Case 3:10-cv-11265-DRH -PMF Document 2 Filed 07/01/10 Page 1 of 18
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS EAST ST. LOUIS DIVISION
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Plaintiff,
INC. (formerly known as Berlex, Inc. and Berlex
Defendants.
Plaintiff, JENNY COCHRAN, (hereafter "Plaintiff"), by her undersigned counsel, hereby
sets forth in this claims for equitable, injunctive, and declaratory relief, and compensatory and
PARTIES AND JURISTICTION
Plaintiff JENNY COCHRAN is citizen and resident of Alabama.
Plaintiff was prescribed and ingested YAZ AND YASMIN. While using YAZ
AND YASMIN, Plaintiff suffered cholecystitis.
Defendant Bayer Schering Pharma AG is a foreign defendant with its principal
place of business in Germany. Defendant Bayer Schering Pharma AG is engaged in the business
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of researching, developing, designing, licensing, manufacturing, distributing, selling, marketing,
and/or introducing into interstate commerce, either directly or indirectly through third parties or
related entities, its products, including the prescription drug YAZ AND YASMIN. At all relevant
times, Defendant Bayer Schering Pharma AG conducted regular and sustained business in
Illinois by selling and distributing its products in Illinois and engaged in substantial commerce
and business activity in Illinois. Pursuant to Case Management Order No. 9 of MDL No. 2100,
Defendant Bayer Healthcare Pharmaceuticals, Inc. may be served with process by and through its
registered agent for service, Eva Gardyan-Eisenlohr, Head of Law & Patents, Bayer Schering Pharma AG, Müllerstrasse 178, D- 13353 Berlin, Germanyvia Certified Mail, Return Receipt Requested.
Defendant Bayer Corporation is an Indiana corporation with its principal place of
business at 100 Bayer Road, Pittsburgh, Pennsylvania 15205. Defendant Bayer Corporation is
engaged in the business of researching, developing, designing, licensing, manufacturing,
distributing, selling, marketing, and/or introducing into interstate commerce, either directly or
indirectly through third parties or related entities, its products, including the prescription drug
YAZ AND YASMIN. At all relevant times, Defendant Bayer Corporation conducted regular and
sustained business in Illinois by selling and distributing its products in Illinois and engaged in
substantial commerce and business activity in Illinois. Bayer Corporation may be served with
process by and through its registered agent for service, Illinois Corporation Service, 801 Adlai Stevenson Dr., Springfield, IL 62703.
Defendant Bayer Healthcare Pharmaceuticals, Inc. is a Delaware corporation, with
its principal place of business at 6 West Belt Road, Wayne, New Jersey 07470. Bayer Healthcare
Pharmaceuticals, Inc. was created by the integration of Bayer Healthcare and Berlex Laboratories.
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Defendant Bayer Healthcare Pharmaceuticals, Inc. is engaged in the business of researching,
developing, designing, licensing, manufacturing, distributing, selling, marketing, and/or
introducing into interstate commerce, either directly or indirectly through third parties or related
entities, its products, including the prescription drug Yaz. At all relevant times, Defendant Bayer
Healthcare Pharmaceuticals, Inc. conducted regular and sustained business in Illinois by selling
and distributing its products in Illinois and engaged in substantial commerce and business activity
in Illinois. Pursuant to Case Management Order No. 9 of MDL No. 2100, Defendant Bayer Healthcare
Pharmaceuticals, Inc. may be served with process by and through its registered agent for service, SOP Department, Corporation Service Company, Suite 400, 2711 Centerville Road, Wilmington, DE 19808 via Certified Mail, Return Receipt Requested.
Defendant Bayer Healthcare, LLC is a Delaware limited liability company, with its
principal place of business at 555 White Plains Road, Tarrytown, New York 10591. Bayer
Healthcare LLC was involved in the integration of Bayer Healthcare and Berlex Laboratories.
Defendant Bayer Healthcare, LLC is engaged in the business of researching, developing,
designing, licensing, manufacturing, distributing, selling, marketing, and/or introducing into state
commerce, either directly or indirectly through third parties or related entities, its products,
including the prescription drug Yaz. At all relevant times, Defendant Bayer Healthcare, LLC
conducted regular and sustained business in Illinois by selling and distributing its products in Illinois and
engaged in substantial commerce and business activity in Illinois. Bayer Healthcare LLC may be
served with process by and through its registered agent for service, Illinois Corporation Service, 801 Adlai Stevenson Dr., Springfield, IL 62703.
Defendants Bayer Schering Pharma, AG, Bayer Corporation, Bayer
Healthcare Pharmaceuticals, Inc., and Bayer Healthcare, LLC are collectible referred to
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herein as "Bayer" or "Defendants."
The court has jurisdiction over this action pursuant to the federal rules on
multidistrict litigation. This action is a products liability action pertaining to Yaz, Yasmin, and
Ocella and therefore is considered under the jurisdiction of MDL 2100, Cause No.: 3:09-md-
012100-DRH-PMF. Pursuant to Case Management Order No. 9 of MDL 2100, Defendants will
FACTUAL BACKGROUND
Plaintiff brings this case against the Defendants for damages associated with
Plaintiff’s ingestion of YAZ AND YASMIN (ethinyl estradiol and drospirenone), an oral
contraceptive designed, manufactured, marketed, and distributed by Defendants.
Bayer's Combined Oral Contraceptive- Yasmin and Yaz
Yasmin and Yaz are birth control pills manufactured and marketed by Bayer. They
are combination oral contraceptives, or "COCs," meaning that they contain an estrogen
component and a progestin component. Together, these steroidal components work
together in COCs to suppress ovulation, fertilization, and implantation and this prevents
Ocella is the generic version of Yasmin.
Yasmin and Yaz were approved by the Food and Drug Administration for
marketing in 2001 and 2006 respectively.
Yasmin and Yaz Contain a “Fourth Generation” Progestin
The estrogen component in Yasmin and Yaz is known generically as ethinyl
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estradiol. The progestin component is known as drospirenone. Yasmin contains 0.03 milligrams
of ethinyl estradiol, and Yaz contains 0.02 milligrams of ethinyl estradiol. Both products contain 3
milligrams of drospirenone, a progestin that is unlike other progestins available in the United
States and was never before marketed in the United States prior to its use in Yasmin. Yasmin and
Yaz are different from other combined hormonal birth control pills in that they contain
Shortly after the introduction of combined oral contraceptives (sometime hereinafter
called "birth control pills" or “the pill”) in the 1960's, doctors and researchers found that women
using birth control pills had a higher risk of blood clots, heart attacks, and strokes than
women not using the pill. As a result, the various brands of birth control pills were
reformulated to reduce the amounts of estrogen. As the amounts of estrogen levels
reduced, so did the risk of blood clots, heart attacks and strokes.
During this time, new progestins were being developed, which became known as
"second generation" progestins (e.g. lovenorgestrel). These second generation progestins, when
combined with the lower amounts of the estrogen, ethinyl estradiol, helped to reduce the risk of
blood clots, heart attacks, and strokes and were considered safer for women.
During the 1990's, new "third generation" progestins were developed.
Unfortunately, these "third generation" progestins (e.g. gestodene and desogestrel) have
been associated with a greater risk of blood clots in the deep veins (deep vein
thrombosis or "DVT") and lungs (pulmonary embolism or "PE"). As a result of this increased
risk of blood clots, the FDA has required that products containing third generation progestins
include a warning of the potentially increased risk of thrombosis.
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Yasmin and Yaz contain the same estrogen component, ethinyl estradiol, that has
been used in the lower dose birth control pills for decades.
However, drospirenone is a new type of progestin and is considered a
"fourth generation" progestin. No other birth control pills contain drospirenone, except for a
recently approved generic version of Yasmin and Yaz marketed under the trade name Ocella.
Since drospirenone is new, there are not decades of data available to support its safe use as there
are with second generation progestins. Studies that were done prior to Federal Drug
Administration ("FDA) approval, however, indicate that drospirenone has certain effects
that are different from those of traditional second generation progestins and potentially more
One possible mechanism of action is that drospixenone causes potassium
levels in the blood, which can lead to a condition known as hyperkalcinia if the potassium levels
Hyperkalemia can cause heart rhythm disturbances, such as extrasystolies or
bradycardia. If left untreated, hyperkaleria can be fatal.
If hyperkalernia disrupts the normal heart rhythms, the flow of blood through the
heart can be slowed to the point that it permits blood clots to form. Blood clots in the
heart can lead to heart attacks or the clots can break off and travel to the lungs where
they can cause a pulmonary embolism or can travel to the brain causing a stroke.
In addition, Yaz, Yasmin, and Ocella have been linked to severe gallbladder
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issues, including but not limited to, gallstones, gallbladder disease and gallbladder removal.
Yaz, Yasmin, and Ocella increase the level of cholesterol in bile, which the gallbladder is
primarily concerned with storing. Once the cholesterol level goes up, the gallbladder’s
storage abilities are slowed down, which can and often does, lead to gallstones and/or more
Indeed, during the brief time that Yasmin and Yaz have been sold in the United
States, hundreds of reports of injury and death have been submitted to the FDA in association
In April 2002, the British medical Journal reported that the Dutch College of
General Practitioners recommended that older second generation birth control pills be
prescribed in lieu of Yasmin as a result of 40 cases of venous thrombosis among women taking
In February 2003, a paper entitled “Thromboeombolism Associated With the New
Contraceptive Yasmin” was published in the British Medical Journal detailing a
Netherlands Pharmacovigilance Centre report of five additional reports of thromboembolism
where Yasmin was suspected as the cause, including two deaths.
In fact, in less than a five-year period, from the first quarter of 2004 through the
third quarter of 2008, over 50 reports of death among users of Yasmin and Yaz have been filed
These reports include deaths associated with cardiac arrhythmia, cardiac
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arrest, intercardiac thrombus, pulmonary embolism, and stroke in women in their child
Some deaths reported occurred in women as young as 17 years old.
Significantly, reports of elevated potassium levels are frequently included
among the symptoms of those suffering death while using Yasmin and Yaz.
In response, on October 3, 2008, the FDA issued another warning letter to
Defendant Bayer for the misleading advertisement, reiterating that the marketing was misleading
because it promoted Yaz for medical conditions beyond the limits of the FDA approval,
and adding that "Yaz has additional risks because it contains the progestin, drospirenone . which
can lead to hyperkalemia in high risk patients, which may result in potentially serious
The FDA further warned in its October 3, 2008 letter that Yaz "does not result in
“completely clear skin”, and that Defendants' TV Ads misleadingly overstate the efficacy of
Indeed, the FDA felt Defendants' over promotion of Yaz and Yasmin was so
severe that it required Bayer to run new TV advertisements to correct the previous misleading
Yaz advertisements regarding acne and premenstrual syndrome.
Bayer ultimately agreed to spend at least $20 million on corrective TV
advertisements and to submit all Yaz advertisements to the FDA for advanced screening for
Plaintiff's Use of YAZ AND YASMIN and Resulting Injuries
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As a result of Defendants' claim regarding the effectiveness and safety of YAZ
AND YASMIN Plaintiff suffered cholecystitis.
As a direct and proximate result of using YAZ AND YASMIN, the
Plaintiff suffered the injuries described above.
Prior to Plaintiff's use of YAZ AND YASMIN, Defendants knew or should
have known that the use of YAZ AND YASMIN created a higher risk of stroke than other Oral
Contraceptives on the market, including by not limited to, second generation oral contraceptives,
and that, when taken as directed, such use was unreasonably dangerous to consumers.
Therefore, at the time Plaintiff used YAZ AND YASMIN, Defendants knew or
should have known that the use of YAZ AND YASMIN created an increased risk to consumers
of serious personal injury, including deep vein thrombosis, pulmonary embolism, heart attacks,
gallbladder injury, stroke, and even death.
Despite the fact that Defendants knew or should have known of the serious health
risks associated with the use of YAZ AND YASMIN, Defendants failed to warn Plaintiff
and/or her health care providers of said serious risk before she used the product.
Had Plaintiff and/or her health care providers known the risks and dangers
associated with YAZ AND YASMIN, she would not have used YAZ AND YASMIN and
As a direct and proximate result of her use of YAZ AND YASMIN, Plaintiff
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As a direct and proximate result of her use of YAZ AND YASMIN, Plaintiff has
suffered and continues to suffer pecuniary losses.
FIRST CAUSE OF ACTION Negligence
Plaintiff hereby adopts and incorporates by reference all preceding paragraphs as
Defendants had a duty to exercise reasonable care in the design, manufacture, sale
and /or distribution of YAZ AND YASMIN into the stream of commerce, including a duty to assure
that its product did not pose a significantly increased risk of bodily harm and adverse events.
Defendants failed to exercise ordinary care in the design, formulation,
manufacture, sale, testing, quality assurance, quality control, labeling, marketing, promotions
and distribution of YAZ AND YASMIN into interstate commerce in that Defendants knew or
should have known that the product caused such significant bodily harm or death and was not
Defendants also failed to exercise ordinary care in the labeling of YAZ AND
YASMIN and failed to issue to consumers and/or their health care providers adequate warning of
the risk of serious bodily injury or death due to the use of YAZ AND YASMIN.
Despite the fact that Defendants knew or should have known that YAZ AND
YASMIN posed a risk of bodily harm to consumers, Defendants continued to manufacture and
market YAZ AND YASMIN for use by consumers.
Defendants knew or should have known that consumers such as Plaintiff would
foreseeably suffer injury as a result of Defendants' failure to exercise ordinary care as described
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As a direct and proximate result of Defendants' negligence, Plaintiff suffered
personal injury, economic and non-economic damages and will continue to suffer such harm,
damages and economic loss in the future.
SECOND CAUSE OF ACTION Negligent Misrepresentation and/or Fraud
Plaintiff hereby adopts and incorporates by reference all preceding paragraphs as if
Defendants are the manufacturers, designers, distributors, sellers or suppliers of
YAZ AND YASMIN and made representations to Plaintiff and her physician regarding the
character or quality of YAZ AND YASMIN for guidance in their decision to select YAZ
Specifically, Defendants represented that their product was just as safe or safer,
and just as effective or more effective, than other birth control products on the market.
Defendants' representations regarding the character or quality of YAZ AND
Defendants had actual knowledge based upon studies, published reports and
clinical experience that its product created an unreasonable risk of serious bodily injury and death
to consumers, or should have known such information.
Defendants negligently and/or intentionally misrepresented or omitted this
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information in its product labeling, promotions and advertisements and instead labeled, promoted
and advertised its product as safer and more effective than other types of oral contraceptives in
order to avoid losses and sustain profits in its sales to consumers.
In supplying the false information, Defendants failed to exercise reasonable
care or competence in obtaining or communicating information to Plaintiff and her physician.
Plaintiff and her physician reasonably relied to Plaintiff's detriment upon
Defendants' representations that YAZ AND YASMIN was safer than other types of
oral contraceptives for human consumption and/or use and that Defendants' labeling,
advertisements and promotions fully described all known risks of the product
As a direct and proximate result of Defendants' negligent and/or intentional
misrepresentations or omissions, Plaintiff has suffered personal injury, economic and non-
economic damages, and will continue to suffer such harm, damages, and economic future.
THIRD CAUSE OF ACTION Strict Products Liability
Plaintiff hereby adopts and incorporates by reference all preceding
Defendants, as manufacturers of pharmaceuticals, had a duty to warn of adverse
drug reactions, which they knew or had reason to know, were inherent in the use of its
Defendants failed to adequately warn Plaintiff, Plaintiff s physicians and the
general public of the risk of YAZ AND YASMIN being used by Plaintiff.
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Defendants failed to adequately warn of dangers inherent with YAZ AND
YASMIN and the Defendants misrepresentations and inadequate disclosures to the Plaintiffs,
physicians, and the general public, made the product unreasonably dangerous for normal use.
YAZ AND YASMIN manufactured and/or supplied by the Defendants was
defective due to inadequate post-marketing warnings and/or instructions because, after the
Defendants knew or should have known of the risks of injury from YAZ AND YASMIN use,
they failed to provide adequate warnings to consumers of the product, including Plaintiff and
continued to aggressively promote YAZ AND YASMIN, causing the Plaintiff to suffer harm.
YAZ AND YASMIN was placed into the stream of commerce by the
Defendants, in a defective and unsafe condition in. that the foreseeable risks of its use exceeded
the benefits associated with the design or formulation.
Defendants knew or should have known at the time of manufacturing YAZ
AND YASMIN that defective in design or formulation and that YAZ AND YASMIN created
a risk of harm to consumers such as Plaintiff and members of the putative class when used in the
way it was intended to be used and in a manner which was reasonably foreseeable by the
Defendants knew or should have known of YAZ AND YASMIN’s defective nature
at the time of its manufacture, but continued to design, manufacture, market, promote, represent
to the consuming public, prescribing doctors, and Plaintiff that YAZ AND YASMIN was safe
for the sole purpose of maximizing sales and profits at the expense of the public health and
safety in conscious disregard of foreseeable harm caused by YAZ AND YASMIN.
FOURTH CAUSE OFACTION
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Breach of Express Warranty
Plaintiff hereby adopts and incorporates by reference all preceding paragraphs as
Defendants made express representations to the consuming public at large through
their aggressive marketing and advertising campaigns relative to their product, YAZ AND YASMIN.
Defendants through their detail sales representatives, made representations of the
safety and efficacy of their product, YAZ AND YASMIN.
YAZ AND YASMIN does not conform to the express representations made
through Defendants' advertising and marketing efforts.
YAZ AND YASMIN does not conform to the express representations made by
Defendants' agents/sales representatives.
Defendants' conduct in this matter was a contributing cause of injuries and
FIFTH CAUSE OF ACTION Breach of Implied Warranty of Fitness for a Particular Purpose
Plaintiff hereby adopts and incorporates by reference all preceding paragraphs
The Defendants impliedly warranted that they would sell and deliver YAZ AND
YASMIN in a condition that was ft for the particular purposes for which it was intended.
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The Defendants knew that the Plaintiff intended to use YAZ AND
YASMIN for the particular purpose of medication and that as such, that the medication needed
Plaintiff relied upon the skill and judgment of the Defendants that YAZ AND
YAZ AND YASMIN was not safe for its intended use in that it was defective and
caused serious side effects and the Defendants therefore breached their implied warranty of fitness
SIXTH CAUSE OF ACTION Breach of Implied Warranty of Merchantability
Plaintiff hereby adopts and incorporates by reference all preceding
paragraphs as if fully set forth herein.
At all times material hereto, the Defendants marketed, sold and distributed YAZ
AND YASMIN and knew and promoted the use for which the aforesaid drug was being
used by Plaintiff and impliedly warranted to Plaintiff and members of the putative class that YAZ
AND YASMIN was of merchantable quality and fit for the ordinary purpose for which it was
Plaintiff reasonably relied on the skill, expertise and judgment of the Defendants
and its representations as to the fact that YAZ AND YASMIN was of merchantable quality.
YAZ AND YASMIN manufactured and supplied by the Defendants was not of
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merchantable quality, as warranted by the Defendants in that the drug had dangerous and
life threatening side effects and was thus not fit for the ordinary purpose for which it was
EQUITABLE TOLLING OF APPLICABLE STATUTES OF LIMIITATION
The running of any statute of limitation has been tolled by reason of the
Defendant's fraudulent conduct. The Defendant, through its affirmative
misrepresentations and omissions, actively concealed from Plaintiffs and Plaintiffs'
prescribing physicians the true associated with taking YAZ AND YASMIN.
As a result of the Defendant's actions; Plaintiffs and Plaintiffs' prescribing
physicians were unaware, and could not reasonably have known or have learned throw reasonable
diligence that Plaintiffs had been exposed to the risks alleged herein and that those risks
were the direct and proximate result of the Defendant's acts and omission.
PRAYER OR RELIEF
WHEREFORE, Plaintiff demands judgment against the Defendants for compensatory
damages and punitive damages together with interest, costs of suit and attorney's fees and
such other relief as the Court deems proper and as follows:
A. Damages in amount to be determined at trial; B. Pre judgment and post-judgment interest at the maximum rate allowable at law;
C. Treble, exemplary, and/or punitive damages in an amount
D. The costs and disbursements incurred by Plaintiffs
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in connection with this action, including reasonable
attorneys' fees as may be allowed by law;
F. Such other and further relief available under all
applicable state or federal law and any relief the Court
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Respectfully submitted: By: ____s/ Adam T. Funk ADAM T. FUNK DAVID P. MATTHEWS MATTHEWS & ASSOCIATES 2905 Sackett St. Houston, TX 77098 (713) 222.8080 (713) 535.7182 fax DMatthews@thematthewslawfirm.com AFunk@thematthewslawfirm.com ATTORNEYS FOR PLAINTIFF
Patient Group Direction For The Supply Of Doxycycline For The Prophylaxis Of Malaria By Nurses Working In Occupational Health And Pharmacists Working Within NHS Grampian Co-ordinators: Consultation Group : Approver: Directorate Signature: Signature: Identifier: Review Date: Date Approved: A Patient Group Direction is a specific written ins