{"package_id":"USCOURTS-cofc-1_18-vv-00471","decision_granule_id":"USCOURTS-cofc-1_18-vv-00471-1","petitioner_identifier":"Rita Czyzewski","is_minor":null,"age_at_vaccination":null,"age_unit_raw":"years (no age in source - verified)","vaccine_type":"influenza","vaccination_date":"2016-09-13","condition_raw":"shoulder injury related to vaccine administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"compensated","award_amount_usd":124069,"decision_date":"2019-08-07","extraction_version":"gemini-v2","extracted_at":"2026-04-30T00:57:11.008432+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":"2018-03-30","case_summary":"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.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Nora Beth Dorsey","petitioner_identifier_original":null,"caption_petitioner_name":"Rita Czyzewski","petitioner_attorney_name":"Jeffrey S. Pop","petitioner_attorney_firm":"Jeffrey S. Pop & Associates","petitioner_attorney_location":"Beverly Hills, CA","adjudicator_name":null,"caption_people_backfilled_at":"2026-05-05 23:45:27","attorney_canonical_keys":"|jeffrey-pop|","firm_canonical_key":"jeffrey-s-pop-and-associates","package_title":"CZYZEWSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00471","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00471.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00471.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_18-vv-00471-0","title":"CZYZEWSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC ORDER/RULING (Originally filed: 03/21/2019) regarding 26 Ruling on Entitlement ( Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.","date_issued":"2019-06-20","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_18-vv-00471/granules/USCOURTS-cofc-1_18-vv-00471-0/pdf","pdf_bytes":220868,"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_18-vv-00471/USCOURTS-cofc-1_18-vv-00471-0"},{"granule_id":"USCOURTS-cofc-1_18-vv-00471-1","title":"CZYZEWSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 05/01/2019) regarding 34 DECISION Stipulation/Proffer ( Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.","date_issued":"2019-08-07","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_18-vv-00471/granules/USCOURTS-cofc-1_18-vv-00471-1/pdf","pdf_bytes":235270,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'stipulation'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_18-vv-00471/USCOURTS-cofc-1_18-vv-00471-1"},{"granule_id":"USCOURTS-cofc-1_18-vv-00471-2","title":"CZYZEWSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 05/24/2019) regarding 40 DECISION of Special Master - Fees ( Signed by Chief Special Master Nora Beth Dorsey. )(mpj) Service on parties made.","date_issued":"2019-08-28","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}