VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-00549
Package ID: USCOURTS-cofc-1_19-vv-00549
Petitioner: Samuel Kamau
Filed: 2019-04-15
Decided: 2021-10-14
Vaccine: influenza
Vaccination date: 2018-02-27
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 82181

AI-assisted case summary:
Samuel Kamau filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging he suffered a left shoulder injury related to vaccine administration (SIRVA) after receiving an influenza vaccine on February 27, 2018. The respondent, the Secretary of Health and Human Services, conceded entitlement to compensation. The respondent agreed that Mr. Kamau's injury was consistent with SIRVA as defined in the Vaccine Injury Table, noting he had no prior shoulder issues, the pain occurred within 48 hours of vaccination, was limited to the left shoulder, and no other condition explained the pain. Furthermore, the respondent acknowledged that Mr. Kamau experienced residual effects for more than six months and met all legal prerequisites for compensation. Based on the respondent's concession and the evidence, the court found Mr. Kamau entitled to compensation. Subsequently, the parties filed a joint stipulation for damages. The court awarded Mr. Kamau a total of $82,181.20, which included $2,181.20 for reimbursement of a Medicaid lien and $80,000.00 for all remaining damages. This stipulation resolved liability and damages, with Mr. Kamau releasing the United States from further claims related to the vaccination.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_19-vv-00549-0
Date issued/filed: 2020-07-27
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 06/25/2020) regarding 23 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-00549-UNJ Document 25 Filed 07/27/20 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-0549V
UNPUBLISHED
SAMUEL KAMAU, Chief Special Master Corcoran
Petitioner, Filed: June 25, 2020
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Ruling on Entitlement; Concession;
HUMAN SERVICES, Table Injury; 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.
Mallori Browne Openchowski, U.S. Department of Justice, Washington, DC, for
respondent.
RULING ON ENTITLEMENT1
On April 15, 2019, Samuel Kamau 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
February 27, 2018. Petition at 1. The case was assigned to the Special Processing
Unit of the Office of Special Masters.
1 Because this unpublished ruling 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 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, 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-00549-UNJ Document 25 Filed 07/27/20 Page 2 of 2
On June 24, 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’s alleged injury is consistent with a
SIRVA as defined in the Vaccine Injury Table. “Specifically, petitioner had no history of
pain, inflammation, or dysfunction of his left shoulder; medical records document that
pain occurred within 48 hours after receipt of an intramuscular vaccination; pain was
limited to the left shoulder in which the vaccine was administered; and no other
condition or abnormality has been identified to explain petitioner’s shoulder pain.” Id. at
4. Respondent further agrees that the records reflect that “petitioner suffered residual
effects of his injury for more than six months . . . . [and] 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

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DOCUMENT 2: USCOURTS-cofc-1_19-vv-00549-1
Date issued/filed: 2021-10-14
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 09/14/2021) 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-00549-UNJ Document 42 Filed 10/14/21 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-0549V
UNPUBLISHED
SAMUEL KAMAU, Chief Special Master Corcoran
Petitioner, Filed: September 14, 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)
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
Petitioner.
Mallori Browne Openchowski, U.S. Department of Justice, Washington, DC, for
Respondent.
DECISION ON JOINT STIPULATION1
On April 15, 2019, Samuel Kamau 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 February
27, 2018. Petition at 1; Stipulation, filed September 14, 2021, at ¶¶ 2-4. Petitioner further
alleges that the vaccine was administered in the United States, he experienced the
residual effects of his SIRVA for more than six months, there is not a preponderance of
the evidence demonstrating that Petitioner’s SIRVA and residual effects were due to a
factor unrelated to his February 27, 2018 flu vaccine, 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, 3; Stipulation at ¶¶ 3-6.
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-00549-UNJ Document 42 Filed 10/14/21 Page 2 of 7
On June 25, 2020, a ruling on entitlement was issued, finding Petitioner entitled to
compensation for SIRVA. On September 14, 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 $2,181.20, which amount represents reimbursement for a
Medicaid lien for vaccine injury-related services rendered on behalf of
Petitioner, in the form of a check payable jointly to Petitioner and Equian
(Tax ID 27-0083277), P.O. Box 182643, Columbus, OH 43218;
Petitioner agrees to endorse this check to Equian (Event number
28719050).
• A lump sum of $80,000.00 in the form of a check payable to Petitioner,
which represents compensation for all remaining 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-00549-UNJ Document 42 Filed 10/14/21 Page 3 of 7
IN THE UNITED STA TES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
SAMUEL KAMAU, )
)
Petitioner, )
) No. 19-549V
V. ) Chief Special Master Corcoran
) ECF
SECRETARY OF HEALTH AND )
HUMAN SERVICES, )
)
Respondent. )
STIPULATION
The parties hereby stipulate to the following matters:
1. Samuel Kamau, 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 is a vaccine contained in the Vaccine Injury Table (the
"Table"), 42 C.F.R. § I 00.3 (a).
2. Petitioner received the flu vaccine in his left ann on February 27, 2018.
3. The vaccination was administered within the United States.
4. Petitioner sustained a left shoulder injury related to vaccination administration
("SlR VA") within the time period set forth in the Table following receipt of a flu vaccine, and
experienced the residual effects of his SIRVA for more than six months.
5. There is not a preponderance of the evidence demonstrating that petitioner's SIRVA
and residual effects were due to a factor unrelated to his February 27, 2018 flu vaccination.
6. Petitioner represents that there has been no prior award or settlement of a civil action

Case 1:19-vv-00549-UNJ Document 42 Filed 10/14/21 Page 4 of 7
for damages on his behalf as a result of his condition.
7. Accordingly, petitioner is entitled to compensation under the tenns of the Vaccine
Program for his left SIRVA Table injury. Therefore, a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment 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-2 l (a)(l ), the Secretary of Health and Human Services will issue
the following vaccine compensation payments:
a. A lump sum of $2,181.20, which amount represents reimbursement for a
Medicaid lien for vaccine injury-related services rendered on behalf of petitioner,
in the fonn of a check payable jointly to petitioner and Equian (Tax ID No. 27-
0083277), P.O. Box 182643, Columbus, OH 43218;
Petitioner agrees to endorse this check to Equian (Event number 28719050).
b. A lump sum of $80,000.00, in the form of a check payable to petitioner,
which represents compensation for all remaining damages that would be available
under 42 U.S.C. § 300aa-15(a).
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)(l), 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 his attorney represent that compensation to be provided pursuant to
this Stipulation is not for any items or services for which the Program is not primarily liable
under 42 U.S.C. § 300aa-15(g), to the extent that payment has been made or can reasonably be
expected to be made under any State compensation programs, insurance policies, Federal or
State health benefits programs (other than Title XIX of the Social Security Act (42 U.S.C.
2

Case 1:19-vv-00549-UNJ Document 42 Filed 10/14/21 Page 5 of 7
§ 1396 et seq.)), or by entities that provide health services on a pre-paid basis.
I 1. Payment made pursuant to paragraph 8 of this Stipulation and any amounts awarded
pursuant to paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-
15(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 unreimbursed 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 his
individual capacity, and on behalf of his heirs, executors, administrators, successors 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 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-l 0 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 February 27, 2018, as
alleged by petitioner in a petition for vaccine compensation filed on or about April 15, 2019, in
the United States Court of Federal Claims as petition No. 19-549V.
14. If petitioner should die prior to entry of judgment, this agreement shall be voidable
upon proper notice to the Court on behalf of either or both of the parties.
3

Case 1:19-vv-00549-UNJ Document 42 Filed 10/14/21 Page 6 of 7
15. If the special master fails to issue a decision in complete confonnity 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 confonnity 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 of liability 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.
17. This Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services that the vaccine either caused or significantly
aggravated petitioner's alleged injury or any other injury; however, petitioner has satisfied the
Table criteria to establish entitlement to compensation for his SIRVA.
18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's
heirs, successors, and/or assigns.
END OF STlPULATION
4

Case 1:19-vv-00549-UNJ Document 42 Filed 10/14/21 Page 7 of 7
I
Respectfully submitted.
,,·.',
PETITIONER: ~
/ /·
/ ,. . . ~ '
SAMUEL KAMJ\U
ATTORNEY OF RECORD FOR AUTHORIZF:D REPRESENTATIVE
PETITIONER: OF THE ATTORNEY GENERAL:
~A~
~~ ~~
HEATHER L. PEARLMAN
LAW OFFICES OF LEAH V. DURANT, PLLC Deputy Director
1717 K Street, NW Torts Branch. Civil Division
Suite 900 U.S. Department of Justice
Washington. DC 20006 P.O. Box 146
(202) 775-9200 Benjamin Franklin Station
Washington. DC 20044-0146
AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR
OF THE SECRETARY OF HEALTH RESPONDENT:
AND HUMAN SERVICES:
K ~ ~ ~ ~u..(
D&ll.t -P. Mtsl-lleY, Dt-tSc, MS, A'PR.N, for
~~L~~
TAMARA OVERBY MALI ,ORI 11. OPENCI IOWSKI
Acting Director, Division of Injury Trial Attorney
Compensation Programs Torts l3ranch. Civil Division
Healthcare Systems Bureau U.S. Department of Justice
Health Resources and Services P.O. Box 146
Administration Benjamin Franklin Station
or
U.S. Dcpa1tment Health Washington, O.C.20044-0146
and Human Services Tel: (202) 305-0660
5600 Fishers Lane, 08N 1468 ma Il ori .h.opcnchowsk i(ii)usdoj.gov
Rockville. MD 20857
/,L{ /tJJ~
Dated: Off I
5