Amy Bandolik v. HHS - Influenza, left shoulder injury related to vaccine administration (SIRVA) (2022)

Amy Bandolik filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that she suffered a left shoulder injury related to vaccine administration (SIRVA) resulting from an influenza vaccination received on October 28, 2018. The respondent conceded that Ms.

Bandolik is entitled to compensation, determining that her injury met the criteria set forth in the Vaccine Injury Table for SIRVA. Specifically, she had no prior history of shoulder issues, her pain and reduced range of motion occurred within 48 hours of the vaccination, her symptoms were limited to the vaccinated shoulder, and no other condition explained her symptoms.

The statutory six-month sequela requirement was also satisfied. Following the ruling on entitlement, the respondent proffered an award of $31,144.08, which included $30,000.00 for pain and suffering and $1,144.08 for unreimbursed expenses.

Ms. Bandolik agreed with this proffered award.

The Chief Special Master issued a decision awarding the full proffered amount.