{"package_id":"USCOURTS-cofc-1_17-vv-00833","decision_granule_id":"USCOURTS-cofc-1_17-vv-00833-1","petitioner_identifier":"Audrey Rebollo","is_minor":null,"age_at_vaccination":null,"age_unit_raw":"years (no age in source - verified)","vaccine_type":"influenza","vaccination_date":"2015-10-10","condition_raw":"left shoulder injury","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"compensated","award_amount_usd":46417,"decision_date":"2018-09-05","extraction_version":"gemini-v2","extracted_at":"2026-04-30T00:50:54.153370+00:00","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":null,"theory_of_causation":"Table","is_death":0,"date_of_death":null,"petition_filed_date":"2017-06-20","case_summary":"Audrey Rebollo filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging she suffered a left shoulder injury following her October 10, 2015 influenza vaccination. The respondent conceded that her injury was consistent with a shoulder injury related to vaccine administration (SIRVA) and that there was no other identified cause for her condition. The medical records indicated she suffered residual effects for more than six months, satisfying the legal prerequisites for compensation. A ruling on entitlement was issued on April 27, 2018, finding her entitled to compensation. Subsequently, on September 5, 2018, a decision awarding damages was issued based on a proffer agreement between the parties. Respondent proffered an award of $45,000.00 for pain and suffering and $1,417.08 for past unreimbursable expenses, totaling $46,417.08. Petitioner agreed with this award, and the Chief Special Master granted the lump sum payment. The case proceeded as a Table injury claim, and the respondent conceded entitlement.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Nora Beth Dorsey","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Shealene Priscilla Wasserman","petitioner_attorney_firm":"Muller Brazil, LLP","petitioner_attorney_location":"Dresher, PA","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|shealene-wasserman|","firm_canonical_key":"muller-brazil","package_title":"REBOLLO v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-00833","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-00833.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-00833.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_17-vv-00833-0","title":"REBOLLO v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC ORDER/RULING (Originally filed: 04/27/2018) regarding 23 Ruling on Entitlement ( Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.","date_issued":"2018-08-29","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_17-vv-00833/granules/USCOURTS-cofc-1_17-vv-00833-0/pdf","pdf_bytes":129800,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'ruling on entitlement'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_17-vv-00833/USCOURTS-cofc-1_17-vv-00833-0"},{"granule_id":"USCOURTS-cofc-1_17-vv-00833-1","title":"REBOLLO v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 05/04/2018) regarding 26 DECISION Stipulation/Proffer ( Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.","date_issued":"2018-09-05","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_17-vv-00833/granules/USCOURTS-cofc-1_17-vv-00833-1/pdf","pdf_bytes":238586,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'stipulation'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_17-vv-00833/USCOURTS-cofc-1_17-vv-00833-1"},{"granule_id":"USCOURTS-cofc-1_17-vv-00833-2","title":"REBOLLO v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 10/29/2018) regarding 34 DECISION of Special Master - Fees (Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.","date_issued":"2018-12-12","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}