Fanny Rivera v. HHS - Tdap, Shoulder Injury Related to Vaccine Administration (SIRVA) (2024)

Fanny Rivera filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging she suffered a Shoulder Injury Related to Vaccine Administration (SIRVA) after receiving a Tdap vaccination on or about December 15, 2019. She claimed the SIRVA occurred within the Table's timeframe and that she experienced residual effects for more than six months.

Respondent denied that Rivera sustained a SIRVA Table injury, denied that the vaccine caused her injury, and denied that her condition was a sequela of a vaccine-related injury. Despite these denials, the parties filed a joint stipulation agreeing that a decision should be entered awarding compensation.

The Chief Special Master adopted the stipulation, awarding Rivera a lump sum of $50,000.00 for all damages and an additional $1,687.99 to reimburse a Medicaid lien for services rendered by the Commonwealth of Pennsylvania. This award represents a settlement of liability and damages.