Dawna Fowler v. KILOLO KIJAKAZI, Acting Commissioner of Social Security

NOT FOR PUBLICATION
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
DAWNA FOWLER,
Plaintiff-Appellant,
v.
KILOLO KIJAKAZI, Acting Commissioner
of Social Security,
Defendant-Appellee.
No. 20-36016
D.C. No. 4:19-cv-05115-EFS
MEMORANDUM*
Appeal from the United States District Court
for the Eastern District of Washington
Edward F. Shea, District Judge, Presiding
Submitted December 6, 2021**
San Francisco, California
Before: WARDLAW, BRESS, and BUMATAY, Circuit Judges.
Dawna Fowler appeals from the district court’s order affirming the
Commissioner of Social Security’s denial of disability insurance benefits. “We
review the district court’s order affirming the ALJ’s denial of social security benefits
* This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
** The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
FILED
DEC 8 2021
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS

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de novo and will disturb the denial of benefits only if the decision contains legal
error or is not supported by substantial evidence.” Lambert v. Saul, 980 F.3d 1266,
1270 (9th Cir. 2020) (quotations omitted). We have jurisdiction under 28 U.S.C.
§ 1291, and we affirm.
1. We reject Fowler’s contention that the Administrative Law Judge
(ALJ) erred at step two of the five-step sequential evaluation process. 20 C.F.R.
§ 404.1520(a)(4)(ii). Substantial evidence supported the ALJ’s determination that
Fowler’s fibromyalgia was not medically determinable. An impairment is medically
determinable if it is “established by objective medical evidence from an acceptable
medical source,” id. § 404.1521, with “objective medical evidence” meaning “signs,
laboratory findings, or both.” Id. § 404.1502(f). Social Security Ruling 12-2P
further requires that fibromyalgia be diagnosed by a licensed physician who explains
how the patient meets a list of criteria. See Ford v. Saul, 950 F.3d 1141, 1155 n.7
(9th Cir. 2020) (“Under the social security rules, a physician may diagnose
fibromyalgia if the patient meets the 1990 or 2010 criteria established by the
American College of Rheumatology (ACR).”). Here, Fowler only presented
treatment notes from a nurse and a nurse practitioner that listed fibromyalgia among
her conditions, without reporting test results or the specified criteria. And Fowler
did not otherwise provide objective medical evidence of fibromyalgia.
Substantial evidence also supported the ALJ’s step two determination that

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some of Fowler’s other conditions were non-severe. Among other evidence,
Fowler’s gastroesophageal reflux disease, sleep apnea, and depression had all
improved after treatment; according to her care provider, Fowler’s myoclonic jerks
were “not affecting the patient’s quality of life”; and Fowler had stopped attending
physical therapy for her shoulder pain. Substantial evidence thus supports the ALJ’s
conclusion that these conditions were not severe. Regardless, any error was
harmless because the ALJ still resolved step two in Fowler’s favor and considered
all medically determinable impairments (severe and non-severe) at the later steps.
See Buck v. Berryhill, 869 F.3d 1040, 1049 (9th Cir. 2017).
2. The ALJ did not err at step three in allegedly neglecting to consider
whether Fowler’s conditions “meet[] or equal[]” Listings 11.02 and 14.09. 20 C.F.R.
§ 404.1520(a)(4)(iii). The “ALJ is not required to discuss the combined effects of a
claimant’s impairments or compare them to any listing in an equivalency
determination, unless the claimant presents evidence in an effort to establish
equivalence.” Burch v. Barnhart, 400 F.3d 676, 683 (9th Cir. 2005). Fowler has
not explained how her conditions satisfy the elements for these two listings.
Regardless, as to Listing 14.09, the ALJ already found Fowler’s fibromyalgia to be
unsupported by objective medical evidence. And as to Listing 11.02, Fowler has not
shown she experienced seizures of the required duration and frequency. See 20
C.F.R. Pt. 404, Subpt. P, App. 1 § 11.02.

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3. The ALJ gave specific, clear, and convincing reasons supported by
substantial evidence for discounting Fowler’s testimony about her symptoms. See
Lambert, 980 F.3d at 1277. The ALJ identified the specific testimony that he found
not supported and explained how Fowler’s exercise routine and other daily activities,
as well as the results of her physical examinations, undermined her testimony about
the severity of her pain. We reject Fowler’s argument that the ALJ erred by
considering her daily activities. “[T]he ALJ may consider inconsistencies either in
the claimant’s testimony or between the testimony and the claimant’s conduct, . . .
and whether the claimant engages in daily activities inconsistent with the alleged
symptoms.” Molina v. Astrue, 674 F.3d 1104, 1112 (9th Cir. 2012) (citation and
quotations omitted).
Furthermore, although Fowler objects that the ALJ made no findings
discounting her mental health allegations, the ALJ in fact assessed the evidence for
these allegations and identified inconsistencies with Fowler’s prior statements, her
medical records, her daily activities, and her favorable response to treatment. Fowler
thus has not demonstrated that the ALJ erred in discounting her testimony.
4. The ALJ did not err by declining to consider a medical record that Fowler
submitted out of time. Under 20 C.F.R. § 404.935(a), claimants must “inform [the
Social Security Administration] about or submit any written evidence, as required in
§ 404.1512, no later than 5 business days before the date of the scheduled hearing.”

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If an applicant does not do so, “the administrative law judge may decline to consider
or obtain the evidence.” Id. Here, the ALJ could conclude that Fowler’s December
4, 2017 letter did not “provide information specific enough to identify the evidence
(source, location, and dates of treatment) and show that the evidence relates to the
individual’s medical condition.” See SSR 17-4P, 2017 WL 4736894 (Oct. 4, 2017).
Given this, the ALJ acted within his authority in declining to admit the record as an
exhibit. See 20 C.F.R. § 404.935(a).
Regardless, any error was harmless. The late report contained only brief,
conclusory statements about Fowler’s conditions and their symptoms; it did not
present any test results or other objective evidence. Thus, there is no basis to
conclude that it would have altered the ALJ’s analysis.
5. Fowler’s claim that the ALJ erred in relying on a vocational expert’s
testimony depends on her contentions that the ALJ erred in evaluating the evidence
described above. Because there was no error, this final argument necessarily fails.
AFFIRMED.

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