{"package_id":"USCOURTS-cofc-1_21-vv-02220","decision_granule_id":"USCOURTS-cofc-1_21-vv-02220-0","petitioner_identifier":"Ronald Martin","is_minor":0,"age_at_vaccination":55.0,"age_unit_raw":"years","vaccine_type":"influenza","vaccination_date":"2019-10-01","condition_raw":"shoulder injury related to vaccine administration (SIRVA)","condition_category":"SIRVA","autism_spectrum_adjacent":0,"outcome":"entitlement_granted_pending_damages","award_amount_usd":null,"decision_date":"2025-12-05","extraction_version":"manual-supplement-redo-2026-05-normal26","extracted_at":"2026-05-04 17:23:09","number_of_concurrent_vaccines":1,"dose_number":null,"time_to_onset_days":3,"theory_of_causation":"Adult petitioner, age 55; influenza vaccine October 1, 2019; right shoulder injury/SIRVA. ENTITLEMENT GRANTED, damages pending. Table SIRVA failed due three-day onset, but off-Table Althen causation satisfied. Petitioner expert Dr. Uma Srikumaran; respondent expert Dr. Geoffrey Abrams. Evidence included October 14 email, VAERS onset October 4, right shoulder MRI/surgical findings, PMR/cervical confounders, and no proven factor unrelated. Petition filed November 29, 2021; entitlement December 5, 2025.","is_death":0,"date_of_death":null,"petition_filed_date":"2021-11-29","case_summary":"On November 29, 2021, Ronald Martin filed a petition alleging that an influenza vaccination administered in his right shoulder on October 1, 2019 caused a shoulder injury. He was 55 years old and initially also alleged polymyalgia rheumatica, but later narrowed the claim to his right shoulder injury.\n\nMr. Martin had a remote right shoulder dislocation as a teenager but no established preexisting right-shoulder pain. On October 14, 2019, he emailed his primary care provider that for the last week he had deep achy right-arm pain with tingling fingers and stiffness. A VAERS report filed the next day listed onset as October 4, three days after vaccination. Later records described right shoulder pain, bilateral shoulder and hip symptoms, neck pain, cervical spondylosis, PMR diagnosis and steroid treatment, MRI findings including rotator cuff and labral pathology, physical therapy, and eventual surgical recommendation.\n\nPetitioner's orthopedic expert, Dr. Uma Srikumaran, argued that vaccine antigen injected into shoulder structures caused inflammatory injury, including bursitis/capsulitis-type pathology. Respondent's expert, Dr. Geoffrey Abrams, emphasized the broader musculoskeletal complaints, cervical spine disease, PMR, and degenerative findings. Special Master Horner found the Table SIRVA claim failed because onset was about three days, not within 48 hours. But he held that three-day onset was medically acceptable for off-Table causation, credited the local inflammatory SIRVA theory, and found no preponderant alternative cause. Entitlement was granted on December 5, 2025; damages remain pending.","is_minor_inferred":0,"is_pediatric_broad":0,"special_master":"Daniel T. Horner","petitioner_identifier_original":null,"caption_petitioner_name":null,"petitioner_attorney_name":"Leah VaSahnja Durant","petitioner_attorney_firm":"Law Offices of Leah V. Durant, PLLC","petitioner_attorney_location":"Washington, DC","adjudicator_name":null,"caption_people_backfilled_at":null,"attorney_canonical_keys":"|leah-durant|","firm_canonical_key":"law-offices-of-leah-v-durant","package_title":"MARTIN v. SECRETARY OF HEALTH AND HUMAN SERVICES","canonical_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-02220","plain_text_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-02220.txt","json_url":"https://vicp-registry.org/case/USCOURTS-cofc-1_21-vv-02220.json","source_documents":[{"granule_id":"USCOURTS-cofc-1_21-vv-02220-0","title":"MARTIN v. SECRETARY OF HEALTH AND HUMAN SERVICES","docket_text":"PUBLIC ORDER/RULING (Originally filed: 12/05/2025) regarding 43 Ruling on Entitlement. Signed by Special Master Daniel T. Horner. (cd) Service on parties made.","date_issued":"2026-01-12","pdf_url":"https://api.govinfo.gov/packages/USCOURTS-cofc-1_21-vv-02220/granules/USCOURTS-cofc-1_21-vv-02220-0/pdf","pdf_bytes":371348,"triage_decision":"keep","triage_reason":"docketText matches keep keyword 'ruling on entitlement'","download_status":"ok","registry_pdf_url":"https://vicp-registry.org/pdf/USCOURTS-cofc-1_21-vv-02220/USCOURTS-cofc-1_21-vv-02220-0"}]}