VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_20-vv-01676
Package ID: USCOURTS-cofc-1_20-vv-01676
Petitioner: Jacqueline Bowling
Filed: 2023-04-07
Decided: 2023-05-09
Vaccine: influenza
Vaccination date: 2019-11-19
Condition: Shoulder Injury Related to Vaccine Administration (SIRVA)
Outcome: compensated
Award amount USD: 68949

AI-assisted case summary:
Jacqueline Bowling filed a petition for compensation under the National Vaccine Injury Compensation Program on April 7, 2023, alleging she suffered a Table injury, Shoulder Injury Related to Vaccine Administration (SIRVA), as a result of her November 19, 2019 influenza vaccination. She stated the vaccine was administered in the United States, her injury had residual effects for more than six months, and she had no prior award or settlement for this injury. Respondent denied that petitioner sustained a SIRVA Table Injury, denied that the injury was caused-in-fact by the vaccine, and denied any other vaccine-related injury. Despite these denials, the parties filed a joint stipulation on April 3, 2023, agreeing to an award of compensation. The court found the stipulation reasonable and adopted it as its decision. Jacqueline Bowling was awarded $67,000.00 as a lump sum payment and $1,949.91 to reimburse a Medicaid lien for services rendered by the Commonwealth of Kentucky. This award represents compensation for all items of damages available under Section 15(a).

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_20-vv-01676-0
Date issued/filed: 2023-05-09
Pages: 8
Docket text: PUBLIC DECISION (Originally filed: 04/07/2023) regarding 34 DECISION Stipulation/Proffer, ( Signed by Chief Special Master Brian H. Corcoran. )(mpj) Service on parties made.
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Case 1:20-vv-01676-UNJ Document 38 Filed 05/09/23 Page 1 of 8
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 20-1676V
UNPUBLISHED
JACQUELINE BOWLING, Chief Special Master Corcoran
Petitioner, Filed: April 7, 2023
v.
Special Processing Unit (SPU); Joint
SECRETARY OF HEALTH AND Stipulation on Damages; Influenza
HUMAN SERVICES, (Flu) Vaccine; Shoulder Injury
Related to Vaccine Administration
Respondent. (SIRVA)
Paul R. Brazil, Muller Brazil, LLP, Dresher, PA, for Petitioner.
Benjamin Patrick Warder, U.S. Department of Justice, Washington, DC, for
Respondent.
DECISION ON JOINT STIPULATION1
On November 24, 2020, Jaqueline Bowling 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 Table injury – Shoulder Injury
Related to Vaccine Administration (“SIRVA”) – as a result of her November 19, 2019
influneza (“flu”) vaccination. Petition at 1; Stipulation, filed at April 3, 2023, ¶¶ 1-2, 4.
Petitioner further alleges the vaccine was administered within the United States, that she
suffered the residual effects of her injury for more than six months, and that there has
been no prior award or settlement of a civil action on her behalf as a result of her injury.
See Petition at ¶¶ 4-6; Stipulation at ¶¶ 3-5. Respondent “denies that petitioner sustained
a SIRVA Table Injury, denies that petitioner’s alleged shoulder injury was caused-in-fact
by the flu vaccine, and denies that the flu vaccine caused petitioner any other injury or
her current condition.” 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 section references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. §
300aa (2012).

Case 1:20-vv-01676-UNJ Document 38 Filed 05/09/23 Page 2 of 8
Nevertheless, on April 3, 2023, 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. A lump sum of $67,000.00 in the form of a check payable to Petitioner;
and
b. A lump sum of $1,949.91, representing reimbursement of a Medicaid lien
for services rendered to Petitioner by the Commonwealth of Kentucky, in
the form of a check payable jointly to Petitioner and the Kentucky State
Treasurer:
Kentucky Medicaid Recovery Unit
c/o Gainwell Technologies
P.O. Box 2107
Frankfort, KY 40602
Petitioner agrees to endorse this check to Kentucky State Treasurer.
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.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

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