VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_13-vv-00740
Package ID: USCOURTS-cofc-1_13-vv-00740
Petitioner: Ivan Sipos
Filed: 2013-09-25
Decided: 2014-10-24
Vaccine: influenza
Vaccination date: 2010-10-02
Condition: brachial neuritis and/or a similar condition
Outcome: compensated
Award amount USD: 115000

AI-assisted case summary:
Ivan Sipos filed a petition on September 25, 2013, under the National Vaccine Injury Compensation Program, alleging that an influenza vaccination he received on October 2, 2010, caused him to suffer an injection-related shoulder injury, including brachial neuritis, with residual effects lasting more than six months. The respondent denied that the influenza vaccine caused Mr. Sipos's brachial neuritis or any other injury. The parties subsequently filed a joint stipulation on June 19, 2014, agreeing to settle the case. Special Master Thomas L. Gowen reviewed the stipulation, found it reasonable, and adopted it as the decision of the Court. As per the stipulation, Mr. Sipos was awarded a lump sum of $115,000.00, payable to him, representing compensation for all damages available under 42 U.S.C. § 300aa-15(a). The stipulation also noted that the parties would submit to further proceedings for attorneys' fees and costs. The decision was made without admission of liability by the respondent. Petitioner was represented by Christina Ciampolillo of Conway, Homer & Chin-Caplan, P.C., and respondent was represented by Ann Martin of the United States Department of Justice. The public decision does not describe the specific onset of symptoms, medical tests, or treatments.

Theory of causation field:
Petitioner Ivan Sipos alleged that an influenza vaccine administered on October 2, 2010, caused brachial neuritis and/or a similar condition, with residual effects lasting over six months. Respondent denied causation. The parties entered into a joint stipulation on June 19, 2014, to settle the claim. Special Master Gowen adopted the stipulation, awarding petitioner $115,000.00 as a lump sum for all damages under 42 U.S.C. § 300aa-15(a). The stipulation explicitly stated it was not an admission of causation by the respondent. The public text does not detail the specific mechanism of injury, expert testimony, or the Table-specific theory relied upon, other than the general allegation of an injection-related shoulder injury including brachial neuritis.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_13-vv-00740-0
Date issued/filed: 2014-07-16
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 6/20/2014) regarding 21 DECISION Stipulation/Proffer (Signed by Special Master Thomas L. Gowen.)(mpj) Copy to parties.
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Case 1:13-vv-00740-UNJ Document 25 Filed 07/16/14 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 13-740V
Filed: June 20, 2014
* * * * * * * * * * * * * * * * UNPUBLISHED
IVAN SIPOS, *
* Special Master Gowen
Petitioners, *
*
v. * Joint Stipulation on Damages;
* Influenza (Flu) Vaccine; Injection
SECRETARY OF HEALTH * Related Shoulder Injury; Brachial
AND HUMAN SERVICES, * Neuritis.
*
Respondent. *
* * * * * * * * * * * * * * * *
Christina Ciampolillo, Conway, Homer & Chin-Caplan, P.C., Boston, MA, for petitioner.
Ann Martin, United States Department of Justice, Washington, DC, for respondent.
DECISION
1
On September 25, 2013, Ivan Sipos (“petitioner”) filed a petition pursuant to the
National Vaccine Injury Compensation Program.2 42 U.S.C. §§ 300aa-1 to -34 (2006).
Mr. Sipos alleged that he received an influenza (“flu”) vaccination on October 2, 2010,
and that he thereafter suffered from an injection related shoulder injury3 which was
caused in fact by the vaccination. Petition at 1.
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.
3 Petitioner filed an amended petition on October 8, 2013, according to which petitioner’s
alleged “injection related shoulder injury” included brachial neuritis, among other diagnoses.
Amended Petition at 1.
1

Case 1:13-vv-00740-UNJ Document 25 Filed 07/16/14 Page 2 of 7
On June 19, 2014, the parties filed a stipulation in which they agree that a
decision should be entered awarding compensation.
Respondent denies that petitioner’s flu vaccine caused his brachial neuritis or
any other injury. Nevertheless, the parties agree to the joint stipulation, attached hereto
as Appendix A. The undersigned finds the stipulation reasonable and adopts it as the
decision of the Court in awarding damages, on the terms set forth therein.
The parties stipulated that petitioner shall receive the following compensation:
A lump sum of $115,000.00 in the form of a check payable to petitioner.
This amount represents compensation for all damages that would be
available under 42 U.S.C. §300aa-15(a).
Stipulation ¶ 8.
The undersigned approves the requested amount for petitioner’s compensation.
Accordingly, an award should be made consistent with the stipulation.
In the absence of a motion for review filed pursuant to RCFC Appendix B, the
clerk of the court SHALL ENTER JUDGMENT in accordance with the terms of the
parties’ stipulation.4
IT IS SO ORDERED.
s/ Thomas L. Gowen
Thomas L. Gowen
Special Master
4 Pursuant to Vaccine Rule 11(a), entry of judgment is expedited by the parties’ joint filing of
notice renouncing the right to seek review.
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IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
____________________________________
)
IVAN SIPOS, )
)
Petitioner, )
) No. 13-740V
v. ) Special Master Gowen
) ECF
SECRETARY OF HEALTH AND )
HUMAN SERVICES, )
)
Respondent. )
____________________________________)
STIPULATION
The parties hereby stipulate to the following matters:
1. Petitioner, Ivan Sipos, filed a petition for vaccine compensation under the National
Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 to 34 (the “Vaccine Program”).
The petition seeks compensation for injuries allegedly related to petitioner’s receipt of the
influenza vaccine, which is contained in the Vaccine Injury Table (the “Table”), 42 C.F.R. §
100.3(a).
2. Petitioner received an influenza immunization on October 2, 2010.
3. The vaccine was administered within the United States.
4. Petitioner alleges that as a result of the influenza vaccine he suffered brachial neuritis
and/or a similar condition. Petitioner further alleges that he experienced residual effects of his
condition for more than six months.
5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages on his behalf as a result of his injuries.
6. Respondent denies that petitioner’s influenza vaccine caused brachial neuritis, or any
other injury.

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7. Maintaining their above-stated positions, the parties nevertheless now agree that the
issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment reflecting a decision consistent with
the terms of this Stipulation, and after petitioner has filed an election to receive compensation
pursuant to 42 U.S.C. § 300aa-21(a)(1), the Secretary of Health and Human Services will issue
the following vaccine compensation payment:
A lump sum of $115,000.00 in the form of a check payable to petitioner. This
amount represents compensation for all damages that would be available under 42
U.S.C. § 300aa-15(a).
9. As soon as practicable after the entry of judgment on entitlement in this case, and after
petitioner has filed both a proper and timely election to receive compensation pursuant to
42 U.S.C. § 300aa-21(a)(1), and an application, the parties will submit to further proceedings
before the special master to award reasonable attorneys’ fees and costs incurred in proceeding
upon this petition.
10. Petitioner and his attorney represent that compensation to be provided pursuant to
this Stipulation is not for any items or services for which the Program is not primarily liable
under 42 U.S.C. § 300aa-15(g), to the extent that payment has been made or can reasonably be
expected to be made under any State compensation programs, insurance policies, Federal or
State health benefits programs (other than Title XIX of the Social Security Act (42 U.S.C.
§ 1396 et seq.)), or by entities that provide health services on a pre-paid basis.
11. Payment made pursuant to paragraph 8 of this Stipulation and any amounts awarded
pursuant to paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-
15(i), subject to the availability of sufficient statutory funds.
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12. The parties and their attorneys further agree and stipulate that, except for any award
for attorneys’ fees and litigation costs, and past unreimbursed expenses, the money provided
pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a
strict construction of 42 U.S.C. § 300aa-15(a) and (d), and subject to the conditions of 42 U.S.C.
§ 300aa-15(g) and (h).
13. In return for the payments described in paragraphs 8 and 9, petitioner, in his
individual capacity, and on behalf of his heirs, executors, administrators, successors or assigns,
does forever irrevocably and unconditionally release, acquit and discharge the United States and
the Secretary of Health and Human Services from any and all actions or causes of action
(including agreements, judgments, claims, damages, loss of services, expenses and all demands
of whatever kind or nature) that have been brought, could have been brought, or could be timely
brought in the Court of Federal Claims, under the National Vaccine Injury Compensation
Program, 42 U.S.C. § 300aa-10 et seq., on account of, or in any way growing out of, any and all
known or unknown, suspected or unsuspected personal injuries to or death of petitioner resulting
from, or alleged to have resulted from, the influenza vaccination administered on October 2,
2010, as alleged by petitioner in a petition for vaccine compensation filed on or about September
25, 2013, in the United States Court of Federal Claims as petition No. 13-740V.
14. If petitioner should die prior to entry of judgment, this agreement shall be voidable
upon proper notice to the Court on behalf of either or both of the parties.
15. If the special master fails to issue a decision in complete conformity with the terms
of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a
decision that is in complete conformity with the terms of this Stipulation, then the parties’
settlement and this Stipulation shall be voidable at the sole discretion of either party.
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16. This Stipulation expresses a full and complete negotiated settlement of liability and
damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except
as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the
parties hereto to make any payment or to do any act or thing other than is herein expressly stated
and clearly agreed to. The parties further agree and understand that the award described in this
Stipulation may reflect a compromise of the parties’ respective positions as to liability and/or
amount of damages, and further, that a change in the nature of the injury or condition or in the
items of compensation sought, is not grounds to modify or revise this agreement.
17. This Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services that the influenza vaccine caused petitioner to develop
brachial neuritis, or any other injury.
18. All rights and obligations of petitioner hereunder shall apply equally to petitioner’s
heirs, executors, administrators, successors, and/or assigns.
END OF STIPULATION
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