{"package_id":"USCOURTS-cofc-1_18-vv-00610","decision_granule_id":"USCOURTS-cofc-1_18-vv-00610-1","petitioner_identifier":"Dee Ann Quantie","is_minor":0,"age_at_vaccination":47.0,"age_unit_raw":"years","vaccine_type":"influenza","vaccination_date":"2017-10-05","condition_raw":"Shoulder Injury Related to Vaccine Administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"entitlement_granted_pending_damages","award_amount_usd":null,"decision_date":"2023-02-27","extraction_version":"gemini-v2","extracted_at":"2026-04-30T00:57:46.134848+00:00","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":1,"theory_of_causation":"Petitioner Dee Ann Quantie, aged 47, received an influenza vaccination on October 5, 2017, in her right shoulder. She alleged a Shoulder Injury Related to Vaccine Administration (SIRVA), a condition listed on the Vaccine Injury Table, with onset within 48 hours of vaccination. Petitioner's expert, Dr. Marko Bodor, opined that the vaccination was administered too high and too deep, causing injury to the rotator cuff tendons and resulting in SIRVA. He distinguished this from petitioner's pre-existing lipodystrophy, which he attributed to prior B12 injections. Respondent's expert, Dr. Geoffrey Abrams, argued that the lipodystrophy from B12 injections was the cause of petitioner's symptoms and that the medical records did not support an onset within 48 hours. Special Master Thomas L. Gowen found by a preponderance of the evidence that petitioner suffered a Table SIRVA injury, crediting her testimony and witness accounts for the timely onset of symptoms and concluding that the lipodystrophy was a separate condition. Entitlement was granted, with damages to be determined separately. Petitioner was represented by Andrew D. Downing and respondent by Katherine C. Esposito.","is_death":0,"date_of_death":null,"petition_filed_date":"2018-04-30","case_summary":"On April 30, 2018, Dee Ann Quantie filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered a Shoulder Injury Related to Vaccine Administration (SIRVA) due to an influenza vaccination administered in her right shoulder on October 5, 2017. Ms. Quantie, a 47-year-old operations supervisor, had a history of vitamin B12 deficiency requiring monthly injections, some of which were in her right arm. She alleged that within 48 hours of the flu vaccination, she experienced pain, swelling, and redness at the injection site, which progressed to include an indentation, significant loss of range of motion, and weakness in her right arm. She sought medical attention, and her treating orthopedist diagnosed her with SIRVA. The respondent argued that Ms. Quantie's symptoms were caused by lipodystrophy resulting from prior Vitamin B12 injections, not the flu vaccine, and that her symptoms did not meet the criteria for a Table injury, particularly regarding the onset time and the absence of other explanatory conditions. The respondent's expert, Dr. Geoffrey Abrams, opined that the timing and clinical presentation did not support the conclusion that the vaccination caused lipoatrophy or other shoulder pathology, suggesting the lipoatrophy from B12 injections was the likely cause of her symptoms. He also argued that the medical records did not demonstrate onset within 48 hours and that the MRI findings were common for age and not indicative of SIRVA. Petitioner's expert, Dr. Marko Bodor, opined that the vaccination was administered too high and too deep, potentially into the rotator cuff tendons, causing a SIRVA injury. He stated that the lipodystrophy was a separate condition likely caused by prior B12 injections, but the acute shoulder pain and dysfunction were vaccine-related. He also testified that the onset of symptoms within 48 hours was supported by petitioner's testimony and witness accounts, and that the pain and dysfunction were consistent with SIRVA. After an entitlement hearing, Special Master Thomas L. Gowen found by a preponderance of the evidence that Ms. Quantie suffered a Table SIRVA injury. The Special Master credited Ms. Quantie's testimony and that of her witnesses regarding the onset of symptoms within 48 hours, finding that her prior B12 injections caused a separate condition of lipodystrophy but not the acute shoulder pain and dysfunction. The Special Master also found that her pain and reduced range of motion were confined to the affected shoulder and that no other condition adequately explained her symptoms. Entitlement to compensation was granted, with damages to be determined in a separate order. Petitioner was represented by Andrew D. Downing of Downing, Allison & Jorgenson, and respondent was represented by Katherine C. Esposito of the U.S. Department of Justice.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Thomas L. Gowen","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Andrew D. Downing","petitioner_attorney_firm":"Downing, Allison & Jorgenson","petitioner_attorney_location":"Phoenix, AZ","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|andrew-downing|","firm_canonical_key":"downing-allison-and-jorgenson","package_title":"QUANTIE v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00610","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00610.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-00610.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_18-vv-00610-0","title":"QUANTIE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 3/28/2022) regarding 72 DECISION of Special Master - Interim Attorney's Fees. Signed by Special Master Thomas L. Gowen. (hs) Service on parties made.","date_issued":"2022-05-04","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_18-vv-00610-1","title":"QUANTIE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC RULING (Originally filed: 2/6/2023) regarding 78 Ruling on Entitlement. Signed by Special Master Thomas L. Gowen. (slw) Service on parties made.","date_issued":"2023-02-27","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_18-vv-00610/granules/USCOURTS-cofc-1_18-vv-00610-1/pdf","pdf_bytes":426252,"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-00610/USCOURTS-cofc-1_18-vv-00610-1"},{"granule_id":"USCOURTS-cofc-1_18-vv-00610-2","title":"QUANTIE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 4/4/2023) regarding 83 DECISION on Damages, Proffer: Signed by Special Master Thomas L. Gowen. (slw) Service on parties made.","date_issued":"2023-04-25","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_18-vv-00610/granules/USCOURTS-cofc-1_18-vv-00610-2/pdf","pdf_bytes":267084,"triage_decision":"keep","triage_reason":"docketText matches keep keyword ' proffer'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_18-vv-00610/USCOURTS-cofc-1_18-vv-00610-2"},{"granule_id":"USCOURTS-cofc-1_18-vv-00610-3","title":"QUANTIE v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 8/30/23) regarding 90 DECISION of Special Master - Fees Signed by Special Master Thomas L. Gowen. (jm) Service on parties made.","date_issued":"2023-10-04","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}