VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_23-vv-00877
Package ID: USCOURTS-cofc-1_23-vv-00877
Petitioner: Deborah Ellison
Filed: 2023-06-12
Decided: 2025-10-30
Vaccine: Tdap
Vaccination date: 2022-07-19
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 95000

AI-assisted case summary:
On June 12, 2023, Deborah Ellison filed a petition alleging that a Tdap vaccine administered on July 19, 2022 caused a left shoulder injury related to vaccine administration. The public stipulation identifies Ms. Ellison as an adult petitioner but does not provide her exact age.

Respondent denied that Ms. Ellison sustained a Table SIRVA, denied that the Tdap vaccine caused her shoulder injury or any other injury, and denied that her ongoing condition was a sequela of a vaccine-related injury. The public decision and attached stipulation do not provide a clinical timeline, onset description, treatment course, imaging, injections, therapy history, or residual limitations.

The parties nevertheless filed a joint stipulation on October 29, 2025 agreeing that compensation should be awarded. On October 30, 2025, Chief Special Master Brian H. Corcoran found the stipulation reasonable and awarded Ms. Ellison $95,000.00 as a lump sum through counsel's IOLTA account for prompt disbursement.

Theory of causation field:
Adult petitioner; Tdap vaccine July 19, 2022; alleged left SIRVA. COMPENSATED by stipulation. Respondent denied Table SIRVA, causation, and sequelae. Public stipulation lacks clinical onset/treatment facts. Award $95,000.00 lump sum through counsel IOLTA. CSM Brian H. Corcoran October 30, 2025. Petition filed June 12, 2023.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_23-vv-00877-0
Date issued/filed: 2025-12-04
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 10/30/2025) regarding 36 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made.
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Case 1:23-vv-00877-UNJ Document 42 Filed 12/04/25 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 23-0877V
DEBORAH ELLISON, Chief Special Master Corcoran
Petitioner,
v. Filed: October 30, 2025
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Jonathan Joseph Svitak, Shannon Law Group, P.C., Woodridge, IL, for Petitioner.
Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On June 12, 2023, Deborah Ellison filed a petition for compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the
“Vaccine Act”). The petition seeks compensation for injuries allegedly related to
Petitioner’s receipt of a tetanus-diphtheria-acellular pertussis (“Tdap”) vaccine, which
vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a), on July
19, 2022. Petitioner alleges that she sustained a left shoulder injury related to vaccine
administration (“SIRVA”) within the time period set forth in the Table. She further alleges
that she suffered the residual effects of this condition for more than six months.
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 1:23-vv-00877-UNJ Document 42 Filed 12/04/25 Page 2 of 7
Respondent denies that Petitioner sustained a Table SIRVA; denies that the
vaccine caused Petitioner’s alleged shoulder injury, or any other injury; and denies that
her current condition is a sequela of a vaccine-related injury.
Nevertheless, on October 29, 2025, the parties filed the attached joint stipulation3
stating that a decision should be entered awarding compensation. I find the stipulation
reasonable and adopt it as my decision awarding damages, on the terms set forth therein.
Pursuant to the terms stated in the attached Stipulation, I award the following
compensation:
A lump sum of $95,000.00 to be paid through an ACH deposit to Petitioner’s
counsel’s IOLTA account for prompt disbursement to Petitioner. Stipulation
at ¶ 8. This amount represents compensation for all items of damages that would
be available under Section 15(a). Id.
I approve the requested amount for Petitioner’s compensation. In the absence of
a motion for review filed pursuant to RCFC Appendix B, the Clerk of Court is directed to
enter judgment in accordance with this decision.4
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
3 In attaching the parties’ joint stipulation, I have omitted the last page – an RSign form that includes
personal information regarding Petitioner.
4 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 1:23-vv-00877-UNJ Document 42 Filed 12/04/25 Page 3 of 7
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
DEBORAH ELLISON,
Petitioner, No. 23-877V
Chief Special Master Corcoran
ECF
V.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
STIPULATION
The parties hereby stipulate to the following matters:
1. Deborah Ellison ("petitioner"), filed a petition for vaccine compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 to 34 (the "Vaccine
Program"). The petition seeks compensation for injuries allegedly related to petitioner's receipt
of a Tetanus-diphtheria-acellular-pertussis ("Tdap") vaccine, which vaccine is contained in the
Vaccine Injury Table (the "Table"), 42 C.F.R. § 100.3(a).
2. Petitioner received a Tdap vaccine on July 19, 2022.
3. The vaccine was administered within the United States.
4. Petitioner alleges that she sustained a left shoulder injury related to vaccine
administration ("SIRVA") within the time period set forth in the Table. She further alleges that
she experienced the residual effects of this condition for more than six months.
5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages on her behalf as a result of her alleged injury.
1
ENV27645346-3138-CAFB-5050-FABA
10/24/2025 02:59 AM UTC

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