VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00377
Package ID: USCOURTS-cofc-1_18-vv-00377
Petitioner: Jaynee Beaty
Filed: 2018-03-12
Decided: 2019-08-14
Vaccine: Tdap
Vaccination date: 2016-04-02
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 100138

AI-assisted case summary:
Jaynee Beaty, an adult, filed a petition for compensation under the National Vaccine Injury Compensation Program on March 12, 2018. She alleged that she suffered a shoulder injury related to vaccine administration (SIRVA) as a result of a Tdap vaccine she received on April 2, 2016. The case was assigned to the Special Processing Unit. On April 1, 2019, the respondent filed a Rule 4(c) report conceding that Ms. Beaty was entitled to compensation. The respondent determined that her medical course was consistent with SIRVA as defined by the Vaccine Injury Table, that she suffered residual effects for more than six months, and that she satisfied all legal prerequisites for compensation. On April 5, 2019, Chief Special Master Nora Beth Dorsey issued a Ruling on Entitlement finding Ms. Beaty eligible for compensation. Subsequently, on May 22, 2019, the respondent filed a proffer on award of compensation. The parties agreed to an award of $100,138.16, comprising $100,000.00 for pain and suffering and $138.16 for past unreimbursed expenses. On August 14, 2019, Chief Special Master Dorsey issued a Decision Awarding Damages, awarding Ms. Beaty a lump sum payment of $100,138.16. Petitioner was represented by Diana Lynn Stadelnikas of Maglio Christopher & Toale, PA, and respondent was represented by Colleen Clemons Hartley of the U.S. Department of Justice. The public decision does not describe the specific onset of symptoms, medical tests, treatments, or the mechanism of injury. The case proceeded as a Table claim.

Theory of causation field:
Petitioner Jaynee Beaty received a Tdap vaccine on April 2, 2016, and alleged a shoulder injury related to vaccine administration (SIRVA). The respondent conceded that petitioner's condition was consistent with SIRVA as defined by the Vaccine Injury Table and that she met the legal requirements for compensation. The case was treated as a Table claim. No specific medical experts, onset details, symptoms, tests, treatments, or mechanism of injury were described in the public decision. An entitlement ruling was issued on April 5, 2019, by Chief Special Master Nora Beth Dorsey. A damages decision was issued on August 14, 2019, by Chief Special Master Nora Beth Dorsey, awarding a lump sum of $100,138.16, consisting of $100,000.00 for pain and suffering and $138.16 for past unreimbursed expenses, based on a proffer agreement between the parties. Petitioner was represented by Diana Lynn Stadelnikas, and respondent was represented by Colleen Clemons Hartley.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_18-vv-00377-0
Date issued/filed: 2019-06-12
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 04/05/2019) regarding 29 Ruling on Entitlement ( Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.
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Case 1:18-vv-00377-UNJ Document 43 Filed 06/12/19 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-377V
Filed: April 5, 2019
UNPUBLISHED
JAYNEE PURDOM,
Petitioner, Special Processing Unit (SPU);
v. Ruling on Entitlement; Concession;
Table Injury; Tetanus Diphtheria
SECRETARY OF HEALTH AND acellular Pertussis (Tdap) Vaccine;
HUMAN SERVICES, Shoulder Injury Related to Vaccine
Administration (SIRVA)
Respondent.
Diana Lynn Stadelnikas, Maglio Christopher & Toale, PA, Sarasota, FL, for petitioner.
Colleen Clemons Hartley, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
Dorsey, Chief Special Master:
On March 12, 2018, 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 left shoulder injury related to
vaccine administration as a result of her April 2, 2016 Tdap vaccination. Petition at 1-2.
The case was assigned to the Special Processing Unit of the Office of Special Masters.
On April 1, 2019, respondent filed his Rule 4(c) report in which he concedes that
petitioner is entitled to compensation in this case. Respondent’s Rule 4(c) Report at 1.
1 The undersigned intends to post this ruling on the United States Court of Federal Claims' website. This
means the ruling 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. Because this unpublished ruling contains a reasoned explanation for the action in this
case, 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).
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 1:18-vv-00377-UNJ Document 43 Filed 06/12/19 Page 2 of 2
Specifically, respondent “has determined that petitioner’s medical course is consistent
with a shoulder injury related to vaccine administration (“SIRVA”) as defined by the
Vaccine Injury Table.” Id. at 4. Respondent further agrees that petitioner suffered
residual effects of her injury for more than six months and that petitioner has satisfied all
legal prerequisites to compensation under the Vaccine Act. Id.
In view of respondent’s position and the evidence of record, the
undersigned finds that petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Nora Beth Dorsey
Nora Beth Dorsey
Chief Special Master

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DOCUMENT 2: USCOURTS-cofc-1_18-vv-00377-1
Date issued/filed: 2019-08-14
Pages: 4
Docket text: PUBLIC DECISION (Originally filed: 05/22/2019) regarding 38 DECISION Stipulation/Proffer (Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.
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Case 1:18-vv-00377-UNJ Document 47 Filed 08/14/19 Page 1 of 4
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-377V
Filed: May 22, 2019
UNPUBLISHED
JAYNEE BEATY,
Petitioner,
Special Processing Unit (SPU);
v.
Damages Decision Based on Proffer;
Tetanus Diphtheria acellular
SECRETARY OF HEALTH AND
Pertussis (Tdap) Vaccine; Shoulder
HUMAN SERVICES,
Injury Related to Vaccine
Administration (SIRVA)
Respondent.
Diana Lynn Stadelnikas, Maglio Christopher & Toale, PA, Sarasota, FL, for petitioner.
Colleen Clemons Hartley, U.S. Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
Dorsey, Chief Special Master:
On March 12, 2018, 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 a DTaP vaccine administered April 2, 2016.
Petition at 1-2. The case was assigned to the Special Processing Unit of the Office of
Special Masters.
On April 5, 2019, a ruling on entitlement was issued, finding petitioner entitled to
compensation for SIRVA. On May 22, 2019, respondent filed a proffer on award of
compensation (“Proffer”) indicating petitioner should be awarded $100,138.16,
1 The undersigned intends to post this decision on the United States Court of Federal Claims' website.
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. Because this unpublished decision contains a reasoned explanation for the
action in this case, 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).
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 1:18-vv-00377-UNJ Document 47 Filed 08/14/19 Page 2 of 4
representing $100,000.00 for petitioner’s pain and suffering and $138.16 for past
unreimbursed expenses. Proffer at 1. In the Proffer, respondent represented that
petitioner agrees with the proffered award. Id. Based on the record as a whole, the
undersigned finds that petitioner is entitled to an award as stated in the Proffer.
Pursuant to the terms stated in the attached Proffer, the undersigned awards
petitioner a lump sum payment of $100,138.16, representing $100,000.00 for
petitioner’s pain and suffering and $138.16 for past unreimbursed expenses, in
the form of a check payable to petitioner, Jaynee Beaty. This amount represents
compensation for all damages that would be available under § 15(a).
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 1:18-vv-00377-UNJ Document 47 Filed 08/14/19 Page 3 of 4
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
JAYNEE BEATY, )
)
Petitioner, )
) No. 18-377V
v. ) Chief Special Master Dorsey
) ECF
SECRETARY OF HEALTH AND HUMAN )
SERVICES, )
)
Respondent. )
)
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On March 12, 2018, Jayne Purdom (“petitioner”) filed a petition for vaccine injury
compensation alleging that she suffered a shoulder injury related to vaccine administration
(“SIRVA”) as result of a DTaP vaccine administered on April 2, 2016.1 On April 1, 2019,
respondent conceded that entitlement to compensation was appropriate under the terms of the
Vaccine Act. On April 5, 2019, the Chief Special Master Dorsey issued a Ruling on Entitlement
finding that petitioner was entitled to compensation.2 The case is now in damages.
I. Items of Compensation
Based upon the evidence of record, respondent proffers that petitioner should be awarded
$100,138.16, consisting of pain and suffering ($100,000.00) and past unreimbursed expenses
($138.16), which represents all elements of compensation to which petitioner would be entitled
under 42 U.S.C. § 300aa-15(a). Petitioner agrees.
1 On March 23, 2018, the Chief Special Master issued an order changing the case caption to
correct the spelling of petitioner’s first name. See Docket Entry (“D.E.”) 8.
2 On May 6, 2019, the Chief Special Master issued an order changing the case caption to change
petitioner’s last name following her dissolution of marriage. See D.E. 34.
1

Case 1:18-vv-00377-UNJ Document 47 Filed 08/14/19 Page 4 of 4
II. Form of the Award
Respondent recommends that the compensation provided to petitioner be made through a
lump sum payment of $100,138.16 in the form of a check payable to petitioner.3 Petitioner
agrees.
Petitioner is a competent adult. Evidence of guardianship is not required in this case.
Respectfully submitted,
JOSEPH H. HUNT
Assistant Attorney General
C. SALVATORE D’ALESSIO
Acting Director
Torts Branch, Civil Division
CATHARINE E. REEVES
Deputy Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Assistant Director
Torts Branch, Civil Division
/s/ Colleen C. Hartley
COLLEEN C. HARTLEY
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, D.C. 20044-0146
Phone: (202) 616-3644
Fax: (202) 353-2988
DATED: May 22, 2019
3 Should petitioner die prior to the entry of judgment, respondent reserves the right to move the
Court for appropriate relief. In particular, respondent would oppose any award for future
medical expenses, future pain and suffering, and future lost wages.
2