{"package_id":"USCOURTS-cofc-1_21-vv-00581","decision_granule_id":"USCOURTS-cofc-1_21-vv-00581-0","petitioner_identifier":"Jack Momchilovich","is_minor":null,"age_at_vaccination":null,"age_unit_raw":"years (no age in source - verified)","vaccine_type":"Tdap","vaccination_date":"2020-04-02","condition_raw":"right shoulder injury related to vaccine administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"compensated","award_amount_usd":30000,"decision_date":"2023-10-26","extraction_version":"gemini-v2","extracted_at":"2026-04-30T01:28:04.068633+00:00","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":null,"theory_of_causation":"Table","is_death":0,"date_of_death":null,"petition_filed_date":"2021-01-12","case_summary":"Jack Momchilovich filed a petition for vaccine compensation alleging that he suffered a right shoulder injury related to vaccine administration (SIRVA) as a result of receiving a tetanus-diphtheria-acellular pertussis (Tdap) vaccine on April 2, 2020. He further alleged that he experienced residual effects of his injury for more than six months. Respondent denied that the petitioner sustained a Table SIRVA within the Table timeframe and denied that the Tdap vaccine caused his alleged shoulder injury. Nevertheless, the parties filed a joint stipulation agreeing that a decision should be entered awarding compensation. The court adopted the stipulation as its decision, awarding Jack Momchilovich a lump sum of $30,000.00. This amount represents compensation for all items of damages available under Section 15(a) of the Vaccine Act. The case proceeded as a Table claim, and the parties stipulated to the damages.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Brian H. Corcoran","petitioner_identifier_original":null,"caption_petitioner_name":"Jack Momchilovich","petitioner_attorney_name":"Jonathan Joseph Svitak","petitioner_attorney_firm":"Shannon Law Group, P.C.","petitioner_attorney_location":"Woodridge, IL","adjudicator_name":null,"caption_people_backfilled_at":"2026-05-05 23:44:14","attorney_canonical_keys":"|jonathan-svitak|","firm_canonical_key":"shannon-law-group","package_title":"MOMCHILOVICH v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00581","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00581.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00581.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_21-vv-00581-0","title":"MOMCHILOVICH v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 09/25/2023) regarding 31 DECISION Stipulation/Proffer, Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made.","date_issued":"2023-10-26","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-00581/granules/USCOURTS-cofc-1_21-vv-00581-0/pdf","pdf_bytes":3461747,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'stipulation'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_21-vv-00581/USCOURTS-cofc-1_21-vv-00581-0"},{"granule_id":"USCOURTS-cofc-1_21-vv-00581-1","title":"MOMCHILOVICH v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 02/12/2024) regarding 38 DECISION of Special Master - Fees. Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made.","date_issued":"2024-03-14","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}