VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_16-vv-01008
Package ID: USCOURTS-cofc-1_16-vv-01008
Petitioner: Maiyer Lee
Filed: 2017-05-17
Decided: 2017-12-19
Vaccine: influenza
Vaccination date: 2014-12-23
Condition: Shoulder Injury Related to Vaccine Administration (SIRVA)
Outcome: compensated
Award amount USD: 60000

AI-assisted case summary:
Maiyer Lee filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered a Shoulder Injury Related to Vaccine Administration (SIRVA) as a result of her December 23, 2014 influenza vaccination. She stated that she received the vaccination in the United States and suffered the sequelae of her injury for more than six months. Ms. Lee also represented that she had not received any previous award or settlement for her injury. The respondent, the Secretary of Health and Human Services, denied that the flu vaccine caused Ms. Lee's shoulder injury or any other injury. Despite the denial, the parties filed a joint stipulation on May 16, 2017, agreeing that compensation should be awarded. The Chief Special Master found the stipulation reasonable and adopted it as the decision of the Court. Ms. Lee was awarded a lump sum of $60,000.00 as compensation for all items of damages available under the Vaccine Act. The decision directed the clerk of the court to enter judgment in accordance with the stipulation.

Theory of causation field:
Table

Public staged source text:

================================================================================
DOCUMENT 1: USCOURTS-cofc-1_16-vv-01008-0
Date issued/filed: 2017-12-19
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 05/17/2017) regarding 26 DECISION Stipulation/Proffer ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Service on parties made.
--------------------------------------------------------------------------------
Case 1:16-vv-01008-UNJ Document 35 Filed 12/19/17 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 16-1008V
Filed: May 17, 2017
UNPUBLISHED
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
MAIYER LEE, *
*
Petitioner, * Joint Stipulation on Damages;
v. * Shoulder Injury;
* Influenza (“Flu”) Vaccination;
SECRETARY OF HEALTH * Special Processing Unit (“SPU”)
AND HUMAN SERVICES, *
*
Respondent. *
*
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
Curtis R. Webb, Twin Falls, ID, for petitioner.
Ilene Claire Albala, U.S. Department of Justice, Washington, DC, for respondent.
DECISION ON JOINT STIPULATION1
Dorsey, Chief Special Master:
On August 15, 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 she suffered a Shoulder Injury Related to
Vaccine Administration (“SIRVA”) as a result of her December 23, 2014 influenza (“flu”)
vaccination. Petition at ¶ 3; Stipulation, filed May 16, 2017, at ¶¶ 2, 4. Petitioner further
alleges that she received her vaccination in the United States, and that she suffered the
sequela of her injury for more than six months. Stipulation at ¶¶ 3-4; Petition at ¶¶ 2,
12. Petitioner additionally represents that there has been no previous award received,
or settlement of a civil action for damages on her behalf as a result of her injury.
Stipulation at ¶ 5; Petition at ¶ 18. “Respondent denies that the flu vaccine caused
petitioner’s shoulder injury or any other injury or her current condition.” 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-01008-UNJ Document 35 Filed 12/19/17 Page 2 of 7
Nevertheless, on May 16, 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 $60,000.00 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.
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

Case 1:16-vv-01008-UNJ Document 35 Filed 12/19/17 Page 3 of 7

Case 1:16-vv-01008-UNJ Document 35 Filed 12/19/17 Page 4 of 7

Case 1:16-vv-01008-UNJ Document 35 Filed 12/19/17 Page 5 of 7

Case 1:16-vv-01008-UNJ Document 35 Filed 12/19/17 Page 6 of 7

Case 1:16-vv-01008-UNJ Document 35 Filed 12/19/17 Page 7 of 7