VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-00146 Package ID: USCOURTS-cofc-1_19-vv-00146 Petitioner: Mohamed Idli Filed: 2021-03-02 Decided: 2021-04-01 Vaccine: influenza Vaccination date: 2016-11-12 Condition: left shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 11786 AI-assisted case summary: Mohamed Idli filed a petition for compensation under the National Vaccine Injury Compensation Program on March 2, 2021, alleging he suffered a left shoulder injury related to vaccine administration (SIRVA) from an influenza vaccine received on November 12, 2016. Mr. Idli stated the vaccine was administered in the United States, he experienced residual effects for more than six months, and had no prior award or settlement for his condition. The respondent denied that the flu vaccine caused his alleged shoulder injury or any other condition. Despite these denials, the parties filed a joint stipulation for compensation. Chief Special Master Brian H. Corcoran found the stipulation reasonable and adopted it as his decision. Mr. Idli was awarded a lump sum of $10,000.00, payable to Petitioner, and $1,786.42 to reimburse a Medicaid lien for services rendered to him by the State of North Carolina, payable jointly to Petitioner and the North Carolina Division of Health Benefits. These amounts represent compensation for all damages available under Section 15(a) of the Vaccine Act. Petitioner was represented by Amy A. Senerth of Muller Brazil, LLP, and respondent was represented by Debra A. Filteau Begley of the U.S. Department of Justice. The decision was issued on April 1, 2021. Theory of causation field: Petitioner Mohamed Idli alleged a left shoulder injury related to vaccine administration (SIRVA) following an influenza vaccine on November 12, 2016. Respondent denied that the flu vaccine caused the alleged shoulder injury or any other condition. The parties filed a joint stipulation for compensation, which Chief Special Master Brian H. Corcoran found reasonable. The public decision does not describe the specific mechanism of injury, medical experts, or detailed clinical findings. The award was $10,000.00 as a lump sum and $1,786.42 for a Medicaid lien reimbursement, totaling $11,786.42. The decision date was April 1, 2021. Petitioner's counsel was Amy A. Senerth, and respondent's counsel was Debra A. Filteau Begley. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_19-vv-00146-0 Date issued/filed: 2021-04-01 Pages: 8 Docket text: PUBLIC DECISION (Originally filed: 03/02/2021) regarding 37 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made. -------------------------------------------------------------------------------- Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 1 of 8 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 19-0146V UNPUBLISHED MOHAMED IDLI, Chief Special Master Corcoran Petitioner, Filed: March 2, 2021 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) Amy A. Senerth, Muller Brazil, LLP, Dresher, PA, for petitioner. Debra A. Filteau Begley, U.S. Department of Justice, Washington, DC, for respondent. DECISION ON JOINT STIPULATION1 On January 29, 2019, Mohamed Idli 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 he suffered a left shoulder injury related to vaccine administration (“SIRVA”) as a result of an influenza (“flu”) vaccine received on November 12, 2016. Petition at 1; Stipulation, filed March 2, 2021, at ¶¶ 2-4. Petitioner further alleges the vaccine was administered in the United States, he experienced the residual effects of his alleged injury for more than six months, and there has been no prior award or settlement of a civil action for damages on his behalf as a result of his condition. Petition at 1, 4; Stipulation at ¶¶ 3-5. “Respondent denies that petitioner sustained a SIRVA Table injury; denies that the flu vaccines caused his alleged shoulder injury or any other injury or condition; and denies that his current condition is a sequelae of a vaccine-related injury.” Stipulation at ¶ 6. 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 section references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 2 of 8 Nevertheless, on March 2, 2021, 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. Pursuant to the terms stated in the attached Stipulation, I award the following compensation: • A lump sum of $10,000.00 in the form of a check payable to Petitioner; and • A lump sum of $1,786.42, representing reimbursement of a Medicaid lien for services rendered to Petitioner by the State of North Carolina, in the form of a check payable jointly to Petitioner and the North Carolina Division of Health Benefits, and mailed to: Division of Health Benefits Office of the Controller 2022 Mail Service Center Raleigh, NC 27699-2022 Case #312102 Petitioner agrees to endorse this check to the Division of Health Benefits. Stipulation at ¶ 8. These amounts represent compensation for all 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 Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 3 of 8 Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 4 of 8 Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 5 of 8 Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 6 of 8 Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 7 of 8 Case 1:19-vv-00146-UNJ Document 41 Filed 04/01/21 Page 8 of 8