VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-00365
Package ID: USCOURTS-cofc-1_19-vv-00365
Petitioner: R. W-J.
Filed: 2019-03-11
Decided: 2021-02-05
Vaccine: influenza
Vaccination date: 2016-09-17
Condition: right SIRVA
Outcome: compensated
Award amount USD: 74842

AI-assisted case summary:
R. W-J. filed a petition for compensation under the National Vaccine Injury Compensation Program on March 11, 2019, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) caused by a flu vaccine administered on September 17, 2016. The respondent conceded that the petitioner was entitled to compensation, agreeing that she suffered a Table injury of right SIRVA and met the statutory requirements for six months of residual effects. A ruling on entitlement was issued on April 2, 2020, finding the petitioner entitled to compensation. Subsequently, on December 7, 2020, the respondent filed a proffer on award of compensation, indicating the petitioner should be awarded $74,842.16, consisting of $72,500.00 for pain and suffering and $2,342.16 for past unreimbursed expenses. The petitioner agreed with the proffered award. The court issued a decision awarding the petitioner the lump sum of $74,842.16 on February 5, 2021.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_19-vv-00365-0
Date issued/filed: 2020-05-14
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 04/02/2020) regarding 34 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-00365-UNJ Document 42 Filed 05/14/20 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-365V
UNPUBLISHED
R. W-J., Chief Special Master Corcoran
Petitioner, Originally Filed: April 2, 2020
v. Filed in Redacted Form: May 14,
2020
SECRETARY OF HEALTH AND Special Processing Unit (SPU);
HUMAN SERVICES, Ruling on Entitlement; Concession;
Table Injury; Influenza (Flu) Vaccine;
Respondent. Shoulder Injury Related to Vaccine
Administration (SIRVA)
Ronald Craig Homer, Conway, Homer, P.C., Boston, MA, for petitioner.
Voris Edward Johnson, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
On March 11, 2019, R. W-J. filed a petition for compensation under the National
Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.,2 (the “Vaccine
Act”) and subsequently filed an amended petition on December 19, 2019. Petitioner
alleges that she suffered a shoulder injury related to vaccine administration (“SIRVA”)
caused by a flu vaccine administered on September 17, 2016. Amended Petition at 1.
The case was assigned to the Special Processing Unit of the Office of Special Masters.
On April 1, 2020, 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 agrees that Petitioner suffered a Table injury of right SIRVA.
1 When this decision was originally filed the undersigned advised his intent 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). In accordance
with Vaccine Rule 18(b), petitioner filed a timely motion to redact certain information. This decision is
being reissued with Petitioner’s name redacted to her initials Except for those changes and this footnote,
no other substantive changes have been made. This decision will be posted on the court’s website with
no further opportunity to move for redaction.
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 1:19-vv-00365-UNJ Document 42 Filed 05/14/20 Page 2 of 2
Respondent did not identify any other causes for Petitioner’s right SIRVA, and based on
the medical records outlined above, Petitioner met the statutory requirements by
experiencing six months of residual effects. Id. at 4.
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_19-vv-00365-1
Date issued/filed: 2021-02-05
Pages: 2
Docket text: PUBLIC DECISION (Originally filed: 12/10/2020) regarding 59 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-00365-UNJ Document 63 Filed 02/05/21 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-365V
UNPUBLISHED
R. W-J., Chief Special Master Corcoran
Petitioner, Filed: December 10, 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)
Ronald Craig Homer, Conway, Homer, P.C., Boston, MA, for petitioner.
Voris Edward Johnson, U.S. Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
On March 11, 2019, R. W-J. 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”) caused by an influneza (“flu”) vaccine administered on
September 17, 2016. Amended Petition filed December 19, 2019 at 1. The case was
assigned to the Special Processing Unit of the Office of Special Masters.
On April 2, 2020, a ruling on entitlement was issued, finding Petitioner entitled to
compensation for SIRVA. On December 7, 2020, Respondent filed a proffer on award of
compensation (“Proffer”) indicating Petitioner should be awarded $74,842.16 (consisting
of $72,500.00 for pain and suffering and $2,342.16 for past unreimbursed expenses).
Proffer at 1. In the Proffer, Respondent represented that Petitioner agrees with the
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 1:19-vv-00365-UNJ Document 63 Filed 02/05/21 Page 2 of 2
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 Proffer, I award Petitioner a lump sum
payment of $74,842.16 (consisting of $72,500.00 for pain and suffering and
$2,342.16 for past unreimbursed 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