VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_22-vv-00075
Package ID: USCOURTS-cofc-1_22-vv-00075
Petitioner: Andre D. Robinson
Filed: 2022-01-26
Decided: 2023-12-05
Vaccine: influenza
Vaccination date: 2019-10-17
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 55000

AI-assisted case summary:
Andre D. Robinson filed a petition for compensation under the National Vaccine Injury Compensation Program on January 26, 2022, alleging he suffered a shoulder injury related to vaccine administration (SIRVA) after receiving an influenza vaccine on October 17, 2019. The respondent, the Secretary of Health and Human Services, filed a Rule 4(c) report on August 3, 2023, conceding that Mr. Robinson was entitled to compensation. The respondent agreed that the petitioner satisfied the criteria for SIRVA as set forth in the Vaccine Injury Table and met all legal requirements for compensation under the Vaccine Act. On August 4, 2023, Chief Special Master Brian H. Corcoran issued a Ruling on Entitlement, finding Mr. Robinson entitled to compensation. Subsequently, on October 31, 2023, the respondent filed a proffer on the award of compensation, stating that Mr. Robinson agreed with the proffered award. On November 2, 2023, Chief Special Master Corcoran issued a Decision on Damages. The decision awarded Mr. Robinson a lump sum payment of $55,000.00 for pain and suffering, representing all elements of compensation available under Section 15(a) of the Act. The award was to be paid in the form of a check payable to Mr. Robinson. Petitioner was represented by Scott B. Taylor of Urban & Taylor, S.C., and respondent was represented by Austin Joel Egan of the U.S. Department of Justice. The decision on damages was issued on December 5, 2023.

Theory of causation field:
Petitioner Andre D. Robinson alleged a Shoulder Injury Related to Vaccine Administration (SIRVA) following an influenza vaccine on October 17, 2019. The respondent conceded that the injury met the criteria for SIRVA on the Vaccine Injury Table. The case proceeded to an award of compensation. Chief Special Master Brian H. Corcoran issued a Ruling on Entitlement on August 4, 2023, finding petitioner entitled to compensation. A subsequent Decision on Damages, issued on December 5, 2023, awarded petitioner $55,000.00 as a lump sum for pain and suffering, representing all elements of compensation under 42 U.S.C. § 300aa-15(a). Petitioner was represented by Scott B. Taylor, and respondent was represented by Austin Joel Egan. The specific medical mechanism or expert testimony regarding causation was not detailed in the provided public text, but the respondent's concession aligned with the Vaccine Injury Table criteria for SIRVA.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_22-vv-00075-0
Date issued/filed: 2023-09-05
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 08/04/2023) regarding 29 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (nh) Service on parties made.
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Case 1:22-vv-00075-UNJ Document 30 Filed 09/05/23 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 22-0075V
ANDRE D. ROBINSON, Chief Special Master Corcoran
Petitioner,
v. Filed: August 4, 2023
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Scott B. Taylor, Urban & Taylor, S.C., for Petitioner.
Austin Joel Egan, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On January 26, 2022, Andre D. Robinson 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 shoulder injury related to vaccine
administration (“SIRVA”) following receipt of an influenza (“flu”) vaccine on October 17,
2019. Petition at 1. The case was assigned to the Special Processing Unit of the Office
of Special Masters.
On August 3, 2023, 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 has satisfied the criteria set forth in the
Table for SIRVA. Id. at 3-4 (citing 42 C.F.R. §§ 100.3(a), 100.3(c)(10)). Respondent
1 Because this unpublished Ruling contains a reasoned explanation for the action taken in this case, it must
be made publicly accessible and will be posted on the United States Court of Federal Claims' website,
and/or at https://www.govinfo.gov/app/collection/uscourts/national/cofc, in accordance with the E-Government
Act of 2002. 44 U.S.C. § 3501 note (2018) (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 (2018).

Case 1:22-vv-00075-UNJ Document 30 Filed 09/05/23 Page 2 of 2
further agrees that Petitioner has satisfied all legal requisites for compensation under the
Vaccine Act. Id. at 4.
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_22-vv-00075-1
Date issued/filed: 2023-12-05
Pages: 4
Docket text: PUBLIC DECISION (Originally filed: 11/02/2023) regarding 33 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (nh) Service on parties made.
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Case 1:22-vv-00075-UNJ Document 38 Filed 12/05/23 Page 1 of 4
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 22-0075V
ANDRE D. ROBINSON, Chief Special Master Corcoran
Petitioner,
v. Filed: November 2, 2023
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Scott B. Taylor, Urban & Taylor, S.C., for Petitioner.
Austin Joel Egan, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON DAMAGES1
On January 26, 2022, Andre D. Robinson 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 shoulder injury related to vaccine
administration (“SIRVA”) following receipt of an influenza (“flu”) vaccine on October 17,
2019. Petition at 1. The case was assigned to the Special Processing Unit of the Office
of Special Masters.
On August 4, 2023, a ruling on entitlement was issued, finding Petitioner entitled
to compensation for SIRVA. On October 31, 2023, Respondent filed a proffer on award
of compensation (“Proffer”). Respondent represented that Petitioner agrees with the
proffered award. Id. at 2. Based on the record as a whole, I find that Petitioner is entitled
to an award as stated in the Proffer.
1 Because this Decision contains a reasoned explanation for the action taken in this case, it must be made
publicly accessible and will be posted on the United States Court of Federal Claims' website, and/or at
https://www.govinfo.gov/app/collection/uscourts/national/cofc, in accordance with the E-Government Act of
2002. 44 U.S.C. § 3501 note (2018) (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 (2018).

Case 1:22-vv-00075-UNJ Document 38 Filed 12/05/23 Page 2 of 4
Pursuant to the terms stated in the attached Proffer, I award a lump sum
payment of $55,000.00 (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

Case 1:22-vv-00075-UNJ Document 38 Filed 12/05/23 Page 3 of 4
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
ANDRE D. ROBINSON, )
)
Petitioner, )
) No. 22-75V
v. ) Chief Special Master Corcoran
) ECF
SECRETARY OF HEALTH AND HUMAN )
SERVICES, )
)
Respondent. )
)
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On January 26, 2022, Andre D. Robinson (“petitioner”) filed a petition for compensation
under the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 to -34
(“Vaccine Act” or “Act”), alleging that he suffered a Shoulder Injury Related to Vaccine
Administration (“SIRVA”), as defined in the Vaccine Injury Table, following administration of
an influenza (“flu”) vaccine he received on October 17, 2019. Petition at 1. On August 3, 2023,
the Secretary of Health and Human Services (“respondent”) filed a Rule 4(c) Report indicating
that this case is appropriate for compensation under the terms of the Act for a SIRVA Table
injury, and on August 4, 2023, the Chief Special Master issued a Ruling on Entitlement finding
petitioner is entitled to compensation. ECF Nos. 28-29.
I. Items of Compensation
Based on the evidence of record, respondent proffers that petitioner should be awarded
$55,000.00 in pain and suffering. See 42 U.S.C. § 300aa-15(a)(4). This amount represents all
elements of compensation to which petitioner would be entitled under 42 U.S.C. § 300aa-15(a).
Petitioner agrees.

Case 1:22-vv-00075-UNJ Document 38 Filed 12/05/23 Page 4 of 4
II. Form of the Award
Petitioner is a competent adult. Evidence of guardianship is not required in this case.
Respondent recommends that the compensation provided to petitioner should be made through a
lump sum payment as described below and requests that the Chief Special Master’s decision and
the Court’s judgment award the following1: a lump sum payment of $55,000.00, in the form of a
check payable to Andre D. Robinson.
Respectfully submitted,
BRIAN M. BOYNTON
Principal Deputy Assistant Attorney General
C. SALVATORE D’ALESSIO
Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Deputy Director
Torts Branch, Civil Division
JULIA M. COLLISON
Assistant Director
Torts Branch, Civil Division
/s/ AUSTIN J. EGAN
Austin J. Egan
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146, Ben Franklin Station
Washington, DC 20044-0146
Tel: (202) 451-7479
Austin.J.Egan@usdoj.gov
Date: October 31, 2023
1 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court
for appropriate relief. In particular, respondent would oppose any award for future lost earnings
and future pain and suffering.
2