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Home Court filings Public Health and Medical Professionals for Transparency v. Food and Drug Administration Brief in Support of Timely Production — PHMPT v. FDA

Court filing

Brief in Support of Timely Production — PHMPT v. FDA

No. 4:21-cv-01058-P · Doc. 26 · Docket on CourtListener

Full text

 Case 4:21-cv-01058-P Document 26 Filed 12/07/21   Page 1 of 30 PageID 697



                     UNITED STATES DISTRICT COURT
                      NORTHERN DISTRICT OF TEXAS


PUBLIC HEALTH AND MEDICAL
PROFESSIONALS FOR TRANSPARENCY,

                         Plaintiff,        Civil Action No. 4:21-cv-01058-P
     -against-

FOOD AND DRUG ADMINISTRATION,

                         Defendant.




                 BRIEF IN SUPPORT OF TIMELY PRODUCTION
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                                                  TABLE OF CONTENTS

TABLE OF AUTHORITIES ...................................................................................................... iii

PRELIMINARY STATEMENT ................................................................................................. 1

BACKGROUND ........................................................................................................................... 6

   A.        The Need for the Transparency as Promised by Pfizer, White House, and FDA ............ 6

   B.        PHMPT Formed to Disseminate the Promised Vaccine Data.......................................... 8

   C.        FDA Approval of the Pfizer Vaccine ............................................................................... 8

   D.        Mandates Abound While the FDA Hides the Data .......................................................... 9

   E.        If the Above Is Not Enough, the Federal Government Granted Pfizer Immunity ......... 10

   F.        PHMPT’s FOIA Request ............................................................................................... 10

   G.        FDA Proposes to Process the Documents Over the Next 55-plus Years ....................... 11

ARGUMENT ............................................................................................................................... 12

   I.        THE REQUEST QUALIFIES FOR EXPEDITED REVIEW AND PRODUCTION ... 12

          1. The Standard For Reviewing Requests to Expedite ................................................... 13

          2. PHMPT’s Request Must be Expedited ....................................................................... 14

              i. Urgent Need for Independent Review of Pfizer Vaccine Data ............................... 15

              ii. The Value of Independent Review is Lost if Not Done Forthwith ......................... 17

              iii. The FDA’s Approval of the Pfizer Vaccine is Government Activity ..................... 20

   II.       THE FDA’S POSITION IS IRRATIONAL AND HIGHLY CONCERNING ............. 20

          1. The FDA Has the Resources to Expeditiously Produce all Responsive Documents .. 20

          2. Even Absent the Current Exigency, Courts Regularly Order Agencies to Produce
             Large Volumes of Documents in Short Periods of Time ............................................ 22

          3. The FDA is Dramatically Overemphasizing the Risk of Inadvertent Disclosure ....... 24

          4. The FDA’s Regulations Require Immediate Production ............................................ 25

CONCLUSION ........................................................................................................................... 25



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                                               TABLE OF AUTHORITIES

Cases
Al-Fayed v. C.I.A.,
  254 F.3d 300 (D.C. Cir. 2001) .................................................................................................. 14

Avondale Indus., Inc. v. N.L.R.B.,
  90 F.3d 955 (5th Cir. 1996) ...................................................................................................... 13

Batton v. Evers,
  598 F.3d 169 (5th Cir 2010) ..................................................................................................... 12

Bloomberg, L.P. v. United States Food and Drug Admin.,
  500 F. Supp. 2d 371 (S.D.N.Y. 2007)........................................................................... 13, 14, 19

Citizens for Responsibility and Ethics in Washington v. U.S. Dept. of Justice,
  436 F. Supp. 3d 354 (D.D.C. 2020) .......................................................................................... 13

Clemente v. Fed. Bur. of Investigation,
  71 F. Supp. 3d 262 (DDC 2014) ............................................................................................... 24

Colbert v. FBI,
  No. 16 Civ. 1790 (DLF), 2018 WL 6299966 (D.D.C. Sept. 3, 2018) ...................................... 22

Dep’t of the Air Force v. Rose,
  425 U.S. 352 (1976) .................................................................................................................. 12

Diocesan Migrant & Refugee Services, Inc. v. United States Immigration and Customs Enf’t,
  No. EP-19-CV-00236-FM, 2021 WL 289548 (W.D. Tex. Jan. 28, 2021) ......................... 20, 22

Freedom Watch v. Bureau of Land Mgmt.,
  No. 16 Civ. 2320 (D.D.C.) ........................................................................................................ 21

Huddleston v. Fed. Bur. of Investigation,
  No. 4:20-CV-447, 2021 WL 327510 (E.D. Tex. Feb. 1, 2021) ................................................ 12

Inst. for Justice v. Internal Revenue Serv.,
  1:18-CV-01477 (CJN), 2021 WL 4935536 (D.D.C. July 8, 2021) .......................................... 22

NRDC v. Dep’t of Energy,
  191 F. Supp. 2d 41 (D.D.C. 2002) ............................................................................................ 23

Open Soc’y. Justice Initiative v. Cent. Intelligence Agency,
  399 F. Supp. 3d 161 (S.D.N.Y. 2019)........................................................................... 12, 20, 23



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Payne Enterprises v. United States,
  837 F.2d 486 (D.C. Cir. 1988) .................................................................................................. 12

Pub. Citizen Health Research Group v. F.D.A.,
  964 F. Supp. 413 (D.D.C. 1997) ............................................................................................... 12

Seavey v. Dept. of Justice,
  266 F. Supp. 3d 241 (D.D.C. 2017) .......................................................................................... 22

Seife v. FDA,
  492 F. Supp. 3d 269 (S.D.N.Y. 2020)................................................................................. 22, 23

Treatment Action Group v. FDA,
  Case No. 15-cv-00976-VAB (D. Conn. 2016) ................................................................... 22, 23

United States Dept. of Justice v. Reporters Committee,
  489 U.S. 749 (1989) .................................................................................................................. 13


Statutes and Regulations
21 C.F.R. § 20.44 .............................................................................................................. 13, 14, 19

21 C.F.R. § 601.51 ................................................................................................................. passim

21 C.F.R. § 20.63 .......................................................................................................................... 24

5 U.S.C. § 552 ................................................................................................................... 11, 13, 14




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       Plaintiff, Public Health and Medical Professionals for Transparency (“PHMPT”), by and

through its attorneys, Siri & Glimstad LLP, respectfully submits this brief in support of prompt

and timely production of the documents submitted by Pfizer Inc. (“Pfizer”) to the U.S. Food and

Drug Administration (the “FDA”) to license its COVID-19 vaccine (the “Pfizer vaccine”).

                                PRELIMINARY STATEMENT

       A minimum of 20,010 days (54 years and 10 months). That is how long the FDA

proposes to take, at a rate of 500 pages per month, to produce only a portion of the documents in

its file for the COVID-19 Pfizer vaccine that PHMPT requested pursuant to the Freedom of

Information Act (the “FOIA Request”) and 21 C.F.R. § 601.51(e). But when it came to reviewing

those same documents to license this product so that Pfizer could freely sell it to the public, the

FDA took just 108 days. It took the FDA’s parent department even less time to grant Pfizer

complete immunity to liability for injuries from this product, and it took a stroke of the President’s

pen to mandate this product for federal employees, the private sector and military personnel.

       The federal government mandating that millions of people be injected with a liability-free

vaccine requires complete government transparency – not the government’s suppression of

information. PHMPT is comprised of independent scientists working at some of our nation’s

premier institutions, and all they are seeking is the data the FDA has already reviewed concerning

the Pfizer vaccine in order to provide the necessary peer review. The FDA knows that they, and

other independent scientists, cannot properly analyze that data until it is all released. Yet, the FDA

wants to wait until most of those scientists are long since dead to fully release the data. News

outlets, politicians, and scientists have called the FDA’s position “outrageous.” They are correct.

       The entire purpose of FOIA is government transparency. In multiple recent cases, in

upholding the FOIA’s requirement to “make the records promptly available,” courts have required



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agencies, including the FDA, to produce 10,000 or more pages per month, and those cases did not

involve a request nearly this important – i.e., the data underlying licensure of a liability-free

product that the federal government requires nearly all Americans to receive. As the present

pandemic rages on, independent review of these documents by outside scientists is urgently needed

to assist with addressing the shortcomings and issues with the response to the pandemic to date.

       The context surrounding PHMPT’s FOIA request is truly unprecedented, and the request

should be treated as such. Historically, there has been no consumer product that the federal

government has mandated Americans to receive. Now, it has mandated Pfizer’s vaccine to private

sector employees, federal employees, the military, and more. States have done the same at the

urging of the federal government, extending mandates for people to enter schools, universities,

restaurants, and public venues, among other places. A majority of Americans are now mandated

to receive this product under penalty of losing a job or worse. This is truly unparalleled in the

nation’s past. There has never been such a large-scale mandate of any product for society, let

alone one that is injected into people. Even school mandates under state laws have almost always

included an easy to obtain exemption. The current inability to say “no” to injecting a product into

one’s body absent serious consequences dictated by the government is truly unprecedented.

       Making this even more unprecedented is that Americans, if injured, cannot sue Pfizer and

otherwise have no recourse. There is virtually no other product where a consumer is prohibited

from suing the company that manufactures, markets, and profits from the product. Decoupling a

company’s profit interest from its interest in safety is a moral hazard, and a departure from

centuries of product liability doctrine.      Yet we find ourselves in this truly extraordinary

circumstance where not only must Americans take this product under penalty of expulsion from

work, school, the military and civil life, but they cannot sue Pfizer for any resulting injuries.



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       And who has created this unprecedented situation? The Executive Branch, normally with

little or no input from the other branches. It has granted the immunity, licensed the product, and

aggressively implemented or demanded mandates.             This therefore requires unprecedented

transparency. When Americans cannot say “no” and cannot sue Pfizer for harm, then the FDA

should also not be able to say “no” to forthwith releasing the Pfizer vaccine data. If the

administration wants Americans to be subject to its mandates, Americans must at least be granted

the dignity of access to the data supposedly supporting the safety and efficacy of Pfizer’s liability-

free vaccine so that independent scientists can conduct a timely review.

       Even President Joe Biden, when truth was original to him as candidate Joe Biden, on

January 28, 2020, told the American people that, “You’ve got to make all of it [the vaccine data]

available to other experts across the nation so they can look and see, so there’s a consensus

this is a safe vaccine.” (App000338 ¶ 2.) On September 7, 2020, on national television, he stated:

               I get asked the question, if … President [Trump] announced
               tomorrow we have a vaccine, would you take it? Only if it was
               completely transparent and other experts in the country could
               look at it. Only if we knew all of what went into it.

(App000338 ¶ 3.)      And then he again said to the American people that we need “total

transparency so scientists outside the government know exactly what is being approved.”

(App000339 ¶ 4.) Fifteen U.S. Senators, all caucusing Democrats, similarly stated as follows in a

letter to the FDA:

               Full transparency throughout the review and authorization
               process is thus essential to countering real or perceived
               politicization and building public confidence in any approved
               vaccine. … In addition to the efforts FDA has already made to
               publish its recommendations regarding data needed for clinical
               development and licensure of vaccines, a transparent review
               process will require that FDA … make the data generated by
               clinical trials and supporting documents submitted to the FDA
               by developers available to the public.


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(App000339 ¶ 8.)      Numerous Republicans have also demanded immediate release of the

documents. For example, Congressman Ralph Norman recently stated:

               The FDA’s only priority should be the health and safety of
               consumers. The agency has compromised its integrity by delaying
               information that belongs to the public. Since the Biden
               administration is hell-bent on forcing these vaccine mandates on us,
               the public has every right to know how this vaccine was approved,
               especially in such a short amount of time. After all, the FDA
               managed to consider all 329,000 pages of data and grant emergency
               approval of the Pfizer vaccine within just 108 days. So it’s hard to
               rationalize why it now needs 55 years to fully release that
               information to the public.

(App000339 ¶ 9.)      Senator Ted Cruz called the FDA’s position “Completely outrageous.”

(App000340 ¶ 10.)

       The transparency sought by politicians is consistent with well-established norms in the

scientific community and with the purpose of FOIA; but that purpose will be utterly frustrated

unless the data is released now, in its entirety, to the public. Releasing this data, so independent

scientists can review it, is akin to getting a second opinion from a doctor, or a peer review of a

scientific paper. Every day that passes without this data’s release is another day that the American

people are deprived of this basic transparency and review.

       The FDA does not dispute that it should produce these documents. Rather, it proposes

doing so at a rate so slow that the documents will not be fully produced until almost all of the

scientists, attorneys, and most of the Americans that received Pfizer’s product, will have died of

old age. The FDA’s excuse? It cries it does not have the resources. Considering how many

taxpayer dollars this administration has spent on its COVID-19 response, the FDA cannot now

claim it lacks the money to timely conduct its review. This excuse is a red herring that just adds

insult to the liberty-crushing approach the FDA and administration have taken with this product.




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       The Executive Branch gave Pfizer $1.95 billion in taxpayer funds to promote development

of its vaccine through an advance-purchase agreement. (App000340 ¶ 11.) It then paid Pfizer

more than $15.7 billion collected from the American people to purchase that product.

(App000340-App000341 ¶¶ 12-16.) Thereafter, it spent $18.75 billion more of the American

people’s money promoting that product. (App000341 ¶¶ 17-19.) Yet, when it comes to being

transparent with those same American people, the FDA claims it cannot muster the resources to

timely produce the same documents it reviewed for licensure in 108 days. Just as the government

found the resources for Operation Warp Speed, it must now do the same to produce these critical

documents with the same warp speed. How about the federal government spend just 0.1% of the

taxpayer money it has given Pfizer – that would be at least $17.6 million – a pittance compared to

the billions given to Pfizer and more than sufficient to hire enough reviewers to timely produce

the documents. Companies in private litigation produce hundreds of thousands of pages per month

in discovery, reviewing each document for privilege, etc. But yet the vast federal government, on

an issue this important, claims it cannot find the resources. A product the administration says

everyone must take under penalty of exclusion from American life and for which they cannot even

sue Pfizer if injured! Whose interests is the executive branch protecting, the American people or

its own?

       Reflecting that the FDA can, in fact, produce documents at a far greater rate than 500 pages

per month, on December 1, 2021, in an effort to avoid the hearing with this Court, it offered to

produce approximately 12,658 pages, 4 .txt files, and 4 SAS files within a period of 61 days if

PHMPT would agree to thereafter only receive 500 pages per month. (App000341 ¶ 20.) The FDA

does not appear to recognize the gravity of its ethical breach to the American people in playing

these games.



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       The pandemic is continuing to spiral. Despite over 83% of adults having received a

COVID-19 vaccine (App000341 ¶ 21), cases are on the rise in the most vaccinated states

(App000342 ¶ 22), variants that evade vaccine immunity are rising (App000342 ¶ 24), the

CDC has admitted the COVID-19 vaccines do not prevent transmission (App000342 ¶ 23),

the number of breakthrough cases is increasing exponentially (App000342 ¶ 25), and boosters

are now needed for everyone and will likely continue to be required every six months, if not

more frequently (App000342 ¶ 26), among numerous other issues with the vaccine program.

       America has some of the greatest institutions of learning and research the world has

ever known. We need all these hands on deck, both inside and outside the government, to

address these serious, ongoing issues, and failings within the vaccine program. Locking out

independent scientists from addressing these issues is dangerous, irresponsible, and

unethical. The FDA, in both the prior and current administration, has never been free of political

pressure when conducing its work and it has also been widely promoting this vaccine to the public,

including before it was licensed. This all raises questions about the licensure process and whether

the FDA will admit mistakes or failings of the same product, mistakes and failings that will only

be identified through outside review. America needs independent scientists, like the ones from

our premier universities and medical centers comprising Plaintiff, to review this data and assist

with offering solutions and addressing these issues. Not 55 years from now or longer. But today.

                                        BACKGROUND

   A. The Need for the Transparency as Promised by Pfizer, White House, and FDA

       Pfizer itself acknowledges the need for “Transparency in Clinical Trials.” (App000342 ¶

27 (Pfizer’s policy statement from December 2019 explaining its “commitment to openness and

transparency” including in “all aspects of research and development behind our products, including

clinical trials.”). See also App000342 – App000343 ¶ 28.) Similarly, the U.S Institute of Medicine
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consensus study emphasized “that verification and replication of investigators claims [in clinical

trials] were essential to the scientific process” and results in “numerous benefits to … patients,

their physicians and researchers.” (Id. (internal quotations eliminated).)

       Likewise, as quoted supra, numerous U.S. Representatives and Senators, and the White

House and FDA leadership, have all called for transparency; as Presidential candidate Joe Biden,

told the American people: “You’ve got to make all of it [the vaccine data] available to other experts

across the nation so they can look and see.” (App000338 – App000340 ¶¶ 2-4, 8-10.)

       These call for transparency is consistent with well-established norms in the scientific

community. As explained by a PHMPT member who is also a member of the World Health

Organization’s COVID-19 Infection Prevention and Control Working Group:

               The importance of independent review of data in science cannot be
               overstated. Science is never static. … Censorship and lack of
               transparency have always been the enemies of progress. … Given
               the insufficient and hurried testing and the culture of secrecy, it is
               arguable whether any informed consent is valid prior to making
               public all of the documents the FDA has in Pfizer’s COVID-19 file.

(App000108 ¶ 17.) As explained by another PHMPT member, a full professor of epidemiology at

Yale School of Public Health and Yale School of Medicine, Dr. Harvey Reich: “Absent an

independent review, the nation is dependent on one body’s review,” that of the FDA. (App000008

¶ 10.) He explains this is concerning because the FDA was “under tremendous political pressure

[to license the Pfizer vaccine], which shortened the typical review process, making it impossible

to carry out all analyses that are typically carried out.” (Id.) Hence, he continues, “[a]llowing the

Pfizer vaccine data to be made available to independent scientists and healthcare professionals is

akin to a peer review process and is critical to ensure the accuracy of the conclusions reached.”

(App000009 ¶ 12.)

       Dr. Reich continues that: “Independent scientists and epidemiologist … need this data

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sooner rather than later… We are still in a pandemic, the vaccines are failing, children are starting

to be vaccinated, we are moving to boosters for all eligible Americans and so we need to have as

complete an understanding of these vaccines and their efficacy, or lack thereof, as soon as possible

so that we can learn how to properly manage things moving forward… Time is of the essence.

Collective efforts of all scientists in the United States will produce more insights at a quicker pace

than if the FDA hoards data, prohibiting others from getting involved.” (App000011 ¶ 16.)

   B. PHMPT Formed to Disseminate the Promised Vaccine Data

       PHMPT is a not-for-profit with more than 75 members, including professors at major

universities, public health professionals, medical doctors, scientists, and journalists, and current

and former WHO and HHS COVID-19 advisory group members. (App000002 ¶ 3.)

       PHMPT exists for the sole purpose of making public the data in the biological product files

for each licensed COVID-19 vaccine. (App000003 ¶ 5.) Many of its members, who include

journalists, are primarily engaged in disseminating information to the public. (App000002 ¶ 4.)

Through its members and website, PHMPT intends to disseminate to the public all records it

receives. (App000003 ¶ 7.)

   C. FDA Approval of the Pfizer Vaccine

       On August 23, 2021, the FDA approved the Pfizer vaccine. (App000343 ¶ 29). Despite

the promise of transparency, not a single page submitted by Pfizer to the FDA was released to the

public. (App.000008 ¶ 10.) This is hindering the nation’s response to the pandemic and, as

President Biden and others predicted, has led to skepticism regarding this product.

       On the one hand, prominent figures in the media, politics, and public health fields have

sought to reassure the public that the data evaluated by the FDA was sufficient for licensure. For

example, Dr. Peter Marks, the Director of FDA’s biologics/vaccine division stated that

               [the FDA’s] scientific and medical experts conducted an incredibly

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               thorough and thoughtful evaluation of [the Pfizer vaccine]. We
               evaluated scientific data and information included in hundreds of
               thousands of pages, conducted our own analyses of [the Pfizer
               vaccine’s] safety and effectiveness, and performed a detailed
               assessment of the manufacturing processes, including inspections of
               the manufacturing facilities[.]

(App000343 ¶ 29.). Dr. Marks further stated that “although [the FDA] approved [the Pfizer

vaccine] expeditiously, it was fully in keeping with [the FDA’s] existing high standards for

vaccines.” (Id.)

       On the other hand, numerous prominent scientists have questioned the sufficiency of the

data submitted by Pfizer and the adequacy of the FDA’s review to license its vaccine. For example,

on June 1, 2021, a group of 27 clinicians and scientists, including professors from Harvard Medical

School, and members of PHMPT, filed a Citizen Petition with the FDA claiming that the available

evidence for licensure of the Pfizer vaccine “is simply not mature enough at this point to adequately

judge whether clinical benefits outweigh the risks in all populations.” (App000343 ¶¶ 30-31.)

Similarly, Professor Peter Doshi, a senior editor at The British Medical Journal and a PHMPT

member, has publicly questioned the adequacy of the data the FDA relied on for licensure and the

lack of transparency in the vaccine approval process. (App000343 ¶¶ 32-33.)

       Incredibly, the FDA even denied the public the opportunity to hear discussion about the

data and to offer public comment by not convening its public advisory committee, the Vaccines

and Related Biological Products Advisory Committee, to discuss licensure. (App000343 ¶ 34.)

   D. Mandates Abound While the FDA Hides the Data

       While hiding Pfizer’s data from the public, the federal executive has pushed an agenda to

make it impossible to participate in American society without receiving the Pfizer vaccine. This

includes mandates by the federal executive for private sector employees, public sector employees,

health care professionals, federal contractor employees, military personnel, and certain air


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travelers. (See, e.g., App000344 ¶¶ 35-37.) Mandates have also been instituted by state and local

governments at the urging of the federal government on university students, customers at retail

stores, diners at restaurants, and virtually dozens of other everyday locations visited in the normal

affairs of American life. (See, e.g., App000344 ¶¶ 38-39.) Many more are expected to follow suit.

(See, e.g., App000344 – App000345 ¶ 40.)

       Some mandates now require three doses of Pfizer’s vaccine, and the number of doses

Americans must receive to simply keep their job and otherwise engage in civil society is only

expected to increase over time. (App000342 ¶ 26.) What makes this all the more incredible is

that Pfizer’s vaccine does not prevent infection and transmission. (App000342 ¶ 23.) Meaning,

at best, Pfizer’s vaccine provides personal protection, akin to taking statins. We may want people

to take their heart medicine, but we don’t mandate them to do so. That is simply authoritarian.

   E. If the Above Is Not Enough, the Federal Government Granted Pfizer Immunity

       While hiding Pfizer’s data from the public, the federal government granted Pfizer, and

anyone associated with administering its vaccine, complete legal immunity for any injury caused

by its vaccine. 42 U.S.C. § 247d-6d (providing that any “manufacturer” of “any vaccine, used to

… prevent or mitigate COVID-19” shall be “immune from suit and liability under Federal and

State law with respect to all claims … resulting from … [its] use by an individual”). Pfizer is even

immune from liability for willful misconduct unless the federal government, which promoted and

licensed this product, first brings this claim. Id. So, to be clear, Americans are forced to receive

Pfizer’s product, but if injured, they cannot sue anyone associated with this vaccine, yet the

government is refusing to permit outside scientists to review the data supporting its safety.

   F. PHMPT’s FOIA Request

       On August 27, 2021, just four days after the FDA approved the Pfizer vaccine, PHMPT

submitted the FOIA Request to the agency, seeking the following documents:

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               All data and information for the Pfizer vaccine enumerated in 21
               C.F.R. § 601.51(e) with the exception of publicly available reports
               on the Vaccine Adverse Events Reporting System.

(App000345 ¶ 41.) 21 C.F.R. § 601.51(e) lists the “data and information in the biological product

file” that is supposed to be “immediately available for public disclosure” after the FDA licenses

a vaccine. (emphasis added). That data and information includes, inter alia, “[a]ll safety and

effectiveness data and information[,]” “[a] protocol for a test or study” of the vaccine, “[a]dverse

reaction reports,” and “[a]ll correspondence and written summaries of oral discussions relating to

the biological product file[.]” 21 C.F.R. § 601.51(e)(1)-(8). On August 31, 2021, the FDA

assigned the FOIA Request case number 2021-5683. (App000345 ¶ 43.)

       As part of its FOIA request, PHMPT requested expedited professing pursuant to 5 U.S.C.

§ 552 (a) (6)(E)(v)(II). On September 9, 2021, the FDA denied PHMPT’s request (the “Denial

Letter”). In the Denial Letter, the FDA stated in relevant part:

               I have determined that your request for expedited processing does
               not meet the criteria under the FOIA. You have not demonstrated a
               compelling need that involves an imminent threat to the life or
               physical safety of an individual. Neither have you demonstrated that
               there exists an urgency to inform the public concerning actual or
               alleged Federal Government activity. Therefore, I am denying your
               request for expedited processing. (App000345 ¶ 44).

   G. FDA Proposes to Process the Documents Over the Next 55-plus Years

       On November 15, 2021, the parties submitted a Second Joint Report to the Court. (Dkt.

No. 20.) Therein, the FDA reported “that there are more than 329,000 pages potentially responsive

to Plaintiff’s FOIA request.” (Id. at p. 3.) This page count does not include other files, “typically

containing data in a format similar to a spreadsheet.” (Id.). In order to produce those responsive

documents, the “FDA propose[d] to process and produce the non-exempt portions of responsive

records at a rate of 500 pages per month.” (Id. at p. 4.) At that rate, it will take the FDA at least

54 years and 10 months to produce all the responsive documents – not exactly meeting the FOIA

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statute’s requirement that the agency “shall make the records promptly available.” 5 U.S.C.

§ 552(a)(3)(A). The FDA’s proposed schedule is tantamount to a denial of the FOIA Request.

         PHMPT therefore asked the Court to direct the FDA to produce all responsive documents

by no later than March 3, 2022. (Dkt. No. 20 p. 9.) “This 108-day period [from the date the Joint

Report was filed] is the same amount of time it took the FDA to review the responsive documents

for the far more intricate task of licensing Pfizer’s Covid-19 vaccine.” (Id.) In response, the Court

ordered a scheduling conference for December 14, 2021, and directed the parties to file briefs or

appendices that could “assist the Court in its preparation for the” conference. (Dkt. No. 21.)

         In the more than three months since PHMPT submitted the FOIA request, the FDA has

produced only an index of documents, 1 txt file, 1 xpt file, and 339 pages of information, most of

which concerned the principal investigators for the Pfizer vaccine trials, information that was

already publicly available on the clinicaltrials.gov website. Counsel for the FDA has also recently

advised PHMPT’s counsel that in addition to the 329,000+ pages, there are an additional

“approximately 39,000 pages” plus “ten of thousands of additional pages” plus hundreds of

spreadsheets and the FDA will treat each twenty lines in each spreadsheet as one page.

(App000345 ¶ 45.) Meaning, the FDA’s position is that the independents scientists can review the

data but they will just have to wait until long after they are all dead.

                                           ARGUMENT

I.       THE REQUEST QUALIFIES FOR EXPEDITED REVIEW AND PRODUCTION

         “The FOIA was enacted to ‘pierce the veil of administrative secrecy and to open agency

action to the light of public scrutiny.’” Batton v. Evers, 598 F.3d 169, 175 (5th Cir 2010)

(quoting Dep’t of the Air Force v. Rose, 425 U.S. 352, 361 (1976)). And courts have long

acknowledged that “‘stale information’ produced pursuant to FOIA requests ‘is of little value.’”

Huddleston v. Fed. Bur. of Investigation, No. 4:20-CV-447, 2021 WL 327510, at *3 (E.D. Tex.
                                               Page 12
  Case 4:21-cv-01058-P Document 26 Filed 12/07/21                 Page 17 of 30 PageID 713



Feb. 1, 2021) (quoting Payne Enterprises v. United States, 837 F.2d 486, 494 (D.C. Cir. 1988)).

See also Open Soc’y., 399 F. Supp. 3d at 164 (“Congress has long recognized that ‘information is

often useful only if it is timely’ and that, therefore ‘excessive delay by the agency in its response

is often tantamount to denial.’” (quoting H.R. Rep. No. 93-876, at 6271 (1974)). That is why

Congress amended the FOIA statute in 1996 to mandate expedited processing of important FOIA

requests.

       Here, PHMPT is unquestionably entitled to the information sought in the FOIA Request

because the FDA’s own regulations require the information to be “immediately available” to the

public. 21 C.F.R. § 601.51(e). See also Pub. Citizen Health Research Group v. F.D.A., 964 F.

Supp. 413, 414 (D.D.C. 1997) (finding that data submitted for drug licensure had to be disclosed

under FOIA because “[o]nce an approval letter has been sent, certain data and information are

immediately available for disclosure”). The question is how quickly the FDA will produce those

documents. Given the clear national importance, this Court should direct that all responsive

documents be produced within 108 days of November 15, 2021.

       1. The Standard For Reviewing Requests to Expedite

       FOIA provides for “expedited processing of request for records” when there is a

“compelling need.” 5 U.S.C. § 552 (a)(6)(E). The statute states that a compelling need includes:

“with respect to a request made by a person primarily engaged in disseminating information,

urgency to inform the public concerning actual or alleged Federal Government activity.”

Bloomberg, L.P. v. United States Food and Drug Admin., 500 F. Supp. 2d 371, 376-77 (S.D.N.Y.

2007) (quoting 5 U.S.C. § 552 (a)(6)(E)(v)); Citizens for Responsibility and Ethics in Washington

v. U.S. Dept. of Justice, 436 F. Supp. 3d 354, 358 (D.D.C. 2020) (applying the same standard).

The FDA’s regulations contain the same definition of when a compelling need exists. 21 C.F.R.

§ 20.44 (a). “‘Unlike the review of other agency action that must be upheld if supported by
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substantial evidence and not arbitrary or capricious, the FOIA expressly places the burden on the

agency to sustain its action and directs the district courts to determine the matter de

novo.’” Avondale Indus., Inc. v. N.L.R.B., 90 F.3d 955, 958 (5th Cir. 1996) (quoting United States

Dept. of Justice v. Reporters Committee, 489 U.S. 749, 755 (1989)). See also Bloomberg, L.P.,

500 F. Supp. 2d at 374 (“The Court reviews agency decisions, including those regarding expedited

processing of FOIA requests, de novo.”).

       2. PHMPT’s Request Must be Expedited

       There is no question PHMPT is “primarily engaged in disseminating information” because,

as explained on its website, it “exists solely to obtain and disseminate the data relied upon by the

FDA to license COVID-19 vaccines” and that “[a]ny data received will be made public on this

website.” (App000003 ¶¶ 5, 7.) See also Bloomberg, L.P., 500 F. Supp. 2d at 378 (holding that

the “inability of the general public to understand the raw data submitted by the drug

manufacturers” has no bearing on the urgent need to produce that data).

       As for showing an “urgency to inform the public concerning actual or alleged Federal

Government activity,” PHMPT’s request easily meets this standard. 5 U.S.C. § 552 (a)(6)(E)(v).

In answering this question, “[c]ourts must consider at least the following three factors …:

(1) ’whether the request concerns a matter of exigency to the American public; (2) whether the

consequences of delaying a response would compromise a significant recognized interest; and (3)

whether the request concerns federal government activity.’” Bloomberg, L.P., 500 F. Supp. 2d at

377 (quoting Al-Fayed v. C.I.A., 254 F.3d 300, 310 (D.C. Cir. 2001)). The FDA’s FOIA

regulations present a similar tripartite analysis, and ask whether: (1) “[t]here is an urgent need for

the requested information[,]” (2) the information “has a particular value that will be lost if not

obtained and disseminated quickly[,]” and (3) “[t]he request … specifically concerns identifiable

operations or activities of the Federal Government.” 21 C.F.R. § 20.44(c)(2)-(3). PHMPT’s FOIA
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Request satisfies both of these tests.

                i.   Urgent Need for Independent Review of Pfizer Vaccine Data

          Independent review of Pfizer’s vaccine data is a matter of current “exigency to the

American public.” Bloomberg, L.P., 500 F. Supp. 2d at 377. There can be no question that the

FDA’s approval of Pfizer’s vaccine, and its safety and efficacy, is one of the most covered news

stories of the last decade. The need for rapid independent review of the data Pfizer submitted to

the FDA is central to this story, and disseminating this data is PHMPT’s raison d’etre.

          As discussed above, there exists unanimity from all quarters for the need for transparency

and independent review of the clinical trial data. Pfizer has made fostering transparency with

regard to clinical trial data part of its corporate policy, as have U.S. and European pharmaceutical

trade organizations. (App000342 – App000343 ¶¶ 27-28.) The U.S. Institute of Medicine has

made the same endorsement. (App000342 – App000343 ¶ 28) As has the FDA itself, when it

acknowledged not only the need to disclose data relied upon for licensure, but that it be released

straightaway. That is why FDA regulations provide that “[a]fter a license has been issued, the …

data and information in the biological product file are immediately available for public

disclosure unless extraordinary circumstances are shown. . . .” 21 C.F.R. § 601.51(e) (emphasis

added).

          With respect to the Pfizer vaccine in particular, as quoted supra, numerous politicians have

called for greater transparency concerning the FDA’s approval of the Pfizer vaccine. As noted,

even the current President of the United States has repeatedly urged the government to “make all

of it [the vaccine data] available to other experts across the nation.” (See App000338 ¶ 2

(emphasis added).) Nor has the President retreated from this rhetoric, imploring during a “Global

COVID-19 Summit” in September 2021 that the nations of the world must “exercise transparency

to build vital public trust in these lifesaving tools.” (App000339 ¶ 6.)
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       Transparency is critical because “[i]ndependent review is essential to scientific integrity.”

(App000163 ¶ 25.) “Professionals working in the scientific and healthcare professions all seek

second opinions.” (App000009 ¶ 12.) Likewise, the “[c]ollective efforts of all scientists in the

United States will produce more insights at a quicker pace than if the FDA hoards data, prohibiting

others from getting involved.” (App000011 ¶ 16.) With regard to the Pfizer vaccine, the need for

peer review is even more acute because of the “drastically shorted regulatory approval process”

that the FDA undertook to rush the Pfizer vaccine to licensure. (App000009 – App000010 ¶ 14.)

“It is nearly impossible that the FDA could have done everything it typically does in its review of

a vaccine in the short time period within which Pfizer’s vaccine was reviewed and approved.” (Id.)

       For true independent analysis to occur, half-measures will not do.            “Scientists and

healthcare professionals need all of the documents submitted by Pfizer to conduct a proper

analysis” since missing even a single dataset could throw off any analysis. (App000162 ¶ 21. See

also App000008 ¶ 10.) This is because “[a]ll scientific analyses rely on complete sets of

information[.]” (App000162 ¶ 21.) “Attempting to recreate analyses on efficacy or safety without

all the relevant data – data already limited by the short time period of the [Pfizer vaccine] trials –

would prove useless.” (App000009 ¶ 11.) As such, even though the FDA proposes a rolling

production, that will do nothing to expedite the independent review.

       The urgent need for the FDA to release the data sought by PHMPT can be seen from the

media’s shocked reaction to the FDA’s request in this case to take 55 years to respond to the FOIA

Request. For example, Reuters published an article titled: “Wait what? FDA wants 55 years to

process FOIA request over vaccine data,” and other media outlets have expressed similar surprise

and often outrage that it would take so long to release the Pfizer data. (App000339 ¶ 7.)

Furthermore, the shock was not confined to domestic media.



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       Independent review of the data is precisely what PHMPT is seeking here. It filed the FOIA

Request within days of the FDA approving the Pfizer vaccine. The organization’s website states

that it “takes no position on the data other than that it should be made publicly available to allow

independent experts to conduct their own review and analyses.” (App000003 ¶ 5.) To achieve

this goal, the site states that “[a]ny data received will be made public on this website.”

             ii.   The Value of Independent Review is Lost if Not Done Forthwith

       Time is of the essence with regard to reviewing the data sought in the FOIA Request.

(App000011 ¶ 16.) Governments, employers, and individuals are making decisions every day

regarding the Pfizer vaccine. The longer it takes the FDA to produce documents responsive to the

FOIA Request, the more of those decisions will be made without the benefit of any independent

review of the Pfizer data. The best way to improve decision making and otherwise reassure

Americans about the decisions being made is to have independent review of the Pfizer data. Thus,

the value of the information decreases every day that the FDA delays in producing the full data

set.

       In many ways, what is occurring is unprecedented. “An estimated 9.5 billion doses [of the

COVID-19 vaccines] have been administered thus far making it the largest medical intervention

in the history of humankind.”       (App000107 ¶ 14.) Not only are the COVID-19 vaccines

unparalleled in scale, the way in which that scale has been achieved is also unprecedented. There

is no other consumer product that the federal government has ever mandated that millions of

Americans receive in order to earn a living.

       The unprecedented nature of these mandates have been met with skepticism and protests.

According to a tracking poll by Morning Consult, as of mid-November 2021, 27% of the

respondents in the United States were either uncertain or unwilling to be vaccinated.        Of those

respondents, 48% were skeptical about being vaccinated because they were either “worried the
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clinical trials moved too fast” (29%), do not “think the vaccine will be effective” (9%), or do not

“trust the companies making vaccines” (10%). Having multiple trusted independent authorities

review the safety and effectiveness data sought in the FOIA Request, which is what PHMPT

intends, will almost certainly play a role in how these people evaluate their vaccine decisions. (See

App000342 ¶ 27 (Pfizer policy statement noting that transparency of clinical trial data “fosters

trust”); App000342 – App000343 ¶ 28 (“In a time of increasing public scrutiny, transparency of

regulatory decision making leading to the approval of … vaccines for COVID-19 is important to

ensure patient and stakeholder trust.”).)

       Furthermore, skepticism regarding the Pfizer vaccine is not unfounded, nor is it confined

to the general populous. Prominent members of the scientific community have raised serious

concerns regarding its clinical trials, its safety and efficacy, and the FDA’s drastically abbreviated

licensing process. “There has never been a vaccine approved [by the FDA] in such a short time

period.” (App000009 – App000010 ¶ 14.) The abbreviated schedule led researchers to question

everything from the adequacy of the data the FDA relied on to whether the FDA permitted Pfizer

to use fewer test subjects than would normally be required. In an article published last month in

the medical journal “BMJ Evidence-Based Medicine,” its five authors noted that there “are issues

in COVID-19 vaccine trials that merit scrutiny” and then went on to discuss some of those

unresolved issues in detail. (App000342 – App000343 ¶ 28.) Other scientists have noted that

adverse reactions in VAERS and other data signal tremendous issues with the safety of the Pfizer

vaccine. (See, e.g., App000162 – App000163 ¶ 23 (“The combined failure of COVID-19 vaccine

protection to last even six months and the catastrophic number of serious adverse events reported

have created an urgent need for the scientific community to study and the public to understand what

has gone wrong in the United States and how we can remedy the public COVID-19 vaccine program



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currently being administered by the CDC/FDA.”).)

       Further contributing to the unprecedented nature of the situation is that Americans, if

injured, cannot sue Pfizer, the FDA, or the doctors that administer the vaccines. 42 U.S.C. § 247d-

6d. There is almost no other product where an injured consumer cannot sue the company that

makes, sells, and profits from the product. Thus, consumers, who in many cases are being

mandated by the government to receive the COVID-19 vaccines, have no way to be compensated

if they are injured nor do they have any way to force the manufacturer to improve the safety of the

product.

       This extraordinary state of affairs leads to an unprecedented need for transparency. See

Bloomberg, L.P., 500 F. Supp. 2d at 378 (holding that the need for the public to have information

collected by the FDA disseminated widely and reviewed by independent experts was a major factor

in the need for expedited production). Currently, the only entities that have reviewed the full data

are Pfizer and the FDA, both of which are immune from suit and are under enormous political

pressure to deliver vaccines quickly. If Americans cannot say no and cannot sue for harm, then

the safety and efficacy of the vaccines must be put through the most rigorous review possible. In

the scientific and healthcare fields, rigorous review means independent peer review.

       Nevertheless, peer review will be meaningless if it cannot happen for another 55 years.

Even if delayed one year from now, the value of the review will be lost because the pandemic and

technology will have moved on. That is why rapid production of all the documents within 108

days, at most, even if unprecedented, is necessary. Governments, employers, and individuals are

making decisions about the vaccines every day and the data can potentially shape how we move

forward in continuing to combat an ongoing global pandemic.




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            iii.   The FDA’s Approval of the Pfizer Vaccine is Government Activity

       The FOIA Request also meets the third factor required for a showing of urgent need

because the information PHMPT seeks concerns actual federal government activity. It involves

the sufficiency and accuracy of the review the FDA conducted to license the Pfizer vaccine, and

more broadly, the central role HHS – FDA’s parent department – played in developing, testing,

and promoting Pfizer’s vaccine. As such, there is no reasonable argument that PHMPT’s FOIA

Request seeks anything other than documents concerning “identifiable operations or activities of

the Federal Government.” 21 C.F.R. § 20.44 (c)(2)-(3).

II.    THE FDA’S POSITION IS IRRATIONAL AND HIGHLY CONCERNING

       The FDA claims it has identified over 329,000+ pages of documents, in addition to data,

that are responsive to the FOIA Request. (Dkt. No. 20 p. 3.) Nevertheless, it proposes to produce

just 500 pages every month for nearly 55 years before it will fully produce the documents. None

of the FDA’s arguments for this position in the parties Second Joint Report justifies its patently

irrational proposal to produce documents over the course of the next five decades! And none of its

arguments acknowledge the most obvious factor: the importance and unprecedented nature of the

documents at issue. Each of the FDA’s arguments are addressed in turn.

       1. The FDA Has the Resources to Expeditiously Produce all Responsive Documents

       The FDA’s first argument for wanting to take decades to produce is that its FOIA office

does not have the capacity to produce the documents any faster. This argument is specious on

numerous levels. First, while the FOIA office itself may only have a few employees, the FDA has

18,062 employees as of 2020. (App000339 ¶ 5.) For expedited productions, courts regularly

instruct agencies to redirect resources, or to acquire new resources, in order to expeditiously

produce documents.      E.g., Diocesan Migrant & Refugee Services, Inc. v. United States

Immigration and Customs Enf’t, No. EP-19-CV-00236-FM, 2021 WL 289548, at *4 (W.D. Tex.

                                            Page 20
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Jan. 28, 2021) (nothing that by using software programs, and reassigning personnel to the task,

ICE was able to review 86,000 potentially responsive documents within four months in order to

meet the court’s production deadline); Open Soc’y. Justice Initiative v. Cent. Intelligence Agency,

399 F. Supp. 3d 161, 169 (S.D.N.Y. 2019) (requiring the Department of Defense to produce

documents at a rate of 5,000 pages a month, “even if meeting this demand calls upon DOD to

augment, temporarily or permanently, its review resources, human and/or technological”).

       Furthermore, the FDA’s claimed lack of resources rings hollow in the face of the fact that

the public has paid enormous sums to develop, manufacture, and market the Pfizer vaccine, and

the public is statutorily entitled to see what it is getting for its money. This includes giving Pfizer

$1.95 billion of taxpayer money to promote development of its vaccine and then an additional

$15.7 billion of taxpayer money to purchase this product. Beyond the money directly handed to

Pfizer, federal health authorities spent $18.75 billion of taxpayer money promoting this product.

Thus, federal health authorities have had no issue with rapidly spending in total at least $35 billion

of American taxpayer money supporting Pfizer’s vaccine. Even if one just takes the $17.6 billion

given directly to Pfizer, that amounts to giving the company over $48 million in taxpayer money

every day for over a year, plus spending more than that amount per day promoting Pfizer’s product.

Given this, these same federal health authorities cannot claim that they are incapable of meeting

their statutory requirements to produce documents due to a lack of resources.

       As noted, there is near universal agreement that transparency and independent review are

extremely valuable for society. The FDA must therefore explain why it could not use a fraction

of the billions of taxpayer dollars it has given to Pfizer for its vaccine in order to ensure a timely

production of the documents the FDA used to approve the vaccine’s licensure.




                                               Page 21
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       2. Even Absent the Current Exigency, Courts Regularly Order Agencies to Produce
          Large Volumes of Documents in Short Periods of Time

       The FDA further tries to justify its incredulous request to produce just 500 page per month

by arguing this rate has been adopted by other courts, even when the production would take years

to complete. The FDA’s claim is highly misleading.

       First, the FDA cites sixteen cases in the November 11, 2021 Joint Report where it says the

court directed the agency to produce documents at a rate of 500 per month. (Dkt. No. 20 pp. 4 n.3,

7-8.) However, in none of those cases did the Court or agency decide that the production qualified

for expedited processing. See, e.g., Freedom Watch v. Bureau of Land Mgmt., No. 16 Civ. 2320

(D.D.C.), Minute Order of June 13, 2017 (plaintiff failed to show any reasons for expediting). In

other cases cited by the FDA, the requester never even questioned the rate of production or sought

expedited production. See, e.g., Judicial Watch, Inc. v. U.S. Dep’t of State, No. 15 Civ. 687

(D.D.C.), Minute Order of April 4, 2017; Citizens United v. U.S. Dep’t of State, No. 15 Civ. 1720

(D.D.C.), Dkt. 11 ¶ 10. In other cases, the underlying acts that the FOIA request concerned

occurred years or even decades before the requests were made, meaning that there was no urgency

to the requests. See, e.g., Colbert v. FBI, No. 16 Civ. 1790 (DLF), 2018 WL 6299966, at *3

(D.D.C. Sept. 3, 2018) (seeking documents concerning the D.B. Cooper incident in 1971).

       Likewise, in none of those cases did the Court contemplate a production schedule that

would last over five decades. To the contrary, most courts reviewing expedited productions seek

to ensure productions are completed expeditiously. See, e.g., Diocesan Migrant & Refugee

Services, Inc., 2021 WL 289548, at *4 (setting a goal for the agency to produce documents within

four months); Inst. for Justice v. Internal Revenue Serv., 1:18-CV-01477 (CJN), 2021 WL

4935536, at *7 (D.D.C. July 8, 2021) (“it would be inappropriate for productions to extend over

multiple years”); Seavey v. Dept. of Justice, 266 F. Supp. 3d 241, 248 (D.D.C. 2017) (rejecting


                                            Page 22
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FBI proposal to produce 500 pages per month over the course of 17 years).

       Instead, where expedited processing is warranted and an agency refuses to timely produce,

courts regularly require production at many times the FDA’s proposed 500 pages per month. The

following are samples of production rates endorsed by such courts before and during the pandemic:

       •   In Diocesan Migrant, 2021 WL 289548, to meet the court’s deadline, ICE produced

           86,000 pages in four months, for an average rate of 21,500 pages per month.

       •   In Treatment Action Group v. FDA, Case No. 15-cv-00976-VAB (D. Conn. 2016) the

           FDA produced 82,668 pages and 1,045 electronic files in approximately 7 months for

           an average production rate of approximately 11,800 pages per month.

       •   In Seife v. FDA, 492 F. Supp. 3d 269, 273 (S.D.N.Y. 2020), the FDA agreed to produce

           45,000 pages in approximately four months for an average of 10,000 pages per month.

       •   In Open Soc’y Justice Initiative v. CIA, 399 F. Supp. 3d 161 (S.D.N.Y. 2019), the CIA

           produced 288,000 pages at the rate of around 8,000 pages per month.

       •   In NRDC v. Dep’t of Energy, 191 F. Supp. 2d 41, 43 n.5 (D.D.C. 2002) the court

           ordered the Department of Energy to produce around 7,500 pages in a month.

       Even with these large production numbers, none of these cases involved documents as

consequential to American life as the documents PHMPT seeks here. The Seife v. FDA matter

presents an apt example. There the plaintiff sought “documents and records regarding the testing

and approval process for eteplirsen … a drug … for the treatment of Duchenne Muscular

Dystrophy …, a rare neuromuscular disease.” 492 F. Supp. 3d at 271, 273. In 2016 the FDA

granted “accelerated approval” of eteplirsen. Id. at 272. Nevertheless, the next year the FDA

produced tens of thousands of pages of documents concerning eteplirsen, most of which were

substantially similar to those at issue in this case, many requiring redactions. Id. at 273. Seife


                                            Page 23
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concerned a product rarely used by a small fraction of the population, but the FDA was able to

timely produce all the responsive documents. Id. at 271. This fact raises serious questions here

about why, where PHMPT seeks similar documents concerning a liability-free vaccine mandated

by the government for use by millions of Americans, the FDA has proposed a monthly production

rate 20 times slower than it produced in Seife. Similarly, Treatment Action Group concerned the

approval of two Hepatitis C drugs, again drugs that are not mandated nor used by nearly the same

number of people who will receive the Pfizer vaccine, but still the FDA could produce documents

similar to those sought in the instant case at an average rate of nearly 12,000 pages per month, at

one point even producing 25,000 pages, with redactions, in just six weeks. Case No. 15-cv-00976-

VAB (D. Conn. 2016) Dkt. No. 87 pp. 4-5.

       In addition, the FDA has simply proposed producing 500 pages per month regardless of

whether those pages contain exempt material or are otherwise easily producible. “The D.C. Circuit

has found that unreasonable delays in disclosing non-exempt documents violate the intent and

purpose of the FOIA, and the courts have a duty to prevent [such] abuses.” Clemente v. Fed. Bur.

of Investigation, 71 F. Supp. 3d 262, 269 (DDC 2014) (internal quotations omitted). Given this

goal, the FDA’s one size fits all approach is inappropriate, and a higher rate of production for at

least some of the documents is achievable and necessary.

       The FDA also tries to argue that its proposed 55+-year production schedule is PHMPT’s

fault for requesting too many documents. This is a red herring. PHMPT merely requested the

documents that are supposed to be publicly available under 21 C.F.R. § 601.51(e), and as explained

above, all of those documents are required for a true independent evaluation of the data.

       3. The FDA is Dramatically Overemphasizing the Risk of Inadvertent Disclosure

       The FDA also claims that an expedited production of documents could risk the inadvertent

disclosure of personal privacy information. This concern, however, is unfounded and greatly
                                             Page 24
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overblown because the FDA’s own regulations require that “[t]he names and other information

which would identify patients or research subjects should be deleted from any record before it is

submitted to the Food and Drug Administration.” 21 C.F.R § 20.63(b) (emphasis added).

Thus, the documents submitted by Pfizer, which are the subject of the FOIA Request, would have

already been anonymized, and therefore, the risk of disclosing such information is minimal.

       4. The FDA’s Regulations Require Immediate Production

       The FDA further argues that even though 21 C.F.R. § 601.51(e) states that the agency must

make “the biological product file … immediately available for public disclosure” that has no

bearing on its over 55-year production schedule. This claim makes a mockery of the regulation.

It is hard to see how anyone could interpret “immediately available” as being intended to mean

that the documents would be made available to the public over 55 years after the vaccine was

licensed. The FDA further asserts that the regulation does not actually require production of

anything to the public and, instead, requires that the public make a separate FOIA request in order

for those documents to actually become public. A wholistic reading of the regulation reflects the

opposite. In the paragraph preceding paragraph (e), the regulation instructs that the “FDA will

make available to the public upon request” other documents concerning pre-licensure applications,

and specifically states that “[p]ersons wishing to request this information shall submit a request

under” FOIA. 21 C.F.R. § 601.51 (d)(2) (emphasis added). In contrast, paragraph (e) says nothing

about a member of the public needing to make a specific request in order to view the information

listed in that paragraph regarding vaccine licensure applications. This difference in language

should reflect that paragraph (e) obligates the FDA to make those documents (i.e., the documents

sought in the FOIA Request) “immediately available” just as it says.

                                        CONCLUSION

       For the foregoing reasons, during the upcoming scheduling conference, the Court should
                                             Page 25
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order the FDA to produce all documents responsive to the PHMPT’s FOIA Request on or before

March 3, 2022, which is 108 days from the parties Second Joint Report to the Court.



Dated: December 7, 2021


                                     SIRI & GLIMSTAD LLP



                                     __________________________
                                     Aaron Siri, NY Bar No. 4321790
                                     Elizabeth A. Brehm, NY Bar No. 4660353
                                     Gabrielle G. Palmer, CO Bar No. 48948
                                     200 Park Avenue
                                     New York, New York 10166
                                     Tel: (212) 532-1091
                                     Fax: (646) 417-5967
                                     aaron@sirillp.com
                                     ebrehm@sirillp.com
                                     gpalmer@sirillp.com

                                     HOWIE LAW, PC
                                     John Howie
                                     Texas Bar Number: 24027239
                                     2608 Hibernia Street
                                     Dallas, Texas 75204
                                     Tel: (214) 622-6340
                                     jhowie@howielaw.net

                                     Attorneys for Plaintiff




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