VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_17-vv-01925
Package ID: USCOURTS-cofc-1_17-vv-01925
Petitioner: Sandra Williams
Filed: 2017-12-11
Decided: 2019-11-15
Vaccine: influenza
Vaccination date: 2015-11-23
Condition: Shoulder Injury Related to Vaccine Administration (SIRVA)
Outcome: compensated
Award amount USD: 30000

AI-assisted case summary:
Sandra Williams filed a petition on December 11, 2017, alleging that an influenza vaccine administered on November 23, 2015, caused her to suffer a Shoulder Injury Related to Vaccine Administration (SIRVA). The respondent, the Secretary of Health and Human Services, denied that the vaccine caused the injury. On October 17, 2019, the parties filed a stipulation recommending an award of compensation. Special Master Nora Beth Dorsey found the stipulation reasonable and adopted it as the decision of the Court. Petitioner was awarded a lump sum of $30,000.00, payable to petitioner, as compensation for all damages. The case was decided based on this stipulation, and judgment was entered accordingly. The public decision does not describe the petitioner's counsel, respondent's counsel, specific clinical details of the injury, onset, symptoms, diagnostic tests, treatments, or expert witnesses. The decision was issued by Special Master Nora Beth Dorsey.

Theory of causation field:
Petitioner Sandra Williams alleged that an influenza vaccine administered on November 23, 2015, caused a Shoulder Injury Related to Vaccine Administration (SIRVA). The respondent denied causation. The parties reached a stipulation for compensation, which the Special Master adopted. Petitioner was awarded $30,000.00. The theory of causation was based on the Vaccine Injury Table. The public decision does not name experts or describe the specific mechanism of injury. The decision was issued by Special Master Nora Beth Dorsey on November 15, 2019, based on a stipulation filed October 17, 2019. Petitioner's counsel was AnnMarie N. Sayad of Zgheib Sayad, P.C., and respondent's counsel was Linda S. Renzi of the U.S. Department of Justice.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_17-vv-01925-0
Date issued/filed: 2019-11-15
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 10/18/2019) regarding 41 DECISION Stipulation. Signed by Special Master Nora Beth Dorsey. (mjf) Service on parties made.
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Case 1:17-vv-01925-UNJ Document 46 Filed 11/15/19 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
Filed: October 18, 2019
* * * * * * * * * * * * * * * * * * *
SANDRA WILLIAMS, * UNPUBLISHED
*
*
Petitioner, * No. 17-1925
*
v. * Special Master Dorsey
*
SECRETARY OF HEALTH * Decision Based on Stipulation;
AND HUMAN SERVICES, * Influenza (Flu) Vaccine; Shoulder
* Injury Related to Vaccine
Respondent. * Administration (SIRVA)
*
* * * * * * * * * * * * * * * * * * *
AnnMarie N. Sayad, Zgheib Sayad, P.C., White Plains, NY, for petitioner.
Linda S. Renzi, US Department of Justice, Washington, DC, for respondent.
DECISION BASED ON STIPULATION1
On December 11, 2017, Sandra Williams (“petitioner”) filed a petition in the National
Vaccine Injury Compensation Program.2 Petitioner alleged that as a result of an influenza (“flu”)
vaccine administered to her on November 23, 2015, petitioner suffered from a Shoulder Injury
Related to Vaccine Administration (“SIRVA”). Petition at 1.
1 Because this Decision contains a reasoned explanation for the action in this case, the
undersigned is 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, the undersigned
agrees that the identified material fits within this definition, the undersigned will redact such
material from public access.
2 The National Vaccine Injury Compensation Program is set forth in Part 2 of the
National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as
amended, 42 U.S.C. §§ 300aa-1 to -34 (2012) (“Vaccine Act” or “the Act”). All citations in this
decision to individual sections of the Vaccine Act are to 42 U.S.C. § 300aa.
1

Case 1:17-vv-01925-UNJ Document 46 Filed 11/15/19 Page 2 of 7
On October 17, 2019, the parties filed a stipulation recommending an award of
compensation to petitioner. Stipulation (ECF No. 40). Respondent denies that the flu vaccine
caused petitioner to suffer a SIRVA or any other injury. Nevertheless, the parties agree to the
joint stipulation, attached hereto as Appendix A. 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:
(1) A lump sum of $30,000.00 in the form of a check payable to petitioner.
This amount represents compensation for all damages that would be available under 42
U.S.C. § 300aa-15(a). Stipulation at ¶ 8.
The undersigned approves the requested amount for petitioners’ compensation.
Accordingly, an award should be made consistent with the stipulation.
In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of
Court SHALL ENTER JUDGMENT in accordance with the terms of the parties’ stipulation.3
IT IS SO ORDERED.
s/Nora B. Dorsey
Nora B. Dorsey
Special Master
3 Pursuant to Vaccine Rule 11(a), entry of judgment is expedited by the parties’ joint
filing of notice renouncing the right to seek review.
2

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