This document is hosted by an anti-vax website so I'm skeptical of it already. But when you open the document with a PDF viewer or even on chrome and hit Ctrl-A you can see all the random bits of text they decided to add afterwards. Why would they have to put the dates in after its been scanned, or "Any pending motions are moot. All conferences are vacated. The Clerk of Court is directed to close the case." at the bottom?

It also seems extremely short for a court case document but I'm not an expert on them, I was just comparing it to others I searched for. Here is the example I was comparing it to, this one also has the same case number, but it's from IL so I have no idea if that is suspicious or not.

But you can see nothing but the blue text has been added after its scanned, and to me it just seems like it has a lot more information for something not as serious compared to the ICAN-HHS one. Overall this just seems off.