VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_13-vv-00373
Package ID: USCOURTS-cofc-1_13-vv-00373
Petitioner: Katherine Brooks
Filed: 2014-11-12
Decided: 2014-12-04
Vaccine: influenza
Vaccination date: 2013-09-01
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 92086

AI-assisted case summary:
Katherine Brooks filed a petition for compensation on November 12, 2014, alleging she suffered a left shoulder injury as a result of receiving an influenza vaccine on September 1, 2013. The respondent, the Secretary of Health and Human Services, filed a report conceding that Ms. Brooks was entitled to compensation and that her injury was consistent with shoulder injury related to vaccine administration (SIRVA). Subsequently, the respondent filed a Proffer on Award of Compensation, which Ms. Brooks agreed to. Based on the record, Special Master Nora Beth Dorsey awarded Ms. Brooks a lump sum payment of $92,086.36. This amount was stated to account for all elements of compensation. The decision noted that Ms. Brooks is a competent adult and does not require guardianship. Judgment was to be entered accordingly. Petitioner counsel was John Charles Theisen. Respondent counsel was Gordon Elliot Shemin.

Theory of causation field:
Petitioner Katherine Brooks alleged a left shoulder injury after receiving an influenza vaccine on September 1, 2013. Respondent conceded entitlement to compensation, agreeing the injury was consistent with shoulder injury related to vaccine administration (SIRVA). The case proceeded on a proffer for award of compensation. Special Master Nora Beth Dorsey awarded a lump sum of $92,086.36, accounting for all elements of compensation. Petitioner counsel was John Charles Theisen, and respondent counsel was Gordon Elliot Shemin. The theory of causation is based on the Vaccine Injury Table (SIRVA).

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_13-vv-00373-0
Date issued/filed: 2014-12-04
Pages: 2
Docket text: PUBLIC DECISION (Originally filed: 11/12/2014) regarding 27 DECISION Stipulation/Proffer, Signed by Special Master Nora Beth Dorsey. (tlj) Copy to parties.
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Case 1:13-vv-00373-UNJ Document 30 Filed 12/04/14 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 13-373V
Filed: November 12, 2014
* * * * * * * * * * * * * * *
KATHERINE BROOKS, * UNPUBLISHED
* Special Master Dorsey
Petitioner, *
*
v. *
* Decision on Proffer; Damages;
SECRETARY OF HEALTH * Influenza (Flu) Vaccine; Shoulder
AND HUMAN SERVICES, * Injury Related to Vaccine
* Administration (SIRVA)
Respondent. *
*
* * * * * * * * * * * * * * *
John Charles Theisen, Theisen, Bowers & Associates, Fort Wayne, IN, for petitioner.
Gordon Elliot Shemin, United States Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
On June 3, 2013, Katherine Brooks (“petitioner”) filed a petition for compensation
pursuant to the National Vaccine Injury Compensation Program.2 42 U.S.C. §§ 300aa-1 to -34
(2006). Petitioner alleged that she developed a left shoulder injury as a result of receiving an
influenza (flu) vaccine on September 1, 2013. See Petition at 1.
On November 13, 2013, respondent filed a report pursuant to Vaccine Rule 4(c)
conceding that petitioner is entitled to compensation in this case. Respondent’s Report at 3-4.
1 Because this decision contains a reasoned explanation for the undersigned’s action in this case,
the undersigned intends to post this ruling on the website of the United States Court of Federal
Claims, in accordance with the E-Government Act of 2002, Pub. L. No. 107-347, § 205, 116
Stat. 2899, 2913 (codified as amended at 44 U.S.C. § 3501 note (2006)). As provided by
Vaccine Rule 18(b), each party has 14 days within which to request redaction “of any
information furnished by that party: (1) that is a trade secret or commercial or financial in
substance and is privileged or confidential; or (2) that includes medical files or similar files, the
disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule
18(b).
2 The National Vaccine Injury Compensation Program is set forth in Part 2 of the National
Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended,
42 U.S.C. §§ 300aa-1 to -34 (2006) (Vaccine Act or the Act). All citations in this decision to
individual sections of the Vaccine Act are to 42 U.S.C.A. § 300aa.

Case 1:13-vv-00373-UNJ Document 30 Filed 12/04/14 Page 2 of 2
Specifically, respondent agreed that the alleged injury was consistent with shoulder injury related
to vaccine administration (“SIRVA”). Id. at 3-4.
On November 10, 2014, respondent filed a Proffer on Award of Compensation
(“Proffer”). In the Proffer, respondent represented that petitioner agrees with the proffered
award. Based on the record as a whole, the undersigned finds that petitioner is entitled to an
award as stated in the Proffer.
Pursuant to the terms stated in the attached Proffer, the undersigned awards petitioner:
A lump sum payment of $92,086.36, in the form of a check payable to petitioner,
Katherine Brooks. Respondent states that petitioner is a competent adult and that
guardianship is not required in this case. This amount accounts for all elements of
compensation under 42 U.S.C. § 300aa-15(a) to which petitioner would be entitled.
Proffer ¶ II.
In the absence of a motion for review filed pursuant to RCFC Appendix B, the clerk of
the court SHALL ENTER JUDGMENT herewith.3
IT IS SO ORDERED.
s/ Nora Beth Dorsey
Nora Beth Dorsey
Special Master
3 Pursuant to Vaccine Rule 11(a), entry of judgment is expedited by the parties’ joint filing of
notice renouncing the right to seek review.
2