VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00642
Package ID: USCOURTS-cofc-1_21-vv-00642
Petitioner: Jeannine Sumner
Filed: 2021-07-14
Decided: 2025-08-20
Vaccine: influenza
Vaccination date: 2019-10-04
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 30000

AI-assisted case summary:
Jeannine Sumner filed a petition for vaccine compensation on July 14, 2021, alleging that she suffered a shoulder injury related to vaccine administration (SIRVA) as a result of her October 4, 2019 influenza vaccination. She stated that the vaccination occurred in the United States, that she experienced residual effects for more than six months, and that she had not received a prior award or settlement for this injury. Respondent denied that Ms. Sumner sustained a SIRVA Table injury, denied that the vaccine caused her alleged shoulder injury or any other injury, and denied that her current condition was a sequela of a vaccine-related injury. Despite these denials, the parties filed a joint stipulation on July 14, 2025, agreeing that compensation should be awarded. The court found the stipulation reasonable and adopted it as its decision. Ms. Sumner was awarded a lump sum of $30,000.00 as compensation for all items of damages available under Section 15(a) of the Vaccine Act.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_21-vv-00642-0
Date issued/filed: 2025-08-20
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 07/14/2025) regarding 48 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made.
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Case 1:21-vv-00642-UNJ Document 53 Filed 08/20/25 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 21-642V
JEANNINE SUMNER, Chief Special Master Corcoran
Petitioner, Filed: July 14, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Maximillian J. Muller, Muller Brazil, LLP, Dresher, PA, for Petitioner.
Benjamin Patrick Warder, U.S. Department of Justice, Washington, DC, for
Respondent.
DECISION ON JOINT STIPULATION1
On January 12, 2021, Jeannine Sumner 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 shoulder injury related to
vaccine administration (“SIRVA”) as a result of his October 4, 2019 influenza (“flu”)
vaccination. Petition at ¶¶ 1-4; Stipulation at ¶¶ 1, 2, 4. Petitioner further alleges that she
received her vaccination in 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. Petition at ¶¶ 1, 5-7; Stipulation at ¶¶
3-5. “Respondent denies that [P]etitioner sustained a SIRVA Table injury; denies that the
vaccine caused [P]etitioner’s alleged shoulder injury, or any other injury; and denies that
[Petitioner’s] current condition is a sequela of a vaccine-related injury.” Stipulation at ¶ 6.
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), 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 (2018).

Case 1:21-vv-00642-UNJ Document 53 Filed 08/20/25 Page 2 of 7
Nevertheless, on July 14, 2025, the parties filed the attached joint stipulation,
stating that a decision should be entered awarding compensation.3 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 lump sum of $30,000.00, to be paid through an ACH deposit to Petitioner’s
counsel’s IOLTA account for prompt disbursement to Petitioner. 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.4
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
3 The final page of the parties’ stipulation, a Vinesign verification, has been removed from the attached
copy of the stipulation.
4 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

Case 1:21-vv-00642-UNJ Document 53 Filed 08/20/25 Page 3 of 7
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
JEANNINE SUMNER,
Petitioner,
No. 2 l-642V (ECF)
v. Chief Special Master Corcoran
SECRETARY OF HEALTH
AND HUMAN SERVICES,
Respondent.
STIPULATION
The parties hereby stipulate to the following matters:
I. Jeannine Sumner, petitioner, filed a petition for vaccine compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. §§ 300aa-10, et seq. ("Vaccine
Program"). The petition seeks compensation for injuries allegedly related to petitioner's receipt
of the influenza vaccine, which vaccine is contained in the Vaccine Injury Table ("Table"),
42 C.F.R. § 100.3(a).
2. Petitioner received an influenza vaccine on October 4, 2019, in the left arm.
3. The vaccination was administered within the United States.
4. Petitioner alleges that she sustained a shoulder injury related to vaccine administration
("Sf RV A") as set forth in the Table. Petitioner further alleges that she experienced the residual
effects of this condition for more than six months.
5. 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 condition.

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