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Sylvia Johnson v. Barnes-Jewish West County Hospital

Decision date: June 13, 2017Injury #09-11206313 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits to employee Sylvia Johnson for alleged illness from a mandatory flu vaccination. The Commission found that the alleged injury did not arise out of and in the course of employment as required by Missouri Workers' Compensation Law.

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Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No. 09-112063

Employee: Sylvia Johnson

Employer: Barnes-Jewish West County Hospital

Insurer: Self-Insured

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. Having reviewed the evidence and considered the whole record, the Commission finds that the award of the administrative law judge is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Law. Pursuant to § 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated May 11, 2016, and awards no compensation in the above-captioned case.

The award and decision of Administrative Law Judge Margaret D. Landolt, issued May 11, 2016, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this $\qquad 13^{\text {th }}$ day of June 2017.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

V A C A N T <br> Member

Curtis E. Chick, Jr., Member

Attest:

AWARD

Claimant: Sylvia Johnson

Dependents: N/A

Employer: Barnes-Jewish West County Hospital

Additional Party: N/A

Insurer: Self-Insured

Hearing Date: February 10, 2016

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? No
  2. Was the injury or occupational disease compensable under Chapter 287? No
  3. Was there an accident or incident of occupational disease under the Law? No
  4. Date of accident or onset of occupational disease: Alleged December 7, 2009
  5. State location where accident occurred or occupational disease was contracted: St. Louis, Missouri
  6. Was above Claimant in employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? Yes
  8. Did accident or occupational disease arise out of and in the course of the employment? No
  9. Was claim for compensation filed within time required by Law? Yes
  10. Was employer insured by above insurer? Yes
  11. Describe work Claimant was doing and how accident occurred or occupational disease contracted: Claimant alleged she became ill from a mandatory flu vaccination.
  12. Did accident or occupational disease cause death? No
  13. Part(s) of body injured by accident or occupational disease: N/A
  14. Nature and extent of any permanent disability: 0
  15. Compensation paid to-date for temporary disability: 0
  16. Value necessary medical aid paid to date by employer/insurer? 0
  1. Value necessary medical aid not furnished by employer/insurer? N/A
  2. Claimant's average weekly wages: $\ 1,558.99
  3. Weekly compensation rate: $\$ 807.48 / \ 422.97
  4. Method wages computation: By stipulation

COMPENSATION PAYABLE

  1. Amount of compensation payable:

NONE

TOTAL:

NONE

  1. Future requirements awarded: None

Said payments to begin and to be payable and be subject to modification and review as provided by law.

The compensation awarded to the claimant shall be subject to a lien in the amount of N/A of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant:

FINDINGS OF FACT and RULINGS OF LAW:

Claimant: Sylvia Johnson

Dependents: N/A

Employer: Barnes-Jewish West County Hospital

Additional Party: N/A

Insurer: Self-Insured

Injury No.: 09-112063

Before the<br>Division of Workers' Compensation<br>Department of Labor and Industrial<br>Relations of Missouri<br>Jefferson City, Missouri

Checked by: MDL

PRELIMINARIES

A hearing was held on February 10, 2016 at the Division of Workers' Compensation in the City of St. Louis, Missouri. Sylvia Johnson ("Claimant") was represented by Ms. Karen Louis. Barnes-Jewish West County Hospital ("Employer") which is self-insured was represented by Mr. Michael Kelley.

The parties stipulated that on or about December 7, 2009 Claimant was an employee of Employer; venue is proper in the City of St. Louis, Missouri; Employer received proper notice of the injury; the claim was timely filed; at the time of the alleged injury Claimant was earning an average weekly wage of $\ 1,558.99 resulting in rates of compensation of $\ 807.48 for Temporary Total Disability ("TTD") benefits and $\ 422.97 for Permanent Partial Disability ("PPD") benefits; and Employer has denied the claim and paid no benefits.

The issues for resolution are whether Claimant sustained an accident arising out of and in the course of employment; medical causation; liability of Employer for past medical benefits of $\ 79,263.69; liability of Employer for past TTD benefits for the period from October 15, 2010 to July 20, 2011; and nature and extent of PPD.

CLAIMANT'S TESTIMONY

Claimant is a 63-year-old woman who is employed by Employer as a registered respiratory therapist. On the date of the alleged injury Claimant had been working for Employer for 28 years. Claimant is 5 foot and weighs approximately 234 pounds. Her weight has been stable for many years. Claimant had no history of cardiac illness before December 7, 2009.

In 2008, Claimant's primary care physician, Dr. Howell, gave her a permanent exemption from receiving the influenza vaccination. In spite of her permanent exemption, Claimant was told by a supervisor that the vaccination was mandatory, and on December 7, 2009, Employer administered, and Claimant received, the inactivated monovalent Influenza (H1N1) vaccination. Claimant testified after the vaccination she had immediate numbness, tingling, and burning in her hands. She developed flu-like symptoms including a cough, within one week after her shot.

As time passed, Claimant's symptoms would subside, and flare up again. Her cough lingered. Claimant's symptoms flared up in March 2010. In June 2010, Claimant had a flare-up that caused her to go to the emergency room. She was given a Z-pak, and an inhaler. An x-ray showed an enlarged heart. She was diagnosed with cardiomegaly and atypical pneumonia.

In September 2010, Claimant returned to the emergency room. She was given another zpack. Her condition progressively got worse until October 10, 2010, when she went to the hospital for fatigue, shortness of breath, and weakness. She could barely get up the stairs at work. Claimant was diagnosed with pneumonia and congestive heart failure. She was referred for an echo stress test and her ejection fracture (EF) was 31 %. She was diagnosed with nonischemic cardiomyopathy.

Claimant was referred to Mercy Hospital for a cardiac catheterization. Her next echo showed she had an EF of 38 %. She was diagnosed with nonischemic cardiomyopathy. Her condition was getting progressively worse, and Claimant was taken off work. She was told not to lift or pull heavy items. Although a defibrillator was recommended, Claimant did not get one. Once Claimant started cardiac rehabilitation, she started to feel stronger. She still had numbness and tingling in her hands. Claimant testified her condition stabilized with treatment and medications.

Claimant testified Employer did not send her for treatment, and she had to treat on her own. Claimant testified Employer knew she was treating for her heart condition. Claimant did not request treatment. She assumed they would take over her treatment.

Claimant testified the bills in Claimant's Exhibit 2 substantially represent all of the bills she received for her heart condition. She deducted the amounts that were unrelated to her heart condition. She testified that the total charges amounted to over $\ 78,263.69. Her out-of-pocket expenses amounted to $\ 21,460.77.

Claimant continues to take medications for her heart. If she does not take her medications, she cannot function. Claimant testified she will need to be on medication for the rest of her life. She gets fatigued and cannot walk long distances. She has issues with heat and humidity. She has insomnia and chest pain. Her hair fell out and she has bald spots where her hair has not grown back.

When Claimant stands for long periods of time, her back hurts. She no longer bowls or roller skates. Her sexual stamina and intimacy have been negatively impacted by her December 7, 2009 flu shot. She has difficulty at work because of the numbness in her hands, and it affects her ability to draw blood. Sometimes she is fatigued, and has to stop and rest when going from place to place at work, and can't take the stairs. She has to hold onto something when she squats, bends, or kneels. She limits lifting to 20 pounds.

Claimant testified she felt like her symptoms were connected to the flu vaccine. Her health started spiraling downward after her December 7, 2009 H1N1 flu vaccine. She was told the H1N1 virus was a dead virus, but then she developed an enlarged heart that was discovered in

June 2010. Dr. Serota told her she cannot have the flu vaccine and the flu vaccine caused her cardiomyopathy.

Claimant continued to work after her December 7, 2009 H1N1 flu vaccination up until October 15, 2010. She had to miss work from October 15, 2010 through July 20, 2011. Claimant has returned to work and is performing all of her job duties.

MEDICAL RECORDS

In December 2001, Claimant went to Christian Hospital complaining of a chronic cough and headache for four days. X-rays of her chest were normal. She was diagnosed with bronchitis, prescribed a Z-pak and albuterol, and discharged. Claimant sought treatment again at the emergency room in February 2003 for a cough. She was again diagnosed with bronchitis and was prescribed medication.

On June 7, 2010, Claimant went to the emergency room for a chronic cough that had been going on for months. An x-ray showed cardiomegaly. Claimant was diagnosed with hypertension and pneumonia and prescribed a Z-pak, albuterol, Robitussin, and Lisinopril.

On October 12, 2010, Claimant went to Christian Hospital complaining of shortness of breath. X-rays of her chest revealed cardiomegaly and right lower lobe infiltrate possibly pulmonary vascular congestion. She was diagnosed with congestive heart failure, pneumonia, and type II diabetes. On December 3, 2010, Claimant was again complaining of chest pain prior to her cardiac catheterization. She was diagnosed with nonischemic cardiomyopathy. She underwent cardiac rehabilitation from December 13, 2010 through June 3, 2011.

Claimant was admitted to Missouri Baptist Medical Center from October 19, 2010 to October 25, 2010 for cardiomegaly. On October 28, 2010, a Myocardial Perfusion Scintigraphy with Pharmacologic Stress Sestamibi Imaging was performed. The findings were consistent with both lateral and anterior ischemia, consistent with multivessel disease. Also, there was a diffusely hypokinetic left ventricle with an abnormal diminished ejection fraction of 31 %.

The records from Missouri Baptist Medical Center also include an EMG/NCS dated February 14, 2011 consistent with bilateral carpal and cubital tunnel syndromes.

Claimant was referred to Dr. Janosik of Mercy Clinic Heart and Vascular on October 29, 2010 for an evaluation after an abnormal stress test. The records indicate Claimant has a history of hypertension, diabetes and elevated cholesterol. Dr. Janosik noted Claimant was obese and fairly sedentary. Claimant thought she could walk about a half a mile and climb one flight of stairs before she gets out of breath. Stress testing showed an ejection fraction of 31 % with multivessel distribution of ischemia, and she had an abnormal EKG. Dr. Janosik noted Claimant has multiple risk factors for coronary artery disease ("CAD"), including hypertension, diabetes, elevated cholesterol, obesity and a sedentary lifestyle. Dr. Janosik recommended cardiac catheterization, which confirmed global hypokinesis but no obstructive CAD. She was referred to cardiac rehabilitation.

On January 4, 2011, Claimant complained of numbness and tingling in her hands that she thought was caused by her heart medication. She was also experiencing chest pain. Dr. Janosik noted the history of nonischemic cardiomyopathy, diabetes and hypertension. Dr. Janosik discusse

Full decision text continues in the plain-text archive copy.

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