a new trial is to correct it before going to

the Court of Appeals. It is a lot more wasteful in terms of time

and expense to have the case go up there when all that has to

be tried, in perhaps two days or so, is an issue of causation.

Everything else has been resolved.

MR. JAROSLAWICZ: What issue of causation are we going

to retry, Judge?

THE COURT: Whether the defendant’s conduct caused the

plaintiff’s injury. The adequacy of the warning has already been

ruled upon and that stands. The damages stand. All we have to

try is the issue of causation. That is a two-day trial.

MR. JAROSLAWICZ: But, your Honor, with respect to the

comparative causation of the plaintiff or the comparative

negligence of the plaintiff, the jury might find the plaintiff 100

percent comparative, in which case he is out. That is really what

we are talking about.

THE COURT: But the charge was wrong. The charge told

the jury that the only basis upon which they could exonerate the

defendant was if the doctor was the sole cause of the injury. There

48a

Appendix G

was another basis: If the plaintiff’s conduct was the sole cause

of the injury. That is error. You can’t get around that, Mr.

Jaroslawicz.

MR. JAROSLAWICZ: Number one, I think it is something

that is dredged up. Number two, your Honor—

THE COURT: It wasn’t dredged up by them; it was dredged

up by me. I read my charge and it is wrong.

MR. JAROSLAWICZ: It was never raised at the time that

jury was sitting there so your Honor could say, ‘‘Excuse me, there

is a second ground. If you find the plaintiff wouldn’t have done

it anyhow, then you can find for the defendant.’’ But to wait

until after the trial, not to ask your Honor to charge that, and

now to come back and seek a new trial after the jury is gone

is unfair.

THE COURT: If it were a matter of only the issues they

raised specifically, I would have denied their motion, because I

am not convinced that the California law requires a charge on

substantial causation and they did not request one. I agree with

you. But I think my charge was plain error.

MR. JAROSLAWICZ: But where did they object to it in

time to cure it?

THE COURT: First of all, they did object to the supplemental

instructions, although not on that ground. Second of all, even

if they had not objected to the supplemental instructions, I think

it is plain error.

MR. JAROSLAWICZ: I don’t think this jury was misled

49a

Appendix G

for one second. If this jury would have agreed that the plaintiff

had not followed the doctor’s instructions, they would have come

back with a defendant’s verdict. And they didn’t even argue it,

because that wasn’t an issue in the case. They presented no evidence

of that issue. If this jury had come back, your Honor, and

found—and I say this to you very seriously—that the plaintiff

would not have followed the doctor’s instructions, I think your

Honor would have had to set it aside, because there was no

evidence in this record to support that type of claim.

THE COURT: The jury could have disbelieved your client’s

testimony. Your client is an interested witness. The jury doesn’t

have to believe that merely because it was uncontradicted.

MR. JAROSLAWICZ: We agree on that.

-THE COURT: I put that question to the jury. Nobody

objected to my putting that question to the jury. I read it to you.

I had forgotten how clearly I put that question to the jury, but

when I read my supplemental instruction, it was wrong. It is

unfortunate, but I did make a mistake, and that is what motions

for a new trial are for.

MR. JAROSLAWICZ: What issue are we going to retry,

Judge?

THE COURT: Just the issue of causation. The issue I just

described has to be put to the jury as to whether the doctor’s

: conduct was the sole cause or whether the plaintiff would have

foliowed the doctor’s instructions. Normally, Mr. Jaroslawicz,

I would take the position that, having correctly put the issue to

the jury the first time around, if I made a mistake the second

time around, the charge has to be taken as a whole and | might

50a

Appendix G

let the Court of Appeals rule upon that. But coming as it did,

when the jury specifically asked for the charge on causation, and

I charged on causation something which was plainly wrong, it

seems to me I can’t take the position that it is harmless error.

And neither will the Court of Appeals. So you would be just

wasting your time taking an appeal anyhow.

MR. JAROSLAWICZ: The issue we are going to retry, just

so I am clear, Judge, is that if the doctor had warned the piaintiff,

would the plaintiff have followed his instructions?

THE COURT: No. The issue I am going to try again is

whether the defendant’s conduct was the cause of the injury.

MR. JAROSLAWICZ: Was a cause.

THE COURT: A cause, the cause, substantial cause—

whatever you can persuade me the charge should be the next time

around.

MR. JAROSLAWICZ: Then we will be retrying the entire

case, Judge.

THE COURT: No, we won’t. The last time we tried the

adequacy of the warning.

MR. JAROSLAWICZ: The warning has already been found

to be inadequate.

THE COURT: That is what I am saying. That stands.

MR. JAROSLAWICZ: The only question remaining, then,

is: Does the jury find that with an adequate warning the doctor

would have done otherwise?

Sla

Appendix G

THE COURT: Well, that is part of the causation question.

MR. JAROSLAWICZ: And (b) would the plaintiff have

followed the doctor’s instructions had he been given proper

instructions?

THE COURT: That is basically it.

MR. COLL: We have a specific finding, your Honor, as to

the inadequacy in this case.

THE COURT: That stands.

MR. COLL: I understand that. That is, there was no warning

in the insert that advised the doctor to tell the parent or somebody

who would come into contact to stay away from the child for

approximately a month. That is the specific finding of inadequacy

in this case. And the case we are going to try or what remains

to be tried to the jury would be: With that inadequacy, would

the doctor have done something different here?

THE COURT: We are going the try the question of causation

again under the proper instructions. I will give you a chance to

persuade me the next time around that I should charge on

substantial cause. I don’t think the law requires that, and if I

had to set aside the verdict on that basis, I would let it go to

the Court of Appeals, because I am convinced in my own mind

that at least that would be an arguable issue up there. But I think

when I told the jury the only basis upon which the defendant

could be exonerated, it just detracted from the effect of my earlier

instructions. I admit there was no real issue of that and you didn’t

argue that, but I put it to the jury anyway, and I think I should

have put it to the jury anyway. I was surprised when I went back

52a

Appendix G

and read the charge that I had, because I hadn’t remembered

doing that. It is just an off-the-cuff supplemental instruction which

I should not have given that creates the problem. On the basis

of the first charge, the issue of causation would have been fairly

presented to the jury and resolved against the defendant; but I

think, coming as it did in the supplemental instructions, I can’t

take the view that it is harmless error. I think it may very well

be plain error. So we are just wasting our time, I think, if we

don’t correct it now. No one likes to retry cases less than | do,

as you know.

MR. JAROSLAWICZ: I know one person who does.

THE COURT: Less than I am? Who is that, Judge Milton

Pollack?

MR. JAROSLAWICZ: No, that is us.

THE COURT: I know, but you have to be practical about

it and realize that you are probably better off trying the issue

now than having to take an appeal, spending all that money, and

being back here a year from now.

MR. JAROSLAWICZ: Judge, quite frankly I think the Court

of Appeals has an expedited appeal on a case like this, it will

take three months, and then if they send us back on that issue,

we will try it then. I personally don’t think they will send us back.

It was never argued; it wasn’t an issue in the case. Your Honor

did present it to the jury sua sponte. They never argued it. They

never objected to your Honor’s charge. When the jury was here,

nobody objected.

THE COURT: They objected to my supplemental

instructions.

53a

Appendix G

MR. JAROSLAWICZ: Nobody objected on that ground.

To object on a different ground is not a basis for later finding

a different ground, Judge.

THE COURT: No, I think their objection was specific

enough.

MR. JAROSLAWICZ: Their objection was not on the

ground that your Honor should have charged that maybe the

plaintiff was at fault.

THE COURT: Should I read it to you again?

MR. JAROSLAWICZ: The objection had nothing to do with

the plaintiff being at fault.

THE COURT: First of all, he made his first objection in

the middle of page 756 when I cut him off. It is hard to charge

him with not making it. Then he says at the bottom of page 756:

‘*T had the objection before as to the use of the word ‘sole,’

and I renew the objection.’’

That is pretty close to what he should have said. Then I said:

“If that is your objection, I overrule it,’’ etc.

Then he says, at page 757:

‘*That is where I don’t agree with your Honor and that is

why I think that, coming out with that additional supplemental

instruction at this point, in essence focuses their attention on that

rather than on the whole charge.”’

54a

Appendix G

I think that is pretty close. Admittedly it could have been

closer. But I don’t think it makes much difference. I think the

charge I gave was wrong. When a jury asks for a supplementak

instruction and gets a bad instruction, I think it leverages the case

terribly and it should be retried.

I don’t know why you are so upset about it. You just have

to retry one question. You have to bring Dr. Salk back, basically.

MR. JAROSLAWICZ: Well, that is not easy, quite frankly.

Number two, I have the plaintiff who is wheelchair bound.

THE COURT: You don’t even have to bring Dr. Salk back.

His testimony can be read into the record.

MR. JAROSLAWICZ: The effect on a jury of having

testimony read from a record is vividly different from having a

live witness.

THE COURT: We are talking about a very short trial.

MR. JAROSLAWICZ: Can ! ask your Honor when you can

fit us in?

THE COURT: It all depends upon my criminal calendar.

I have a case that is scheduled to be tried next week, and if there

is a plea, I can try you next week. Then I have a criminal trial

starting on March 3 for two to three weeks, another one on March

24, another one on April 7, another one on May 9. Maybe in

June, if I don’t try you next week.

MR. COLL: Might we do this, your Honor: With respect

to the retrial, Mr. Jaroslawicz, Mr. Sanocki and I can sit down,

55a

Appendix G

having just heard the dates you have given to your criminal cases,

and maybe we could come up with some day or two.

THE COURT: It is only a couple of days.

MR. COLL: That is what I would assume. The last liability

case only took us four or five days’ worth of testimony and, as

you suggested, it addressed essentially the accuracy of the warning

and noi the proximate cause issue. Maybe we can come up with

a day or two that is convenient for us, or a series of them given

to you, and be prepared to go on some sort of short notice with

you.

THE COURT: The only point at which the testimony will

overlap is that I guess we will have to have Dr. Salk testify again

to the fact that the warning you gave minimized the risk. You

remember the testimony about sitting in the first seat in the

orchestra, second seat in the orchestra. It didn’t go only to the

adequecy or inadequacy of the warning but also to the causation.

The reason I say it is a jury question is that you may have

contributed to the general fund of knowledge which impacted

the doctor’s decision, and that goes to the question of causation.

MR. COLL: I understand the Court’s view to be that the

stated reasons by the doctor as to why he did not pass on any

type of warning may have been made not on a sound basis because

of this purported minimization of the risk because of the numbers,

supposedly, as to which Dr. Salk testified.

THE COURT: What Dr. Salk was saying was that there were

only a certain number of people who were really exposed to the

risk, and giving the risk in the dosages given, when 99 percent

of the people who were given dosages were not in that immediate

56a

Appendix G

vicinity of risk, tended to make people out in the community think

it was more safe than it was and therefore could have impacted

the doctor’s decision to administer the drug without telling his

patients about the risk. Even though the doctor said, ‘‘I knew

everything there was to be known about the drug,’’ if among the

things he knew was a minimization of the risk, then I think that

is a jury question, which is why I denied your motion on sufficiency

grounds. | think that the issue ought to be put to the jury in a

clearer way. I really don’t like to have the Court of Appeals do

more work than they do, and if I am convinced I made a mistake,

why should I send it up there in the hope they will disagree with

me?

MR. COLL: I just wanted to have some idea of what we

would be retrying so maybe Mr. Sanocki and I can agree to some

expedited fashion.

THE COURT: I don’t think we need the plaintiff back,

because you didn’t contradict his testimony the first time. Unless

you are going to do it this time, there is no need to bring the

plaintiff back. That coukd be a stipulated fact.

MR. JAROSLAWICZ: If the ground on which you reverse

the verdict, Judge, is that the jury may have disbelieved the

plaintiff, that he wouldn’t have followed the doctor’s instructions

anyway, then if the plaintiff doesn’t have to come back, what

is the basis for overturning the verdict?

THE COURT: You can bring him back if you want the jury

to eee his demeanor. They didn’t attack it the first time, but I

still think his testimony has to be believed.

MR. COLL: There is more in the chain than just the plaintiff,

57a

Appendix G

the doctor, and Lederle; also in the chain was the plaintiff’s

daughter.

THE COURT: Right.

MR. COLL: So that what we are talking about is a passage

of information through a number of links, not just one or two.

MR. SANOCKI: I don’t know what he is talking about,

Judge. That was all testified to in the first trial.

THE COURT: I understand it was, but if I had kept quiet

and not added to my original instruction on causation, I would

deny their motion and send this case to the Court of Appeals.

MR. SANOCKI: Quite frankly, I think you did a fine job.

Mr. Coll keeps dreaming up arguments until finally apparently

he got one that—

THE COURT: The basis of a new trial is not something that

he dreamed up; it is one that I saw when I read the transcript

in considering the objections made. I accept your argument that

substantial factor may not be the law, they didn’t ask for it, and

therefore I would not set it aside on that ground. But what I told

the jury was that the defendant could only be exonerated if the

doctor’s conduct was the sole cause of the injury. That is just

plain error. It is not so. And coming as it did in the supplementel

instructions, I think there has to be a new trial on that issue.

I apologize to you for that, because it really wasn’t anybody’s

fault but mine. It may very well come out the same the next time

around, but it should be tried under adequate instructions. That

supplemental instruction was just plain wrong.

58a

Appendix G

Sorry to break bad news to you, Mr. Jeroslawicz, on a Friday

afternoon. What is is and can’t be corrected.

Do you think you will be able to try this case next week if

some time opened up?

MR. JAROSLAWICZ: If we can get Dr. Salk.

MR. COLL: That wouid be fairly difficult for me, because

I am tied up in some discovery next week where I have a deadline.

But the other dates you were suggesting in March and April I

could do.

THE COURT: Let’s see what happens. Some of these

criminal cases may end earlier. Maybe I will get lucky and have

some pleas. I have been involved in criminal cases since September

9, which has backed up my civil calendar.

MR. COLL: That is what we understand. Next week would

be very busy for me.

THE COURT: How about if I gave you a tentative date for

June 2?

MR. COLL: That’s fine.

THE COURT: All right?

MR. JAROSLAWICZ: With the possibility of expediting it,

your Honor.

THE COURT: I will expedite it if my schedule opens up.

I will give you a priority since this case has been hanging around

a while.

59a

Appendix G

MR. COLL: As I stated, I will talk to Mr. Sanocki to see

if there are some dates that he and I can set aside right now and

let your Honor know it.

THE COURT: Why don’t you carve out June 2 fer now

anyway, and if it takes two or three days, we will try it that week.

Do you want to settle an order on this? Or do you want me

to get something out? I will get something out. Actually it is in

the transcript. I will just have a generic order.

60a

APPENDIX H—ORDER OF THE HONORABLE JOHN E.

SPRIZZO DATED FEBRUARY 24, 1986, GRANTING

DEFENDANT’S MOTION FOR A NEW TRIAL AFTER THE

FIRST JURY’S VERDICT IN FAVOR OF PLAINTIFF AND

LIMITING THE ISSUES FOR THE SECOND TRIAL

PURSUANT TO THE COURT’S ORAL DIRECTIONS IN THE

OPINION CONTAINED IN THE TRANSCRIPT OF

FEBRUARY 21, 1986

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

81 Civ. 2037 (JES)

FILED MAR 3 1986

Harry Plummer,

Plaintiff,

-against-

Lederle Laboratories, etc.,

Defendant.

ORDER

The above-captioned action having come before this Court,

and defendant having filed a motion for judgment notwithstanding

the verdict or, in the alternative, for a new trial, and the Court

having considered all papers, supplemental papers, and arguments

submitted by the parties, and the Court having considered all issues

raised by the motion, and the Court having rendered an oral

decision of the motion in open court on February 21, 1986, it is

=

ad Ot ERT RR TITY TH PC NTN

6la

Appendix H

ORDERED that defendant’s motion for a new trial is granted,

for the reasons outlined by the Court in its oral opinion of

February 21, 1986; and it is further

ORDERED that said new trial shall be limited as outlined

by the Court in its oral opinion; and it is further

ORDERED that all parties and counsel shall be ready for

trial on or after June 2, 1986, and that thereafter counsel shall

be prepared to proceed to trial upon twenty-four hours’ notice

by the Court; and it is further

ORDERED that a Pre-Trial Conference shall be held on June

6, 1986.

s/John E. Sprizzo

United States District Judge

Dated: New York, New York

February 24, 1986

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.