VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-01302
Package ID: USCOURTS-cofc-1_20-vv-01302
Petitioner: Angela White
Filed: 2021-12-22
Decided: 2022-02-07
Vaccine: influenza
Vaccination date: 2019-10-01
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 87581

AI-assisted case summary:
Angela White filed a petition for compensation under the National Vaccine Injury Compensation Program alleging a left shoulder injury related to vaccine administration (SIRVA) from an influenza vaccination she received on October 1, 2019. The respondent conceded that her claim met the Table criteria for SIRVA, including no prior history of shoulder issues, onset of pain within 48 hours, pain limited to the injection shoulder, and no other explanatory condition. The respondent also agreed that she met the statutory severity requirement of suffering residual effects for more than six months. Based on the respondent's concession and the evidence, the court ruled that Ms. White was entitled to compensation. Subsequently, a damages decision was issued. The parties agreed to a proffer on the award. Ms. White was awarded a total of $87,581.00, which included $87,500.00 for pain and suffering and $81.00 for past unreimbursable expenses. Additionally, $1,435.03 was awarded to satisfy a State of Tennessee Medicaid lien. The award was structured as two lump sum payments.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_20-vv-01302-0
Date issued/filed: 2022-01-24
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 12/22/2021) regarding 26 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:20-vv-01302-UNJ Document 34 Filed 01/24/22 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-1302V
UNPUBLISHED
ANGELA WHITE, Chief Special Master Corcoran
Petitioner, Filed: December 22, 2021
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Ruling on Entitlement; Concession;
HUMAN SERVICES, Table Injury; Influenza (Flu) Vaccine;
Shoulder Injury Related to Vaccine
Respondent. Administration (SIRVA)
Jimmy A. Zgheib, Zgheib Sayad, P.C., White Plains, NY, for Petitioner.
Christine Mary Becer, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On October 1, 2020, Angela White 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 a left shoulder injury related to vaccine
administration (SIRVA) as a result of an influenza (“flu”) vaccination she received on
October 1, 2019. Petition at 1. The case was assigned to the Special Processing Unit of
the Office of Special Masters.
On December 16, 2021, Respondent filed his Rule 4(c) report in which he
concedes that Petitioner is entitled to compensation in this case because her claim meets
the Table criteria for SIRVA. Respondent’s Rule 4(c) Report at 1, 5. Specifically, Petitioner
had no history of pain, inflammation, or dysfunction of the affected shoulder prior to
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-01302-UNJ Document 34 Filed 01/24/22 Page 2 of 2
intramuscular vaccine administration that would explain the alleged signs, symptoms,
examination findings, and/or diagnostic studies occurring after vaccination; Petitioner
suffered the onset of pain within 48 hours of vaccination; Petitioner’s pain and reduced
range of motion were limited to the shoulder in which the intramuscular vaccine was
administered; and there is no other condition or abnormality present that would explain
Petitioner’s symptoms. Id. at 5. Respondent further agrees that Petitioner satisfies the
statutory severity requirement by suffering the residual effects or complications of her
injury for more than six months after vaccination. 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

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DOCUMENT 2: USCOURTS-cofc-1_20-vv-01302-1
Date issued/filed: 2022-02-07
Pages: 6
Docket text: PUBLIC DECISION (Originally filed: 01/06/2022) regarding 30 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:20-vv-01302-UNJ Document 35 Filed 02/07/22 Page 1 of 6
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-1302V
UNPUBLISHED
ANGELA WHITE, Chief Special Master Corcoran
Petitioner, Filed: January 6, 2022
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Damages Decision on Proffer;
HUMAN SERVICES, Concession; Table Injury; Influenza
(Flu); Shoulder Injury Related to
Respondent. Vaccine Administration (SIRVA).
Jimmy A. Zgheib, Zgheib Sayad, P.C., White Plains, NY, for Petitioner.
Christine Mary Becer, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON DAMAGES1
On October 1, 2020, Angela White 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 alleged that she suffered a left shoulder injury related to vaccine
administration (SIRVA) as a result of an influenza (“flu”) vaccination she received on
October 1, 2019. Petition at 1. The case was assigned to the Special Processing Unit of
the Office of Special Masters.
On December 22, 2021, I issued a ruling that Petitioner was entitled to
compensation for her SIRVA. ECF No. 26. On January 4, 2022, Respondent filed a proffer
on an award of compensation, to which Petitioner agrees. ECF No. 29 (attached hereto
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-01302-UNJ Document 35 Filed 02/07/22 Page 2 of 6
as Exhibit A). 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:
• A lump sum payment in the amount of $87,581.00 (representing
$87,500.00 for pain and suffering, and $81.00 for past unreimbursable
expenses) in the form of a check payable to Peittioner.
• A lump sum payment of $1,435.03, representing compensation for
satisfaction of the State of Tennessee Medicaid lien, in the form of a check
payable jointly to Petitioner and
Amerigroup
Attn: Bradley Buschman
Reference #107354404
PO Box 655940
San Antonio, TX 78265
Petitioner agrees to endorse and forward the check to Amerigroup for
satisfaction of the Medicaid lien.
These amounts represent compensation for all damages that would be available
under Section 15(a).
The Clerk of the 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.

Case 1:20-vv-01302-UNJ Document 35 Filed 02/07/22 Page 3 of 6
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
____________________________________
)
ANGELA WHITE, )
)
Petitioner, )
) No. 20-1302V
v. ) Chief Special Master Corcoran
) ECF
SECRETARY OF HEALTH AND )
HUMAN SERVICES, )
)
Respondent. )
____________________________________)
PROFFER ON AWARD OF COMPENSATION
On December 16, 2021, 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. ECF No. 25.
Accordingly, on December 22, 2021, the Chief Special Master issued a Ruling on
Entitlement. ECF No. 26.
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 $87,500.00 for pain and suffering, in the form of a check payable to petitioner.
Petitioner agrees.
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 of $81.00. See 42 U.S.C. § 300aa-15(a)(1)(B). Petitioner
agrees.

Case 1:20-vv-01302-UNJ Document 35 Filed 02/07/22 Page 4 of 6
C. Medicaid Lien
Respondent proffers that petitioner should be awarded funds to satisfy the State of
Tennessee Medicaid lien in the amount of $1,435.03, which represents full satisfaction of any
right of subrogation, assignment, claim, lien, or cause of action the State of Tennessee may have
against any individual as a result of any Medicaid payments the State of Tennessee 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
October 1, 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.
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 $87,581.00 in the form of a check payable to petitioner; and
B. A lump sum payment of $1,435.03, representing compensation for satisfaction of the
State of Tennessee Medicaid lien, in the form of a check payable jointly to petitioner
and:
Amerigroup
Attn: Bradley Buschman
Reference # 107354404
PO Box 655940
San Antonio, TX 78265
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-01302-UNJ Document 35 Filed 02/07/22 Page 5 of 6
Petitioner agrees to endorse and forward the check to Amerigroup 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
Acting Assistant Attorney General
C. SALVATORE D’ALESSIO
Acting Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Deputy Director
Torts Branch, Civil Division
DARRYL R. WISHARD
Assistant Director
Torts Branch, Civil Division
s/Christine Mary Becer
CHRISTINE MARY BECER
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) 616-3665
Christine.m.becer@usdoj.gov
Date: January 4, 2022
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Case 1:20-vv-01302-UNJ Document 35 Filed 02/07/22 Page 6 of 6
CATHARINE E. REEVES
Deputy Director
Torts Branch, Civil Division
GABRIELLE M. FIELDING
Assistant Director
Torts Branch, Civil Division
s/ Zoë Wade
ZOË WADE
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146, Ben Franklin Station
Washington, D.C. 20044-0146
Tel: (202) 616-4118
Fax: (202) 616-4310
Email: zoe.wade@usdoj.gov
Date: July 20, 2020
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