Rita Czyzewski v. HHS - Influenza, shoulder injury related to vaccine administration (SIRVA) (2019)

Rita Czyzewski filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) from an influenza vaccination on September 13, 2016. The respondent, the Secretary of Health and Human Services, conceded entitlement to compensation in a Rule 4(c) report, agreeing that the claim met the criteria for SIRVA and that petitioner met the statutory and jurisdictional requirements.

A ruling on entitlement was issued on March 21, 2019, finding her entitled to compensation. Subsequently, on April 30, 2019, the respondent filed a proffer on award of compensation, proposing an award of $112,500.00 for all damages and an additional $11,569.44 to satisfy a New Jersey Medicaid lien.

Petitioner agreed with the proffered award. The Chief Special Master issued a decision awarding damages on August 7, 2019, granting a lump sum payment of $112,500.00 to Rita Czyzewski and a separate lump sum payment of $11,569.44 to satisfy the Medicaid lien.

The case was treated as a Table injury claim, and entitlement was conceded by the respondent.