Cynthia Chism v. HHS - Influenza, Shoulder Injury Related to Vaccine Administration (SIRVA) (2021)

Cynthia Chism filed a petition for vaccine compensation on November 10, 2021, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) caused by an influenza vaccine received on October 8, 2018. She also received a Tdap vaccine on the same date.

The petition stated that she received the vaccine in the United States, experienced residual effects for more than six months, and had not filed a civil action or received other compensation. Respondent denied that Ms.

Chism sustained a Table SIRVA within the Table timeframe and denied that the flu vaccine caused her alleged injury. Despite these denials, the parties filed a joint stipulation on November 10, 2021, agreeing to settle the case and award compensation.

The Chief Special Master adopted the stipulation, awarding Ms. Chism $30,000.00.

This amount included a lump sum of $27,630.00 payable to Ms. Chism and $2,370.00 to reimburse a Medicaid lien for services rendered by the State of Tennessee.

The award represents compensation for all damages available under the Vaccine Act. The parties agreed that this stipulation was a full and complete negotiated settlement of liability and damages, and it was not an admission by the United States that the injury was vaccine-caused.