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PRESUDA: MMR IZAZIVA AUTIZAM | ТРЕЋИ ПРОСТОР
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PRESUDA: MMR IZAZIVA AUTIZAM
B. MOJABI and PARIVASH
as parents and legal
of their minor son,
No. 06-227V
B. MOJABI,
*Proffer on Award of
Compensation; Measles-
Mumps-Rubella (MMR);
Injury; Encephalitis.
David L. Terzian, Rawls, McNelis and
Mitchell, P.C., Richmond, VA, for petitioners.
Traci R. Patton, U.S. Dep’t of Justice,
DECISION AWARDING
On March 23, 2006, Saeid Mojabi and Parivash Vahabi
(petitioners), as the parents and legal representatives of their minor son,
Ryan, filed a petition pursuant to the
1 Because this decision contains
a reasoned explanation for the undersigned’s action in this case, the
undersigned intends to post this decision on the United States Court of Federal
Claims’ website, in accordance with the E-Government Act of 2002, Pub. L. No.
107-347, 116 Stat. 2899, 2913 (Dec. 17, 2002). As provided by Vaccine Rule
18(b), each party has 14 days within which to request redaction “of any
information furnished by that party: (1) that is a trade secret or commercial
or financial in substance and is privileged or confidential; or (2) that
includes medical files or similar files, the disclosure of which would
constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b).
Otherwise, “the entire” decision will be available to the public. Id.
Compensation Program (“Vaccine Program”).2
Petitioners alleged that as a result of “all the vaccinations administered to
[Ryan] from March 25, 2003, through February 22, 2005, and more specifically,
measles-mumps-rubella (MMR) vaccinations administered to him on December 19,
2003 and May 10, 2004,” Ryan suffered “a severe and debilitating injury to his
brain, described as Autism Spectrum Disorder (‘ASD’).” Petition at 1.
Petitioners specifically asserted that Ryan “suffered a Vaccine Table Injury,
namely, an encephalopathy” as a result of his receipt of the MMR vaccination on
December 19, 2003. Id.
In the alternative, petitioners asserted that “as a cumulative result of his
receipt of each and every vaccination between March 25, 2003 and February 22,
2005, Ryan has suffered . . . neuroimmunologically mediated dysfunctions in the
form of asthma and ASD.” Id.
June 9, 2011, respondent filed a supplemental report pursuant to Vaccine Rule
4(c) stating it was respondent’s view that Ryan suffered a Table injury under
the Vaccine Act – namely, an encephalitis within five to fifteen days following
receipt of the December 19, 2003 MMR vaccine, see 42 C.F.R. §
100.3(a)(III)(B), and that this case is appropriate for compensation under the
terms of the Vaccine Program. See Resp’t Report, June 1, 2012, at 3-5.
petitioners’ determined efforts to obtain medical records from Ryan’s emergent
treatment in Tehran;
and (3) the issuance of a fact ruling by the undersigned.
This case then moved into the damages phase, and the parties
worked together to determine the proper amount of damages to be awarded to
petitioners. On December 12, 2012, respondent’s counsel filed Respondent’s
Proffer on Award of Compensation (“Proffer” attached as Supplement A), with an
accompanying life care plan.3
Based on the record as a whole, the undersigned finds that
the Proffer is reasonable and appropriate and that petitioners are entitled to
an award as stated in the Proffer. Pursuant to the terms stated in the Proffer,
the court awards to petitioners an award as described below:
lump sum payment of $969,474.91, in the form of a check payable to petitioners
as guardian(s)/conservator(s) of Ryan B. Mojabi, for the benefit of Ryan B.
Mojabi, representing compensation for lost future earnings 2 The National Vaccine Injury Compensation
Program is set forth in Part 2 of the National Childhood Vaccine Injury Act of
1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended, 42 U.S.C. §§
300aa-1 to 34 (2006) (“Vaccine Act” or “Act”). All citations in this decision
to individual sections of the Vaccine Act are to 42 U.S.C.A. § 300aa. 3 The
Items of Compensations of Ryan B. Mojabi is attached as Appendix A to the
Proffer. See Appendix A, Proffer. ($648,132.74),
pain and suffering ($202,040.17), and life care expenses for Year One
($119,302.00). No payment is to be made until petitioners provide respondent
with documentation establishing that they have been appointed as the
guardian(s)/conservator(s) of Ryan B. Mojabi’s estate.
lump sum payment of $20,000.00, in the form of a check payable to petitioners,
Saeid B. Mojabi and Parivash Vahabi, representing compensation for past
unreimbursable expenses. A lump sum payment of $480.34, in the form of a check
payable jointly to petitioners, Saeid B. Mojabi and Parivash Vahabi, and
the Department of Health Care Services Recovery Branch -- MS
4720 P.O. Box 997421 Sacramento, CA 95899-7421 Attn:
Ms. Leslie Nowack representing compensation for the satisfaction of the State
of California Medicaid
lien. Petitioners agree to endorse this payment to the State of California. An
purchase an annuity contract, subject to the conditions described in paragraph
II.D of the attached Proffer, paid to the life insurance company from which the
annuity will be purchased. Proffer
at II. In the absence of a motion for review filed pursuant to RCFC
Appendix B, the clerk of the court SHALL ENTER JUDGMENT, in accordance
with the terms of the parties’ Proffer.4
E. Campbell-Smith Patricia E. Campbell-Smith Chief Special Master
Pursuant to Vaccine Rule 11(a), entry of judgment is expedited by the parties’
joint filing of notice renouncing right to seek review.
SAEID B. MOJABI and
VAHABI, as parents and
RYAN B. MOJABI,
RESPONDENT’S PROFFER ON
I. Items of Compensation A.
Care Items Respondent engaged life care planner, Laura Fox,
MSN, RN, CNLCP, to provide an
estimation of Ryan B.
Mojabi’s future vaccine-injury related needs. Ms. Fox worked jointly
with petitioners’ life
care planner, Susan Riddick-Grisham, in preparing a joint life care plan.
compensation identified in the life care plan are supported by the evidence and
entitled Appendix A: Items of Compensation for Ryan B. Mojabi,
attached hereto as Tab
A.1 Respondent proffers that Ryan B. Mojabi
should be awarded all
set forth in the joint life care plan and illustrated by the chart attached at
Tab A. Petitioners
1 The chart at Tab A illustrates
the annual benefits provided by the life care plan. The annual benefit years
run from the date of judgment up to the first anniversary of the date of
judgment, and every year thereafter up to the anniversary of the date of judgment.
B. Lost Future Earnings The parties agree that based
upon the evidence of record, Ryan B. Mojabi will not be gainfully employed in
the future. Therefore, respondent proffers that Ryan B. Mojabi should be
awarded lost future earnings as provided under the Vaccine Act, 42 U.S.C. § 300aa-15(a)(3)(B).
Respondent proffers that the appropriate award for Ryan B. Mojabi’s lost future
earnings is $648,132.74. Petitioners agree.
C. Pain and Suffering Respondent proffers that Ryan B. Mojabi should be awarded
$202,040.17 in actual and projected pain and suffering. This amount reflects
that the award for projected pain and suffering has been reduced to net present
value. See 42 U.S.C. § 300aa-15(a)(4). Petitioners agree.
D. Past Unreimbursable Expenses Evidence supplied by petitioners documents their expenditure
of past unreimbursable expenses related to Ryan B. Mojabi’s vaccine-related
injury. Respondent proffers that petitioners should be awarded past unreimbursable
expenses in the amount of $20,000.00. Petitioners agree.
E. Medicaid Lien Respondent proffers that Ryan B. Mojabi should be awarded
funds to satisfy the State of California lien in the amount of $480.34, which
represents full satisfaction of any right of subrogation, assignment, claim,
lien, or cause of action the State of California may have against any
individual as a result of any Medicaid payments the State of California has
made to or on behalf of Ryan B. Mojabi from the date of his eligibility for
benefits through the date of
judgment in this case as
a result of his vaccine-related injury suffered on or about January 1,
2004, under Title XIX of
II. Form of the Award The
parties recommend that the compensation provided to Ryan B. Mojabi should be made
through a combination of lump sum payments and future annuity payments as
described below, and request that the special master’s decision and the Court’s
judgment award the following:
A. A lump sum payment of $969,474.91, representing
compensation for lost future earnings ($648,132.74), pain and suffering
($202,040.17), and life care expenses for Year One ($119,302.00), in the form
of a check payable to petitioners as guardian(s)/conservator(s) of Ryan B.
Mojabi, for the benefit of Ryan B. Mojabi No payments shall be made until
petitioners provide respondent with documentation establishing that they have
been appointed as the guardian(s)/conservator(s) of Ryan B. Mojabi’s estate; B. A lump sum payment of $20,000.00, representing
compensation for past unreimbursable expenses, payable to Saeid B. Mojabi and
Parivash Vahabi, petitioners; C. A lump sum payment of $480.34, representing
compensation for satisfaction of the State of California Medicaid lien, payable jointly to
petitioners and Department of Health Care Services
95899-7421
Attn: Ms. Leslie Nowack
Petitioners agree to
endorse this payment to the State of California.
D. An amount sufficient to
purchase the annuity contract(s),2
subject to the conditions described below, that will provide payments for the
life care items contained in the life care plan, as illustrated by the chart at
Tab A attached hereto, paid to the life insurance company3 from
which the annuity(ies) will be purchased.4
Compensation for Year Two (beginning on the first anniversary of the date of
judgment) and all subsequent years shall be provided through respondent’s
purchase of an annuity(ies), which annuity(ies) shall make payments directly to
petitioners as guardian(s)/conservator(s) of the estate of Ryan B. Mojabi, for
the benefit of Ryan B. Mojabi, only so long as Ryan B. Mojabi is alive at the
time a particular payment is due. At the Secretary’s sole discretion, the
periodic payments may be provided to petitioners in monthly, quarterly, annual
or other installments. The “annual amounts” set forth in the chart at Tab A
respondent’s discretion, respondent may purchase one or more annuity contracts
from one or more life insurance companies.
3 The Life Insurance Company must have a
minimum of $250,000,000 capital and surplus, exclusive of any mandatory
security valuation reserve. The Life Insurance Company must have one of the
following ratings from two of the following rating organizations: a. A.M. Best Company: A++,
A+, A+g, A+p, A+r, or A+s; b. Moody's Investor Service
Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa; c. Standard
and Poor’s Corporation Insurer Claims-Paying Ability Rating: AA-, AA, AA+, or
AAA; d. Fitch
Credit Rating Company, Insurance Company Claims Paying Ability Rating: AA-, AA,
AA+, or AAA. 4 Petitioners authorize the disclosure of
certain documents filed by the petitioners in this case consistent with the
Privacy Act and the routine uses described in the National Vaccine Injury
Compensation Program System of Records, No. 09-15-0056. -4-
describe only the total yearly sum to be paid to petitioners
and do not require that the payment be made in one annual installment.
1. Growth Rate Respondent proffers that a four percent (4%) growth rate
should be applied to all non-medical life care items, and a five percent (5%)
growth rate should be applied to all medical life care items. Thus, the
benefits illustrated in the chart at Tab A that are to be paid through annuity
payments should grow as follows: four percent (4%) compounded annually from the
date of judgment for non-medical items, and five percent (5%) compounded
annually from the date of judgment for medical items. Petitioners agree.
2. Life-contingent annuity(ies) Petitioners will continue to receive the annuity payments
from the Life Insurance Company(ies) only so long as Ryan B. Mojabi is alive at
the time that a particular payment is due. Written notice shall be provided to
the Secretary of Health and Human Services and the Life Insurance Company(ies)
within twenty (20) days of Ryan B. Mojabi’s death.
3. Guardianship No payments shall be made until petitioners provide
respondent with documentation establishing that they have been appointed as the
guardian(s)/conservator(s) of Ryan B. Mojabi’s estate. If petitioners are not
authorized by a court of competent jurisdiction to serve as
guardian(s)/conservator(s) of the estate of Ryan B. Mojabi, any such payment
shall be made to the party or parties appointed by a court of competent
jurisdiction to serve as guardian(s)/conservator(s) of the estate of Ryan B.
Mojabi upon submission of written documentation of such appointment to the
III. Summary of Recommended Payments Following
Judgment A. Lump
Sum paid to petitioners as guardian(s)/conservator(s) of Ryan B. Mojabi’s estate:
969,474.91
Lump sum paid to petitioners:
Medicaid Lien:
D. An amount sufficient to purchase the annuity
contract(s) described above in section II. D. Respectfully submitted,
GLENN A. MACLEOD
/S/TRACI R. PATTON
TRACI R. PATTON
20044-0146
Telephone: (202) 353-1589