VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-00443 Package ID: USCOURTS-cofc-1_20-vv-00443 Petitioner: John Helmandollar Filed: 2022-01-26 Decided: 2022-03-04 Vaccine: influenza Vaccination date: 2018-09-23 Condition: shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 52500 AI-assisted case summary: Brenda Helmandollar, administrator of the estate of John Helmandollar, filed a petition for compensation under the National Vaccine Injury Compensation Program. She alleged that John Helmandollar suffered a left shoulder injury related to vaccine administration (SIRVA) as a result of an influenza vaccine he received on September 23, 2018. The petition stated that the vaccine was received in the United States and that Mr. Helmandollar’s injuries lasted more than six months. The respondent conceded entitlement to compensation, agreeing that Mr. Helmandollar had no prior history of shoulder issues, that pain occurred within 48 hours after the vaccination, was limited to the injection site, and that no other condition explained the pain. The respondent also agreed that the injury lasted more than six months, satisfying all legal prerequisites for compensation. A ruling on entitlement was issued on January 26, 2022, finding the petitioner entitled to compensation. Subsequently, on February 1, 2022, the respondent filed a proffer agreeing to an award of $52,500.00 for all damages. The petitioner agreed with this proffered award. The court awarded a lump sum payment of $52,500.00 to the petitioner. Theory of causation field: Table Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_20-vv-00443-0 Date issued/filed: 2022-03-03 Pages: 2 Docket text: PUBLIC ORDER/RULING (Originally filed: 01/26/2022) regarding 30 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made. -------------------------------------------------------------------------------- Case 1:20-vv-00443-UNJ Document 37 Filed 03/03/22 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 20-0443V UNPUBLISHED BRENDA HELMANDOLLAR, Chief Special Master Corcoran Administrator of ESTATE OF JOHN HELMANDOLLAR, Filed: January 26, 2022 Petitioner, Special Processing Unit (SPU); v. Ruling on Entitlement; Concession; Table Injury; Influenza (Flu) Vaccine; SECRETARY OF HEALTH AND Shoulder Injury Related to Vaccine HUMAN SERVICES, Administration (SIRVA) Respondent. Bridget Candace McCullough, Muller Brazil, LLP, Dresher, PA, for Petitioner. Mallori Browne Openchowski, U.S. Department of Justice, Washington, DC, for Respondent. RULING ON ENTITLEMENT1 On April 15, 2020, Brenda Helmandollar, administrator of the estate of John Helmandollar, 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 Mr. Helmandollar suffered a left shoulder injury related to vaccine administration (“SIRVA”) as a result of an influenza vaccine received on September 23, 2018. Petition at 1. Petitioner further alleges the vaccine was received in the United States and Mr. Helmandollar’s injuries lasted more than six months. Petition at ¶¶ 2, 10. Petitioner filed an affidavit averring that she has never received an award or settlement 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 section references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). Case 1:20-vv-00443-UNJ Document 37 Filed 03/03/22 Page 2 of 2 for Mr. Helmandollar’s vaccine injuries, nor has she filed a civil action. Ex. 8. The case was assigned to the Special Processing Unit of the Office of Special Masters. On January 25, 2022, 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 agrees that “Mr. Helmandollar had no history of pain, inflammation, or dysfunction of his 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 Mr. Helmandollar’s shoulder pain.” Id. at 3. Respondent further agrees that “based on the medical records outlined [in the Rule 4(c) Report], Mr. Helmandollar suffered the residual effects of his injury for more than six months. Therefore, based on the record as it now stands, petitioner 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 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_20-vv-00443-1 Date issued/filed: 2022-03-04 Pages: 4 Docket text: PUBLIC DECISION (Originally filed: 02/02/2022) regarding 33 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made. -------------------------------------------------------------------------------- Case 1:20-vv-00443-UNJ Document 38 Filed 03/04/22 Page 1 of 4 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 20-0443V UNPUBLISHED BRENDA HELMANDOLLAR, Chief Special Master Corcoran Administrator of ESTATE OF JOHN HELMANDOLLAR, Filed: February 2, 2022 Petitioner, Special Processing Unit (SPU); v. Damages Decision Based on Proffer; Influenza (Flu) Vaccine;; Shoulder SECRETARY OF HEALTH AND Injury Related to Vaccine HUMAN SERVICES, Administration (SIRVA) Respondent. Bridget Candace McCullough, Muller Brazil, LLP, Dresher, PA, for Petitioner. Mallori Browne Openchowski, U.S. Department of Justice, Washington, DC, for Respondent. DECISION AWARDING DAMAGES1 On April 15, 2020, Brenda Helmandollar, administrator of the estate of John Helmandollar, 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 Mr. Helmandollar suffered a left shoulder injury related to vaccine administration (“SIRVA”) as a result of an influenza vaccine received on September 23, 2018. Petition at 1. Petitioner further alleges the vaccine was received in the United States and Mr. Helmandollar’s injuries lasted more than six months. Petition at ¶¶ 2, 10. Petitioner filed an affidavit averring that she has never received an award or settlement 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-00443-UNJ Document 38 Filed 03/04/22 Page 2 of 4 for Mr. Helmandollar’s vaccine injuries, nor has she filed a civil action. Ex. 8. The case was assigned to the Special Processing Unit of the Office of Special Masters. On January 26, 2022, a ruling on entitlement was issued, finding Petitioner entitled to compensation for SIRVA. On February 1, 2022, Respondent filed a proffer on award of compensation (“Proffer”) indicating Petitioner should be awarded $52,500.00. Proffer at 2. 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 a lump sum payment of $52,500.00 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 1:20-vv-00443-UNJ Document 38 Filed 03/04/22 Page 3 of 4 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS BRENDA HELMANDOLLAR, Administrator of the Estate of JOHN HELMANDOLLAR, No. 20-443V Petitioner, Chief Special Master Corcoran SPU v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. RESPONDENT’S PROFFER ON AWARD OF COMPENSATION I. Procedural History and Items of Compensation On January 26, 2022, the Court entered its “Ruling on Entitlement,” (ECF Doc. 30) finding petitioner entitled to compensation, consistent with the recommendation in respondent’s January 25, 2022 Rule 4(c) Report. ECF Doc. 28. Specifically, under the Vaccine Injury Table, decedent John Helmandollar suffered from a shoulder injury related to vaccine administration (“SIRVA”) presumptively as the result of an influenza vaccination. Respondent now proffers that petitioner be awarded a lump sum of $52,500.00 for all damages available pursuant to 42 U.S.C. § 300aa-15(a). Petitioner represents that she presently is, or within 90 days of the date of judgment will become, duly authorized to serve as the administrator/executor of the Estate of John Helmandollar under the laws of the state of Kansas. Respondent’s proffer is contingent on the following: No payments pursuant to this proffer shall be made until petitioner provides the Secretary with documentation establishing her appointment as administrator/executor of the Estate of John Helmandollar. If petitioner is not authorized by a court of competent jurisdiction Case 1:20-vv-00443-UNJ Document 38 Filed 03/04/22 Page 4 of 4 to serve as administrator/executor of the Estate of John Helmandollar at the time the payment pursuant to this proffer is to be made, the payment shall be paid to the party or parties appointed by a court of competent jurisdiction to serve as administrator/executor of the Estate of John Helmandollar upon submission of written documentation of such appointment to the Secretary. Petitioner has reviewed the foregoing and agrees with the proffered award of $52,500.00.1 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 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: February 1, 2022 1 This proffer does not include any award for attorneys’ fees and costs that may be awarded pursuant to 42 U.S.C. § 300aa-15(e).