VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-00248
Package ID: USCOURTS-cofc-1_19-vv-00248
Petitioner: Ro Rohlfs
Filed: 2019-02-13
Decided: 2021-11-24
Vaccine: influenza
Vaccination date: 2016-09-13
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 106175

AI-assisted case summary:
Ro Rohlfs filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging a shoulder injury related to vaccine administration (SIRVA) caused by an influenza vaccine received on September 13, 2016. The case was processed as a Table claim, as SIRVA is listed on the Vaccine Injury Table. The parties filed a joint stipulation agreeing that compensation should be awarded. The decision adopted the stipulation, awarding a total of $106,175.99. This amount included $105,000.00 payable to Ro Rohlfs, $1,175.99 to satisfy a State of Wisconsin Medicaid lien payable to The Rawlings Company, and $193.70 to satisfy another State of Wisconsin Medicaid lien payable to the State of Wisconsin Department of Health Services. The stipulation also noted that the parties would submit to further proceedings to award reasonable attorneys' fees and costs. The settlement represents a compromise of liability and damages, and the United States does not admit that the flu vaccine caused the alleged injury.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_19-vv-00248-0
Date issued/filed: 2021-11-24
Pages: 8
Docket text: PUBLIC DECISION (Originally filed: 10/19/2021) regarding 38 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-00248-UNJ Document 42 Filed 11/24/21 Page 1 of 8
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-248V
UNPUBLISHED
RO ROHLFS, Chief Special Master Corcoran
Petitioner,
v. Filed: October 19, 2021
SECRETARY OF HEALTH AND Special Processing Unit (SPU); Joint
HUMAN SERVICES, Stipulation on Damages; Influenza
(Flu); Shoulder Injury Related to
Respondent. Vaccine Administration (SIRVA).
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
Petitioner.
Ryan Daniel Pyles, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On February 13, 2019, Ro Rohlfs 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 shoulder injury related to vaccine
administration (“SIRVA”) causally related to her receipt of the influenza (“flu”) vaccine on
September 13, 2016. Petition at 1.
On October 19, 2021, the parties filed the attached joint stipulation, which states
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 opinion 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 opinion 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-00248-UNJ Document 42 Filed 11/24/21 Page 2 of 8
Pursuant to the terms stated in the attached Stipulation, I award the following
compensation:
• A lump sum payment of $1,175.99, representing compensation for
satisfaction of a State of Wisconsin Medicaid lien, payable jointly to
Petitioner and:
The Rawlings Company
ATTN: Karen Powell
P.O. Box 2000
La Grange, KY 40031
Petitioner agrees to endorse this payment to The Rawlings Company;
• A lump sum payment of $193.70, representing compensation for
satisfaction of a State of Wisconsin Medicaid lien, payable jointly to
Petitioner and:
State of Wisconsin
Department of Health Services
5615 High Point Drive
Irving, TX 75038
Petitioner agrees to endorse this payment to the State; and
• A lump sum of $105,000.00 in the form of a check payable to Petitioner.
These amounts represent compensation for all items of damages that would be
available under Section 15(a). Stipulation at ¶ 8.
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-00248-UNJ Document 42 Filed 11/24/21 Page 3 of 8
THE UNITED ST ATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
RO ROHLFS,
Petitioner,
v. No. 19-248V
Chief Special Master Brian H. Corcoran
SECRETARY OF HEALTH AND ECF
HUMAN SERVICES,
Respondent.
STIPULATION
The parties hereby stipulate to the following matters:
1. Ro Rohlfs ("petitioner") filed a petition for vaccine compensation under the National
Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 to -34 (the "Vaccine Program").
The petition seeks compensation for injuries allegedly related to petitioner's receipt of an
influenza ("flu") vaccine, which vaccine is contained in the Vaccine Injury Table (the "Table"),
42 C.F.R. § 100.3(a).
2. Petitioner received a flu vaccine on or about September 13, 2016, in her right arm.
3. The vaccine was administered within the United States.
4. Petitioner alleges that she sustained a right-sided shoulder injury related to vaccine
administration ("SIRVA") within the time period set forth in the Table. She further alleges that
she experienced residual effects of this injury for more than six months.
5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages as a result of her condition.

Case 1:19-vv-00248-UNJ Document 42 Filed 11/24/21 Page 4 of 8
6. Respondent denies that petitioner sustained a Table SIRVA within the timeframe set
forth in the Table; and denies that the flu immunization caused or significantly aggravated
petitioner's alleged shoulder injury and/or any other injury.
7. Maintaining their above-stated positions, the parties nevertheless now agree that the
issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry ofj udgment reflecting a decision consistent with
the terms of this Stipulation, and after petitioner has filed an election to receive compensation
pursuant to 42 U .S.C. § 300aa-21 (a)( 1) , the Secretary of Health and Human Services will issue
the following vaccine compensation payments:
a. A lump sum payment of $1,175.99, representing compensation for satisfaction of
a State of Wisconsin Medicaid lien, payable jointly to petitioner and
The Rawlings Company
Attn: Karen Powell
P.O. Box2000
La Grange, KY 40031.
Petitioner agrees to endorse this payment to The Rawlings Company;
b. A lump sum payment of $193.70, representing compensation for satisfaction of
a State of Wisconsin Medicaid lien, payable jointly to petitioner and
State of Wisconsin
Department of Health Services
5615 High Point Drive
Irving, TX 75038.
Petitioner agrees to endorse this payment to the State; and
c. A lump sum of$105,000.00 in the form of a check payable to petitioner. This amount
represents all remaining compensation for all damages that would be available under 42
U.S.C. § 300aa-15(a) for injuries allegedly related to petitioner's receipt of the flu
vaccine.
2

Case 1:19-vv-00248-UNJ Document 42 Filed 11/24/21 Page 5 of 8
9. As soon as practicable after the entry of judgment on entitlement in this case, and after
petitioner has filed both a proper and timely election to receive compensation pursuant to 42
U .S.C. § 300aa-2 l (a)( I), and an application, the parties will submit to further proceedings before
the special master to award reasonable attorneys' fees and costs incurred in proceeding upon this
petition.
10. Petitioner and her attorney represent that they have identified to respondent all
known sources of payment for items or services for which the Program is not primarily liable
under 42 U.S.C. § 300aa-15(g), including State compensation programs, insurance policies,
Federal or State health benefits programs (other than Title XIX of the Social Security Act (42
U.S.C. § 1396 et seq.)), or entities that provide health services on a pre-paid basis.
11. Payment made pursuant to paragraph 8 and any amounts awarded pursuant to
paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject
to the availability of sufficient statutory funds.
12. The parties and their attorneys further agree and stipulate that, except for any award
for attorneys' fees and litigation costs, and past unreimbursable expenses, the money provided
pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a
strict construction of 42 U.S.C. § 300aa-15(a) and (d), and subject to the conditions of 42 U.S.C.
§ 300aa-l 5(g) and (h).
13. In return for the payments described in paragraphs 8 and 9, petitioner, in her
individual capacity and on behalf of her heirs, executors, administrators, successors and/or
assigns, does forever irrevocably and unconditionally release, acquit and discharge the United
States and the Secretary of Health and Human Services from any and all actions or causes of
action (including agreements, judgments, claims, damages, loss of services, expenses and all
3

Case 1:19-vv-00248-UNJ Document 42 Filed 11/24/21 Page 6 of 8
demands of whatever kind or nature) that have been brought, could have been brought, or could
be timely brought in the Court of Federal Claims, under the National Vaccine Injury
Compensation Program, 42 U.S.C. § 300aa-10 et seq., on account of, or in any way growing out
of, any and all known or unknown, suspected or unsuspected personal injuries to or death of
petitioner resulting from, or alleged to have resulted from, the flu vaccination administered on or
about September 13, 2016, as alleged by petitioner in a petition for vaccine compensation filed
on or about February 13, 2019, in the United States Court of Federal Claims as petition No. 19-
248V.
14. If petitioner should die prior to entry ofj udgment, this agreement shall be voidable
upon proper notice to the Court on behalf of either or both of the parties.
15. If the special master fails to issue a decision in complete conformity with the terms
of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a
decision that is in complete conformity with the terms of this Stipulation, then the parties'
settlement and this Stipulation shall be voidable at the sole discretion of either party.
16. This Stipulation expresses a full and complete negotiated settlement ofliability and
damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except
as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the
parties hereto to make any payment or to do any act or thing other than is herein expressly stated
and clearly agreed to. The parties further agree and understand that the award described in this
Stipulation may reflect a compromise of the parties' respective positions as to liability and/or
amount of damages, and further, that a change in the nature of the injury or condition or in the
items of compensation sought, is not grounds to modify or revise this agreement.
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Case 1:19-vv-00248-UNJ Document 42 Filed 11/24/21 Page 7 of 8
17. This Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services that the flu vaccine caused petitioner's alleged shoulder
injury and/or any other injury.
18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's
heirs, executors, administrators, successors, and/or assigns.
END OF STIPULATION
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Case 1:19-vv-00248-UNJ Document 42 Filed 11/24/21 Page 8 of 8
Respectfully submitted,
PETITIONER:
ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE
~ ~------
OF THE ATTORNEY GENERAL:
~~o~
HEATHER L. PEARLMAN
LAW OFFICES OF LEAH V. DURANT, PLLC Deputy Director
1717 K Street NW, Suite 900 Torts Branch
Washington, DC 20006 Civil Division
(202) 775-9200 U.S. Department of Justice
ldurant@durantlle.com P.O. Box 146
Benjamin Franklin Station
Washington, DC 20044-0146
AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR
OF THE SECRETARY OF HEALTH RESPONDENT:
AND BUMAN SERVICES:
~ a.AA.bf~
~ ~~ LR~
TAMARA OVERBY RYA ND. PYLES
Acting Director, Division of Injury Senior Trial Attorney
Compensation Programs Torts Branch
Healthcare Systems Bureau Civil Division
Health Resources and Services U.S. Department of Justice
Administration P.O. Box 146
U.S. Department of Health Benjamin Franklin Station
and Human Services Washington, DC 20044-0146
5600 Fishers Lane, 08Nl46B (202) 6 l 6-9847
Rockville, MD 20857 ryan.pyles@lusdoj.gov
loll~Jw z,/
Dated:
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