VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-00747
Package ID: USCOURTS-cofc-1_20-vv-00747
Petitioner: Douglas Miller
Filed: 2020-06-23
Decided: 2022-06-16
Vaccine: Tdap
Vaccination date: 2018-10-15
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 98670

AI-assisted case summary:
Douglas Miller filed a petition for compensation under the National Vaccine Injury Compensation Program on June 23, 2020, alleging he suffered a shoulder injury related to vaccine administration (SIRVA) after receiving a Tdap vaccine on October 15, 2018. The respondent, represented by Wei Kit Tai of the U.S. Department of Justice, filed a Rule 4(c) report conceding that Mr. Miller's claim met the Table criteria for SIRVA and that he satisfied all legal prerequisites for compensation. Petitioner was represented by Leah VaSahnja Durant of the Law Offices of Leah V. Durant, PLLC. On April 5, 2022, Chief Special Master Brian H. Corcoran issued a ruling on entitlement, finding Petitioner entitled to compensation. Subsequently, on May 2, 2022, the respondent filed a proffer on award of compensation. The parties agreed to a total award of $98,670.12. This award consisted of a lump sum payment of $92,962.61, which included $92,500.00 for pain and suffering and $462.61 for past unreimbursable expenses, payable to Mr. Miller. Additionally, a lump sum payment of $5,707.51 was awarded to satisfy the State of New York Medicaid lien, payable jointly to Mr. Miller and the New York State Department of Health, with Mr. Miller agreeing to endorse the check. The decision awarding these damages was issued by Chief Special Master Brian H. Corcoran on June 16, 2022. The public decision does not describe the specific onset of symptoms, medical examinations, or treatments received.

Theory of causation field:
Douglas Miller filed a petition alleging a Shoulder Injury Related to Vaccine Administration (SIRVA) following a Tetanus Diphtheria acellular Pertussis (Tdap) vaccine administered on October 15, 2018. The respondent conceded that the claim met the Table criteria for SIRVA and that all legal prerequisites for compensation were satisfied. Petitioner was represented by Leah VaSahnja Durant and the respondent by Wei Kit Tai. Chief Special Master Brian H. Corcoran issued a ruling on entitlement on April 5, 2022, finding Petitioner entitled to compensation. A subsequent proffer on award of compensation was filed by the respondent on May 2, 2022, and agreed to by the Petitioner. The final decision on June 16, 2022, awarded a total of $98,670.12, comprising $92,500.00 for pain and suffering, $462.61 for past unreimbursable expenses, and $5,707.51 to satisfy the State of New York Medicaid lien. The theory of causation is based on the Vaccine Injury Table (SIRVA). No specific medical experts or detailed mechanism of injury were described in the provided public text.

Public staged source text:

================================================================================
DOCUMENT 1: USCOURTS-cofc-1_20-vv-00747-0
Date issued/filed: 2022-05-19
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 04/05/2022) regarding 31 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
--------------------------------------------------------------------------------
Case 1:20-vv-00747-UNJ Document 38 Filed 05/19/22 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-0747V
UNPUBLISHED
DOUGLAS MILLER, Chief Special Master Corcoran
Petitioner, Filed: April 5, 2022
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Ruling on Entitlement; Concession;
HUMAN SERVICES, Table Injury; Tetanus Diphtheria
acellular Pertussis (Tdap) Vaccine;
Respondent. Shoulder Injury Related to Vaccine
Administration (SIRVA)
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
Petitioner.
Wei Kit Tai, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On June 23, 2020, Douglas Miller 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 he suffered a shoulder injury related to vaccine
administration (“SIRVA”) as a result of a tetanus, diphtheria, and acellular pertussis
(“Tdap”) vaccine administered to him on October 15, 2018. Petition at 1. The case was
assigned to the Special Processing Unit of the Office of Special Masters.
On April 4, 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.
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-00747-UNJ Document 38 Filed 05/19/22 Page 2 of 2
Specifically, Respondent has concluded that “[P]etitioner’s claim meets the Table criteria
for SIRVA.” Id. at 6. Respondent further agrees that “[P]etitioner has satisfied all legal
prerequisites for compensation under the Act.” Id. at 7.
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-00747-1
Date issued/filed: 2022-06-16
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 05/03/2022) regarding 34 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
--------------------------------------------------------------------------------
Case 1:20-vv-00747-UNJ Document 40 Filed 06/16/22 Page 1 of 5
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-0747V
UNPUBLISHED
DOUGLAS MILLER, Chief Special Master Corcoran
Petitioner, Filed: May 3, 2022
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Damages Decision Based on Proffer;
HUMAN SERVICES, Tetanus Diphtheria acellular
Pertussis (Tdap) Vaccine; Shoulder
Respondent. Injury Related to Vaccine
Administration (SIRVA)
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
Petitioner.
Wei Kit Tai, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On June 23, 2020, Douglas Miller 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 he suffered a shoulder injury related to vaccine
administration (“SIRVA”) as a result of a tetanus, diphtheria, and acellular pertussis
(“Tdap”) vaccine administered to him on October 15, 2018. Petition at 1. The case was
assigned to the Special Processing Unit of the Office of Special Masters.
On April 5, 2022, a ruling on entitlement was issued, finding Petitioner entitled to
compensation for SIRVA. On May 2, 2022, Respondent filed a proffer on award of
compensation (“Proffer”) indicating Petitioner should be awarded a lump sum payment of
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-00747-UNJ Document 40 Filed 06/16/22 Page 2 of 5
$92,962.61 (comprised of $92,500.00 for pain and suffering, $462.61 for past
unreimbursable expenses) and a lump sum payment of $5,707.51, which amount
represents compensation for satisfaction of the State of New York Medicaid lien. Proffer
at 1. 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 the
following compensation:
1. A lump sum payment of $92,962.61 (comprised of $92,500.00 for pain and
suffering and $462.61 for past unreimbursable expenses) in the form of a
check payable to Petitioner); and
2. A lump sum payment of $5,707.51, representing compensation for
satisfaction of the State of New York Medicaid lien, payable jointly to
Petitioner and to:
New York State Department of Health
P.O. Box 415874
Boston, MA 02241-5874
Case ID: 154655
Medicaid ID: GD34592M
Petitioner agrees to endorse the check to the New York State Department of
Health 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-00747-UNJ Document 40 Filed 06/16/22 Page 3 of 5
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
___________________________________
)
DOUGLAS MILLER, )
) No. 20-747V ECF
Petitioner, )
)
v. ) Chief Special Master Corcoran
)
SECRETARY OF HEALTH AND )
HUMAN SERVICES, )
)
Respondent. )
____________________________________)
PROFFER ON AWARD OF COMPENSATION
On April 4, 2022, respondent filed a Vaccine Rule 4(c) report concluding that petitioner
suffered an injury that is compensable under the National Childhood Vaccine Injury Act of 1986,
as amended, 42 U.S.C. §§ 300aa-10 to -34, that is, a shoulder injury related to vaccine
administration (“SIRVA”), as defined in the Vaccine Injury Table. Accordingly, on April 5,
2022, the Chief Special Master issued a Ruling on Entitlement.
I. Compensation for Vaccine Injury-Related Items
A. Pain and Suffering
Based upon the evidence of record, respondent proffers that petitioner should be awarded
a lump sum of $92,500.00 for pain and suffering, in the form of a check payable to petitioner.
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 $462.61. See 42 U.S.C. § 300aa-
15(a)(1)(B).

Case 1:20-vv-00747-UNJ Document 40 Filed 06/16/22 Page 4 of 5
C. Medicaid Lien
Respondent proffers that petitioner should be awarded funds to satisfy the State of New
York Medicaid lien in the amount of $5,707.51, which represents full satisfaction of any right of
subrogation, assignment, claim, lien, or cause of action the State of New York may have against
any individual as a result of any Medicaid payments the State of New York has made to or on
behalf of petitioner from the date of his eligibility for benefits through the date of judgment in
this case as a result of his alleged vaccine-related injury suffered on or about October 15, 2018,
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.
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 $92,962.61 in the form of a check payable to petitioner; and
B. A lump sum payment of $5707.51, representing compensation for satisfaction of the
State of New York Medicaid lien, in the form of a check payable jointly to petitioner
and:
New York State Department of Health
P.O. Box 415874
Boston, MA 02241-5874
Case ID: 154655
Medicaid ID: GD34592M
Petitioner agrees to endorse the check to the New York State Department of Health for
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.
2

Case 1:20-vv-00747-UNJ Document 40 Filed 06/16/22 Page 5 of 5
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
s/ Wei Kit (Ricky) Tai
WEI KIT (RICKY) TAI
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Ben Franklin Station
Washington, D.C. 20044-0146
Direct dial: (202) 598-7705
Email: Wei.Tai@usdoj.gov
Dated: May 5, 2022
3