VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_15-vv-01400
Package ID: USCOURTS-cofc-1_15-vv-01400
Petitioner: Deborah Vanderpool
Filed: 2015-11-19
Decided: 2016-11-04
Vaccine: influenza
Vaccination date: 2014-12-01
Condition: shoulder injury related to vaccine administration
Outcome: compensated
Award amount USD: 104801

AI-assisted case summary:
Deborah Vanderpool filed a petition for compensation under the National Vaccine Injury Compensation Program on November 19, 2015, alleging she received an influenza vaccination on December 1, 2014, and subsequently suffered a shoulder injury related to vaccine administration (SIRVA). The respondent conceded entitlement, finding that petitioner's injury was consistent with SIRVA, caused by the flu vaccination, and that no other causes were identified. The respondent also confirmed that the statutory six-month sequela requirement was satisfied. Based on this concession and the evidence, the court issued a ruling on entitlement. Subsequently, on September 9, 2016, the respondent filed a proffer on award of compensation, proposing an award of $104,801.21, which the petitioner agreed to. The court awarded this amount, consisting of $4,801.21 for a Medicaid lien reimbursement and $100,000.00 as a lump sum for all other elements of compensation.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_15-vv-01400-0
Date issued/filed: 2016-05-06
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 02/17/2016) regarding 13 Ruling on Entitlement ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Copy to parties.
--------------------------------------------------------------------------------
Case 1:15-vv-01400-UNJ Document 20 Filed 05/06/16 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 15-1400V
Filed: February 17, 2016
Unpublished
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
DEBORAH VANDERPOOL, *
*
Petitioner, * Ruling on Entitlement; Concession;
* Influenza (“flu”) Vaccine; Shoulder Injury
* Related to Vaccine Administration
SECRETARY OF HEALTH * (“SIRVA”); Special Processing Unit
AND HUMAN SERVICES, * (“SPU”)
*
Respondent. *
*
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
Anne Toale, Maglio Christopher and Toale, Sarasota, FL, for petitioner.
Ryan Pyles, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
Dorsey, Chief Special Master:
On November 19, 2015, Deborah Vanderpool (“petitioner”) filed a petition for
compensation under the National Vaccine Injury Compensation Program, 42 U.S.C.
§300aa-10, et seq.,2 (the “Vaccine Act” or “Program”). Petitioner alleges that she
received an influenza (“flu”) vaccination on December 1, 2014, and thereafter suffered
from a shoulder injury related to vaccine administration (“SIRVA”). See generally
Petition. The case was assigned to the Special Processing Unit (“SPU”) of the Office of
Special Masters.
On February 17, 2016, respondent filed her Rule 4(c) report in which she
concedes that petitioner is entitled to compensation in this case. Rule 4(c) Rep. at 1.
Specifically, respondent concluded, after reviewing the petition and medical records in
this case, “that petitioner’s alleged injury is consistent with SIRVA; that a preponderance
of evidence establishes that her SIRVA was caused-in-fact by the flu vaccination she
1 Because this unpublished ruling contains a reasoned explanation for the action in this case, the
undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with
the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012)(Federal Management and Promotion of
Electronic Government Services). In accordance with Vaccine Rule 18(b), petitioner has 14 days to
identify and move to redact medical or other information, the disclosure of which would constitute an
unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits
within this definition, the undersigned will redact 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).

Case 1:15-vv-01400-UNJ Document 20 Filed 05/06/16 Page 2 of 2
received on December 1, 2014; and that no other causes for petitioner’s SIRVA were
identified.” Id. at 5. Respondent further stated “given that petitioner was seen for PT as
of December 8, 2015, the statutory six month sequela requirement has been satisfied.”
Id. “Therefore, based on the current record, petitioner has satisfied all legal
prerequisites for compensation under the Act.” Id.
In view of respondent’s concession and the evidence contained in the
record, the undersigned finds that petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Nora Beth Dorsey
Nora Beth Dorsey
Chief Special Master
2

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DOCUMENT 2: USCOURTS-cofc-1_15-vv-01400-1
Date issued/filed: 2016-11-04
Pages: 4
Docket text: PUBLIC DECISION (Originally filed: 09/09/2016) regarding 31 DECISION Stipulation/Proffer ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Copy to parties.
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Case 1:15-vv-01400-UNJ Document 37 Filed 11/04/16 Page 1 of 4
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 15-1400V
Filed: September 9, 2016
Unpublished
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
DEBORAH VANDERPOOL, *
*
Petitioner, * Damages Decision Based on Proffer;
v. * Influenza (“flu”) Vaccine; Shoulder Injury
* Related to Vaccine Administration
SECRETARY OF HEALTH * (“SIRVA”); Special Processing Unit
AND HUMAN SERVICES, * (“SPU”)
*
Respondent. *
*
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
Danielle Strait, Maglio Christopher and Toale, Sarasota, FL, for petitioner.
Ryan Pyles, U.S. Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
Dorsey, Chief Special Master:
On November 19, 2015, petitioner filed a petition for compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.,2 (the
“Vaccine Act” or “Program”). Petitioner alleged that she received an influenza (“flu”)
vaccination on December 1, 2014, and thereafter suffered from a shoulder injury related
to vaccine administration (“SIRVA”). The case was assigned to the Special Processing
Unit (“SPU”) of the Office of Special Masters.
On February 17, 2016, the undersigned issued a ruling on entitlement finding
petitioner entitled to compensation for a SIRVA. On September 9, 2016, respondent
filed a proffer on award of compensation (“Proffer”) indicating petitioner should be
awarded $104,801.21. Proffer at 1. In the Proffer, respondent represented that
1 Because this unpublished decision contains a reasoned explanation for the action in this case, the
undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with
the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of
Electronic Government Services). In accordance with Vaccine Rule 18(b), petitioner has 14 days to
identify and move to redact medical or other information, the disclosure of which would constitute an
unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits
within this definition, the undersigned will redact 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).

Case 1:15-vv-01400-UNJ Document 37 Filed 11/04/16 Page 2 of 4
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 the following compensation:
(a) A lump sum of $4,801.21, which amount represents reimbursement of a
State of Washington Medicaid lien, in the form of a check payable jointly
to petitioner and
Coordinated Care
5615 High Point Drive, Suite 100
Irving, TX 75038
Petitioner agrees to endorse this payment to Coordinated Care; and
(b) A lump sum of $100,000.00 in the form of a check payable to petitioner.
This amount and the amount listed in paragraph (a) above represents
compensation for all elements of compensation under § 300aa-15(a) to which
petitioner is entitled.
The clerk of the court is directed to enter judgment in accordance with this
decision.3
IT IS SO ORDERED.
s/Nora Beth Dorsey
Nora Beth Dorsey
Chief Special Master
3 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by the parties’ joint filing of notice
renouncing the right to seek review.
2

Case 1:15-vv-01400-UNJ Document 37 Filed 11/04/16 Page 3 of 4
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
DEBORAH VANDERPOOL,
Petitioner,
v. No. 15-1400V
Chief Special Master Nora Beth Dorsey
SECRETARY OF HEALTH AND ECF
HUMAN SERVICES,
Respondent.
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On February 17, 2016, respondent filed her Rule 4(c) Report, in which she recommended
that the Court find petitioner entitled to compensation, and on the same date, the Court entered
its Ruling on Entitlement, finding petitioner entitled to compensation. Respondent now proffers
that petitioner receive an award of compensation as follows:
a. A lump sum of $4,801.21, which amount represents reimbursement of a State of
Washington Medicaid lien, in the form of a check payable jointly to petitioner and
Coordinated Care
5615 High Point Drive, Suite 100
Irving, TX 75038.
Petitioner agrees to endorse this payment to Coordinated Care; and
b. A lump sum of $100,000.00 in the form of a check payable to petitioner. This amount
and the amount listed in paragraph (a) above represents compensation for all elements of
compensation under 42 U.S.C. § 300aa-15(a) to which petitioner is entitled.1
Petitioner agrees with the proffered award of $104,801.21.2
1 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court
for appropriate relief. In particular, respondent would oppose any award for future medical
expenses, future pain and suffering, and future lost wages.
1

Case 1:15-vv-01400-UNJ Document 37 Filed 11/04/16 Page 4 of 4
Respectfully submitted,
BENJAMIN C. MIZER
Principal Deputy Assistant Attorney General
C. SALVATORE D’ALESSIO
Acting Director
Torts Branch, Civil Division
CATHARINE E. REEVES
Acting Deputy Director
Torts Branch, Civil Division
VORIS E. JOHNSON, JR.
Senior Trial Attorney
Torts Branch, Civil Division
s/ RYAN D. PYLES
RYAN D. PYLES
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, DC 20044-0146
Tel: (202) 616-9847
Dated: September 9, 2016
2 This proffer does not include any award for attorneys’ fees and costs that may be awarded
pursuant to 42 U.S.C. § 300aa-15(e).
2