VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00355 Package ID: USCOURTS-cofc-1_21-vv-00355 Petitioner: Stamatia Haritoudis Filed: 2021-01-08 Decided: 2023-05-25 Vaccine: influenza Vaccination date: 2019-10-16 Condition: dermatofibroma and keloid scar Outcome: compensated Award amount USD: 25000 AI-assisted case summary: Stamatia Haritoudis filed a petition on January 8, 2021, alleging that the influenza vaccine she received on October 16, 2019, caused her to develop a dermatofibroma and a keloid scar, with symptoms persisting for more than six months. Respondent denied that the vaccine caused these conditions. Despite the denial, the parties reached a joint stipulation for compensation. Special Master Christian J. Moran reviewed the stipulation and found it reasonable, adopting it as the decision of the Court. The award included a lump sum of $24,938.50 payable to the petitioner for all damages. Additionally, a separate lump sum of $61.50 was awarded to reimburse a Medicaid lien for services rendered by the State of California, payable jointly to the petitioner and the California State Treasurer. The decision was finalized on May 25, 2023. Petitioner was represented by Jeffrey S. Pop of Jeffrey S. Pop & Associates, and Respondent was represented by Austin Joel Egan of the United States Department of Justice. The public decision does not describe the specific onset of symptoms, medical examinations, or treatments. The specific mechanism of causation was not detailed in the public decision. Theory of causation field: Petitioner Stamatia Haritoudis alleged that the influenza vaccine administered on October 16, 2019, caused her to develop a dermatofibroma and a keloid scar, with symptoms persisting for over six months. Respondent denied causation. The parties reached a joint stipulation for compensation, which was adopted by Special Master Christian J. Moran on May 25, 2023. The award included a lump sum of $24,938.50 for all damages and $61.50 to reimburse a Medicaid lien. The public decision does not specify the medical theory of causation, any expert testimony, or the specific mechanism by which the vaccine allegedly caused the alleged conditions. Petitioner was represented by Jeffrey S. Pop, and Respondent by Austin Joel Egan. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_21-vv-00355-0 Date issued/filed: 2023-06-21 Pages: 8 Docket text: PUBLIC DECISION (Originally filed: 5/30/2023) regarding 55 DECISION Fees Stipulation/Proffer Signed by Special Master Christian J. Moran. (dksc) Service on parties made. -------------------------------------------------------------------------------- Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 1 of 8 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS * * * * * * * * * * * * * * * * * * * * * * * * * STAMATIA HARITOUDIS, * No. 21-355V * Petitioner, * * Special Master Christian J. Moran v. * * Filed: May 30, 2023 SECRETARY OF HEALTH * AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * * * Jeffrey S. Pop, Jeffrey S. Pop & Associates, Beverly Hills, CA, for Petitioner; Austin Joel Egan, United States Dep’t of Justice, Washington, DC, for Respondent. UNPUBLISHED DECISION1 On May 25, 2023, the parties filed a joint stipulation concerning the petition for compensation filed by Stamatia Haritoudis on January 8, 2021. Petitioner alleged that the flu vaccine she received on October 16, 2019 caused her to suffer from a dermatofibroma and keloid scar. Petitioner further alleges that her symptoms persisted for more than six months. Petitioner represents that there has been no prior award or settlement of a civil action for damages on her behalf as a result of her conditions. Respondent denies that the vaccine caused petitioner to suffer from a dermatofibroma and keloid scar. Nevertheless, the parties agree to the joint stipulation, attached hereto. The undersigned finds said stipulation reasonable and adopts it as the decision of the Court in awarding damages, on the terms set forth therein. 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), the parties have 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. Any changes will appear in the document posted on the website. Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 2 of 8 Damages awarded in that stipulation include: A. A lump sum of $24,938.50 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). B. A lump sum of $61.502, representing reimbursement of a Medicaid lien for services rendered to petitioner by the State of California, in the form of a check payable jointly to petitioner and the California State Treasurer: Department of Health Care Services Recovery Branch- MS 4 720 P.O. Box 997421 Sacramento, CA 95899-7421 Case# C94115974A-VAC03 Petitioner agrees to endorse this check to the California State Treasurer. These amounts represent compensation for all damages that would be available under 42 U.S.C. § 300aa-15(a). In the absence of a motion for review filed pursuant to RCFC, Appendix B, the clerk is directed to enter judgment according to this decision and the attached stipulation.3 IT IS SO ORDERED. s/Christian J. Moran Christian J. Moran Special Master 2 This amount represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action that the State of California may have against any individual as a result of any Medicaid payments that the California Program has made to or on behalf of Stamatia Haritoudis as a result of her alleged vaccine-related injury suffered on or about October 16, 2019, under Title XIX of the Social Security Act, see 42 U.S.C. § 300aa-15(g), (h). 3 Pursuant to Vaccine Rule 11(a), the parties can expedite entry of judgment by each party filing a notice renouncing the right to seek review by a United States Court of Federal Claims judge. 2 Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 3 of 8 Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 4 of 8 Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 5 of 8 Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 6 of 8 Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 7 of 8 Case 1:21-vv-00355-UNJ Document 57 Filed 06/21/23 Page 8 of 8