VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_18-vv-01831
Package ID: USCOURTS-cofc-1_18-vv-01831
Petitioner: Jadyn Roylance
Filed: 2018-11-29
Decided: 2020-03-27
Vaccine: HPV
Vaccination date: 2017-01-12
Condition: SIRVA
Outcome: compensated
Award amount USD: 103891

AI-assisted case summary:
Jadyn Roylance filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that the second Gardasil vaccine she received on January 12, 2017, caused her to suffer Shoulder Injury Related to Vaccine Administration (SIRVA). The petition was filed on November 29, 2018. Roylance alleged that she received the vaccination in the United States, that her injury had residual effects lasting more than six months, and that she continues to suffer symptoms. The respondent, the Secretary of Health and Human Services, filed a Rule 4(c) report on August 16, 2019, conceding that Roylance was entitled to compensation. The respondent specifically concluded that her alleged injury was consistent with SIRVA as defined on the Vaccine Injury Table. Based on the respondent's concession and the evidence of record, Chief Special Master Dorsey issued a Ruling on Entitlement on August 22, 2019, finding Roylance entitled to compensation. Subsequently, on February 25, 2020, the parties filed a proffer on the award of compensation. The proffer indicated that Roylance should be awarded $103,891.57, comprising $100,000.00 for pain and suffering and $3,891.57 for past out-of-pocket medical expenses. Roylance agreed with this proffered award. Chief Special Master Corcoran issued a Decision Awarding Damages on March 27, 2020, awarding Roylance the lump sum of $103,891.57.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_18-vv-01831-0
Date issued/filed: 2019-10-25
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 08/22/2019) regarding 21 Ruling on Entitlement Signed by Special Master Nora Beth Dorsey. (sw) Service on parties made.
--------------------------------------------------------------------------------
Case 1:18-vv-01831-UNJ Document 29 Filed 10/25/19 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-1831V
Filed: August 22, 2019
UNPUBLISHED
JADYN ROYLANCE,
Petitioner, Special Processing Unit (SPU);
v. Ruling on Entitlement; Concession;
Table Injury; Human Papillomavirus
SECRETARY OF HEALTH AND (HPV) Vaccine; Shoulder Injury
HUMAN SERVICES, Related to Vaccine Administration
(SIRVA)
Respondent.
Lisa Annette Roquemore, Law Office of Lisa A. Roquemore, Rancho Santa Magarita,
CA, for petitioner.
Traci R. Patton, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
Dorsey, Chief Special Master:
On November 29, 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 the Table Injury of SIRVA, standing
for shoulder injury related to vaccine administration or a SIRVA which was caused in
fact by the second Gardasil3 vaccine she received on January 12, 2017. Petition at 2,
1 The undersigned intends to post this ruling on the United States Court of Federal Claims' website. This
means the ruling 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, the undersigned
agrees that the identified material fits within this definition, the undersigned will redact such material from
public access. Because this unpublished ruling contains a reasoned explanation for the action in this
case, undersigned is 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).
3 Gardasil is the name of the Human Papillomavirus 9-valent (“HPV”) vaccine manufactured by Merck.
See https://www.gardasil9.com (last visited Aug. 22, 2019).

Case 1:18-vv-01831-UNJ Document 29 Filed 10/25/19 Page 2 of 2
5. Petitioner further alleges that she received the vaccination in the United States, that
she suffered the residual effects of her injury for more than six months, that she
continues to suffer symptoms of her injury, and that she has not received a civil award
for her SIRVA. Id. at 5-6. The case was assigned to the Special Processing Unit of the
Office of Special Masters.
On August 16, 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’s alleged injury is
consistent with SIRVA, as defined on the Vaccine Injury Table.” Id. at 6.
In view of respondent’s position and the evidence of record, the
undersigned finds that petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Nora Beth Dorsey
Nora Beth Dorsey
Chief Special Master
2

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DOCUMENT 2: USCOURTS-cofc-1_18-vv-01831-1
Date issued/filed: 2020-03-27
Pages: 4
Docket text: PUBLIC DECISION (Originally filed: 02/25/2020) regarding 36 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:18-vv-01831-UNJ Document 40 Filed 03/27/20 Page 1 of 4
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 18-1831V
UNPUBLISHED
JADYN ROYLANCE, Chief Special Master Corcoran
Petitioner, Filed: February 25, 2020
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Damages Decision Based on Proffer;
HUMAN SERVICES, Human Papillomavirus (HPV)
Vaccine; Shoulder Injury Related to
Respondent. Vaccine Administration (SIRVA)
Lisa Annette Roquemore, Law Office of Lisa A. Roquemore, Rancho Santa Margarita,
CA, for petitioner.
Traci R. Patton, U.S. Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
On November 29, 2018, Jadyn Roylance 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 the Table Injury of SIRVA, standing
for shoulder injury related to vaccine administration or a SIRVA which was caused in
fact by the second Gardasil3 vaccine she received on January 12, 2017. Petition at 2,
5. The case was assigned to the Special Processing Unit of the Office of Special
Masters.
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).
3 Gardasil is the name of the Human Papillomavirus 9-valent (“HPV”) vaccine manufactured by Merck.
See https://www.gardasil9.com (last visited Aug. 22, 2019).

Case 1:18-vv-01831-UNJ Document 40 Filed 03/27/20 Page 2 of 4
On August 22, 2019, a ruling on entitlement was issued, finding Petitioner
entitled to compensation for her SIRVA. On February 25, 2020, Respondent filed a
proffer on award of compensation (“Proffer”) indicating Petitioner should be awarded
$103,891.57, representing compensation in the amount of $100,000.00 for her pain and
suffering and in the amount of $3,891.57 for her past out-of-pocket medical 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 $103,891.57, representing compensation in the amount of
$100,000.00 for her pain and suffering and in the amount of $3,891.57 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.4
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
4 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-01831-UNJ Document 40 Filed 03/27/20 Page 3 of 4
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
JADYN ROYLANCE,
)
)
Petitioner,
) No. 18-1831V
v.
) Chief Special Master Corcoran
) ECF
SECRETARY OF HEALTH AND HUMAN
)
SERVICES,
)
)
Respondent.
)
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
I. Items of Compensation
On August 16, 2019, respondent conceded that entitlement to compensation was
appropriate under the terms of the Vaccine Act. Chief Special Master Dorsey issued a Ruling on
Entitlement on August 22, 2019, finding that petitioner was entitled to vaccine compensation for
her left-sided shoulder injury. Based upon the evidence of record, respondent proffers that
petitioner should be awarded $103,891.57. The award is comprised of the following:
$100,000.00 for pain and suffering and $3,891.57 for past out of pocket medical expenses. This
amount represents all elements of compensation to which petitioner would be entitled under 42
U.S.C. § 300aa-15(a). Petitioner agrees.
II. Form of the Award
The parties recommend that compensation provided to petitioner should be made through
a lump sum payment of $103,891.57, in the form of a check payable to petitioner.1 Petitioner
agrees.
1 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court
for appropriate relief. In particular, respondent would oppose any award for future lost earnings
and future pain and suffering.

Case 1:18-vv-01831-UNJ Document 40 Filed 03/27/20 Page 4 of 4
Petitioner is a competent adult. Evidence of guardianship is not required in this case.
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
ALEXIS B. BABCOCK
Assistant Director
Torts Branch, Civil Division
s/ Traci R. Patton
TRACI R. PATTON
Senior Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, D.C. 20044-0146
Telephone: (202) 353-1589
Dated: February 25, 2020
2