VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-00436
Package ID: USCOURTS-cofc-1_20-vv-00436
Petitioner: Maryam Ebrahimi
Filed: 2020-12-14
Decided: 2022-05-13
Vaccine: influenza
Vaccination date: 2019-02-11
Condition: Guillain-Barre Syndrome (GBS)
Outcome: compensated
Award amount USD: 273178

AI-assisted case summary:
Maryam Ebrahimi filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered Guillain-Barre Syndrome (GBS) as a result of her February 11, 2019 influenza vaccination. The case was assigned to the Special Processing Unit of the Office of Special Masters. Respondent filed a Rule 4(c) report conceding that Petitioner is entitled to compensation, as her condition satisfied the criteria set forth in the Vaccine Injury Table and the Qualifications and Aids to Interpretation. A ruling on entitlement was issued on December 14, 2020, finding Petitioner entitled to compensation. Subsequently, on March 30, 2022, Respondent filed a proffer on award of compensation, indicating Petitioner should be awarded $218,769.80 for pain and suffering, past unreimbursable expenses, future expenses, and past lost wages. Additionally, funds were to be awarded to satisfy the State of Colorado’s Medicaid lien in the amount of $54,408.51. Petitioner agreed with the proffered award. The decision dated May 13, 2022, awarded a total of $273,178.31, comprising the sum of the compensation for Ebrahimi and the Medicaid lien satisfaction.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_20-vv-00436-0
Date issued/filed: 2021-02-05
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 12/14/2020) regarding 28 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:20-vv-00436-UNJ Document 32 Filed 02/05/21 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-436V
UNPUBLISHED
MARYAM EBRAHIMI, Chief Special Master Corcoran
Petitioner, Filed: December 14, 2020
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Ruling on Entitlement; Concession;
HUMAN SERVICES, Table Injury; Influenza (Flu) Vaccine;
Guillain-Barre Syndrome (GBS)
Respondent.
Anne Carrion Toale, Maglio Christopher & Toale, PA, Sarasota, FL, for petitioner.
Lynn Christina Schlie, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
On April 15, 2020, Maryam Ebrahimi 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 Guillain-Barre Syndrome (“GBS”) as
a result of her February 11, 2019 influneza (“flu”) vaccination. See Petition at 1-4. 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 1:20-vv-00436-UNJ Document 32 Filed 02/05/21 Page 2 of 2
On December 10, 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, 5. Specifically, Respondent indicates that
[m]edical personnel at the Division of Injury Compensation Programs,
Department of Health and Human Services (“DICP”), have reviewed the
petition and medical records filed in the case. It is respondent’s position that
petitioner has satisfied the criteria set forth in the Vaccine Injury Table
(“Table”) and the Qualifications and Aids to Interpretation (“QAI”).
Id. at 4-5 (citing 42 C.F.R. §§ 100.3(a)(XIV)(D), 100.3(c)(15)).
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_20-vv-00436-1
Date issued/filed: 2022-05-13
Pages: 6
Docket text: PUBLIC DECISION (Originally filed: 03/31/2022) regarding 55 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:20-vv-00436-UNJ Document 59 Filed 05/13/22 Page 1 of 6
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-436V
UNPUBLISHED
MARYAM EBRAHIMI, Chief Special Master Corcoran
Petitioner, Filed: March 31, 2022
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Damages Decision Based on Proffer;
HUMAN SERVICES, Influenza (Flu) Vaccine; Guillain-
Barre Syndrome (GBS)
Respondent.
Anne Carrion Toale, Maglio Christopher & Toale, PA, Sarasota, FL, for Petitioner.
Mitchell Jones, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On April 15, 2020, Maryam Ebrahimi 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 Guillain-Barre Syndrome (“GBS”) as
a result of her February 11, 2019 influneza (“flu”) vaccination. See Petition at 1-4. The
case was assigned to the Special Processing Unit of the Office of Special Masters.
On December 14, 2020, a ruling on entitlement was issued, finding Petitioner
entitled to compensation for GBS. On March 30, 2022, Respondent filed a proffer on
award of compensation (“Proffer”) indicating Petitioner should be awarded $218,769.80
(representing compensation for pain and suffering in the amount of $195,000.00, past
unreimbursable expenses in the amount of $148.80, future expenses in the amount of
$6,500.00, and past lost wages in the amount of $17,121.00) and funds to satisfy the
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 1:20-vv-00436-UNJ Document 59 Filed 05/13/22 Page 2 of 6
State of Colorado’s Medicaid lien in the amount of $54,408.51. Proffer at 1-3. 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 the following
compensation:
A. A lump sum payment of $218,769.80 (representing compensation for pain
and suffering in the amount of $195,000.00, past unreimbursable expenses
in the amount of $148.80, future expenses in the amount of $6,500.00, and
past lost wages in the amount of $17,121.00) in the form of a check payable
to Petitioner; and
B. A lump sum payment of $54,408.51, representing compensation for
satisfaction of the State of Colorado Medicaid lien, in the form of a check
payable jointly to Petitioner and:
Colorado Department of Health Care Policy and Financing
333 W. Hampden Avenue, Suite # 425
Englewood, CO 80110
Re: Maryam Ebrahimi
Medicaid ID No. O232345
Petitioner agrees to endorse the check to the Colorado Department of Health Care
Policy and Financing for satisfaction of the Medicaid lien. 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 1:20-vv-00436-UNJ Document 59 Filed 05/13/22 Page 3 of 6
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
___________________________________
)
MARYAM EBRAHIMI, )
)
Petitioner, ) No. 20-436V
) Chief Special Master Corcoran
v. ) ECF
)
SECRETARY OF HEALTH )
AND HUMAN SERVICES, )
)
Respondent. )
___________________________________ )
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On April 15, 2020, Maryam Ebrahimi (“petitioner”) filed a petition for compensation
under the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 to -34
(“Vaccine Act” or “Act”), alleging that she suffered Guillain-Barré Syndrome (“GBS”)
following the administration of an influenza vaccine she received on February 11, 2019. Petition
at 1. On December 10, 2020, the Secretary of Health and Human Services (“respondent”) filed a
Rule 4(c) Report indicating that this case is appropriate for compensation under the terms of the
Act for a GBS Table injury, and on December 14, 2020, the Chief Special Master issued a
Ruling on Entitlement finding petitioner entitled to compensation. ECF Nos. 24, 28.
I. Items of Compensation
A. Pain and Suffering
Respondent proffers that petitioner should be awarded $195,000.00 in pain and suffering.
See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.

Case 1:20-vv-00436-UNJ Document 59 Filed 05/13/22 Page 4 of 6
B. Past Unreimbursable Expenses
Evidence supplied by petitioner documents that she incurred past unreimbursable
expenses related to her vaccine-related injury. Respondent proffers that petitioner should be
awarded past unreimbursable expenses in the amount of $148.80. See 42 U.S.C. § 300aa-
15(a)(1)(B). Petitioner agrees.
C. Future Vaccine-Related Expenses
Evidence supplied by petitioner documents that she will incur future expenses related to
her vaccine-related injury. Respondent proffers that petitioner should be awarded future
expenses in the amount of $6,500. See 42 U.S.C. § 300aa-15(a)(1)(A). Petitioner agrees.
D. Lost Wages
Evidence supplied by petitioner documents that she incurred past lost wages related to
her vaccine-related injury. Respondent proffers that petitioner should be awarded past lost
wages in the amount of $17,121.00. See 42 U.S.C. § 300aa-15(a)(3)(A). Petitioner agrees.
E. Medicaid Lien
Respondent proffers that petitioner should be awarded funds to satisfy the State of
Colorado’s Medicaid lien in the amount of $54,408.51, which represents full satisfaction of any
right of subrogation, assignment, claim, lien, or cause of action the State of Colorado may have
against any individual as a result of any Medicaid payments the State of Colorado has made to or
on behalf of petitioner from the date of her eligibility for benefits through the date of judgment in
this case as a result of her alleged vaccine-related injury suffered on or about February 11, 2019
under Title XIX of the Social Security Act.
The above amounts represent all elements of compensation to which petitioner would be
entitled under 42 U.S.C. § 300aa-15(a). Petitioner agrees
2

Case 1:20-vv-00436-UNJ Document 59 Filed 05/13/22 Page 5 of 6
II. Form of the Award
The parties recommend that compensation provided to petitioner should be made through
two lump sum payments described below, and request that the Chief Special Master’s decision
and the Court’s judgment award the following: 1
A. A lump sum payment of $218,769.80 in the form of a check payable to
petitioner; and
B. A lump sum payment of $54,408.51, representing compensation for
satisfaction of the State of Colorado Medicaid lien, in the form of a check
payable jointly to petitioner and:
Colorado Department of Health Care Policy and Financing
333 W. Hampden Avenue, Suite # 425
Englewood, CO 80110
Re: Maryam Ebrahimi
Medicaid ID No. O232345
Petitioner agrees to endorse the check to the Colorado Department of Health Care Policy
and Financing for satisfaction of the Medicaid lien.
Petitioner is a competent adult. Evidence of guardianship is not required in this case.
Respectfully submitted,
BRIAN M. BOYNTON
Principal Deputy 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 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 pain and suffering, and future lost wages.
3

Case 1:20-vv-00436-UNJ Document 59 Filed 05/13/22 Page 6 of 6
/s/ Mitchell H. Jones
MITCHELL H. JONES
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) 305-1748
mitchell.jones@usdoj.gov
DATED: March 30, 2022
4