VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-01492 Package ID: USCOURTS-cofc-1_20-vv-01492 Petitioner: Kelli Wilson Filed: 2025-02-27 Decided: 2025-04-04 Vaccine: influenza Vaccination date: 2017-11-02 Condition: shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 25000 AI-assisted case summary: Kelli Wilson filed a petition for compensation under the National Vaccine Injury Compensation Program on February 27, 2025, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) after receiving an influenza vaccine on November 2, 2017. She claimed the SIRVA was a Table injury, that she received the vaccine in the United States, and that she continued to suffer residual effects for more than six months post-vaccination. Respondent denied that Petitioner sustained a SIRVA Table injury, denied that her alleged shoulder injury was caused-in-fact by the flu vaccine, and denied that the flu vaccine caused her any other injury or current condition. Despite the denial, the parties filed a joint stipulation on February 27, 2025, agreeing that compensation should be awarded. The court found the stipulation reasonable and adopted it as its decision. Kelli Wilson was awarded a lump sum of $25,000.00 as compensation for all items of damages available under Section 15(a) of the Vaccine Act. Theory of causation field: Table Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_20-vv-01492-0 Date issued/filed: 2025-04-04 Pages: 7 Docket text: PUBLIC DECISION (Originally filed: 02/27/2025) regarding 38 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made. -------------------------------------------------------------------------------- Case 1:20-vv-01492-UNJ Document 42 Filed 04/04/25 Page 1 of 7 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 20-1492V KELLI WILSON, Chief Special Master Corcoran Petitioner, Filed: February 27, 2025 v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Curtis R. Webb, Curtis, R. Webb, Attorney at Law, Monmouth, OR, for Petitioner. Emilie Williams, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On October 29, 2020, Kelli Wilson 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 shoulder injury related to vaccine administration (“SIRVA”), a defined Table injury, after receiving an influenza (“flu”) vaccine November 2, 2017. Petition at ¶¶ 1-2; Stipulation, filed at February 27, 2025, ¶¶ 1-2, 4. Petitioner further alleged that she received the vaccine within the United States, that she continued to suffer the residual effects of the SIRVA more than six months post- vaccination, and that neither she nor any other party has filed a civil action or received compensation for her SIRVA, alleged as vaccine caused. Petition at ¶¶ 3, 14, 16-17; Stipulation at ¶¶ 3-5. “Respondent denies that [P]etitioner sustained a SIRVA Table injury; denies that [P]etitioner’s alleged shoulder injury was caused-in-fact by the flu vaccine, and denies that the flu vaccine caused [P]etitioner any other injury or her current condition.” Stipulation at ¶ 6. 1 Because this Decision contains a reasoned explanation for the action taken in this case, it must be made publicly accessible and will be posted on the United States Court of Federal Claims' website, and/or at https://www.govinfo.gov/app/collection/uscourts/national/cofc, in accordance with the E-Government Act of 2002. 44 U.S.C. § 3501 note (2018) (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 (2018). Case 1:20-vv-01492-UNJ Document 42 Filed 04/04/25 Page 2 of 7 Nevertheless, on February 27, 2025, the parties filed the attached joint stipulation,3 stating that a decision should be entered awarding compensation. I find the stipulation reasonable and adopt it as my decision awarding damages, on the terms set forth therein. Pursuant to the terms stated in the attached Stipulation, I award the following compensation: A lump sum of $25,000.00, in the form of a check payable to Petitioner. Stipulation at ¶ 8. This amount represents compensation for all items of damages that would be available under Section 15(a). Id. I approve the requested amount for Petitioner’s compensation. In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of Court is directed to enter judgment in accordance with this decision.4 IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master 3 The last page (6) of the stipulation, which contains information related to personal emails confirming the signatures on page 5, has been removed in order to protect this personal information. 4 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-01492-UNJ Document 42 Filed 04/04/25 Page 3 of 7 Case 1:20-vv-01492-UNJ Document 42 Filed 04/04/25 Page 4 of 7 Case 1:20-vv-01492-UNJ Document 42 Filed 04/04/25 Page 5 of 7 Case 1:20-vv-01492-UNJ Document 42 Filed 04/04/25 Page 6 of 7 Case 1:20-vv-01492-UNJ Document 42 Filed 04/04/25 Page 7 of 7