VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00684
Package ID: USCOURTS-cofc-1_21-vv-00684
Petitioner: Nathan Mathews
Filed: 2021-01-12
Decided: 2022-08-31
Vaccine: influenza
Vaccination date: 2019-10-21
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 115000

AI-assisted case summary:
Nathan Mathews filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging he suffered a left shoulder injury related to vaccine administration (SIRVA) as a result of an influenza vaccine he received on October 21, 2019. He stated the vaccine was administered in the United States, his injuries lasted more than six months, and he had not received compensation or filed an action for his injuries. Respondent conceded that Petitioner was entitled to compensation, agreeing that he had no prior history of shoulder pain, that his symptoms were limited to the injection site, that the onset of pain occurred within 48 hours of vaccination, and that no other condition explained his symptoms. Respondent also confirmed the case was timely filed, the vaccine was received in the U.S., and the statutory severity requirement was met. Following the ruling on entitlement, Respondent filed a proffer on award of compensation, indicating Petitioner should be awarded $115,000.00, which Petitioner agreed to. The court awarded Nathan Mathews a lump sum payment of $115,000.00 for pain and suffering.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_21-vv-00684-0
Date issued/filed: 2022-08-19
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 07/14/2022) regarding 33 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (kp) Service on parties made.
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Case 1:21-vv-00684-UNJ Document 38 Filed 08/19/22 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 21-0684V
UNPUBLISHED
NATHAN MATHEWS, Chief Special Master Corcoran
Petitioner, Filed: July 14, 2022
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Ruling on Entitlement; Concession;
HUMAN SERVICES, Table Injury; Influenza (Flu) Vaccine;
Shoulder Injury Related to Vaccine
Respondent. Administration (SIRVA)
Jessi Carin Huff, Maglio Christopher & Toale, PA, Seattle, WA, for Petitioner.
Jamica Marie Littles, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On January 12, 2021, Nathan Mathews 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 he suffered a left shoulder injury related to vaccine
administration (“SIRVA”) as a result of an influenza vaccine received on October 21,
2019. Petition at 1, 3. Petitioner further alleges the vaccine was administered in the United
States, his injuries have lasted more than six months, and neither Petitioner, nor any other
party, has ever brought an action or received compensation for his vaccine-related
injuries. Petition at ¶¶ 17, 19-20; Ex. 1. The case was assigned to the Special Processing
Unit of the Office of Special Masters.
1 Because this unpublished Ruling contains a reasoned explanation for the action in this case, I am required
to post it on the United States Court of Federal Claims' website in accordance with the E-Government Act
of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government
Services). This means the Ruling 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 (2012).

Case 1:21-vv-00684-UNJ Document 38 Filed 08/19/22 Page 2 of 2
On July 14, 2022, Respondent filed his Rule 4(c) report in which he concedes that
Petitioner is entitled to compensation in this case. Respondent’s Rule 4(c) Report at 1.
Specifically, Respondent agrees that “petitioner had no history of pain, inflammation, or
dysfunction in his left shoulder before his October 2019 intramuscular vaccine
administration; his symptoms were limited to the left shoulder in which the intramuscular
vaccine was administered; he more likely than not suffered the onset of pain within forty-
eight hours of vaccine administration; and there is no other condition or abnormality that
would explain petitioner’s symptoms.” Id. at 6. Respondent further agrees that “the
records show that the case was timely filed, that the vaccine was received in the United
States, and that petitioner satisfies the statutory severity requirement by suffering the
residual effects or complications of his injury for more than six months after vaccine
administration.” Id. at 7. Respondent also notes that Petitioner avers that neither he, nor
anyone on his behalf, has received compensation or brought an action for his vaccine-
related injuries. Id.
In view of Respondent’s position and the evidence of record, I find that
Petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
2

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DOCUMENT 2: USCOURTS-cofc-1_21-vv-00684-1
Date issued/filed: 2022-08-31
Pages: 2
Docket text: PUBLIC DECISION (Originally filed: 07/14/2022) regarding 34 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (kp) Service on parties made.
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Case 1:21-vv-00684-UNJ Document 39 Filed 08/31/22 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 21-0684V
UNPUBLISHED
NATHAN MATHEWS, Chief Special Master Corcoran
Petitioner, Filed: July 14, 2022
v.
Special Processing Unit (SPU);
SECRETARY OF HEALTH AND Damages Decision Based on Proffer;
HUMAN SERVICES, Influenza (Flu) Vaccine; Shoulder
Injury Related to Vaccine
Respondent. Administration (SIRVA)
Jessi Carin Huff, Maglio Christopher & Toale, PA, Seattle, WA, for Petitioner.
Jamica Marie Littles, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On January 12, 2021, Nathan Mathews 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 he suffered a left shoulder injury related to vaccine
administration (“SIRVA”) as a result of an influenza vaccine received on October 21,
2019. Petition at 1, 3. Petitioner further alleges the vaccine was administered in the United
States, his injuries have lasted more than six months, and neither Petitioner, nor any other
party, has ever brought an action or received compensation for his vaccine-related
injuries. Petition at ¶¶ 17, 19-20; Ex. 1. The case was assigned to the Special Processing
Unit of the Office of Special Masters.
On July 14, 2022, a ruling on entitlement was issued, finding Petitioner entitled to
compensation for SIRVA. On July 14, 2022, Respondent filed a proffer on award of
1 Because this unpublished Decision contains a reasoned explanation for the action in this case, I am
required to post it on the United States Court of Federal Claims' website in accordance with the E-
Government Act of 2002. 44 U.S.C. § 3501 note (2012) (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 (2012).

Case 1:21-vv-00684-UNJ Document 39 Filed 08/31/22 Page 2 of 2
compensation (“Proffer”) indicating Petitioner should be awarded $115,000.00. Proffer at
7. In the Proffer, Respondent represented that Petitioner agrees with the proffered award.
Id. Based on the record as a whole, I find that Petitioner is entitled to an award as stated
in the Proffer.
Pursuant to the terms stated in the Proffer, I award Petitioner a lump sum
payment of $115,000.00 (all of which is for pain and suffering) in the form of a check
payable to Petitioner. This amount represents compensation for all damages that would
be available under Section 15(a).
The Clerk of Court is directed to enter judgment in accordance with this decision.3
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
3 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