{"package_id":"USCOURTS-cofc-1_21-vv-00767","decision_granule_id":"USCOURTS-cofc-1_21-vv-00767-0","petitioner_identifier":"Robin Siemiatkoski","is_minor":null,"age_at_vaccination":null,"age_unit_raw":"years (no age in source - verified)","vaccine_type":"influenza","vaccination_date":"2019-11-01","condition_raw":"shoulder injury related to vaccine administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"compensated","award_amount_usd":65462,"decision_date":"2023-01-06","extraction_version":"gemini-v2","extracted_at":"2026-04-30T01:29:32.294189+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":"2021-01-19","case_summary":"Robin Siemiatkoski filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging she suffered a shoulder injury related to vaccine administration (SIRVA) caused by an influenza vaccine administered on November 1, 2019. She stated that the vaccine was administered 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 civil action damages. Respondent denied that Petitioner sustained a SIRVA Table injury, denied that the flu vaccine caused her alleged shoulder injury or any other injury, and denied that her current condition was a sequelae of a vaccine-related injury. Despite these denials, the parties filed a joint stipulation on November 22, 2022, agreeing that compensation should be awarded. Chief Special Master Corcoran found the stipulation reasonable and adopted it as the decision awarding damages. The award included a lump sum of $65,000.00 payable to Petitioner and an additional $462.02 to reimburse a Medicaid lien for services rendered by the state of Connecticut. This total amount of $65,462.00 represents compensation for all items of damages available under Section 15(a) of the Vaccine Act.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Brian H. Corcoran","petitioner_identifier_original":null,"caption_petitioner_name":"Robin Siemiatkoski","petitioner_attorney_name":"Jimmy A. Zgheib","petitioner_attorney_firm":"Zgheib Sayad, P.C.","petitioner_attorney_location":"White Plains, NY","adjudicator_name":null,"caption_people_backfilled_at":"2026-05-05 23:44:29","attorney_canonical_keys":"|james-zgheib|","firm_canonical_key":"zgheib-sayad","package_title":"SIEMIATKOSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00767","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00767.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-00767.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_21-vv-00767-0","title":"SIEMIATKOSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 11/28/2022) regarding 36 DECISION Stipulation/Proffer. Signed by Chief Special Master Brian H. Corcoran. (kp) Service on parties made.","date_issued":"2023-01-06","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-00767/granules/USCOURTS-cofc-1_21-vv-00767-0/pdf","pdf_bytes":849369,"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-00767/USCOURTS-cofc-1_21-vv-00767-0"},{"granule_id":"USCOURTS-cofc-1_21-vv-00767-1","title":"SIEMIATKOSKI v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 01/27/2023) regarding 43 DECISION of Special Master - Fees. Signed by Chief Special Master Brian H. Corcoran. (tlf) Service on parties made.","date_issued":"2023-03-03","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"}]}