VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-01787
Package ID: USCOURTS-cofc-1_18-vv-01787
Petitioner: Lisa V. Adams
Filed: 2019-10-25
Decided: 2020-04-14
Vaccine: influenza
Vaccination date: 2017-10-16
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 45040

AI-assisted case summary:
Lisa V. Adams filed a petition for compensation under the National Vaccine Injury Compensation Program on November 20, 2018. She alleged that she suffered a shoulder injury related to vaccine administration (SIRVA) resulting from an influenza vaccination received in her left deltoid on October 16, 2017. Ms. Adams further alleged that her injury met the Table definition for SIRVA, that she suffered residual effects for more than six months, and that she continues to suffer these effects. She also stated that neither she nor any other party had received compensation for her vaccine-caused injury. The respondent, the Secretary of Health and Human Services, filed a Rule 4(c) report on October 24, 2019, conceding that Ms. Adams was entitled to compensation. The respondent specifically agreed that the petitioner suffered a Table injury of left SIRVA and had satisfied all legal prerequisites for compensation under the Act. Based on the respondent's concession and the evidence of record, Chief Special Master Brian H. Corcoran issued a Ruling on Entitlement on October 25, 2019, finding Ms. Adams entitled to compensation. Subsequently, on March 11, 2020, the respondent filed a proffer on the award of damages. The proffer indicated that Ms. Adams should be awarded $45,040.67, comprising $45,000.00 for pain and suffering and $40.67 for past unreimbursable expenses. The proffer stated that Ms. Adams agreed with this proposed award. Chief Special Master Corcoran issued a Decision Awarding Damages on April 14, 2020, awarding Ms. Adams a lump sum payment of $45,040.67, payable by check to Ms. Adams. This amount represented compensation for all damages available under 42 U.S.C. § 300aa-15(a). Petitioner was represented by Leah VaSahnja Durant of the Law Offices of Leah V. Durant, PLLC, and respondent was represented by Voris Edward Johnson of the U.S. Department of Justice. The public decision does not describe the specific onset of symptoms, medical tests performed, treatments received, or the medical expert witnesses involved in this case.

Theory of causation field:
Petitioner Lisa V. Adams alleged a Shoulder Injury Related to Vaccine Administration (SIRVA) following an influenza vaccination on October 16, 2017, which she claimed met the Table definition. The respondent conceded entitlement, agreeing that petitioner suffered a Table injury of left SIRVA and satisfied all legal prerequisites. The case proceeded to an award based on a stipulation. The award was $45,040.67, consisting of $45,000.00 for pain and suffering and $40.67 for past unreimbursable expenses. Chief Special Master Brian H. Corcoran issued the Ruling on Entitlement on October 25, 2019, and the Decision Awarding Damages on April 14, 2020. Petitioner was represented by Leah VaSahnja Durant, and respondent was represented by Voris Edward Johnson.

Public staged source text:

================================================================================
DOCUMENT 1: USCOURTS-cofc-1_18-vv-01787-0
Date issued/filed: 2019-12-23
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 10/25/2019) regarding 17 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
--------------------------------------------------------------------------------
Case 1:18-vv-01787-UNJ Document 21 Filed 12/23/19 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-1787V
Filed: October 25, 2019
UNPUBLISHED
LISA V. ADAMS,
Special Processing Unit (SPU);
Petitioner, Ruling on Entitlement; Concession;
v. Table Injury; Influenza (Flu) Vaccine;
Shoulder Injury Related to Vaccine
SECRETARY OF HEALTH AND Administration (SIRVA)
HUMAN SERVICES,
Respondent.
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
petitioner.
Voris Edward Johnson, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
Corcoran, Chief Special Master:
On November 20, 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”) resulting from the influenza vaccination she received in her left
deltoid on October 16, 2017. Petition at 1, ¶ 1. Petitioner further alleges that her injury
meets the Table definition for SIRVA, that she suffered the residual effects of her injury
for more than six months, that she continues to suffer these effects, and that neither she
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-01787-UNJ Document 21 Filed 12/23/19 Page 2 of 2
nor any other party has received compensation for her injury alleged as vaccine caused.
Id. at ¶¶ 4-6. The case was assigned to the Special Processing Unit of the Office of
Special Masters.
On October 24, 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 has “concluded that petitioner suffered a Table injury of
left SIRVA.” Id. at 4. Respondent further agrees that “based on the record as it now
stands, compensation is appropriate, as petitioner has satisfied all legal prerequisites
for compensation under the Act.” 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

================================================================================
DOCUMENT 2: USCOURTS-cofc-1_18-vv-01787-1
Date issued/filed: 2020-04-14
Pages: 4
Docket text: PUBLIC DECISION (Originally filed: 03/11/2020) regarding 27 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
--------------------------------------------------------------------------------
Case 1:18-vv-01787-UNJ Document 31 Filed 04/14/20 Page 1 of 4
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-1787V
UNPUBLISHED
LISA V. ADAMS, Chief Special Master Corcoran
Petitioner, Filed: March 11, 2020
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Damages Decision Based on Proffer;
HUMAN SERVICES, Influenza (Flu) Vaccine; Shoulder
Injury Related to Vaccine
Respondent. Administration (SIRVA)
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
petitioner.
Voris Edward Johnson, U.S. Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
On November 20, 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 alleged that she suffered a shoulder injury related to vaccine
administration (“SIRVA”) resulting from the influenza vaccination she received in her left
deltoid on October 16, 2017. Petition at 1, ¶ 1. The case was assigned to the Special
Processing Unit of the Office of Special Masters.
On October 25, 2019, a ruling on entitlement was issued, finding Petitioner
entitled to compensation for her SIRVA. On March 11, 2020, Respondent filed a proffer
on award of compensation (“Proffer”) indicating Petitioner should be awarded
$45,040.67, representing compensation in the amounts of $45,000.00 for Petitioner’s
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-01787-UNJ Document 31 Filed 04/14/20 Page 2 of 4
pain and suffering and $40.67 for Petitioner’s past unreimbursable expenses. Proffer at
1. In the Proffer, Respondent represented that Petitioner agrees with the proffered
award. Id. Based on the record as a whole, I find that Petitioner is entitled to an award
as stated in the Proffer.
Pursuant to the terms stated in the attached Proffer, I award Petitioner a lump
sum payment of $45,040.67, representing compensation in the amounts of
$45,000.00 for her pain and suffering and $40.67 for her actual unreimbursable
expenses in the form of a check payable to Petitioner. 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/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

Case 1:18-vv-01787-UNJ Document 31 Filed 04/14/20 Page 3 of 4
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
__________________________________________
)
LISA V. ADAMS, )
)
Petitioner, )
) No. 18-1787V (ECF)
v. ) Chief Special Master Corcoran
)
SECRETARY OF HEALTH )
AND HUMAN SERVICES, )
)
Respondent. )
__________________________________________)
RESPONDENT’S PROFFER ON AWARD OF DAMAGES
On October 24, 2019, respondent, the Secretary of Health and Human Services, filed his
Rule 4(c) Report conceding entitlement to compensation in this matter alleging a Shoulder Injury
Related to Vaccine Administration following an influenza vaccination. The following day, the
Court entered its Ruling on Entitlement, finding petitioner Lisa V. Adams entitled to Vaccine
Act compensation. Respondent now proffers that petitioner receive a compensation award
consisting of a lump sum of $45,040.67 in the form of a check payable to petitioner, Lisa V.
Adams.1 This amount consists of $45,000.00 for pain and suffering and $40.67 for past
unreimbursed expenses, and represents compensation for all elements of compensation under 42
U.S.C. § 300aa-15(a) to which petitioner is entitled.2
Petitioner agrees with the proffered award of $45,040.67.3
1 Petitioner is a competent adult. No guardianship is required.
2 Should petitioner die prior to entry of judgment, respondent would oppose any award for
future medical expenses, future lost earnings, and future pain and suffering, and the parties
reserve the right to move the Court for appropriate relief.
3 This proffer does not include any award for attorneys’ fees and costs that may be awarded
pursuant to 42 U.S.C. § 300aa-15(e).

Case 1:18-vv-01787-UNJ Document 31 Filed 04/14/20 Page 4 of 4
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/Voris E. Johnson, Jr.
VORIS E. JOHNSON, JR.
Senior Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Ben Franklin Station
Washington, D.C. 20044-0146
Direct dial: (202) 616-4136
Dated: March 11, 2020
2