In the United States Court of Federal Claims 

OFFICE OF SPECIAL MASTERS

* * * * * * * * * * * * * * * * * * * * * 

GEORGE DOMINGUEZ, * 

 * No. 12-378V 

 Petitioner, * Special Master Christian J. Moran 

 * 

v. * 

 * Filed: May 25, 2018 

SECRETARY OF HEALTH * 

AND HUMAN SERVICES, * Attorneys’ fees & costs; 

 * hourly rate for Ph.D. immunologist. 

 Respondent. * 

* * * * * * * * * * * * * * * * * * * * * 

Clifford Shoemaker, Shoemaker, Gentry & Knickelbein, Vienna, VA for 

petitioner; 

Darryl R. Wishard, United States Dep’t of Justice, Washington, DC, for 

respondent. 

PUBLISHED DECISION ON REMAND AWARDING 

ATTORNEYS’ FEES AND COSTS ON AN INTERIM BASIS1

On July 29, 2017, petitioner moved for interim fees, requesting $40,915.80 

in fees and $34,095.70 in costs, for a total of $75,011.50. These fees and costs 

covered the period ending on the date of the filing of the motion. 

Two days later, respondent filed his response to petitioner’s motion. In his 

response, respondent did not object to petitioner’s request. Resp’t’s Resp. at 2. 

Instead, respondent stated that he was “satisfied that the statutory and other legal 

requirements for an award of attorneys’ fees and costs are met.” Id. 

 

1 The E-Government Act, 44 U.S.C. § 3501 note (2012) (Federal Management and 

Promotion of Electronic Government Services), requires that the Court post this decision on its 

website. Pursuant to Vaccine Rule 18(b), the parties have 14 days to file a motion proposing 

redaction of medical information or other information described in 42 U.S.C. § 300aa-12(d)(4). 

Any redactions ordered by the special master will appear in the document posted on the website. 
2 

Based on the rationale expressed in Swintosky v. Secʼy of Health & Human 

Servs., No. 12-403V, 2017 WL 5899239 (Fed. Cl. Spec. Mstr. Nov. 6, 2017), on 

December 18, 2017, the undersigned awarded petitioner the full amount of his

request for fees and costs.

On January 16, 2018, respondent moved for a review of the undersigned’s 

decision on interim fees and costs. The Court granted respondent’s motion and 

remanded the case to the undersigned for reconsideration of the fees decision 

applying the “lodestar approach set forth in the controlling precedent.” Opinion 

and Order, 2018 WL 1514447 (Fed. Cl. Mar. 8, 2018). 

Shortly after the decision on interim fees was remanded, petitioner moved to 

dismiss his case. Pet’r’s Mot., filed Mar. 30, 2018. This motion for dismissal was 

granted. Decision, issued Apr. 2, 2018, 2018 WL 1514447. Thus, petitioner is 

now eligible to file a motion for final fees and costs. Nonetheless, this decision 

implements the Court’s instructions. See Vaccine Rule 28 (establishing time for 

remand). Furthermore, whether the motion is labelled as one for final fees or 

interim fees does not affect the ultimate procedure or outcome in this case. 

Based upon a lodestar analysis, a reasonable amount of attorneys’ fees and 

costs is $39,464.25. 

* * * 

I. Attorneys’ Fees

To determine reasonable attorneys’ fees under the Vaccine Act, the Federal 

Circuit has approved the lodestar approach. This is a two-step process. Avera v. 

Sec’y of Health & Human Servs., 515 F.3d 1343, 1348 (Fed. Cir. 2008). First, the 

court determines an “initial estimate . . . by ‘multiplying the number of hours 

reasonably expended on the litigation times a reasonable hourly rate.’” Id. at 1347-

48 (quoting Blum v. Stenson, 465 U.S. 886, 888 (1984)). Second, the court may 

make an upward or downward departure from the initial calculation of the fee 

award based on specific findings. Id. at 1348. Here, an adjustment is not required. 

A. Reasonable Hourly Rates 

Mr. Dominguez seeks reimbursement for work performed by three different 

attorneys: Clifford Shoemaker, Renee Gentry, and Sabrina Knickelbein. The rates 

requested are presented in the table below in bold. 
3 

In determining what constitutes a “reasonable hourly rate,” special masters 

generally defer to the rate schedule adopted in McCulloch v. Sec’y of Health & 

Human Servs., No. 09-293V, 2015 WL 5634323 (Fed. Cl. Spec. Mstr. Sept. 1, 

2015), with annual adjustments made for inflation. The range of rates suggested 

by McCulloch for each of the attorneys is noted in a parenthetical next to the 

requested rate. 

2015 2016 2017

Clifford Shoemaker $415 ($385 – $430) $430 ($385 – $430) $446 ($394 – $440)

Renee Gentry $400 ($350 – $415) -- $430 ($358 – $424)

Sabrina Knickelbein $350 ($300 – $375) $365 ($300 – $375) $378 ($307 – $383)

Neither petitioner nor respondent made an argument for departing from the 

McCulloch guidance and thus the undersigned sees no reason to depart from those 

guidelines here. Accordingly, Mr. Shoemaker’s and Ms. Gentry’s 2017 rates 

should be reduced to be within the guidelines suggested by McCulloch.2

 

As for where in the range the attorneys’ hourly rate should be set, 

McCulloch also provides some additional guidance, noting that “the following 

factors are paramount in deciding a reasonable forum hourly rate: experience in the 

 

2

It is curious why Mr. Shoemaker proposes rates that are marginally outside the 

McCulloch guidelines without any argument for why a departure from the guidelines is 

appropriate. Mr. Shoemaker is surely aware that his requested amount is not within the 

McCulloch guidelines. For two recent examples where a special master reduced Mr. 

Shoemaker’s rates to fall within the guidelines, see Bookey by Rosenbloom v. Sec'y of Health & 

Human Servs., No. 13-026V, 2017 WL 2544892 (Fed. Cl. Spec. Mstr. May 18, 2017), and

Meramo by Meramo v. Sec'y of Health & Human Servs., No. 15-1234V, 2017 WL 4321084 

(Fed. Cl. Spec. Mstr. Sep. 1, 2017). Absent an argument that Mr. Shoemaker deserves to be paid 

at a rate higher than the listed rate, Mr. Shoemaker’s continued practice of requesting departures 

from the guidelines consumes judicial resources unnecessarily. Mr. Shoemaker is warned that 

requesting an excessive hourly rate without any argument in support of that rate may result in a 

penalty. See Valdes v. Secʼy of Health & Human Servs., No. 99-310V, 2009 WL 1456437, at *4 

(Fed. Cl. Spec. Mstr. Apr. 30, 2009) (warning Mr. Shoemaker that penalties may be necessary to 

motivate him to submit requests for fees that do not contain “erroneous, duplicative, or 

unreasonable entries”), mot. for rev. granted in non-relevant part and denied in non-relevant part, 

89 Fed. Cl. 415 (2009). 
4 

Vaccine Program, overall legal experience, the quality of work performed, and the 

reputation in the legal community and community at large.” Id. at *17. 

In the case of the attorneys here, each has considerable experience in the 

Vaccine Program and, accordingly, deserves compensation at the top of their 

respective ranges. Accordingly, Mr. Shoemaker’s 2017 hourly rate is reduced to 

the maximum 2017 rate: $440. Similarly, Ms. Gentry’s 2017 rate is reduced to 

$415. The undersigned finds all other proposed rates appropriate. 

However, the rates adopted here envision the attorney in question doing the 

work of an attorney. When an attorney does the work of a paralegal or 

administrative assistant, he or she should be paid a rate commensurate with the 

nature of the work. See Valdes v. Sec'y of Health & Human Servs., 89 Fed. Cl. 

415, 425 (2009) (noting that “the Special Master exercised appropriate discretion 

in denying requested costs for work performed by Petitioner's counsel's associate” 

when the special master determined “that the associate's time spent obtaining 

medical records was more consistent with paralegal duties.”); see also Bratcher v. 

United States, No. 15-986, 2018 WL 1225032, at *8 (Fed. Cl. Mar. 9, 2018) 

(declining to reimburse for work even at paralegal rates when plaintiffs failed to 

demonstrate that the work was not “largely clerical or secretarial in nature”).

Ms. Knickelbein’s work in this case is more consistent with the work of a 

paralegal, or even an administrative assistant, than an experienced attorney. The 

vast majority of Ms. Knickelbein’s documented work shows that her primary 

function in this case was to collect medical records, to file material through the 

CM/ECF system, and to act more generally as a go-between between Mr. 

Shoemaker and the court, the clients, and the experts. These tasks, in the 

undersigned’s experience, are almost universally billed at a non-attorney rate. The 

finding that Ms. Knickelbein’s work is more consistent with paralegal work is not 

novel to this case. The undersigned made the same finding in Valdes 2009 WL 

1456437, at *4, mot. for rev. denied in relevant part, 89 Fed. Cl. at 425 (2009), and 

Turpin v. Sec'y of Health & Human Servs., No. 99–535V, 2008 WL 5747914, at 

*5–7 (Fed. Cl. Spec. Mstr. Dec. 23, 2008). Accordingly, Ms. Knickelbein’s work 

will be reimbursed at the top of the McCulloch range for paralegal work: $145 in 

2015 and 2016, and $148 in 2017. 

Based on the adjustments detailed above, the fee award is reduced to 

$36,175.10. 
5 

B. A Reasonable Number of Hours 

Having established an appropriate rate for counsel’s time, the undersigned 

turns to the amount of time counsel billed on this matter in order to determine the 

total fee award. 

 

To facilitate the process of evaluating the reasonableness of an attorney’s 

activities, in November 2004, the Office of Special Masters issued revised 

Guidelines for attorneys. The Guidelines state “counsel are advised to maintain 

detailed contemporaneous records of time and funds expended under the Program.” 

Office of Special Masters, Guidelines for Practice under the National Vaccine 

Injury Compensation Program (Rev. Nov. 2004) at § XIV. Detailed (or stated 

another way, non-vague) contemporaneous records are the petitioner’s 

responsibility and allow the Office of Special Masters to determine the 

reasonableness of attorneys’ fees requests. See Avgoustis v. Shinseki, 639 F.3d 

1340, 1344-45 (Fed. Cir. 2011) (stating that requiring entries which permit 

effective review of the fees is in accord with cases from the Federal Circuit and the 

Supreme Court). 

Inconsistent with the Guidelines and Avgoustis, the petitioner’s attorneys’ 

billing records are often vague. This is especially an issue with Mr. Shoemaker’s 

records, which frequently leave out the subject matter of correspondence. For 

example, records such as “Email from Sabrina,” “Email to and from Dr. Mikovits,” 

and “PC with Dr. Mikovits” make an effective review of appropriateness difficult. 

A review of all of Mr. Shoemaker’s entries makes clear that this vagueness is 

common. Mr. Shoemaker’s entries can be contrasted with Ms. Gentry’s records, 

which consistently note the nature of the correspondence, for example: “email to 

client re settlement demand,” “email from & to doj re doj rejecting settlement w/o 

making counter,” and “E-mail to client regarding the Court’s last order.” 

Although Mr. Shoemaker’s individual records are difficult to evaluate due to 

his vague records, the undersigned is left with the overall impression that his 

claimed work is approximately reasonable given the nature of the case. Therefore, 

denying his requested fees in toto would be inappropriate. However, to account for 

the vagueness, the undersigned finds a 15% fee reduction to be appropriate. See 

Abbott v. Sec'y of Health & Human Servs., 135 Fed. Cl. 107 (2017) (holding that 

the special master acted within his discretion in reducing an award based on vague 

billing entries); see also Almanza v. United States, No. 13-130, 2018 WL 1704521, 
6 

at *7 (Fed. Cl. Apr. 9, 2018) (reducing specific time entries with block billing by 

50 percent because the Court could not assess the reasonableness of the activity). 

Since Mr. Shoemaker’s individual billings following the previous adjustment total 

$27,543.70, this reduction reduces the total fee award by $4,131.55. The total 

awarded in attorneys’ fees is thus $32,043.55. 

II. Costs 

Mr. Dominguez also moves for reimbursement of $34,095.70 in costs. This 

includes routine costs of $31.20 for photocopies and $114.50 in costs for obtaining 

medical records. These costs are reasonable and awarded in full. 

The balance of costs comes from an invoice of $33,950.00 for expert 

services provided by Ms. Mikovits and Mr. Ruscetti. Although both Ms. Mikovits 

and Mr. Ruscetti signed the expert reports, Ms. Mikovits was to be the testifying 

witness and the analysis here thus refers solely to her.3

 

Like attorneys’ fees, a request for reimbursement of costs must be 

reasonable. Perreira v. Sec’y of Health & Human Servs., 27 Fed. Cl. 29, 34 (Fed. 

Cl. 1992), aff’d, 33 F.3d 1375 (Fed. Cir. 1994). Reasonable expert fees are 

determined using the lodestar method, in which a reasonable hourly rate is 

multiplied by a reasonable number of hours. Caves v. Sec'y of Health & Human 

Servs., 111 Fed. Cl. 774, 779 (2013). 

A. A Reasonable Hourly Rate for Ms. Mikovits 

To determine the reasonableness of this rate, it is appropriate to consider the 

“area of expertise; the education and training required to provide necessary insight; 

the prevailing rates for other comparably respected available experts; the nature, 

quality, and complexity of the information provided; [and] the cost of living in the 

 

3

 More generally, the undersigned is aware that “MAR Consulting” has 

submitted a number of reports in Vaccine Program cases, all signed by both Mr. 

Ruscetti and Ms. Mikovits but with Ms. Mikovits being the testifying witness in 

each case. Thus, it remains unclear the extent to which the opinions contained in 

the report reflect the analysis and conclusions of Mr. Ruscetti exclusively. The 

invoice for the work indicates that a small fraction of the work was performed by 

Mr. Ruscetti. See Pet’r’s Resp., filed Mar. 19, 2018, at 3-5.
7 

expert's geographic area.” Sabella v. Sec'y of Health & Human Servs., 86 Fed. Cl. 

201, 206 (2009). Furthermore, “[p]etitioner has the burden of providing the 

foregoing information concerning expert fees.” Id. Ms. Mikovits has billed an 

hourly rate of $350. 

An hourly rate of $350 is consistent with the range of rates provided to 

expert medically-trained immunologists with extensive research experience that 

testify in the Vaccine Program. See, e.g., Laderer v. Sec'y of Health & Human 

Servs., No. 09-097V, 2016 WL 3044838, at *6 (Fed. Cl. Spec. Mstr. Apr. 20, 

2016) (awarding an immunologist, Dr. Shoenfeld, $400 per hour); Crutchfield v. 

Sec'y of Health & Human Servs., No. 09-39V, 2011 WL 3806351, at *8 (Fed. Cl. 

Spec. Mstr. Aug. 4, 2011) (paying Dr. Shoenfeld, $350 per hour); Savin v. Sec'y of 

Health & Human Servs., No. 99-537V, 2008 WL 2066611, at *4 (Fed. Cl. Spec. 

Mstr. Apr. 22, 2008) (awarding another board-certified immunologist, Dr. Bellanti, 

$350 per hour without objection by the Secretary), mot. for rev. denied on nonrelevant grounds, 85 Fed. Cl. 313 (2008). 

However, Drs. Bellanti and Shoenfeld are both physicians with medical 

training. This medical training has often proved, in the undersigned’s experience, 

invaluable in vaccine injury cases.4 

It is true that Ms. Mikovits has been awarded a Ph.D. in biochemistry and 

neither Dr. Bellanti nor Dr. Shoenfeld has a Ph.D. While earning a Ph.D. is, itself, 

an accomplishment, an advanced degree is neither sufficient nor necessary for 

demonstrating the scientific expertise expected of expert witnesses in the Vaccine 

Program. For instance, while it is true that Dr. Bellanti and Dr. Shoenfeld do not 

have a Ph.D., they are each far more widely published than Ms. Mikovits. Dr. 

Bellanti has co-authored over 275 research articles and Dr. Shoenfeld has coauthored over 2,000. Beyond the expertise and experience that Drs. Bellanti and 

Shoenfeld bring to the program as physicians, their publication record suggests that 

they are capable scientists as well. In the undersigned’s estimation, the publication 

 

4

 Often parties will need to supplement an expert opinion provided by a nonmedically trained expert with an opinion provided by a physician. Physicianscientists can thus present a bargain to parties in their ability to provide expert 

opinion regarding not only the science, but the diagnoses and treatment as well. 
8 

record provides information useful in determining an individual’s scientific 

expertise in a given field. 

Even though a petitioner bears the burden to demonstrate the reasonableness 

of his expert’s hourly rate, petitioner’s original motion for fees and costs did not 

provide any support for Ms. Mikovits’ $350 hourly fee. Petitioner was 

subsequently provided an opportunity to file support for Ms. Mikovits’ rate. See 

order, issued Apr. 6, 2018. 

In response to this invitation, petitioner filed very similar affidavits from 

four individuals stating that they paid Mr. Ruscetti individually, or Mr. Ruscetti’s

and Ms. Mikovits’ consulting firm (MAR Consulting, Inc.) between $350 and 

$500 per hour for an unspecified amount of time. No affidavit pertained to Ms. 

Mikovits individually. The affidavits provide very little information about the 

nature of the work that Mr. Ruscetti or MAR Consulting, Inc. performed.5 Without 

any substantive description of the work that MAR performed, these affidavits carry 

little weight in determining a reasonable hourly rate for providing opinions in the 

Vaccine Program. 

Based on the undersigned’s experience and the cases cited above, there does 

appear to be support for using $450 per hour as a reference point for a reasonable

hourly rate for a medically-trained immunologist with extensive research 

experience. Given that starting point, the next step is to adjust it to account for Ms. 

Mikovits’ lack of medical experience and expertise. Based on the undersigned’s 

knowledge and experience, a physician-scientist appears to warrant an additional 

$200 per hour compared to equally capable research scientist without a medical 

degree and experience for at least two reasons. First, a physician can opine on 

medical questions in addition to purely scientific ones and thus provides additional 

value to the Program. Second, a physician’s time is more valuable outside of the 

Program since they can earn compensation not only through their research work, 

but their clinical work as well. The $200 per hour premium may actually 

 

5

 One affiant owns a company called Success Summits, LLC. It appears that 

Success Summits, LLC is in the life coaching business. The affidavit from the 

owner of Success Summits, LLC does not indicate that the consultation related to 

medical or scientific matters, unlike the other affidavits that were based on the 

same form language. 
9 

undervalue the real-world value of a medical degree. Thus, the undersigned finds 

$250 per hour to be a suitable rate of compensation for a comparably respected 

expert in immunology who does not practice medicine. 

However, Ms. Mikovits is not a comparably respected expert in 

immunology. Ms. Mikovits’ scientific credentials could be generously labelled as 

having a checkered past. Ms. Mikovits’ reputation began to unravel after a paper 

she wrote in 2009 — linking a mouse virus (XMRV) with chronic fatigue 

syndrome — was retracted by the publisher. See court exhibit 1001 (Bruce 

Alberts, Retraction, 334 Science 1636 (2011)). The publisher stated that the 

retraction was due to multiple other studies being unable to confirm the results 

(including studies performed by some of the original authors), evidence of poor 

quality control in some of the experiments, and evidence of manipulation or 

mislabeling of certain figures used in the studies. Id. 

At the time questions began to be raised about the XMRV-CFS article, Ms. 

Mikovits was employed as the Research Director of the Whittemore Peterson 

Institute for Neuroimmune Disease (WPI). Exhibit 25 at 2. However, Ms. 

Mikovits was fired from this position that same year, and WPI later accused her of 

stealing and deleting research materials from the institute. See Rogero v. Sec'y of 

Health & Human Servs., No. 11-770V, 2017 WL 4277580, at *47 (Fed. Cl. Spec. 

Mstr. Sept. 1, 2017); court exhibit 1002 (Trine Tsouderos, Discredited Chronic 

Fatigue Researcher in California Jail, Chicago Tribune, Nov. 22, 2011). This 

incident with WPI diminishes her relative reputation as a scientist. 

Ms. Mikovits has not held a research position since 2012. See exhibit 25 at 

1-2. Since then, she has worked as an advisor to Yorkbridge Capital and has cofounded and worked as a consultant for MAR Consulting Inc. Id. Her current 

services are provided through her role with MAR Consulting. Id. at 1. According 

to her C.V., Ms. Mikovits has also not published scientific research since 2012, 

and her last three publications consist of (1) a research article failing to replicate 

the retracted 2009 XMRV-CFS article, (2) a short statement partially retracting the 

2009 XMRV-CFS article (the full retraction was made by the editor himself), and 

(3) another research article failing to replicate the retracted 2009 XMRV-CFS 

article. See id. at 9. The absence of any publications, or apparently any research 

activity at all, in the past six years weighs heavily against the relative reputation 

she holds in the field of immunology. 
10

Based on her reputation and bona fides, Ms. Mikovits’ credentials are simply 

not in the same league as experts who are paid $250 (or more) per hour. While this 

does not mean that Ms. Mikovits is incapable of providing expert testimony on 

specific topics, it does mean that she cannot expect to be paid the same hourly rate 

as those with much better reputations than she. Individuals with better reputations 

are, presumably, in far higher demand. Accordingly, based on the rate that the 

undersigned found reasonable for non-medically trained immunologists—$250 per 

hour—the undersigned makes an additional deduction of 40%. This deduction 

reflects Ms. Mikovits’ relative lack of reputability in the field compared to 

comparable experts. This results in a rate of $150 per hour for a non-medically 

trained immunologist of Ms. Mikovits’ reputation. 

An appropriate rate for an expert also depends, in part, on “the nature, 

quality, and complexity of the information provided.” Sabella, 86 Fed. Cl. at 206. 

Ms. Mikovits’ work in this case was, frankly, poor. Her reports were riddled with 

errors, exaggerations, and false statements. A non-exhaustive list includes: 

1. “Several vaccines have been documented to have contributed to 

vasculitis.” Exhibit 24 at 9. As Dr. Forsthuber pointed out, the 

references Ms. Mikovits cites in support of this claim do not say this. 

Exhibit H at 6. In fact, they often expressly discredit this interpretation. 

Id. 

2. “Moreover, many types of inflammatory vasculitis including granulomas 

following vaccinations have been reported. (Ex44 - Kallenberg).” Exhibit 

24 at 13. As Dr. Forsthuber pointed out, this reference does not discuss 

vaccines at all. Exhibit H at 6. 

3. “Within fourteen days [of the vaccination] on 9/16/2011, Mr. Dominguez 

was seen at Kaiser for blurred vision (Ex1@60).” Exhibit 24 at 15. This 

statement was critical since it was the first medical record following the 

August 31, 2011 vaccination and the theory that Ms. Mikovits put forth 

linking the Tdap vaccine and Mr. Dominguez’s disease indicated that 

there should be a rapid onset of the illness. See id. Thus, when Ms. 

Mikovits stated that he was seen for “blurred vision” 14 days following 

the vaccination, it induces a fact-finder to infer that the blurred vision 

may be the first symptom related to the onset of his disease, lending 

credibility to her theory. However, as Dr. Forsthuber pointed out, Ms. 
11

Mikovits failed to mention the records stated the “chief complaint/reason 

for visit” was “routine” and that he was there that day for an “eye 

examination.” Exhibit 1 at 57-60. No abnormal findings were made 

except that he was diagnosed with myopia and provided with a new lens 

prescription. Id. By not providing the context for this visit, Ms. 

Mikovits’ characterization of Mr. Dominguez’s visit is, at best, 

misleading. 

4. Ms. Mikovits’ proposed medical theory was based on the premise that 

checkpoint inhibitors were analogous to vaccines. Checkpoint inhibitors 

are a form of cancer treatment that allows immune cells to attack cancer 

cells by having them bypass internal “brakes” that limit what the immune 

cells consider foreign. See exhibit H at 7. A consequence of this potent 

pharmaceutical treatment is that immune cells will also attack healthy 

host cells. This can lead to side effects that, though sometimes severe, 

are outweighed by the benefit the treatment provides. Ms. Mikovits 

never provided a logical basis beyond mere ipse dixit for this proposed 

equivalency. 

5. “The experience of toxic shock deaths from toxins contained in tampons 

and legionnaire’s disease outbreaks of the 90s directly inform the 

reliability of this theory that a vaccine can cause severe immune related 

adverse events by a toxic cytokine/chemokine storm as does the recent 

experience of the toxicity realized in the brutally selective checkpoint 

inhibitors in cancer immune therapy.” Exhibit 24 at 14-15. The 

undersigned, like Dr. Forsthuber, is “at a loss” in how Ms. Mikovits 

connects toxic shock, Legionnaire’s disease, and checkpoint inhibitors 

with Mr. Dominguez’s Tdap vaccination. Exhibit H at 11. 

6. “Since he had been given this vaccine in 2006 and a booster is 

recommended every ten years and since the patient was suffering from 

viral induced inflammation, it was inappropriate to give him TDaP which 

would induce more inflammation.” Exhibit 24 at 15. In the 

undersigned’s experience, Ms. Mikovits is all too willing to “play 

medical doctor” by frequently making statements, such as this one, that 

challenge the treatment given by petitioners’ treating physicians. This is 

not a new complaint of Ms. Mikovits’ conduct. See Rogero, 2017 WL 
12

4277580, at *24 (“her expert testimony seemed to shift throughout the 

litigation, often veering into opinions concerning medical disciplines in 

which she was wholly unqualified”). Ms. Mikovits is not trained as a 

physician and has no experience as a physician. See exhibit 25 at 1-5. 

This explains why Ms. Mikovits, when she does make medical opinions, 

will often make incorrect statements, such as the one cited above. As Dr. 

Forsthuber pointed out, “Tdap can be administered regardless of the 

interval since the previous Td dose (CDC Tdap recommendations). 

Halperin et al. concluded in a study of 7,156 children that Tdap can be 

safely administered at intervals > than 18 months since the previous 

TD/Td vaccine (24), and G.D. had received the Td vaccination in 2006, 

i.e. 5 years earlier.” Exhibit H at 11.

Though given the opportunity in her supplemental report (exhibit 68), Ms. 

Mikovits did not adequately (or, more typically, at all) address these issues and 

others after they were raised by respondent. 

Based on the deficiencies in Ms. Mikovits’ reports, shortly before the 

scheduled hearing Mr. Dominguez moved to dismiss his petition, noting that “[a]n 

investigation of the facts and science supporting has demonstrated to the Petitioner 

that he will be unable to prove that he is entitled to compensation in the Vaccine 

Program.” Pet’r’s Mot., filed Mar. 30, 2018, at 1. He further noted: “In these 

circumstances, to proceed any further would be unreasonable and would waste the 

resources of the Court, the Respondent, and the Vaccine Program.” Id. In the 

undersigned’s opinion, the poor quality of Ms. Mikovits’ reports resulted in this 

matter being drawn out far longer than it should have. By filing a report that relied 

on mischaracterizations, statements that she was not qualified to make, and 

misdirection, Ms. Mikovits wasted the resources of the Vaccine Program. Based 

on the inferior quality of her work, the undersigned finds an additional 50% 

reduction of Ms. Mikovits’ rate appropriate. Ms. Mikovits’ work will be 

compensated at a rate of $75.00 per hour.6

 

6 The undersigned notes that Ms. Mikovits’ invoice indicates that Mr. 

Ruscetti performed some of the work contained in the invoice. As noted above, 

because Ms. Mikovits was the testifying witness and the invoice indicates that she 
13

Furthermore, since the evidence indicates that the quality of Ms. Mikovits’

work here is consistent with the quality of work she has previously submitted in 

Vaccine Program cases and with the reputation of her work as a scientist more 

generally, Mr. Shoemaker and other attorneys are put on notice that future reliance 

on Ms. Mikovits may not be reasonable. 

B. Reasonable Number of Hours 

The undersigned finds that the number of hours billed by Ms. Mikovits is 

generally consistent with the amount billed in comparable proceedings. 

Consequently, the amount awarded for Ms. Mikovits’ work is $7,275.00. 

* * * 

Accordingly, petitioner is awarded:

A lump sum of $39,464.25 in the form of a check made payable to 

petitioner and petitioner’s attorney, Clifford Shoemaker. 

These amounts represents reimbursement attorneys’ fees and other litigation 

costs available under 42 U.S.C. § 300aa-15(e). In the absence of a motion for 

review filed pursuant to RCFC Appendix B, the clerk of the court is directed to 

enter judgment herewith. The Clerk’s Office is also directed to provide this 

decision to the presiding judge pursuant to Vaccine Rule 28.1(a). 

 s/Christian J. Moran 

 Christian J. Moran 

 Special Master 

 

performed nearly all the work, she is referenced throughout this decision 

individually. Nonetheless, the analysis provided in this decision largely applies to 

Mr. Ruscetti as well.