VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_19-vv-01926
Package ID: USCOURTS-cofc-1_19-vv-01926
Petitioner: Lisa Adams
Filed: 2019-12-19
Decided: 2022-03-09
Vaccine: influenza
Vaccination date: 2018-11-10
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 63400

AI-assisted case summary:
Lisa Adams filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered a left shoulder injury related to vaccine administration (SIRVA) caused by an influenza vaccination she received on November 10, 2018. Respondent conceded that Petitioner's alleged injury was consistent with a SIRVA injury as defined on the Vaccine Injury Table. Respondent found that Petitioner had no prior history of left shoulder pain, that the pain occurred within 48 hours after vaccination, was limited to the shoulder of injection, and no other condition explained the pain. Additionally, Petitioner suffered residual effects for more than six months. Based on this concession and the evidence, entitlement to compensation was granted on June 7, 2021. Subsequently, on January 31, 2022, the parties submitted a proffer on award of damages. Respondent recommended an award of $63,400.90, comprising $63,000.00 for pain and suffering and $400.90 for past unreimbursable expenses. Petitioner agreed with this proffered award. The Chief Special Master issued a decision awarding Petitioner the lump sum of $63,400.90 on March 9, 2022.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_19-vv-01926-0
Date issued/filed: 2021-07-07
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 06/07/2021) regarding 19 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-01926-UNJ Document 21 Filed 07/07/21 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-1926V
UNPUBLISHED
LISA ADAMS, Chief Special Master Corcoran
Petitioner, Filed: June 7, 2021
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)
Bridget Candace McCullough, Muller Brazil, LLP, Dresher, PA, for petitioner.
Jennifer Leigh Reynaud, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
On December 19, 2019, Lisa Adams 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 left shoulder injury related to vaccine
administration (SIRVA) caused by an influenza (flu) vaccination received on November
10, 2018. Petition at 1. The case was assigned to the Special Processing Unit of the
Office of Special Masters.
On May 20, 2021, 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.
Respondent concluded that “[P]etitioner’s alleged injury is consistent with a SIRVA injury,
as defined on the Vaccine Injury Table.” Id. at 3. Specifically, Respondent found that
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-01926-UNJ Document 21 Filed 07/07/21 Page 2 of 2
[P]etitioner had no history of pain, inflammation, or dysfunction of the left shoulder;
medical records document that the shoulder pain occurred within 48 hours after
vaccination; the pain was limited to the shoulder in which the vaccine was administered;
and no other condition or abnormality has been identified to explain petitioner’s shoulder
pain . . . . Additionally, based on the medical records outlined above, [P]etitioner suffered
the residual effects of the condition for more than six months. Therefore, based on the
record as it now stands, [P]etitioner has satisfied all legal prerequisites for compensation
under the Act. Id. (Citations omitted). Respondent further agrees that the scope of
damages to be awarded is limited to Petitioner’s SIRVA and its related sequelae. 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-01926-1
Date issued/filed: 2022-03-09
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 02/02/2022) regarding 28 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:19-vv-01926-UNJ Document 32 Filed 03/09/22 Page 1 of 5
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 19-1926V
UNPUBLISHED
LISA ADAMS, Chief Special Master Corcoran
Petitioner, Filed: February 2, 2022
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)
Bridget Candace McCullough, Muller Brazil, LLP, Dresher, PA, for Petitioner.
Jennifer Leigh Reynaud, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On December 19, 2019, Lisa Adams 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 the influenza vaccination she received on November
10, 2018. Petition at 1. The case was assigned to the Special Processing Unit of the
Office of Special Masters.
On June 7, 2021, a ruling on entitlement was issued, finding Petitioner entitled to
compensation for SIRVA. On January 31, 2022, Respondent filed a proffer on award of
compensation (“Proffer”) indicating Petitioner should be awarded $63,400.90 (63,000.00
for actual and projected pain and suffering, and $400.90 for past unreimbursable
expenses). Proffer at 1-2. In the Proffer, Respondent represented that Petitioner agrees
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-01926-UNJ Document 32 Filed 03/09/22 Page 2 of 5
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 lump
sum payment of $63,400.90 in the form of a check payable to Petitioner. This amount
represents compensation for all damages that would be available under Section 15(a).
The Clerk of 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-01926-UNJ Document 32 Filed 03/09/22 Page 3 of 5
THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
LISA ADAMS,
Petitioner, No. 19-1926V
Chief Special Master Corcoran
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
PROFFER ON AWARD OF DAMAGES
On December 19, 2019, Lisa Adams (“petitioner”) filed a petition for compensation
(“Petition”) under the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 to -
34 (“Vaccine Act” or “Act”), as amended. Petitioner alleges that she suffered a left Shoulder
Injury Related to Vaccine Administration (“SIRVA”) resulting from an influenza (“flu”)
vaccination administered on November 10, 2018. Petition at 1. Respondent concluded that
petitioner’s alleged injury satisfied the criteria of the Vaccine Injury Table, and therefore
conceded petitioner’s entitlement to compensation in his Rule 4(c) Report filed on May 20, 2021.
ECF No. 18. Based on Respondent’s Rule 4(c) Report the Court found petitioner entitled to
compensation on June 7, 2021. ECF No. 19.
I. Items of Compensation
A. Pain and Suffering
Respondent proffers that petitioner should be awarded $63,000.00 in actual and projected
pain and suffering. This amount reflects that any award for projected pain and suffering has
been reduced to net present value. See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.
1

Case 1:19-vv-01926-UNJ Document 32 Filed 03/09/22 Page 4 of 5
B. Past Unreimbursable Expenses
Evidence supplied by petitioner documents her expenditure of past unreimbursable
expenses related to her vaccine-related injury. Respondent proffers that petitioner should be
awarded past unreimbursable expenses in the amount of $400.90. Petitioner agrees.
II. Form of the Award
Respondent recommends that the compensation provided to petitioner should be made
through a lump sum payment of $63,400.90 in the form of a check made payable to petitioner.1
This lump sum payment represents all elements of compensation to which petitioner would be
entitled under 42 U.S.C. § 300aa-15(a). Petitioner agrees.
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
Deputy Director
Torts Branch, Civil Division
TRACI R. PATTON
Assistant Director
Torts Branch, Civil Division
1 Should petitioner die prior to the entry of judgment, the parties reserve the right to move the
Court for appropriate relief. In particular, respondent would oppose any award for future
medical expenses, future lost earnings, and future pain and suffering.
2

Case 1:19-vv-01926-UNJ Document 32 Filed 03/09/22 Page 5 of 5
s/Jennifer L. Reynaud
JENNIFER L. REYNAUD
Senior Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, D.C. 20044-0146
Tel: (202) 305-1586
Jennifer.L.Reynaud@usdoj.gov
DATED: January 31, 2022
3