Jacalyn Broze v. HHS - Influenza, shoulder injury related to vaccine administration (SIRVA) (2022)

Jacalyn Broze filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) from an influenza vaccine received on October 23, 2017. She stated her injury effects lasted more than six months.

Respondent filed a Rule 4(c) report conceding entitlement, noting that Ms. Broze had no prior shoulder pain history, her pain began within 48 hours and was limited to the vaccinated shoulder, and she had no other condition explaining the pain.

Respondent agreed that she met the Table requirements for SIRVA and that she met the other program requirements. Based on this concession, the Chief Special Master issued a ruling on entitlement.

Subsequently, the parties filed a proffer on award of compensation. Respondent proffered an award of $102,266.93, which included $90,000.00 for pain and suffering, $5,158.84 for lost wages, and $7,108.09 for unreimbursed medical expenses.

Ms. Broze, an adult, agreed with this proffered award.

The Chief Special Master accepted the proffer and awarded Ms. Broze the lump sum of $102,266.93.