Sam Masangcay v. HHS - Influenza, shoulder injury related to vaccine administration (SIRVA) (2024)

Sam Masangcay filed a petition for compensation under the National Vaccine Injury Compensation Program alleging a shoulder injury related to vaccine administration (SIRVA) following an influenza vaccination he received on October 7, 2020. The respondent conceded that Petitioner's injury was consistent with SIRVA as defined by the Vaccine Injury Table.

Specifically, Petitioner had no prior history of shoulder issues, the pain occurred within 48 hours after the vaccination, and the pain was limited to the injection shoulder. Respondent agreed that Petitioner met all legal prerequisites for compensation.

A ruling on entitlement was issued on January 11, 2024, finding Petitioner entitled to compensation. Subsequently, on May 14, 2024, a decision awarding damages was issued.

The parties stipulated to an award of $50,000.00 in pain and suffering, which represents all elements of compensation available under the Act. This amount was awarded as a lump sum payment to Sam Masangcay, who is a competent adult.