Jennifer A. Clasen v. HHS - Influenza, left Shoulder Injury Related to Vaccine Administration (SIRVA) (2022)

Jennifer A. Clasen filed a petition for compensation alleging she suffered a left shoulder injury related to vaccine administration (SIRVA) as a result of an influenza vaccine she received on or about October 17, 2018.

She stated the vaccine was administered in the United States, she suffered residual effects for more than six months, and she had not received prior compensation or filed a civil action for her injuries. Respondent filed a Rule 4(c) report conceding that Petitioner is entitled to compensation, agreeing that she satisfied the criteria for left-shoulder SIRVA, including onset of pain within 48 hours and other requirements.

Respondent also agreed that the case was timely filed, the vaccine was received in the U.S., and the severity requirement was met. A ruling on entitlement was issued on June 23, 2022, finding Petitioner entitled to compensation.

Subsequently, Respondent filed a proffer on award of compensation, agreeing to an award of $70,000.00 for pain and suffering, which Petitioner accepted. The decision awarding damages was issued on August 16, 2022, granting a lump sum payment of $70,000.00 to Petitioner.