WCPanelIQ
PanelQMEMed-legalDenied

Kaley, Dawn

DAWN KALEY, Applicant vs. SUTTER ROSEVILLE MEDICAL CENTER, permissibly self-insured, Defendant

ADJ number
ADJ16663930
Decision date
Jan 30, 2025
District office
Sacramento
WCJ
—
Claim administrator
Sutter Roseville Medical Center (permissibly self-insured)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: heart

LC §5909LC §5900LC §5903LC §5952

Summary

Applicant Dawn Kaley, a registered nurse, claimed an industrial heart injury arising from a COVID-19 vaccination required by her employer as a condition of employment after she contracted COVID-19. The PQME, Dr. Richard Levy, found that within reasonable medical probability the vaccine aggravated applicant's heart condition (mitral valve prolapse and ventricular ectopy), assigning 5% whole person impairment with apportionment, ultimately raising non-industrial apportionment to 50%. The WCJ awarded 5% permanent disability after apportionment with future medical care, and defendant sought reconsideration arguing Dr. Levy's reports were not substantial medical evidence because he had acknowledged the mitral valve prolapse was pre-existing and non-industrial. The Appeals Board denied reconsideration, finding Dr. Levy's reports constituted substantial medical evidence and that even a pre-existing condition can support an industrial injury when it is aggravated by work exposure. The Board also addressed the timeliness of its decision under amended Labor Code section 5909.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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