VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_22-vv-00774
Package ID: USCOURTS-cofc-1_22-vv-00774
Petitioner: Mary M. Wyckoff
Filed: 2022-07-18
Decided: 2025-05-20
Vaccine: Tdap
Vaccination date: 2021-08-04
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 1068204.46

AI-assisted case summary:
On July 18, 2022, Mary M. Wyckoff filed a petition alleging SIRVA after a Tdap vaccination administered on August 4, 2021. Respondent conceded entitlement, stating that the record supported the Table SIRVA criteria: no prior relevant shoulder history, pain within 48 hours, pain and reduced range of motion limited to the injected shoulder, no alternative condition explaining the symptoms, and residual effects lasting more than six months. Chief Special Master Brian H. Corcoran granted entitlement on October 16, 2023.

The damages record does not provide a detailed public clinical chronology, but it shows a substantial lost-wages component. Respondent proffered, and Ms. Wyckoff agreed to, $1,068,204.46. On May 20, 2025, the Special Master awarded that lump sum, consisting of $95,000.00 for pain and suffering, $8,276.44 for past unreimbursable expenses, and $964,928.02 for past and future lost wages, with future lost wages reduced to net present value.

Theory of causation field:
Adult petitioner; Tdap vaccine August 4, 2021; Table SIRVA with onset within 48 hours. COMPENSATED. Respondent conceded Table criteria and legal prerequisites; public text lacks detailed clinical chronology. Entitlement October 16, 2023; damages May 20, 2025. Award $1,068,204.46 = $95,000.00 pain/suffering + $8,276.44 expenses + $964,928.02 past/future lost wages (NPV). Chief SM Brian H. Corcoran. Petition filed July 18, 2022.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_22-vv-00774-0
Date issued/filed: 2023-11-20
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 10/16/2023) regarding 29 Ruling on Entitlement ( Signed by Chief Special Master Brian H. Corcoran. )(mpj) Service on parties made.
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Case 1:22-vv-00774-UNJ Document 32 Filed 11/20/23 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 22-0774V
MARY M. WYCKOFF, Chief Special Master Corcoran
Petitioner, Filed: October 16, 2023
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
John Leonard Shipley, Davis, CA, for Petitioner.
Austin Joel Egan, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On July 18, 2022, Mary M. Wyckoff 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 she suffered a shoulder injury related to vaccine
administration (“SIRVA”) resulting from a tetanus diphtheria acellular pertussis (“Tdap”)
vaccine received in her right shoulder on August 4, 2021. Petition at 1. Petitioner further
alleges that the vaccine was received in the United States, her SIRVA has persisted for
more than six months, and neither Petitioner, nor any other party, has ever filed an action
or received compensation in the form of an award or settlement for her vaccine-related
injury. Petition at ¶¶ 2, 38-40. The case was assigned to the Special Processing Unit of
the Office of Special Masters.
1 Because this 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-00774-UNJ Document 32 Filed 11/20/23 Page 2 of 2
On October 11, 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’s alleged injury is consistent with
SIRVA as defined by the Vaccine Injury Table. Specifically, petitioner had no history of
pain, inflammation, or dysfunction of her right shoulder prior to vaccination; pain occurred
within 48 hours after receipt of an intramuscular vaccination; pain was limited to the
shoulder in which the vaccine was administered; and no other condition or abnormality
has been identified to explain petitioner’s shoulder pain.” Id. at 3-4. Respondent further
agrees that the medical records indicate that Petitioner suffered the residual effects of her
condition for more than six months and has satisfied all legal prerequisites for
compensation under the 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-00774-1
Date issued/filed: 2025-06-30
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 05/20/2025) regarding 60 DECISION Stipulation/Proffer, ( Signed by Chief Special Master Brian H. Corcoran. )(mpj) Service on parties made.
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Case 1:22-vv-00774-UNJ Document 64 Filed 06/30/25 Page 1 of 5
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 22-0774V
MARY M. WYCKOFF, Chief Special Master Corcoran
Petitioner, Filed: May 20, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
John Leonard Shipley, Davis, CA, for Petitioner.
Austin Joel Egan, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On July 18, 2022, Mary M. Wyckoff 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 she suffered a shoulder injury related to vaccine
administration (“SIRVA”) resulting from a tetanus diphtheria acellular pertussis (“Tdap”)
vaccine received in her right shoulder on August 4, 2021. Petition at 1. The case was
assigned to the Special Processing Unit of the Office of Special Masters.
On October 16, 2023, a ruling on entitlement was issued, finding Petitioner entitled
to compensation for SIRVA. On May 20, 2025, Respondent filed a proffer on award of
compensation (“Proffer”) indicating Petitioner should be awarded $1,068,204.46. Proffer
at 2-3. In the Proffer, Respondent represented that Petitioner agrees with the proffered
award. Id. 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-00774-UNJ Document 64 Filed 06/30/25 Page 2 of 5
Pursuant to the terms stated in the attached Proffer, I award Petitioner a lump
sum payment of $1,068,204.46 (comprised of $95,000.00 in pain and suffering,
$8,276.44 in past unreimbursable expenses, and $964,928.02 in past and future lost
wages, with future lost wages having been reduced to net present value), to be paid
through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt
disbursement 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-00774-UNJ Document 64 Filed 06/30/25 Page 3 of 5
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
MARY M. WYCKOFF, )
)
Petitioner, )
) No. 22-774V
v. ) Chief Special Master Corcoran
) ECF
SECRETARY OF HEALTH AND HUMAN )
SERVICES, )
)
Respondent. )
)
RESPONDENT’S PROFFER OF DAMAGES
On July 18, 2022, Mary M. Wyckoff (“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 she suffered from a right shoulder injury related to
vaccine administration (“SIRVA”), as defined in the Vaccine Injury Table, following
administration of an tetanus, diphtheria, and acellular pertussis (“Tdap”) vaccine she received on
August 4, 2021. Petition at 1. On October 11, 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 Table SIRVA injury, and on October 16, 2023, the
Chief Special Master issued a Ruling on Entitlement finding petitioner entitled to compensation.
ECF Nos. 26, 29.
I. Items of Compensation
A. Pain and Suffering
Respondent proffers that petitioner should be awarded $95,000.00 in pain and suffering.
See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.

Case 1:22-vv-00774-UNJ Document 64 Filed 06/30/25 Page 4 of 5
B. Past Unreimbursable Expenses
Evidence supplied by petitioner documents that she incurred past unreimbursable
expenses related to her vaccine-related injury. Respondent proffers that petitioner should be
awarded past unreimbursable expenses in the amount of $8,276.44. See 42 U.S.C. § 300aa-
15(a)(1)(B). Petitioner agrees.
C. Lost Wages
Evidence supplied by petitioner documents that she incurred past and future lost wages
related to her vaccine-related injury. Respondent proffers that petitioner should be awarded past
and future lost wages in the amount of $964,928.02. See 42 U.S.C. § 300aa-15(a)(3)(A).
Petitioner agrees.
These amounts represent all elements of compensation to which petitioner is entitled
under 42 U.S.C. § 300aa-15(a), and amounts for future lost wages have been reduced to net
present value in accordance with 42 U.S.C. § 300aa-15(f)(4)(A). Petitioner agrees.
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 $1,068,204.46, to be paid
through an ACH deposit to petitioner’s counsel’s IOLTA account for prompt disbursement to
petitioner.
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 unreimbursed
expenses, future lost earnings, and future pain and suffering.
2

Case 1:22-vv-00774-UNJ Document 64 Filed 06/30/25 Page 5 of 5
III. Summary of Recommended Payments Following Judgment
Lump sum payable to petitioner, Mary M. Wyckoff: $1,068,204.46
Respectfully submitted,
YAAKOV M. ROTH
Acting Assistant Attorney General
C. SALVATORE D’ALESSIO
Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Deputy Director
Torts Branch, Civil Division
ALEXIS B. BABCOCK
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: May 20, 2025
3