{"package_id":"USCOURTS-cofc-1_21-vv-01648","decision_granule_id":"USCOURTS-cofc-1_21-vv-01648-0","petitioner_identifier":"Joseph Delory","is_minor":0,"age_at_vaccination":null,"age_unit_raw":"years (no exact age in source - adult self-filed petition or competent adult)","vaccine_type":"influenza; Pneumovax-23 (same day, non-covered)","vaccination_date":"2018-08-29","condition_raw":"shoulder injury related to vaccine administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"denied","award_amount_usd":null,"decision_date":"2025-07-17","extraction_version":"manual-supplement-redo-2026-05-normal20","extracted_at":"2026-05-04 05:13:05","number_of_concurrent_vaccines":2,"dose_number":null,"time_to_onset_days":0,"theory_of_causation":"Influenza vaccine and same-day Pneumovax-23 on August 29, 2018; alleged SIRVA; adult, exact age not stated. DENIED. Key evidence: preexisting chronic pain/cervical issues/right shoulder history, prior severe Pneumovax-23 allergic reaction, both vaccines reportedly in right deltoid, next-day fever/chills/swelling/weakness/decreased ROM/cellulitis, hospitalization, treating attribution to Pneumovax-23 reaction/sepsis secondary to right arm cellulitis. Pneumovax-23 not covered for this Table injury; symptoms and alternatives defeated Table SIRVA and no adequate off-Table flu-vaccine theory was pursued. Chief SM Brian H. Corcoran; petition August 2, 2021; entitlement denied July 17, 2025.","is_death":0,"date_of_death":null,"petition_filed_date":"2021-08-02","case_summary":"On August 2, 2021, Joseph Delory filed a petition alleging that an influenza vaccine administered on August 29, 2018 caused a shoulder injury related to vaccine administration.\n\nThe case turned on the same-day administration of two vaccines and Mr. Delory's medical history. He received both the covered flu vaccine and Pneumovax-23, a pneumococcal polysaccharide vaccine not covered for this Table injury, and the record showed he had asked that both be given in the right arm. He also had a history of chronic myofascial pain, cervical spine problems, right shoulder complaints dating back many years, and a prior severe reaction to Pneumovax-23. The day after vaccination, he went to the emergency department with fever, chills, pain, swelling, weakness, decreased right-shoulder range of motion, and cellulitis near the injection site. He was hospitalized, and treating physicians attributed the episode to an allergic reaction to Pneumovax-23, with a primary diagnosis of sepsis secondary to right-arm cellulitis with likely vaccine reaction.\n\nRespondent recommended denial, arguing that Pneumovax-23 and Mr. Delory's preexisting conditions explained the presentation, that the symptoms were not limited to the shoulder, and that the record did not support a covered flu-vaccine SIRVA. Chief Special Master Brian H. Corcoran agreed. He found that Mr. Delory had not shown the Table requirements for SIRVA and had not developed a viable off-Table theory tying the flu vaccine to the injury. Entitlement was denied on July 17, 2025.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Brian H. Corcoran","petitioner_identifier_original":null,"caption_petitioner_name":"Joseph Delory","petitioner_attorney_name":"Randall G. Knutson","petitioner_attorney_firm":"Knutson & Casey Law Firm","petitioner_attorney_location":"Mankato, MN","adjudicator_name":null,"caption_people_backfilled_at":"2026-05-05 23:43:30","attorney_canonical_keys":"|randall-knutson|","firm_canonical_key":"knutson-and-casey","package_title":"DELORY v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-01648","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-01648.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-01648.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_21-vv-01648-0","title":"DELORY v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 07/17/25) regarding 35 DECISION of Special Master. Signed by Chief Special Master Brian H. Corcoran. (ers) Service on parties made.","date_issued":"2025-08-21","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-01648/granules/USCOURTS-cofc-1_21-vv-01648-0/pdf","pdf_bytes":297180,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'decision of special master'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_21-vv-01648/USCOURTS-cofc-1_21-vv-01648-0"},{"granule_id":"USCOURTS-cofc-1_21-vv-01648-1","title":"DELORY v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC DECISION (Originally filed: 09/02/2025) regarding 41 DECISION of Special Master - Fees. Signed by Chief Special Master Brian H. Corcoran. (ers) Service on parties made.","date_issued":"2025-09-30","pdf_url":null,"pdf_bytes":null,"triage_decision":"skip","triage_reason":"fees-only decision (attorney compensation)","download_status":"skipped"},{"granule_id":"USCOURTS-cofc-1_21-vv-01648-cl-extra-11148368","title":"Delory v. Secretary of Health and Human Services","docket_text":"Supplementary opinion from CourtListener cluster 10681781","date_issued":"2025-09-30","pdf_url":null,"pdf_bytes":null,"triage_decision":"keep","triage_reason":"CL supplement: Delory v. Secretary of Health and Human Services","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_21-vv-01648/USCOURTS-cofc-1_21-vv-01648-cl-extra-11148368"}]}