VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-01777
Package ID: USCOURTS-cofc-1_17-vv-01777
Petitioner: Jackie Ratliff
Filed: 2017-11-13
Decided: 2020-06-29
Vaccine: influenza
Vaccination date: 2014-11-20
Condition: Shoulder Injury Related to Vaccine Administration (SIRVA)
Outcome: compensated
Award amount USD: 80796

AI-assisted case summary:
Jackie Ratliff filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered a right arm injury, specifically Shoulder Injury Related to Vaccine Administration (SIRVA), caused by an influenza vaccine she received on November 20, 2014. Respondent denied that petitioner sustained a SIRVA Table injury or that the vaccine caused her alleged shoulder injuries. Despite these denials, the parties reached a joint stipulation for settlement. The court adopted the stipulation as its decision, awarding Jackie Ratliff a total of $80,796.24. This amount included a lump sum of $80,750.00 payable to the petitioner and $46.24 to satisfy a Medicaid lien from the state of Illinois, which the petitioner agreed to endorse to the state. The case proceeded as a Table claim, and the stipulation resolved issues of liability and damages, except for potential future attorneys' fees and costs.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_17-vv-01777-0
Date issued/filed: 2020-06-29
Pages: 8
Docket text: PUBLIC DECISION (Originally filed: 05/26/2020) regarding 55 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 1 of 8
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 17-1777V
UNPUBLISHED
JACKIE RATLIFF, Chief Special Master Corcoran
Petitioner, Filed: May 26, 2020
v.
SECRETARY OF HEALTH AND Special Processing Unit (SPU); Joint
HUMAN SERVICES, Stipulation on Damages; Influenza
(Flu) Vaccine; Shoulder Injury
Respondent. Related to Vaccine Administration
(SIRVA)
Amy A. Senerth, Muller Brazil, LLP, Dresher, PA, for petitioner.
Colleen Clemons Hartley, U.S. Department of Justice, Washington, DC, for respondent.
DECISION ON JOINT STIPULATION1
On November 13, 2017, Jackie Ratliff 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 right arm injuries which were
caused-in-fact by the influenza vaccine she received on November 20, 2014. Petition at
1, ¶¶ 2, 17; Stipulation, filed May 26, 2020, at ¶¶ 1-2, 4. Petitioner further alleges that
she received the vaccination in the United States, that she suffered the residual effects
of her injuries for more than six months, and that neither she nor any other party has
filed a civil action or received compensation for her injuries, alleged as vaccine caused.
Petition at ¶¶ 17-19; Stipulation at ¶¶ 3-5. “Respondent denies that petitioner sustained
a SIRVA Table injury, denies that the vaccine caused petitioner’s alleged shoulder
injuries, or any other injury; and denies that her current condition is a sequelae of a
vaccine-related injury.” Stipulation at ¶ 6.
1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am
required 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). This means the decision will be available to anyone with access
to the internet. 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, I agree that the identified material fits within this definition, I 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 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 2 of 8
Nevertheless, on May 26, 2020, the parties filed the attached joint stipulation,
stating that a decision should be entered awarding compensation. I find the stipulation
reasonable and adopt it as my decision awarding damages, on the terms set forth
therein.
Pursuant to the terms stated in the attached Stipulation, I award $80,796.24 as
follows:
1. A lump sum payment of $80,750.00 in the form of a check payable
to Petitioner; and
2. A lump sum payment of $46.24, representing compensation for full
satisfaction of the Medicaid payments made on behalf of Petitioner by the state
of Illinois in the form of a check payable jointly to Petitioner and
Equian, LLC
Member: Jackie Ratliff
File No.: 40022395
P.O. Box 32100
Louisville, KY 40232
Petitioner agrees to endorse this check to the state of Illinois.
I approve 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/Brian H. Corcoran
Brian H. Corcoran
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 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 3 of 8
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
JACKIE RATLIFF,
)
)
Petitioner,
) No. 17-1777V
V.
) Chief Special Master Corcoran
ECF
SECRETARY OF HEALTH AND HUMAN )
SERVICES, ~
_______________
Respondent. )
)
STIPULATION
The parties hereby stipulate to the following matters:
1. Jackie Ratliff, petitioner, filed a petition for vaccine compensation under the National
Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10 et seq. (the "Vaccine Program").
The petition seeks compensation for injuries related to petitioner's receipt of the influenza ("flu")
vaccine, which vaccine is contained in the Vaccine Injury Table (the "Table"), 42 C.F.R. §
100.3(a).
2. Petitioner received the flu vaccination on November 20, 2014.
3. The vaccine was administered within the United States.
4. Petitioner alleges that she sustained a Shoulder Injury Related to Vaccine
Administration ("SIRVA") within the time period set forth in the Table, or in the alternative, that
her shoulder injury was caused by the vaccine. She further alleges that she experienced the residual
effects of this condition for more than six months.
5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages on her behalf as a result of her condition.
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Case 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 4 of 8
6. Respondent denies that petitioner sustained a SIRVA Table injury; denies that the
vaccine caused petitioner's alleged shoulder injuries, or any other injury; and denies that her
current condition is a sequelae of a vaccine-related injury.
7. Maintaining their above-stated positions, the parties nevertheless now agree that the
issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment reflecting a decision consistent with
the terms of this Stipulation, and after petitioner has filed an election to receive compensation
pursuant to 42 U.S.C. § 300aa-21(a)(l), the Secretary of Health and Human Services will issue the
following vaccine compensation payments:
a. A lump swn of $46.24 representing reimbursement of the state of Illinois
Medicaid lien, in the form of a check payable jointly to petitioner and
Equian, LLC
Member: Jackie Ratliff
File No.: 40022395
P.O. Box 32100
Louisville, Kentucky 40232.
This lump sum represents full satisfaction of any right of subrogation, assignment, claim, lien, or
cause of action the state of Illinois may have against any individual as a result of any Medicaid
payments the state of Illinois has made to or on behalf of petitioner from the date of her eligibility
for benefits through the date of judgment in this case as a result of her alleged vaccine-related
injury suffered on or about November 20, 2014, under Title XIX of the Social Security Act.
Petitioner agrees to endorse this check to the state of Illinois.
b. A lump sum of $80,750.00, which amount represents compensation for all
remaining damages that would be available under 42 U.S.C. § 300aa-15(a), in the
form of a check payable to petitioner.
2

Case 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 5 of 8
9. As soon as practicable after the entry of judgment on entitlement in this case, and after
petitioner has filed both a proper and timely election to receive compensation pursuant to 42 U.S.C.
§ 300aa-21(a)(l), and an application, the parties will submit to further proceedings before the
special master to award reasonable attorneys' fees and costs incurred in proceeding upon this
petition.
I 0. Petitioner and her attorney represent that compensation to be provided pursuant to this
Stipulation is not for any items or services for which the Program is not primarily liable under 42
U.S.C. § 300aa-15(g), to the extent that payment has been made or can reasonably be expected to
be made under any State compensation programs, insurance policies, Federal or State health
benefits programs (other than Title XIX of the Social Security Act (42 U.S.C. § 1396 et seq.)), or
by entities that provide health services on a pre-paid basis.
11. Payment made pursuant to paragraph 8 and any amounts awarded pursuant to
paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-15(i), subject
to the availability of sufficient statutory funds.
12. The parties and their attorneys further agree and stipulate that, except for any award
for attorneys' fees and litigation costs, and past unreimbursed expenses, the money provided
pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a
strict construction of 42 U.S.C. § 300aa-15(a) and (d), and subject to the conditions of 42 U.S.C.
§ 300aa-15(g) and (h).
13. In return for the payments described in paragraphs 8 and 9, petitioner, in her individual
capacity, and on behalf of her heirs, executors, administrators, successors or assigns, does forever
irrevocably and unconditionally release, acquit and discharge the United States and the Secretary
of Health and Human Services from any and all actions or causes of action (including agreements,
3

Case 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 6 of 8
judgments, claims, damages, loss of services, expenses and all demands of whatever kind or
nature) that have been brought, could have been brought, or could be timely brought in the Court
of Federal Claims, under the National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-
10 et seq., on account of, or in any way growing out of, any and all known or unknown, suspected
or unsuspected personal injuries to or death of petitioner resulting from, or alleged to have resulted
from, the flu vaccination administered on or around November 20, 2014, as alleged by petitioner
in a petition for vaccine compensation filed on or about November 13, 2017, in the United States
Court of Federal Claims as petition No. 17-1777V.
14. If petitioner should die prior to entry of judgment, this agreement shall be voidable
upon proper notice to the Court on behalf of either or both of the parties.
15. If the special master fails to issue a decision in complete conformity with the terms of
this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a
decision that is in complete conformity with the terms of this Stipulation, then the parties'
settlement and this Stipulation shall be voidable at the sole discretion of either party.
16. This Stipulation expresses a full and complete negotiated settlement of liability and
damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except
as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the
parties hereto to make any payment or to do any act or thing other than is herein expressly stated
and clearly agreed to. The parties further agree and understand that the award described in this
Stipulation may reflect a compromise of the parties' respective positions as to liability and/or
amount of damages, and further, that a change in the nature of the injury or condition or in the
items of compensation sought, is not grounds to modify or revise this agreement.
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Case 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 7 of 8
17. This Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services that the flu vaccine caused petitioner's alleged right
shoulder injury, or any other injury or condition.
18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's
heirs, executors, administrators, successors, and/or assigns.
END OF STIPULATION
5

Case 1:17-vv-01777-UNJ Document 63 Filed 06/29/20 Page 8 of 8
Respectfully submitted,
PETITIONER:
JACKIE RATLIFF
ATTORNEY OF RECORD FOR AUTHORIZED REPRSENTATIVE
PETITIONER: OF THE ATTORNEY GENERAL:
~ [
AMY A. SENERTH, Esq. ~ HARINEE.REEV~
MULLER BRAZIL, LLP Deputy Director
715 Twining Road, Suite 208 Torts Branch
Dresher, PA 19025 Civil Division
(215) 885-1655 U.S. Department of Justice
(215) 885-1655 fax P.O. Box 146
Benjamin Franklin Station
Washington, DC 20044-0146
AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR
OF THE SECRETARY OF HEALTH RESPONDENT:
AND HUMAN SERVICES:
~ ( _ ~
TAMARA OVERBY CO~ E~ ~
Acting Director, Division of Injury Trial Attorney
Compensation Programs (DICP) Torts Branch
Healthcare Systems Bureau Civil Division
Health Resources and Services Administration U.S. Department of Justice
U.S. Department of Health and Human Services P.O. Box 146
5600 Fishers Lane Benjamin Franklin Station
Parklawn Building, Mail Stop 08N146B Washington, DC 20044-0146
Rockville, MD 20857 Tel: (202) 616-3644
/-uia (
Dated: S l-< )
6