VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_16-vv-00684
Package ID: USCOURTS-cofc-1_16-vv-00684
Petitioner: Hamid Ahmed
Filed: 2017-04-10
Decided: 2017-12-06
Vaccine: Tdap
Vaccination date: 2015-02-24
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 71262

AI-assisted case summary:
On April 10, 2017, Hamid Ahmed filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging a shoulder injury related to vaccine administration (SIRVA) following a Tetanus Diphtheria and acellular Pertussis (Tdap) vaccination received on February 24, 2015. Mr. Ahmed claimed residual effects lasting more than six months and stated that no prior civil action had been filed on his behalf. The respondent denied that the Tdap vaccine caused the alleged SIRVA or any other injury, and further denied that Mr. Ahmed's current disabilities were a sequela of a vaccine-related injury. Despite the respondent's denials, the parties filed a joint stipulation for damages on April 10, 2017. Chief Special Master Nora Beth Dorsey found the stipulation reasonable and adopted it as the court's decision. Mr. Ahmed was awarded a lump sum of $70,000.00, payable to him, as compensation for all items of damages. Additionally, he was awarded a lump sum of $1,262.37 to reimburse the state of Colorado Medicaid lien, payable jointly to Mr. Ahmed and the Colorado Department of Health Care Policy and Financing, with Mr. Ahmed agreeing to endorse this check to the state. The decision was based on this joint stipulation.

Theory of causation field:
Petitioner Hamid Ahmed alleged a shoulder injury related to vaccine administration (SIRVA) following his February 24, 2015 Tdap vaccination. The respondent denied causation. The parties filed a joint stipulation for damages, which was adopted by Chief Special Master Nora Beth Dorsey. The public decision does not describe the specific theory of causation, medical experts, clinical details of the injury, onset, symptoms, diagnostic tests, or treatments. The award was based on a joint stipulation, totaling $71,262.37 ($70,000.00 lump sum for damages and $1,262.37 for Colorado Medicaid lien reimbursement). The decision date was December 6, 2017. Attorneys for the petitioner were John Robert Howie, Jr. of Howie Law, P.C., and for the respondent was Colleen Clemons Hartley of the U.S. Department of Justice.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_16-vv-00684-0
Date issued/filed: 2017-12-06
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 04/10/2017) regarding 36 DECISION Stipulation/Proffer ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Copy to parties.
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Case 1:16-vv-00684-UNJ Document 45 Filed 12/06/17 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 16-684V
Filed: April 10, 2017
UNPUBLISHED
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
HAMID AHMED, *
*
Petitioner, * Joint Stipulation on Damages;
v. * Tetanus Diphtheria acellular Pertussis;
* Tdap; Shoulder injury; SIRVA;
SECRETARY OF HEALTH * Special Processing Unit (“SPU”)
AND HUMAN SERVICES, *
*
Respondent. *
*
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
John Robert Howie, Jr., Howie Law, P.C., Dallas, TX, for petitioner.
Colleen Clemons Hartley, U.S. Department of Justice, Washington, DC, for respondent.
DECISION ON JOINT STIPULATION1
Dorsey, Chief Special Master:
On June 10, 2016, 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”). Petitioner alleges that he suffered a shoulder injury related to vaccine
administration (“SIRVA”) following receipt of his February 24, 2015 Tetanus Diphtheria
and acellular Pertussis (“Tdap”) vaccination. Petition at 1; Stipulation, filed April 10,
2017, at ¶ 4. Petitioner further alleges that he suffered residual effects of his injury for
more than six months and that there has been no prior award of settlement of a civil
action for damages on his behalf as a result of his condition. Petition at 4-5; Stipulation
at ¶¶ 4-5. “Respondent denies that the Tdap vaccine caused petitioner’s alleged SIRVA
or any other injury and further denies that his current disabilities are a sequela of a
vaccine-related injury. ” Stipulation at ¶ 6.
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 1:16-vv-00684-UNJ Document 45 Filed 12/06/17 Page 2 of 7
Nevertheless, on April 10, 2017, the parties filed the attached joint stipulation,
stating that a decision should be entered awarding compensation. 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 stipulate that petitioner shall receive the following compensation:
• A lump sum of $70,000.00 in the form of a check payable to
petitioner. Stipulation at ¶ 8. This amount represents compensation for
all items of damages that would be available under 42 U.S.C. § 300aa-
15(a). Id.
• A lump sum of $1,262.37, representing reimbursement of the state of
Colorado Medicaid lien, in the form of a check payable jointly to
petitioner and
Colorado Department of Health Care Policy and Financing
1570 Grant Street
Denver, Colorado 80203.
Petitioner agrees to endorse this check to the state of Colorado.
The undersigned approves the requested amount for petitioner’s compensation.
In the absence of a motion for review filed pursuant to RCFC Appendix B, 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

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