VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-00218
Package ID: USCOURTS-cofc-1_15-vv-00218
Petitioner: Tisia Green
Filed: 2015-03-03
Decided: 2017-05-09
Vaccine: influenza
Vaccination date: 2014-10-15
Condition: shoulder injury related to vaccine administration
Outcome: compensated
Award amount USD: 30847

AI-assisted case summary:
Tisia Green filed a petition for compensation under the National Vaccine Injury Compensation Program on March 3, 2015. Ms. Green alleged that she developed a shoulder injury related to vaccine administration (SIRVA) as a result of receiving an influenza vaccine on or around October 15, 2014. The respondent denied that the immunization caused her injury. However, the parties reached a settlement. The Special Master adopted the parties' joint stipulation, awarding Ms. Green a total of $30,847. This award included a lump sum payment of $30,000.00 payable to Ms. Green and a lump sum payment of $846.66, representing reimbursement of a Medicaid lien, payable jointly to Ms. Green and the New York State Department of Health. Ms. Green agreed to endorse the check for the Medicaid lien reimbursement to the New York State Department of Health. This total amount represented compensation for all damages available under the program. The decision was issued by Special Master Mindy Michaels Roth on May 9, 2017. The public decision does not describe the specific onset of symptoms, medical examinations, or treatments received by Ms. Green. Petitioner counsel was Milton Ragsdale IV of Ragsdale LLC, and respondent counsel was Camille Collett of the U.S. Department of Justice.

Theory of causation field:
Petitioner Tisia Green alleged a shoulder injury related to vaccine administration (SIRVA) following an influenza vaccination on or around October 15, 2014. Respondent denied causation. The parties reached a joint stipulation for settlement, which was adopted by Special Master Mindy Michaels Roth on May 9, 2017. The stipulation resulted in an award of $30,847, comprising a $30,000 lump sum to the petitioner and $846.66 for a Medicaid lien reimbursement. The specific medical mechanism or expert testimony supporting the petitioner's claim of causation is not detailed in the public decision, as the case was resolved via stipulation. Petitioner was represented by Milton Ragsdale IV, and respondent was represented by Camille Collett.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_15-vv-00218-0
Date issued/filed: 2017-05-09
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 4/14/2017) regarding 41 DECISION Stipulation/Proffer. Signed by Special Master Mindy Michaels Roth. (mw) Copy to parties.
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Case 1:15-vv-00218-UNJ Document 44 Filed 05/09/17 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
(Filed: April 14, 2017)
No. 15-218V
* * * * * * * * * * * * *
TISIA GREEN, * UNPUBLISHED
*
Petitioner, * Decision on Joint Stipulation;
* Shoulder Injury Related to
v. * Vaccine Administration
* (“SIRVA”); Influenza
SECRETARY OF HEALTH * (“Flu”) Vaccine.
AND HUMAN SERVICES, *
*
Respondent. *
*
* * * * * * * * * * * * *
Milton Ragsdale IV, Ragsdale LLC, Birmingham, AL, for petitioner.
Camille Collett, US Department of Justice, Washington, DC, for respondent.
DECISION ON JOINT STIPULATION1
Roth, Special Master:
On March 3, 2015, Tisia Green (“Ms. Green,” or “petitioner”) filed a petition for
compensation under the National Vaccine Injury Compensation Program.2 Petitioner alleges that
she developed a shoulder injury as a result of receiving an influenza vaccination on or around
1 Because this unpublished decision contains a reasoned explanation for the action in this case, I
intend to post this decision on the United States Court of Federal Claims' website, 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 (2012)). In accordance with Vaccine Rule 18(b), a party
has 14 days to identify and move to delete medical or other information, that satisfies the criteria
in 42 U.S.C. § 300aa-12(d)(4)(B). Further, consistent with the rule requirement, a motion for
redaction must include a proposed redacted decision. If, upon review, I agree that the identified
material fits within the requirements of that provision, I will delete such material from public
access.
2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755.
Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent
subparagraph of 42 U.S.C. § 300aa (2012).
1

Case 1:15-vv-00218-UNJ Document 44 Filed 05/09/17 Page 2 of 7
October 15, 2014. See Stipulation, filed April 14, 2017, at ¶¶ 1-4. Respondent denies that the
influenza immunization caused petitioner’s injury. Stipulation at ¶ 6.
Nevertheless, the parties have agreed to settle the case. On April 14, 2017, the parties
filed a joint stipulation agreeing to settle this case and describing the settlement terms.
Respondent agrees to issue the following payments:
 A lump sum of $30,000.00 in the form of a check payable to petitioner,
Tisia Green.
 A lump sum of $846.66, which amount represents reimbursement of a
Medicaid lien, in the form of a check payable jointly to petitioner and
New York State Department of Health
P.O. Box 415874
Boston, MA 02241-5874
Petitioner agrees to endorse this check to New York State Department of Health. This
amount represents compensation for all damages that would be available under § 300aa-15(a).
I adopt the parties’ stipulation attached hereto, and award compensation in the amount
and on the terms set forth therein. The clerk of the court is directed to enter judgment in
accordance with this decision.3
IT IS SO ORDERED.
s/ Mindy Michaels Roth
Mindy Michaels Roth
Special Master
3 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party filing a
notice renouncing the right to seek review.
2

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