Free Microsoft Word - ADOPTO~1.DOC - California

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 NOTICE RE: ADOPTION OF MASTER COMPLAINT FOR AN INTERMEDIATE OR BACK-END OPT-OUT CASE Note: This form is for use only by persons who are filing a claim under the Intermediate Opt-Out or Back-End Opt-Out provisions of the Nationwide Class Action Settlement Agreement between American Home Products Corporation (now known as Wyeth) and a class of persons who used Pondimin and/or Redux (the "Settlement"). Persons claiming that these products caused Primary Pulmonary Hypertension ("PPH"), and/or persons who exercised an "Initial Opt-Out" from the Settlement, should use the Adoption of Master Complaint form for such claims, which is available on the Court's website (www.lasuperiorcourt.org/dietdrug).
1

Attorneys for Plaintiff(s)

SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF LOS ANGELES ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No. COMPLAINT FOR DAMAGES NOTICE RE: DIET DRUG LITIGATION COORDINATION NOTICE RE: ADOPTION OF MASTER COMPLAINT FOR AN INTERMEDIATE OR BACK-END OPT-OUT CASE1

Plaintiff(s), v.

Defendant(s).

PLAINTIFF(S) COMPLAIN(S) OF THE DEFENDANTS AND EACH OF THEM AS FOLLOWS:

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1.

Plaintiff(s) refers to and incorporates herein by reference the Amended Master Complaint

filed IN RE: DIET DRUGS LITIGATION, JCCP 4032, as though fully set forth herein. Plaintiff(s) adopts the Amended Master Complaint and agrees to be bound by any rulings with respect to the pleadings. Plaintiff is a resident of the State of California, County of ________________. 2. Plaintiff(s) brings this action in the following capacities:

_____ Plaintiff________________________________________ is an individual who sustained personal injuries and damages as a result of consumption of _____________ (Pondimin and/or Redux). Based on an echocardiogram, plaintiff was diagnosed as suffering from the following injuries (general description): __________________________________________________________________. A copy of the report from the echocardiogram is attached. _____ Plaintiff ________________________________________ is the spouse of ______________________________________ who sustained personal injuries and damages as a result of consumption of the subject diet drugs. _____ Other__________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 3. Plaintiff brings this action as: ____ ____ an Intermediate Opt-Out ("IOO"). a Back-End Opt-Out ("BEOO").

In so doing, Plaintiff has properly opted-out of the Settlement, and has submitted the requisite Orange Form #___ to the Settlement Trust. A copy of the form is attached. 4. 5. The prescribing physicians(s) was/were ___________________________ . Plaintiff has previously received the following benefits or payments under the Class

Settlement :______________________________________________________. 6. Plaintiff(s)' action is a new Diet Drug case. -2NOTICE RE: ADOPTION OF MASTER COMPLAINT FOR AN INTERMEDIATE OR BACK-END OPT-OUT CASE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

NOTICE IS HEREBY GIVEN that Plaintiff(s) is asserting a claim or claims for damages which generally involve drug products and the component parts thereof, and that, accordingly, this case is eligible for statewide coordination pursuant to C.C.P. §404, et seq. and inclusion in Judicial Council Coordination Proceeding No. 4032, now pending before the Honorable Daniel S. Pratt, Judge Presiding of the Superior Court of the State of California for the County of Los Angeles. Plaintiff(s) does not oppose coordination of this action. NOTICE IS ALSO GIVEN that pursuant to C.C.P. §404.4, and by order of the Coordination Court, this action is ordered stayed, except for proceedings relating to coordination, until such time as the Coordination Court orders otherwise. 7. Because of the injuries Plaintiff(s) sustained, as outlined above, and having properly

opted-out of the Settlement, Plaintiff allege(s) that the Defendants listed below, whose names are checked, are liable to Plaintiff(s) as set forth below: A. _____ Wyeth _____ OTHER: _____ ___________________________________________________________________ _____ ___________________________________________________________________ _____ ___________________________________________________________________ B. NON-PHARMACEUTICAL COMPANY DEFENDANTS: PHARMACEUTICAL COMPANY DEFENDANTS:

_____ Diet Centers:________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ _____ Physicians:__________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ _____ Other:______________________________________________________________ ___________________________________________________________________ -3NOTICE RE: ADOPTION OF MASTER COMPLAINT FOR AN INTERMEDIATE OR BACK-END OPT-OUT CASE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
2

___________________________________________________________________ 8. As to each cause of action checked below, Plaintiff(s) sue(s) the above-named Defendant for

the causes of action which are applicable to that defendant, as specified in the Amended Master Complaint (Plaintiff acknowledges that he/she is not asserting any claim for punitive, exemplary, and/or multiple damages): _____ Strict Liability ­ Failure to Warn _____ Negligence _____ Negligence Per Se _____ Breach of Implied Warranty _____ Breach of Express Warranty _____ Deceit by Concealment ­ Cal. Civ. Code §1709-1710 _____ Negligent Misrepresentation _____ Loss of Consortium _____ Medical Negligence2 ­ Health Care Provider Defendants Only _____ Other(s):____________________________________________________________ ___________________________________________________________________

WHEREFORE, PLAINTIFF(S) PRAY(S) FOR JUDGMENT AS FOLLOWS (Any and all recovery is only to the extent that such recovery is permitted by the Settlement. Plaintiff further acknowledges that he/she is not asserting any claim for punitive, exemplary, and/or multiple damages.): _____ For past and future general damages, according to proof. _____ For past and future medical and incidental expenses, according to proof. _____ For past and future loss of earnings and/or earning capacity, according to proof.

27 28

Compliance with C.C.P. §364 remains a condition precedent. -4NOTICE RE: ADOPTION OF MASTER COMPLAINT FOR AN INTERMEDIATE OR BACK-END OPT-OUT CASE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

_____ For prejudgment interest on all damages as is allowed by the laws of the State of California. _____ For past and future mental and emotional distress, according to proof. _____ For past and future loss of consortium, according to proof. _____ For past and future costs of suit incurred herein. _____ For such other and further relief as the Court deems proper.

Dated: _____________________

By: Attorneys for Plaintiff(s)

NOTE: This Adoption Form shall be filed in both the home jurisdiction and the Coordination Court for new cases filed on or after the date of entry of General Order No. 15.

-5NOTICE RE: ADOPTION OF MASTER COMPLAINT FOR AN INTERMEDIATE OR BACK-END OPT-OUT CASE