VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-00582
Package ID: USCOURTS-cofc-1_19-vv-00582
Petitioner: The Estate Of Apolinar Hasem Perdomo Feliz
Filed: 2019-04-17
Decided: 2021-02-01
Vaccine: influenza
Vaccination date: 2017-03-12
Condition: Guillain-Barre syndrome (GBS)
Outcome: compensated
Award amount USD: 468192

AI-assisted case summary:
The Estate of Apolinar Hasem Perdomo Feliz, through its administrator Bienchis Y. Esteva-Feliz, filed a petition for compensation under the National Vaccine Injury Compensation Program. The petition alleged that Apolinar Hasem Perdomo Feliz received an influenza vaccine on March 12, 2017, and subsequently developed Guillain-Barre Syndrome (GBS), which led to his death on April 21, 2017. GBS is listed on the Vaccine Injury Table for the flu vaccine. The respondent conceded entitlement to compensation, agreeing that the petitioner met the criteria for GBS under the Vaccine Injury Table. A ruling on entitlement was issued on May 19, 2020, finding the petitioner entitled to compensation. Subsequently, on November 24, 2020, the respondent filed a proffer on the award of compensation, which the petitioner agreed to. The decision dated February 1, 2021, awarded the estate a total of $468,192.51. This amount included a statutory death benefit of $250,000.00, compensation for past pain and suffering of $175,000.00, and $43,192.51 to satisfy a North Carolina Medicaid lien.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_19-vv-00582-0
Date issued/filed: 2020-06-24
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 05/19/2020) regarding 21 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-00582-UNJ Document 23 Filed 06/24/20 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-0582V
UNPUBLISHED
THE ESTATE OF APOLINAR HASEM Chief Special Master Corcoran
PERDOMO FELIZ, by and through
Administrator, BIENCHIS Y. ESTEVA- Filed: May 19, 2020
FELIZ,
Special Processing Unit (SPU);
Petitioner, Ruling on Entitlement; Concession;
v. Table Injury; Influenza (Flu) Vaccine;
Guillain-Barre Syndrome (GBS)
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
John Richard Taylor, Zaytoun Law Firm, Raleigh, NC, for petitioner.
Dhairya Divyakant Jani, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
On April 17, 2019, the Estate of Apolina Hasem Perdomo Feliz, by and through
Administrator Biechis Y.L Esteva-Feliz, 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, due to a March 12, 2017 influenza (“flu”)
vaccine, Apolinar Hasem Perdomo Feliz suffered from Guillain-Barre syndrome
(“GBS”), which led to his subsequent death on April 21, 2017 Petition at 1, 9-12. 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-00582-UNJ Document 23 Filed 06/24/20 Page 2 of 2
On May 15, 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 has satisfied the criteria set forth in
the Vaccine Injury Table and Qualifications and Aids to Interpretation for GBS. Id. at 5.
Respondent states that the scope of damages to be awarded “is limited to the
decedent’s GBS and its related sequelae only.” 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-00582-1
Date issued/filed: 2021-02-01
Pages: 6
Docket text: PUBLIC DECISION (Originally filed: 11/25/2020) regarding 29 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-00582-UNJ Document 33 Filed 02/01/21 Page 1 of 6
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-0582V
UNPUBLISHED
THE ESTATE OF APOLINAR HASEM Chief Special Master Corcoran
PERDOMO FELIZ, by and through
Administrator, BIENCHIS Y. ESTEVA- Filed: November 25, 2020
FELIZ,
Special Processing Unit (SPU);
Petitioner, Damages Decision Based on Proffer;
v. Influenza (Flu) Vaccine; Guillain-
Barre Syndrome (GBS)
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
John Richard Taylor, Zaytoun Law Firm, Raleigh, NC, for petitioner.
Traci R. Patton, U.S. Department of Justice, Washington, DC, for respondent.
DECISION AWARDING DAMAGES1
On April 17, 2019, the Estate of Apolina Hasem Perdomo Feliz, by and through
Administrator Biechis Y.L Esteva-Feliz, 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, due to a March 12, 2017 influenza (“flu”) vaccine,
Apolinar Hasem Perdomo Feliz suffered from Guillain-Barre syndrome (“GBS”), which led
to his subsequent death on April 21, 2017 Petition at 1, 9-12. 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).

Case 1:19-vv-00582-UNJ Document 33 Filed 02/01/21 Page 2 of 6
On May 19, 2020, a ruling on entitlement was issued, finding Petitioner entitled to
compensation for GBS. On November 24, 2020, Respondent filed a proffer on award of
compensation (“Proffer”) indicating Petitioner should be awarded compensation as
detailed below. Proffer at 2-3. 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. A lump sum payment of $425,000.00, representing the statutory death
benefit ($250,000.00) and past pain and suffering ($175,000.00), in the
form of a check payable to Petitioner; and
B. A lump sum payment of $43,192.51, representing compensation for
satisfaction of the State of North Carolina Medicaid lien, in the form of a
check payable jointly to Petitioner and:
Division of Health Benefits
Office of the Controller
2022 Mail Service Center
Raleigh, NC 27699-2022
ID #: 949453747P
Petitioner agrees to endorse this payment to Division of Health Benefits for
satisfaction of the Medicaid lien.
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-00582-UNJ Document 33 Filed 02/01/21 Page 3 of 6
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
THE ESTATE OF APOLINAR HASEM
)
PERDOMO FELIZ, by and through
)
Administrator, BIENCHIS Y. ESTEVA-
) No. 19-582V
FELIZ,
) Chief Special Master Corcoran
) ECF
Petitioner,
) SPU
v.
)
)
SECRETARY OF HEALTH AND HUMAN
)
SERVICES,
)
)
Respondent.
)
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On April 17, 2019, Bienchis Y. Esteva-Felix (“petitioner”), as the Administrator of the
Estate of Apolinar Hasem Perdomo Felix (“decedent”), filed a petition for compensation under
the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 to -34, as amended
(“Vaccine Act” or “Act”). Petitioner alleges that the decedent sustained Guillain-Barré
syndrome (“GBS”) after an influenza (“flu”) vaccination on March 12, 2017, and that his GBS
resulted in his death on April 21, 2017. GBS is an injury listed on the Vaccine Injury Table
(“Table”) for the flu vaccine.
On May 15, 2020, respondent filed his Rule 4(c) report, conceding that entitlement to
compensation was appropriate under the terms of the Vaccine Act. The Chief Special Master
issued a Ruling on Entitlement on May 19, 2020, finding that petitioner was entitled to vaccine
compensation.
1

Case 1:19-vv-00582-UNJ Document 33 Filed 02/01/21 Page 4 of 6
I. Compensation for Vaccine Injury-Related Items
Based upon the evidence of record, respondent proffers that petitioner, as the
administrator of the Estate of Apolinar Hasem Perdomo Felix, be awarded the following amounts
of compensation:
A. A payment of $250,000.00, which represents compensation the statutory death
benefit, see 42 U.S.C. § 300aa-15(a)(2);
B. A payment of $175,000.00, which represents compensation for past pain and
suffering, see 42 U.S.C. § 300aa-15(a)(4); and
C. A payment of $43,192.51, which represents full satisfaction of any right of
subrogation, assignment, claim, lien, or cause of action the State of North
Carolina may have against any individual as a result of any Medicaid payments
the North Carolina Program has made to or on behalf of Apolinar Hasem
Perdomo Felix from the date of his eligibility for benefits through the date of his
death as a result of his vaccine-related injury suffered on or about March 12,
2017, under Title XIX of the Social Security Act, see 42 U.S.C. § 300aa-15 (g-h).
These amounts represent 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 vaccine-injured person in this case, Apolinar Hasem Perdomo Felix, is deceased.
Petitioner, Bienchis Y. Esteva-Felix, provided respondent with “Restricted Letters of
Administration” from the State of North Carolina that authorized her “to pursue the Wrongful
Death action,” but not to recover any assets, on behalf of the decedent’s estate.
All payments to petitioner should be issued to her as the administrator of Apolinar Hasem
Perdomo Felix’s Estate. If petitioner is not authorized by a court of competent jurisdiction to
receive funds on behalf of the Estate of Apolinar Hasem Perdomo Felix at the time payment is to
be made, any such payment shall be made to the party or parties appointed by a court of
competent jurisdiction to serve as administrator of and to receive funds on behalf of Apolinar
2

Case 1:19-vv-00582-UNJ Document 33 Filed 02/01/21 Page 5 of 6
Hasem Perdomo Felix’s estate, upon submission of written document of such appointment to the
Secretary.
Respondent recommends the Chief Special Master’s decision and the Court’s judgment
award the following:
A. A lump sum payment of $425,000.00 representing the statutory death benefit
($250,000.00) and past pain and suffering ($175,000.00), in the form of a check
payable to petitioner.
B. A lump sum payment of $43,192.51,representing compensation for satisfaction of the
State of North Carolina Medicaid lien, in the form of a check payable jointly to
petitioner and:
Division of Health Benefits
Office of the Controller
2022 Mail Service Center
Raleigh, NC 27699-2022
ID #: 949453747P
Petitioner agrees to endorse this payment to Division of Health Benefits for satisfaction
of the Medicaid lien.
Respectfully submitted,
JEFFREY BOSSERT CLARK
Acting 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
3

Case 1:19-vv-00582-UNJ Document 33 Filed 02/01/21 Page 6 of 6
s/Traci R. Patton
TRACI R. PATTON
Senior Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Ben Franklin Station
Washington, DC 20044-0146
Tel: (202) 353-1589
Dated: November 24, 2020
4