UM TED STATESDISTRICT COURT

SOUTIIERN DISTRICT OF FLORIDA

IN RE:ZANTAC(RAM TIDINE)

PRODUCTSLIABILITY

LITIGATION

M DL NO 2924

20-* -2924

JUDGE ROBIN L ROSENBERG

M AGISTRATE JUDGEBRUCEREINHART

/

TIRSDOCUM ENTRELATESTO: JURY T ,.-DEG NDKD- V= - .,

v- laass 'Frz' FILEDBYC*: D.C.

tplaintiffNametsll '

SHORT-'NT-VERSION 1dL25 2022 FORM COM PLAI

j CALNjGRF'f(LjA:SE:.DsIoSTBSuS

CET.

The'Plaintiffts)named below,by cotmsel,5lets)thisShortE()rm QRIIj.l.%-tA.#...qimAs-t

Defendantsnamedbelow.Plaintiffts)incorporatets)byreferencethealegationscontainedinthe

SecondAmendedMasterPersonalInjuryComplaint(GISAMPIC'')inInre:Zantac(Ranitidine)

ProductsLability Litigation,M IDL No.2924 (S.D.F1a). Plaintiffts)filetslthisShort-Form

Complnint- Version 3 aspermitted by the Court's Ordersregarding m otionsto distnissand

specificallyDE 3751at1,asoutlinedonpage1oftheSAM PIC.

Plaintiffts)selectts)andindicatets)bycompletingwhererequested,thePartiesandCauses

ofActionsspecifictothiscase.W herecertain claim srequireadditionalpleadingorcasespecific

factsandindividualintbrmation,Plaintiffts)shalladdandincludethem herein.

Plaintiffts),bycolmsel,alegeasfollows:

1. PARTIES,JURISDICTION,AND VEN UE

A.PLM NTIFFIS)

Plaintiffts)-'-V-ane-.). cg ' Cplaintifftsl''lbringsthisaction(checkthe

applicabledesignation):

(/x OnbehalfofLhimselj/hrsel;

Case 9:22-cv-81081-RLR Document 1 Entered on FLSD Docket 07/25/2022 Page 1 of 6
=

y

.r* >,/7--

.

IZ Inrepresentativecapacityasthe.-.7:,.)rz''-g)e ' ,onbehalf

f the 'n'ured party, (Inj-tzred Party's Name)

-Jc.zltp.e-t- c' .

2. Injtlred .Party is currently a resident and citizen of (city, State)

/,1sI?).-zIê1 lhooqqbuss//.'>andclnimsdnmagesassetforthbelow.

D tT :4-l

- ORDecedentdied on (Month,Day,Year) . Atthe time of

Decedent's death, Decedent was a resident and citizen of (City, State)

lfanyparty claimslossofconsortillm ,

3. Fv-awcl'sT;Yrg-ll (Gtconsortitm Plaintiff'')aleges dmnagesforlossof

consortium .

(

4. Atthetime ofthefilingofthisShortForm Complaint,Consortillm Plaintiffisa

citizenandresidentof(City,State)zk/.iIz!j Wg.5o'eahu7se-h-.:&)p:.(

i 5. Atthetimyethealege)dinjuryw occured,ConsortillmPlaintiffresidedin(City,State)

! 44/eq Soszqt.blo'sr-)ju.

B.DEFENDANTIS)

6. Plaintiffts)nnmets)thefolowingDefendants9om theAmendedMasterPersonal

InjuryComplaintinthisaction:

a.Brand-NameManufacturers: jj

b. OthersNotNam ed in theAM PIC :

C.JUW SDICTION AND VENtœ

: 7. IdentifytheFederalDistrictCourtinwhichPlaintiffts)wouldhavefiledtlisaction

intheabsenceofPretrialOrderNo.11(directfiling)(or,ifapplicable,theDistrict

. Courttowhichtheiroriginalactionwasremovedj:

8. Jurisdictionisproperupondiyçlsijyofcitizçnship.

- 2-

Case 9:22-cv-81081-RLR Document 1 Entered on FLSD Docket 07/25/2022 Page 2 of 6
II. PRODU CT USE

9. TheInjlzred artyusedZantacand/orgenericrnnitidine:fcheckalthatapplyj

' Byprescription

Overthecotmter

10. TheInjured Party used Zantacand/orgenericranitidinef'rom approximately

(month,year)Q'-()DJ'<#' to -.-. .

H1. PH YSICAL G JURY

AsaresultofthelnjlzredParty'suseofthemedicationsspecisedabove,Lhe/shej

wasdiagnosedw1th.thefollowingspecifictypeofcancer(checka1lthatapply):

Check al1 CancerType Approxim ateDateof

that Diagnosis

a l

(Z BLADDERCANCER

BREASTCANCER / - V J2

(Z COLORECTALSNTESTWALCANCER

(Z ESOPHAGEALCANCER

IZ GASTRICCANCER

ICIDNEY CANCER -- - J.O

(Z LIVERCANCER

LUNG CANCER Z- - 4 D

(((q PANCREATICCANCER

(((q PROSTATECANCER

OTHER CAN CER: -

H DEATH CAUSEDBYCANCER

Defendants,by their actions

Plnintiffts).

orinactions,proximately caused the injuriesto

W . CAUSESOF ACTION ASSERTED

ThefollèwingCausesofActionassertedintheAmendedMasterPersonalInjury

Com plaintareassertedagainstDefçndants,andtheallegationswithregardthereto

areadoptedinthisShortForm Com plaintbyreference.

Case 9:22-cv-81081-RLR Document 1 Entered on FLSD Docket 07/25/2022 Page 3 of 6
14. Bycheclcingtheappropriatecausesofactionbelow,Plaintiffts)assertthesecauses

ofactionbaseduponthe1awandapplicableSub-countsofthefollowingstatetsl:l

check 'èount .

r.

.. ' . .causiofkction ' siatesforwhich . i

' '

; . .

alIthat '.. : thecause.ofaction

apply ' WaSassettedin '

theSAM PIC

Z I StrictProductsLiability-FailtzretoWarnthrough A11Statesand

W nrningsandPrecautions Tezritodes,Except

DE,IA ,M A.,N C,

PA,andVA

. 11 Negligence-FaillzretoW nrnthroughW arnings A1lStatesand

andPrecautions Territories,Except

LA,NJ,OH,and

W A

Z IlI StrictProductsLiability-FailuretoWarnthrough A1Statesand

- ProperExpiration Dates Tenitories,Except

DE,1A,M A,N C,

PA ,andVA

1V'' IV Negligence-FailtretoWnrnthroughProper A1Statesand

Expiration Dates Tenitories,Except

LA,NJ,OH,and

W A

Z V StrictProductsLiability-DesignDefectDueto A1lStatesand

W nrningsandPrecautions Territodes,Except

DE,IA,M A,NC,

PA,andVA

Z VI StrictProductsLiability-DesignDefectDueto A1Statesand

lmproperExpiration Dates Territories,Except

DE,IA,M A,NC,

PA,andVA

VII NegligentFailuretoTest KS,TX

. VII1 NegligentProductContainers(againsta1 Al1Statesand

Defendantswhom anufacturedandsold il1s2 Territories

IX NegligentStorageandTransportation A1lStatesand

Territories

X UnjustEnrichment(AgainstA1lDefendants) A11Statesand

Tenitories

XI LossofConsortillm (AgainstA11Defendants) A1lStatesand

Tenitories

1Inselectingtherelevantstatesabove,Plaintiffsreserveal1dghtstoarguechoiceof1aw issuesat

alatertim e.

2ThisCotmtappliesonly to pills,notrnnitidine-containingprpductsin theform ofsynzpsor

injections.

Case 9:22-cv-81081-RLR Document 1 Entered on FLSD Docket 07/25/2022 Page 4 of 6
V. JURY DEM AND

Plaintiffts)herebydemandts)atrialbyjtu.yastoa1claimsinthisaction.

V1. PM YER FOR RELIEF

W HEREFORE,Plaintiffts)has/havebeendnmagedasaresultofDefendants'actionsor

inactionsanddemandts)judgmentagainstDefendantsoneachoftheabove-referencedcausesof

adion,jointlyandseveralytothefullextentavailablein1aw orequity,asrequestedintheSecond

AmendedMasterPersonallnjuryComplaint.

' (, .k! --,Gvkc-?-X cc

r/zzw,çe;forJV/JW/JW .CJ

Case 9:22-cv-81081-RLR Document 1 Entered on FLSD Docket 07/25/2022 Page 5 of 6
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Case 9:22-cv-81081-RLR Document 1 Entered on FLSD Docket 07/25/2022 Page 6 of 6