VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-01544
Package ID: USCOURTS-cofc-1_20-vv-01544
Petitioner: Ralph Balcom
Filed: 2021-07-01
Decided: 2021-08-02
Vaccine: influenza
Vaccination date: 2018-09-01
Condition: Guillain-Barre Syndrome (GBS)
Outcome: compensated
Award amount USD: 96000

AI-assisted case summary:
Ralph Balcom filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that he suffered Guillain-Barré Syndrome (GBS) as a result of receiving an influenza vaccine on September 1, 2018, and other vaccinations including Hepatitis A, Tdap, and Hepatitis B vaccines on October 10, 2018, and various dates in 2018. He further alleged that he suffered residual effects from the GBS for more than six months. The respondent, the Secretary of Health and Human Services, denied that the vaccines caused Mr. Balcom's GBS or any other injury. Despite this denial, the parties reached a joint stipulation for settlement. The court adopted the stipulation as its decision, awarding Mr. Balcom a lump sum of $96,000.00. This amount is intended to compensate for all damages available under the Vaccine Act. The case proceeded as a Table claim, meaning the injury is presumed to be vaccine-related if it meets the criteria on the Vaccine Injury Table. The stipulation was finalized on June 29, 2021, and the decision awarding damages was issued on August 2, 2021.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_20-vv-01544-0
Date issued/filed: 2021-08-02
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 07/01/2021) regarding 23 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (sw) Service on parties made.
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Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-1544V
UNPUBLISHED
RALPH BALCOM, Chief Special Master Corcoran
Petitioner, Filed: July 1, 2021
v.
Special Processing Unit (SPU); Joint
SECRETARY OF HEALTH AND Stipulation on Damages; Influenza
HUMAN SERVICES, (Flu) Vaccine; Guillain-Barre
Syndrome (GBS)
Respondent.
Jessica Olins, Maglio Christopher & Toale, PA, Washington, DC, for petitioner.
Jeremy Fugate, U.S. Department of Justice, Washington, DC, for respondent.
DECISION ON JOINT STIPULATION1
On November 6, 2020, Ralph Balcom 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 Guillain-Barré Syndrome (GBS)
resulting from an influenza (“flu”) vaccination, “hepatitis” vaccination, and “any other
temporally related vaccinations covered by 42 U.S.C. § 300aa-14.3 Petition at 1-2;
Stipulation, filed at June 29, 2021, ¶ 1. Petitioner further alleges that he suffered the
residual effects of this injury for more than six months. Petition at 4; Stipulation at ¶ 4.
“Respondent denies that the flu vaccine or any other vaccines caused petitioner’s alleged
GBS, or any other injury; and denies that his current condition is a sequelae of a vaccine-
related injury.” Stipulation at ¶ 6.
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 “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa
(2012).
3 Petitioner received a flu vaccine on September 1, 2018; hepatitis A and Tdap vaccines on October 10,
2018; and hepatitis B vaccines on April 10, May 15, June 12, and October 12, 2018. Ex 1.

Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 2 of 7
Nevertheless, on June 29, 2021, the parties filed the attached joint stipulation,
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 $96,000.00 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 the 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
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.
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Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 3 of 7
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
*************************************
RALPH BALCOM, *
*
Petitioner, * No. 20-1544V
* Chief Special Master Corcoran
V. *
*
SECRETARY OF HEALTH AND *
HUMAN SERVICES, *
*
Respondent. *
*************************************
STIPULATION
The parties hereby stipulate to the following matters:
I. Petitioner filed a petition for vaccine compensation under the National Vaccine
Injury Compensation Program, 42 U. S.C. § 300aa-10 to 34 (the "Vaccine Program"). The
petition seeks compensation for injuries allegedly related to petitioner's receipt of an influenza
("flu') vaccine and "hepatitis" vaccination and "any other temporally related vaccinations,"
which vaccines are contained in the Vaccine Injury Table (the "Table"), 42 C.F.R. § I 00.3 (a).
2. Petitioner received a flu immunization on September I, 20 I 8; Hepatitis A and
Tetanus-diphtheria-acellular pertussis vaccines on October I 0, 2018; and Hepatitis B vaccines
on October 12, 2018, April JO, 2018, May 15, 2018, and June 12, 2018.
3. The vaccines were administered within the United States.
4. Petitioner alleges that he suffered Gui Il ain-Barre Syndrome ("GBS") that was
caused by the vaccines. He further alleges that he suffered the residual effects of this injury for
more than six months.
5. Petitioner represents that there has been no prior award or settlement of a civil
action for damages on his behalf as a result of his condition.

Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 4 of 7
6. Respondent denies that the flu vaccine or any other vaccines caused petitioner's
alleged G BS, or any other injury; and denies that his current condition is a sequelae of a vaccine
related injury.
7. Maintaining their above-stated positions, the parties nevertheless now agree that
the issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment reflecting a decision consistent
with the terms of this Stipulation, and after petitioner has filed an election to receive
compensation pursuant to 42 U.S.C. § 300aa-2 l(a)(l), the Secretary of Health and Human
Services will issue the following vaccine compensation payment:
A lump sum of $96,000.00 in the form of a check payable to petitioner. This amount
represents compensation for all damages that would be available under 42 U.S.C.§
300aa-15(a).
9. As soon as practicable after the entry ofj udgment on entitlement in this case, and
after petitioner has filed both a proper and timely election to receive compensation pursuant to
42 U.S.C. § 300aa-21(a)(I), and an application, the parties will submit to further proceedings
before the special master to award reasonable attorneys' fees and costs incurred in proceeding
upon this petition.
I 0. Petitioner and his attorney represent that compensation to be provided pursuant to
this Stipulation is not for any items or services for which the Program is not primarily liable
under 42 U.S.C. § 300aa- l 5(g), to the extent that payment has been made or can reasonably be
expected to be made under any State compensation programs, insurance policies, Federal or
State health benefits programs (other than Title XIX of the Social Security Act (42 U.S.C.
§ 1396 et seq.)), or by entities that provide health services on a pre-paid basis.
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Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 5 of 7
11. Payment made pursuant to paragraph 8 and any amounts awarded pursuant to
paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject
to the availability of sufficient statutory funds.
12. The parties and their attorneys further agree and stipulate that, except for any
award for attorneys' fees, and litigation costs, the money provided pursuant to this Stipulation
will be used solely for the benefit of petitioner as contemplated by a strict construction of 42
U.S.C. § 300aa-l 5(a) and ( d), and subject to the conditions of 42 U.S.C. § 300aa-15(g) and (h).
13. In return for the payments described in paragraphs 8 and 9, petitioner, in his
individual capacity and on behalf of his heirs, executors, administrators, successors or assigns,
does forever irrevocably and unconditionally release, acquit and discharge the United States and
the Secretary of Health and Human Services from any and all actions or causes of action
(including agreements, judgments, claims, damages, loss of services, expenses and all demands
of whatever kind or nature) that have been brought, could have been brought, or could be timely
brought in the Court of Federal Claims, under the National Vaccine Injury Compensation
Program, 42 U.S.C. § 300aa-IO et seq., on account of, or in any way growing out of, any and all
known or unknown, suspected or unsuspected personal injuries to or death of petitioner resulting
from, or alleged to have resulted from, a flu immunization administered on September I, 2018;
Hepatitis A and Tetanus-diphtheria-acellular pertussis vaccines administered on October I 0,
2018; and Hepatitis B vaccines administered on October 12, 2018, April I 0, 20 I 8, May IS,
2018, and June 12, 2018, as alleged by petitioner in a petition for vaccine compensation filed on
or about November 6, 2020, in the United States Court of Federal Claims as petition No.
20-1544V.
14. If petitioner should die prior to entry of judgment, this agreement shall be
voidable upon proper notice to the Court on behalf of either or both of the parties.
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Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 6 of 7
15. If the special master fails to issue a decision in complete conformity with the
terms of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity
with a decision that is in complete conformity with the terms of this Stipulation, then the parties'
settlement and this Stipulation shall be voidable at the sole discretion of either party.
16. This Stipulation expresses a full and complete negotiated settlement of liability
and damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended,
except as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of
the parties hereto to make any payment or to do any act or thing other than is herein expressly
stated and clearly agreed to. The parties further agree and understand that the award described in
this Stipulation may reflect a compromise of the parties' respective positions as to liability and/or
amount of damages, and further, that a change in the nature of the injury or condition or in the
items of compensation sought, is not grounds to modify or revise this agreement.
17. This Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services that the vaccines caused petitioner's alleged OBS or
any other injury or any of his alleged current disabilities.
18. All rights and obligations of petitioner hereunder shall apply equally to
petitioner's heirs, executors, administrators, successors, and/or assigns.
END OF STIPULATION
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Case 1:20-vv-01544-UNJ Document 29 Filed 08/02/21 Page 7 of 7
Respectfully submitted,
PETITIONER:
ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE
; ~
PETITION · OF THE ATTORNEY GENERAL:
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OLINS HEATHER L. PEARLMAN
J..:,OoJJC,J\
io Christopher & Toale, P.A. Aeting Deputy Director
1 5 4th Ave. Suite 1730 Torts Branch
Seattle, WA 9810 I Civil Division
(8887) 952-5254 U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, DC 20044•0146
AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR
OF THE SECRETARY OF HEALTH RESPONDENT:
AND HUMAN SERVICES:
(. 1V r-vC{
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TAMARA OVERBY · V JEREMY C. FUGATE
Acting Director, Division oflnjury Trial Attorney
Division of Injury Compensation Programs Torts Branch
Compensation Programs Civil Division
Healthcare System Bureau U.S. Department of Justice
Health Resources and Services P.O. Box 146
Administration Benjamin Franklin Station
U.S. Department of Health Washington, DC 20044-0146
and Human Services Jeremy.Fugate2@usdoj.gov
5600 Fishers Lane, 08Nl46B (202) 616•4181
Rockville, MD 20857
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