VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-01056
Package ID: USCOURTS-cofc-1_19-vv-01056
Petitioner: Susan Fausnaugh
Filed: 2020-12-01
Decided: 2021-05-11
Vaccine: influenza
Vaccination date: 2017-10-18
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 82472

AI-assisted case summary:
Susan Fausnaugh filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered a shoulder injury related to vaccine administration (SIRVA) as a result of an influenza vaccine she received on October 18, 2017. The respondent conceded that Petitioner's alleged injury was consistent with a SIRVA, as defined on the Vaccine Injury Table. The respondent noted that Petitioner had no prior history of shoulder issues, experienced pain within 48 hours after the vaccination, and that the pain was limited to the injection site with no other identified cause. The respondent further agreed that Petitioner suffered residual effects for more than six months and met all legal prerequisites for compensation. A ruling on entitlement was issued on December 1, 2020, finding Petitioner entitled to compensation. Subsequently, on April 6, 2021, the respondent filed a proffer on award of compensation, proposing an award of $80,078.93 for general damages and an additional $2,393.26 to satisfy a State of Ohio Medicaid lien. Petitioner agreed with the proffered award. On May 11, 2021, the Chief Special Master issued a decision awarding Petitioner a total of $82,472.19, comprising the lump sum payment and the Medicaid lien satisfaction.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_19-vv-01056-0
Date issued/filed: 2021-02-01
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 12/01/2020) regarding 27 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-01056-UNJ Document 31 Filed 02/01/21 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-1056V
UNPUBLISHED
SUSAN FAUSNAUGH, Chief Special Master Corcoran
Petitioner, Filed: December 1, 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)
Ronald Craig Homer, Conway, Homer, P.C., Boston, MA, for Petitioner.
Mallori Browne Openchowski, U.S. Department of Justice, Washington, DC, for
Respondent.
RULING ON ENTITLEMENT1
On July 22, 2019, Susan Fausnaugh 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”) as a result of an influenza (“flu”) vaccine she received on
October 18, 2017. Petition at Introduction. The case was assigned to the Special
Processing Unit of the Office of Special Masters.
On November 30, 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 states that “ petitioner’s alleged injury is consistent
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-01056-UNJ Document 31 Filed 02/01/21 Page 2 of 2
with a SIRVA, as defined on the Vaccine Injury Table. Specifically, petitioner had no
history of pain, inflammation, or dysfunction of her 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
5. Respondent further agrees that Petitioner suffered residual effects of her 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-01056-1
Date issued/filed: 2021-05-11
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 04/08/2021) regarding 37 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-01056-UNJ Document 41 Filed 05/11/21 Page 1 of 5
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-1056V
UNPUBLISHED
SUSAN FAUSNAUGH, Chief Special Master Corcoran
Petitioner, Filed: April 8, 2021
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.
Mallori Browne Openchowski, U.S. Department of Justice, Washington, DC, for
Respondent.
DECISION AWARDING DAMAGES1
On July 22, 2019, Susan Fausnaugh 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”) as a result of an influenza (“flu”) vaccine she received on
October 18, 2017. Petition at Introduction. Petitioner further alleges that she suffered the
residual effects of her injury for more than six months after the administration of the flu
vaccine. Petition at 10. The case was assigned to the Special Processing Unit of the
Office of Special Masters.
On December 1, 2020, a ruling on entitlement was issued, finding Petitioner
entitled to compensation for SIRVA. On April 6, 2021, Respondent filed a proffer on award
of compensation (“Proffer”) indicating Petitioner should be awarded $80,078.93, and an
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-01056-UNJ Document 41 Filed 05/11/21 Page 2 of 5
additional $2,393.26 to satisfy a State of Ohio Medicaid lien. Proffer at 1. 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 the
following:
(1) A lump sum payment of $80,078.93, in the form of a check payable to
Petitioner.
(2) A lump sum payment of $2,393.26, representing compensation for
satisfaction of the State of Ohio Medicaid lien, payable jointly to Petitioner
and to:
Treasurer, State of Ohio
Ohio Tort Recovery Unit
350 Worthington Rd., Suite G
Westerville, Ohio 43082
Petitioner agrees to endorse this payment to the Ohio Department of
Medicaid.
These amounts represent 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

Case 1:19-vv-01056-UNJ Document 41 Filed 05/11/21 Page 3 of 5
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
SUSAN FAUSNAUGH,
Petitioner, No. 19-1056V
Chief Special Master Corcoran
v. SPU
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On November 30, 2020, respondent conceded that entitlement to compensation was
appropriate under the terms of the Vaccine Act. Thereafter, on December 1, 2020, Chief Special
Master Corcoran issued a Ruling on Entitlement, finding that petitioner was entitled to vaccine
compensation for her shoulder injury related to vaccine administration (“SIRVA”).
I. Compensation for Vaccine Injury-Related Items
Based on the evidence of record, respondent proffers that petitioner should be awarded
$80,078.93. This amount represents all elements of compensation to which petitioner would be
entitled under 42 U.S.C. § 300aa-15(a), with the exception of the reimbursement of the Medicaid
lien, below. Petitioner agrees.
Respondent further proffers that petitioner should be awarded funds to satisfy a State of
Ohio Medicaid lien in the amount of $2,393.26, which represents full satisfaction of any right of
subrogation, assignment, claim, lien, or cause of action the State of Ohio may have against any
individual as a result of any Medicaid payments that the State of Ohio has made to or on behalf
of Susan Fausnaugh from the date of her eligibility for benefits through the date of judgment in

Case 1:19-vv-01056-UNJ Document 41 Filed 05/11/21 Page 4 of 5
this case as a result of her vaccine-related injury suffered on or about October 18, 2017, under
Title XIX of the Social Security Act. Petitioner agrees.
II. Form of the Award
Respondent recommends that the compensation provided to petitioner be made through
two lump sum payments as described below:
(1) The parties recommend that compensation provided to petitioner should be made
through a lump sum payment of $80,078.93, in the form of a check payable to
petitioner.1 Petitioner agrees.
(2) A lump sum payment of $2,393.26, representing compensation for satisfaction of
the State of Ohio Medicaid lien, payable jointly to petitioner and to:
Treasurer, State of Ohio
Ohio Tort Recovery Unit
350 Worthington Rd., Suite G
Westerville, Ohio 43082
Petitioner agrees to endorse this payment to the Ohio Department of Medicaid.
Petitioner is a competent adult. Evidence of guardianship is not required in this case.
Respectfully submitted,
BRIAN M. BOYNTON
Acting Assistant Attorney General
C. SALVATORE D’ALESSIO
Acting Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Acting Deputy Director
Torts Branch, Civil Division
1 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court
for appropriate relief. In particular, respondent would oppose any award for future pain and
suffering.
2

Case 1:19-vv-01056-UNJ Document 41 Filed 05/11/21 Page 5 of 5
ALEXIS B. BABCOCK
Assistant Director
Torts Branch, Civil Division
s/ Mallori B. Openchowski
MALLORI B. OPENCHOWSKI
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146, Ben Franklin Station
Washington, DC 20044-0146
Tel.: (202) 305-0660
mallori.b.openchowski@usdoj.gov
DATED: April 6, 2021
3