Amy Lange v. HHS - Tdap, Shoulder Injury Related to Vaccine Administration (SIRVA) (2021)

Amy Lange filed a petition for compensation under the National Vaccine Injury Compensation Program alleging that she suffered a shoulder injury related to vaccine administration (SIRVA) as a result of a Tetanus (Tdap) vaccine administered on December 11, 2017. The case was assigned to the Special Processing Unit.

On September 17, 2021, a ruling on entitlement was issued, finding Petitioner entitled to compensation for SIRVA. The respondent conceded that Petitioner's injury was consistent with SIRVA as defined by the Vaccine Injury Table and that she suffered residual effects for more than six months.

On October 26, 2021, the respondent filed a proffer on award of compensation, indicating that Petitioner should be awarded a lump sum payment of $85,000.00 for pain and suffering, and a lump sum payment of $1,714.23 to satisfy a Wisconsin Medicaid lien. Petitioner agreed with the proffered award.

The Chief Special Master awarded Amy Lange a total of $86,714.23 in compensation.