VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-01700
Package ID: USCOURTS-cofc-1_18-vv-01700
Petitioner: Anne Doetkott
Filed: 2018-11-02
Decided: 2021-02-10
Vaccine: influenza
Vaccination date: 2015-11-06
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 116513

AI-assisted case summary:
Anne Doetkott filed a petition for compensation under the National Vaccine Injury Compensation Program on November 2, 2018, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) from an influenza vaccination received on November 6, 2015. The respondent conceded that Ms. Doetkott satisfied the criteria for a SIRVA injury as set forth in the revised Vaccine Injury Table and that she experienced residual effects for more than six months. Based on the respondent's concession and the evidence, entitlement to compensation was granted. Subsequently, on December 23, 2020, the parties filed a joint stipulation for damages. The court adopted the stipulation, awarding Ms. Doetkott a lump sum of $107,965.05 for pain and suffering and $8,548.70 to reimburse a Medicaid lien. These amounts represent compensation for all items of damages available under the Vaccine Act.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_18-vv-01700-0
Date issued/filed: 2019-12-20
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 10/21/2019) regarding 27 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (ypb) Service on parties made.
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Case 1:18-vv-01700-UNJ Document 31 Filed 12/20/19 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-1700V
Filed: October 21, 2019
UNPUBLISHED
ANNE DOETKOTT,
Petitioner, Special Processing Unit (SPU);
v. Ruling on Entitlement; Concession;
Table Injury; Influenza (Flu) Vaccine;
SECRETARY OF HEALTH AND Shoulder Injury Related to Vaccine
HUMAN SERVICES, Administration (SIRVA)
Respondent.
John Robert Howie, Howie Law, PC, Dallas, TX, for petitioner.
Mollie Danielle Gorney, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
Corcoran, Chief Special Master:
On November 2, 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 an influenza (“flu”) vaccination administered on
November 6, 2015. Petition at 1. The case was assigned to the Special Processing
Unit of the Office of Special Masters.
1 I intend 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, I agree that the identified
material fits within this definition, I will redact such material from public access. Because this unpublished
decision contains a reasoned explanation for the action in this case, I am 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-01700-UNJ Document 31 Filed 12/20/19 Page 2 of 2
On October 18, 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. Specifically, respondent states that “petitioner has satisfied the criteria set forth in
the revised Vaccine Injury Table and Qualifications and Aids to Interpretation.” Id. at 5.
Respondent further agrees that “the medical records demonstrate that petitioner has
experienced the residual effects of her SIRVA for more than six months.” Id.
In view of respondent’s position and the evidence of record, I find that
petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
2

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DOCUMENT 2: USCOURTS-cofc-1_18-vv-01700-1
Date issued/filed: 2021-02-10
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 12/28/2020) regarding 51 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:18-vv-01700-UNJ Document 61 Filed 02/10/21 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-1700V
UNPUBLISHED
ANNE DOETKOTT, Chief Special Master Corcoran
Petitioner, Filed: December 28, 2020
v.
Special Processing Unit (SPU); Joint
SECRETARY OF HEALTH AND Stipulation on Damages; Influenza
HUMAN SERVICES, (Flu) Vaccine; Shoulder Injury
Related to Vaccine Administration
Respondent. (SIRVA)
John Robert Howie, Howie Law, PC, Dallas, TX, for Petitioner.
Mollie Danielle Gorney, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On November 2, 2018, Anne Doetkott 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 an influenza vaccination administered on
November 6, 2015. Petition at 1; Stipulation, filed on December 23, 2020, at ¶¶ 2, 4.
Petitioner further alleges she received the vaccine in the United States, that she
experienced the residual effects of her injury for more than six months, and that there has
been no prior award or settlement of a civil action for damages as a result of her alleged
condition. Petition at 14; Stipulation at ¶¶ 3-4, 6.
On December 23, 2020, the parties filed the attached joint stipulation, stating that
a decision should be entered awarding compensation. I find the stipulation reasonable
and adopt it as my decision awarding damages, on the terms set forth therein.
1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am
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, I agree that the identified material fits within this definition, I will redact such material from
public access.
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-01700-UNJ Document 61 Filed 02/10/21 Page 2 of 7
Pursuant to the terms stated in the attached Stipulation, I award the following
compensation:
• A lump sum of $107,965.05 in the form of a check payable to Petitioner;
and
• A lump sum of $8,548.70 (which represents reimbursement for a
Medicaid lien for vaccine injury-related services rendered on behalf of
Petitioner) in the form of a check payable jointly to Petitioner and
HealthPartners (Tax ID No. 41-1693838)
P.O. Box 1309
Mail Stop 21114A
Minneapolis, Minnesota 55440
Stipulation at ¶ 8. These amounts represent compensation for all items of damages that
would be available under Section 15(a). Id.
I approve the requested amount for Petitioner’s compensation. In the absence of
a motion for review filed pursuant to RCFC Appendix B, the clerk of the court is directed
to enter judgment in accordance with this decision.3
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
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

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