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PARENT’S PERSPECTIVE

A brief story of our daughter


Michelle’s vaccine injury and
subsequent landmark court case

By Theresa Cedillo, August 3, 2009 1995: One month before the MMR shot 

I
close my eyes, and it seems like illness now and in such physical pain, but spent five days in a children’s hospital,
yesterday that I can see my beloved and the beautiful spirit remains so strong. her pediatric neurologist told us that her
blessed little baby girl Michelle so full of In a seven-day period, Michelle’s life, seizures are life threatening. Michelle is
life, good health, and with such a beautiful and ours, changed forever. On December now at a high risk for SUDEP—sudden
spirit. I open my eyes, and before me is 20, 1995, she received the measles, unexplained death in epilepsy. We monitor
my 14-year-old daughter, so broken with mumps, and rubella (MMR) vaccination. her 24 hours a day.
On December 27, 1995, she came down Sadly, the story of Michelle’s period
with a fever. That fever marked the of normal development followed by
beginning of a profound and dramatic regression and then a diagnosis of autism
decline in Michelle’s health. Up until the is not unique. Parents from all over the
age of 15 months, Michelle was a normal United States, the United Kingdom,
and healthy child. She talked, played, Spain, Mexico, and many other countries
laughed, socialized, and ate normally. At share a remarkably similar story of normal
the age of 14 years, she is now under the development followed by regression and
care of seven pediatric specialists, uses a co-existing biological medical problems.
feeding tube for nutrition and medication, In 1997, after Michelle was diagnosed
and has been formerly diagnosed by with autism, I began researching online
pediatric specialists with the following: and talking to other parents by telephone.
Michelle at 3 months old, very normal. moderate-severe autism, Crohn’s disease, I soon became aware of Dr. Andrew
arthritis, spondyloarthritis, osteoporosis, Wakefield’s studies involving regression,
uveitis, open angle glaucoma, and autism, gastrointestinal disease, and the
intractable grand mal epilepsy. In MMR. His studies, research by other
addition, Michelle is legally blind in her scientists, and advice from parents started
right eye, does not speak, although us on a journey to find out what had
she communicates with hand motions happened to Michelle and how to bring
and tapping (on whatever is nearby). In her back. We wanted to treat whatever
addition, she hits herself when in pain or had happened to her. We wanted her to
when frustrated. Just recently after she be healthy again. Sadly, Michelle has not

Parents from all over the United States, the United Kingdom,
Spain, Mexico, and many other countries share a remarkably
Dad with Michelle in 1995 at 8 months old,
pre-MMR. She is so alert and engaged in similar story of normal development followed by regression and
her surroundings. co-existing biological medical problems.
46 THE AUTISM FILE | www.autismfile.com | info@autismfile.com REPRINTED WITH PERMISSION © THE AUTISM FILE ISSUE 33 2009
Young Michelle: “before” (approx. 8 months old) and “after” (approx. 26 months old) Age 5 or 6 years old in San Diego, California. 

regained her health. We have taken her We live in Arizona, clear across the most of the flight. When we landed, we
all over the United States—Long Island, country from Washington, D.C. It took us found transportation and began our drive
Austin, Los Angeles, San Diego, Phoenix, nearly a month to plan, pack, and ship to the hotel. My very first phone call
and Tucson—in our efforts to diagnose everything we would need for the 3-week in Washington came from a reporter at
and treat her medical problems. We are stay in Washington. Arrangements had the Washington Post. Being on a tight
faced with the harsh reality that her to be made for a hospital bed, a feeding deadline, he interviewed me on the phone
medical condition continues to worsen as pump, oxygen (for seizures), a registered with Michelle sitting next to me in the
she ages. nurse to administer Humira injections back of a taxi as we made our way through
In 1998, we filed with the National while I attended the hearing, the enteral the historic city.
Vaccine Injury Compensation Program, formula, and a wheelchair. In addition, That night Michelle’s attorney Kevin
a program created by the United States it took the creativity of our entire family Conway, my husband, and I did an
Congress as an alternative to the to devise a setting where Michelle would interview with the Associated Press. Over
traditional tort system. The purpose is to be comfortable, so she would not want the weekend, People magazine came to
resolve vaccine injury claims and provide to leave immediately to come home! In the hotel to photograph Michelle for an
compensation to people found to be between planning the trip, when not busy article that would appear a few weeks later.
injured by certain vaccines. with Michelle’s daily care, my days were Although the autism/vaccine injury
But it was not until nearly nine years consumed with preparing for her case to theory had become very controversial,
later that Michelle’s case was heard. be heard. Michelle’s medical history to that Michelle and my family were treated with
Between the time we filed and her hearing, point consisted of thousands of pages of respect by those who interviewed us.
more than 5,000 claims were filed for documents. Some days I spent an entire They showed concern for her and were
vaccine injury and autism. To better process day looking for one document or reviewing interested in listening to how she had
these claims, the United States Court a certain time period in preparation for the become so sick and what the hearing
of Federal Claims formed the Omnibus hearing. would be about.
Autism Proceeding on July 3, 2002. In I must have done a mental walk through On June 11, 2007, the hearing began.
early 2007, Michelle’s attorneys at Conway, of the airport and flying with Michelle For two and a half weeks, Michelle, her
Homer, Chin-Caplan informed us that 100 times. We had flown when Michelle father, grandfather, aunts, uncle, and I
Michelle’s case had been chosen to be the was younger to New York, but she was attended the hearing.
first test case under the Omnibus Autism older now, and I did not know how she The first week was the petitioner’s
Proceeding in the U.S. Court of Federal would handle the noisy, congested airport (Michelle’s) week. We presented our
Claims. The hearing was to take place in and flight. We drove three hours to the theory and our medical evidence with
Washington D.C. My family and I were Phoenix airport and boarded the plane to six expert witnesses along with my oral
extremely honored that Michelle’s case was Washington, D.C. Michelle did not sleep testimony. We were all cross-examined
chosen to represent the many similar cases the night before and was exhausted by by the U.S. Department of Health and
in the Omnibus. the time the plane took off. She slept Human Services (respondent) attorneys.
ISSUE 33 2009 REPRINTED WITH PERMISSION © THE AUTISM FILE info@autismfile.com | www.autismfile.com | THE AUTISM FILE 47
PARENT’S PERSPECTIVE

Our focus must always remain on the children who have been
injured (some are adults now) and the quest for their help.

July 25, 2003: Michelle is very sick and would


be hospitalized the next day. She was severely
malnourished and clinically anorexic. She was
already having eye problems, was unable to eat,
and had nearly stopped taking in fluids. This is
when she had to get the feeding tube placed.
The reasons that Michelle’s legs are bruised in
this picture are: 1) she was hitting herself from
September 26, 2003:  Michelle, 9 years old, sleeping on the plane ride back from Long Island, NY, pain; and 2) she had developed a coagulation
where we took her to see Dr. Arthur Krigsman. She was recovering from a 3-week hospital admission disorder secondary to malnutrition from vitamin K
and was still quite ill during this time. deficiency.

The very first day of the hearing, oral Although I was telling Michelle’s story, I and began treatment for osteoporosis as
testimony began with Dr. Vasken Aposhian, felt as though I was speaking on behalf well as chronic pain syndrome. In addition,
an environmental toxicologist, who is a of all the other injured children (at least we began to see a slow increase in seizure
professor of molecular and cellular biology partially). activity.
as well as professor of pharmacology at the The rest of the week continued with On February 11, 2009, nearly 20 months
University of Arizona. Next, I was sworn in Dr. Karin Hepner, Dr. Ron Kennedy, Dr. after the completion of Michelle’s hearing,
and began my testimony in the afternoon. Vera Byers and Dr. Marcel Kinsbourne, all I received a call from her attorney. We
My testimony took us through the end testifying on behalf of Michelle. were at the hospital, and Michelle was
of the day. The next morning, I resumed The second week and into the beginning undergoing a procedure to check her small
testifying and continued until the lunch of the third week, the respondent used 17 bowel. I was told that the decision was
break. Dr. Arthur Krigsman, a pediatric expert witnesses, 10 of whom gave oral going to be released the next day. Early
gastroenterologist, followed my testimony testimony, to testify against Michelle’s case the next morning, we received word that
in the afternoon. and our theory of vaccine injury. Michelle, along with the Hazelhurst and
Speaking only from a mom’s perspective, The hearing concluded on June 26th, Snyder families, had lost her case.
it was quite an experience to testify under with closing statements by both sides. I had waited so long for a decision that
oath and to be cross-examined about that Over the next few days we packed our it was relief to finally know, but this was
testimony. I was nervous at the beginning, things and took the long flight back home. not the decision we had hoped for. With so
but once I began answering questions We settled back into our normal routine many medical costs and intensive care in
about Michelle, her decline in health, and and tried to keep talk of a decision to a Michelle’s future, we had hoped for some
what she has endured, it really all became minimum. We knew there was not a set degree of compensation to help cover
about telling her story. It’s what her life date, and there was no way to tell how these costs.
and our family’s has been all about for long the court would take to make a I felt then, as I do now, that we
the past 12 years. As I testified, I lost my determination. presented a strong and solid case. I also
nervousness, and it was replaced with As the months passed, Michelle’s knew that this would be only the first step
a sense of justice at finally having legal medical conditions showed signs of many in this long legal process. The
documentation of what had taken place in worsening. Her gastrointestinal disease following month Michelle’s attorneys filed
her life. I felt the strength of every other began giving her problems, and her eye an appellate brief.
parent I had ever talked to or e-mailed disease required frequent exams with July 7, 2009, oral arguments were
who had a story similar to my daughter’s. specialists. Then, Michelle was diagnosed presented in Washington D.C. by Kevin
48 THE AUTISM FILE | www.autismfile.com | info@autismfile.com REPRINTED WITH PERMISSION © THE AUTISM FILE ISSUE 33 2009
Michelle in the hospital June 2004 getting an IV infusion of Remicade as treatment for
inflammatory bowel disease.

We never give up, we defy odds, we keep searching for answers,


and we keep fighting for the justice so deserved in this tragedy.

Conway on Michelle’s behalf, for her


appeal.
At the time that I am writing this, no date
Coda: the
has yet been given for a decision on the
appeal.
injustice
We have come such a long way, with
likely an equally long way ahead of us. The continues
continuing legal fight will not be an easy
one. We stand strong in the knowledge of By Kevin Conway, Esquire
the factual evidence, along with increasing
new research in our favor. Our focus must

V
always remain on the children who have accines are an integral part of
been injured (some are adults now) and the our nation’s health policy. For
quest for their help. It is unfortunate that this reason, federal law forbids
in this medical controversy, the children lawsuits against vaccine manufacturers
sometimes gets lost. Those injured must until claims are processed in the federal
always remain the focus on all levels and by Vaccine Injury Compensation Program
every individual involved. (VICP). When Congress established
I am proud to be part of an international the Program in 1988, it intended to
Above right, top two photos: Summer 2009,
community of parents who have banded discourage civil lawsuits by creating Michelle in her room.
together with very minimal resources for the a far better alternative. The Program,
Bottom two photos: June 2009, when
sake of our injured and suffering children. I Congress hoped, would discourage Michelle was admitted to the Pediatric
don’t think there has been or ever will be a lawsuits by providing vaccine- Epilepsy Monitoring Unit. This is why her
group of parents and families quite like ours injured persons with quick, informal, head is wrapped and she has an IV line in her
ever again. We never give up, we defy odds, and generous resolutions of their hand. You will notice that Michelle had gained
we keep searching for answers, and we keep claims. a large amount of weight. This is due primarily
fighting for the justice so deserved in this In many ways, the VICP has worked. to some of the medications she has taken in
tragedy. God bless each and every one of us Persons have received compensation the past and also the anti-seizure medication
as we continue on. for optic neuritis, acute-disseminated she currently takes in very high doses.

ISSUE 33 2009 REPRINTED WITH PERMISSION © THE AUTISM FILE info@autismfile.com | www.autismfile.com | THE AUTISM FILE 49
PARENT’S PERSPECTIVE
encephalomyelitis (ADEM), multiple
sclerosis, transverse myelitis, Guillain- In a typical VICP case, each side presents the expert
Barré syndrome, chronic inflammatory testimony of a single expert. A special master then decides
demyelinating polyneuropathy (CIDP), the case. In Michelle’s case, however, the government used
intractable seizures, death, and seventeen experts to refute her claim.
scarring. They have been compensated
for vaccine-induced brain injuries,
such as attention deficit disorder,
encephalopathy, learning disabilities,
and behavioral problems. They
have been compensated for mental
retardation in a child who became
autistic, for ADEM and resulting
Pervasive Developmental Disorder-Not
Otherwise Specified (PDD-NOS), and
for autistic-like symptoms in a child with
an underlying mitochondrial disorder.
When she filed her claim in the
Vaccine Injury Compensation Program
on December 9, 1998, Michelle Cedillo
was 4 years old. She said that vaccines
caused her to suffer brain damage and
autism. Her medical records showed she
was healthy until the age of 15 months,
received vaccines, had high fevers, and
was never again the same healthy girl.
Her doctors associated the change with
the vaccines. The Secretary of Health
and Human Services, however, disputed
her claim.
In a typical VICP case, each side
presents the expert testimony of
a single expert. A special master So, Michelle’s highly visible and widely protector of the integrity of vaccines.
then decides the case. In Michelle’s publicized claim had to be soundly She argued she had been denied
case, however, the government used defeated. In an extraordinary 174-page fundamental fairness. On August 6,
seventeen experts to refute her claim. decision, the special master rejected her 2009, the U.S. Court of Federal Claims
Why? Because she claimed vaccines claim. denied Michelle’s request to overturn
caused her autism. Unfortunately for In her appeal, Michelle said that the special master’s decision. The
Michelle, this was a problem. By the she had submitted sufficient evidence appeals of the Hazlehurst and Snyder
time her case went to hearing in 2007, that her vaccines had harmed her. She families were also quickly rejected.
it was clear that many vaccines had claimed the special master purposely Michelle has options. She has
contained a toxic substance (mercury) turned a blind eye on her evidence, until October 6, 2009 to appeal her
during a time when the number of cases especially the substantial concessions by case to the Federal Circuit Court of
of autism had exploded. Due to the the respondent’s own expert witnesses. Appeals. She can leave the Vaccine
extraordinary publicity this issue had She claimed the special master had Injury Compensation Program and
received, officials feared parents would abandoned his obligation to impartially file a civil action against the vaccine
refuse to immunize their children, that weigh the evidence. She argued that manufacturers. She can simply give up
immunization rates would fall, and that the special master had inappropriately and accept the fact that the system has
preventable diseases would return. assumed the government’s role as failed her. But no matter what, Michelle
has inspired a generation of families
with autistic children to carry on the
Due to the extraordinary publicity this issue had received, fight – a fight that was never about
officials feared parents would refuse to immunize their “compensation.” It was about finding
children, that immunization rates would fall, and that how these children were lost – and
about finding a way to bring them home
preventable diseases would return. again.
50 THE AUTISM FILE | www.autismfile.com | info@autismfile.com REPRINTED WITH PERMISSION © THE AUTISM FILE ISSUE 33 2009

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