VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_23-vv-01353 Package ID: USCOURTS-cofc-1_23-vv-01353 Petitioner: John Schouest Filed: 2023-08-18 Decided: 2025-06-18 Vaccine: influenza vaccine Vaccination date: 2022-10-29 Condition: Guillain-Barre syndrome (GBS) Outcome: compensated Award amount USD: 145000 AI-assisted case summary: On August 18, 2023, John Schouest filed a petition alleging that an influenza vaccine administered on October 29, 2022 caused Guillain-Barre syndrome. Respondent denied that Mr. Schouest sustained a Table GBS injury, denied that the flu vaccine caused his alleged GBS or any other condition, and denied that his current condition was vaccine-related. The public stipulation does not describe his first neurologic symptoms, diagnostic testing, hospitalization, immune treatment, rehabilitation, or residual deficits. The parties resolved the case by joint stipulation. On June 18, 2025, Chief Special Master Brian H. Corcoran awarded $145,000.00 in total compensation, consisting of $144,908.44 as a lump sum through counsel's IOLTA account and $91.56 jointly to petitioner and Optum for a Medicaid lien. Theory of causation field: Influenza vaccine October 29, 2022 allegedly causing GBS; adult, exact age not stated. COMPENSATED by stipulation. Respondent denied Table GBS, causation, and sequelae; public stipulation lacks neurologic chronology. Award $144,908.44 lump sum + $91.56 Optum Medicaid lien = $145,000. Chief SM Brian H. Corcoran; petition August 18, 2023; decision June 18, 2025. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_23-vv-01353-0 Date issued/filed: 2025-07-22 Pages: 8 Docket text: PUBLIC DECISION (Originally filed: 06/18/2025 ) regarding 37 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (nh) Service on parties made. -------------------------------------------------------------------------------- Case 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 1 of 8 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-1353V JOHN SCHOUEST, Chief Special Master Corcoran Petitioner, v. Filed: June 18, 2025 SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Daniel Wanko, Jr., The Wanko Law Firm, LLC, Thibodaux, LA, for Petitioner. Julianna Rose Kober, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On August 18, 2023, John Schouest filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). On or about October 29, 2022, Petitioner received an influenza (“flu”) vaccine, which vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a). Petitioner alleges that the flu vaccine caused him to develop Guillain-Barré syndrome (“GBS”) within the time period set forth in the Table, and that he suffered the residual effects of his condition for more than six months. 1Because 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. 2National 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-01353-UNJ Document 38 Filed 07/22/25 Page 2 of 8 Respondent denies that Petitioner sustained a GBS Table injury; denies that the vaccine caused or significantly aggravated Petitioner’s alleged GBS, or any other injury or condition; and denies that Petitioner’s current condition is a sequela of a vaccine- related injury. Nevertheless, on June 17, 2025, the parties filed the attached joint stipulation, 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. A lump sum of $144,908.44to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner; and B. A lump sum of $91.56, representing reimbursement of a Medicaid lien for services rendered to Petitioner by the State of Louisiana, in the form of a check payable jointly to Petitioner and Optum: Attn: Team 4, Negotiations Analyst Optum PO Box 182643 Columbus, OH 43218 Petitioner agrees to endorse this check to Optum. Stipulation at ¶ 8. These amounts represent 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.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 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 3 of 8 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS JOHN SCHOUEST. Petitioner, V. No. 23-l 353V Chief Special Master Corcoran SECRETARY OF HEALT H AND ECF HUMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: I. Petitioner filed a petition for vaccine compensation under the National Vaccine Injury Compensation Program. 42 U.S.C. § J00aa-10 to 34 (the ··Vaccine Program"'). The petition seeks compensation for injuries allegedly related to petitioner·s receipt of influenza ("flu'") vaccination which vaccine is contained in the Vaccine Injury Table (the --Table"), 42 C.F.R. § 100.J(a). 2. Petitioner received the flu vaccination on or about October 29. 2022. 3. The vaccine was administered within the United States. 4. Petitioner alleges that the flu vaccine caused him to develop Guillain-Barre Syndrome ("'GBS"") within the time period set forth in the Table and that he experienced the residual effects of his condition for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a civil action for damages as a result of his condition. Case 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 4 of 8 6. Respondent denies that petitioner suffered a OBS Table injury; denies that the flu vaccination caused or significantly aggravated petitioner's alleged OBS, or any other injury or condition; and denies that petitioner's current condition is a sequela of a vaccine-related injury. 7. Maintaining their above-stated positions, the parties nevertheless now agree that the issues between them shall be settled and that a decision should be entered awarding the compensation described in paragraph 8 of this Stipulation. 8. As soon as practicable after an entry of judgment reflecting a decision consistent with the te1111s of this Stipulation, and after petitioner has filed an election to receive compensation pursuant to 42 U.S.C. § 300aa-2 l ( a)( 1) . the Secretary of Health and Human Services will issue the following vaccine compensation payments: A. A lump sum payment of $144,908.44 to be paid through an ACH deposit to petitioner's counsel's IOL TA account for prompt disbursement to petitioner; and B. A lump sum of $91.56, 1 representing reimbursement of a Medicaid lien for services rendered to petitioner by the State of Louisiana, in the form of a check payable jointly to petitioner and Optum: Attn: Team 4, Negotiations Analyst Optum PO Box 182643 Columbus. OH 43218 Petitioner agrees to endorse this check to Optum. These amounts represent compensation for all damages that would be available under 42 U.S.C. § 300aa-15(a). 9. As soon as practicable after the entry ofjudgment on entitlement in this case, and after petitioner has filed both a proper and timely election to receive compensation pursuant to 42 This amount represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action the State of Louisiana may have against any individual as a result of any Medicaid payments Optum has made to or on behalf of John Schouest (Optum Event Number: 136872079) as a result of his alleged vaccine-related injury suffered on or about October 29. 2022, under Title XIX of the Social Security Act, see 42 U.S.C. § 300aa-l5(g), (h). -2 - Case 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 5 of 8 U.S.C. § 300aa-21 (a)(l), and an application, the parties will submit to further proceedings before the special master to award reasonable attorneys' fees and costs incrnTed in proceeding upon this petition. I 0. Petitioner and his attorney represent that they have identified to respondent all known sources of payment for items or services for which the Program is not primarily liable under 42 U.S.C. § 300aa-l 5(g), including State compensation programs, insurance policies, Federal or State health benefits programs ( other than Title XIX of the Social Security Act ( 42 U .S.C. § 1396 et seq.)), or by entities that provide health services on a pre-paid basis. 11. Payment made pursuant to paragraph 8 of this Stipulation, and any amount awarded pursuant to paragraph 9, will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject to the availability of sufficient statutory funds. 12. The parties and their attorneys fw1her agree and stipulate that, except for any award for attorney's fees and litigation costs, and past unreimbursable expenses, the money provided pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a strict construction of 42 U.S.C. § 300aa-l 5(a) and (d), and subject to the conditions of 42 U.S.C. § 300aa-l 5(g) and (h). 13. In return for the payments described in paragraphs 8 and 9. petitioner. in his indi, idual capacity. and on behalf of his heirs. executors. administrators, successors or assigns. does forever irrevocably and unconditionally release. acquit and discharge the United States and the Secretary of Health and Human Services from any and all actions or causes of action (including agreements. judgments. claims. damages, loss of services. expenses and all demands of whatever kind or nature) that have been brought, could have been brought. or hereafter could be timely brought in the Court of Federal Claims. under the National Vaccine Injury -3 - Case 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 6 of 8 Compensation Program. 42 U.S.C. § 300aa-10 et seq __ on account of. or in any way growing out of. any and all known or unknown. suspected or unsuspected personal injuries to or death of petitioner resulting from. or that may be alleged to have resulted from. the flu vaccination administered on October 29, 2022. as alleged in a petition for vaccine compensation filed on or about August 18. 2023. in the United States Court of Federal Claims as petition No. 23-1353\/. 14. If petitioner should die prior to entry of judgment, this agreement shall be voidable upon proper notice to the Com1 on behalf of either or both of the pai1ies. 15. If the special master fails to issue a decision in complete conformity with the terms of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a decision that is in complete conformity with the terms of this Stipulation, then the parties' settlement and this Stipulation shall be voidable at the sole discretion of either party. 16. This Stipulation expresses a full and complete negotiated settlement of liability and damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the parties hereto to make any payment or do any act or thing other than is herein expressly stated and clearly agreed to. The parties further agree and understand that the award described in this Stipulation may reflect a compromise of the parties· respective positions as to liability and/or amount of damages and further, that a change in the nature of the injury or condition or in the items of compensation sought, is not grounds to modify or revise this agreement. 17. This Stipulation shall not be construed as an admission by the United States or the Secretary of Health and Human Services that the flu vaccine caused petitioner's alleged GBS, or any other injury or condition, or that petitioner suffered a Vaccine Table injury. -4 - Case 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 7 of 8 18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's heirs, executors, administrators, successors. and/or assigns. END OF STIPULATION I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I -5 - Case 1:23-vv-01353-UNJ Document 38 Filed 07/22/25 Page 8 of 8 Respectfully submitted, PETITIONER: ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE PETITI ER: OF THE ATTORNEY GENERAL: -/4-'.40~-~-l,•)!1.J?~ . D. C. ~4LV4TOPF D'ALE~8t0 ~ L , ~ The nko Law Firm, LLC Direet0o1· iX,.~.O •r~ 406 West 3rd Street Suite 105 Torts Branch Thibodaux, LA 70301 Civil Division (985) 893-6530 U.S. Department of Justice steve@wankolawfirm.com P.O. Box 146 Benjamin Franklin Station Washington, DC 20044-0146 AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR OF THE SECRETARY OF HEALTH RESPONDENT: AND HUMAN SERVICES: Jeffrey S. ~i~~:~~ ~~gned by Jeffrey ~ -~~~ Bea -5 L-f_ .( Ch Date: 2025.05.28 15:02:47 ~ ~ ~ ~ _______ -04'oo· for CAPT GEORGE REED GRIMES, MD, MPH JULIANNA R. KOBER Director, Division of Injury Trial Attorney Compensation Programs To1is Branch Health Systems Bureau Civil Division Health Resources and Services U.S. Department of Justice Administration P.O. Box 146 U.S. Department of Health and Human Services Benjamin Franklin Station 5600 Fishers Lane, 08W-25A Washington, DC 20044-0146 Rockville, MD 20857 (202) 742-6375 Julianna.R.Kober@usdoj.gov Dated: 0 '='J 1-:Y/un& -6 - ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_23-vv-01353-cl-extra-11105271 Date issued/filed: 2025-07-22 Pages: 1 Docket text: Supplementary opinion from CourtListener cluster 10638684 -------------------------------------------------------------------------------- In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-1353V JOHN SCHOUEST, Chief Special Master Corcoran Petitioner, v. Filed: June 18, 2025 SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Daniel Wanko, Jr., The Wanko Law Firm, LLC, Thibodaux, LA, for Petitioner. Julianna Rose Kober, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On August 18, 2023, John Schouest filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). On or about October 29, 2022, Petitioner received an influenza (“flu”) vaccine, which vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a). Petitioner alleges that the flu vaccine caused him to develop Guillain-Barré syndrome (“GBS”) within the time period set forth in the Table, and that he suffered the residual effects of his 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). Respondent denies that Petitioner sustained a GBS Table injury; denies that the vaccine caused or significantly aggravated Petitioner’s alleged GBS, or any other injury or condition; and denies that Petitioner’s current condition is a sequela of a vaccine- related injury. Nevertheless, on June 17, 2025, the parties filed the attached joint stipulation, 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. A lump sum of $144,908.44 to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner; and B. A lump sum of $91.56, representing reimbursement of a Medicaid lien for services rendered to Petitioner by the State of Louisiana, in the form of a check payable jointly to Petitioner and Optum: Attn: Team 4, Negotiations Analyst Optum PO Box 182643 Columbus, OH 43218 Petitioner agrees to endorse this check to Optum. Stipulation at ¶ 8. These amounts represent 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.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 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS JOHN SCHOUEST. Petitioner, V. No. 23- l 353V Chief Special Master Corcoran SECRETARY OF HEAL TH AND ECF HUMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: I. Petitioner filed a petition for vaccine compensation under the National Vaccine Injury Compensation Program. 42 U.S.C. § J00aa-10 to 34 (the ··Vaccine Program "'). The petition seeks compensation for injuries allegedly related to petitioner·s receipt of influenza ("flu'") vaccination which vaccine is contained in the Vaccine Injury Table (the --Table"), 42 C.F.R. § 100.J(a). 2. Petitioner received the flu vaccination on or about October 29. 2022. 3. The vaccine was administered within the United States. 4. Petitioner alleges that the flu vaccine caused him to develop Guillain-Barre Syndrome ("'GBS"") within the time period set forth in the Table and that he experienced the residual effects of his condition for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a civil action for damages as a result of his condition. 6. Respondent denies that petitioner suffered a OBS Table injury; denies that the flu vaccination caused or significantly aggravated petitioner's alleged OBS, or any other injury or condition; and denies that petitioner's current condition is a sequela of a vaccine-related injury. 7. Maintaining their above-stated positions, the parties nevertheless now agree that the issues between them shall be settled and that a decision should be entered awarding the compensation described in paragraph 8 of this Stipulation. 8. As soon as practicable after an entry of judgment reflecting a decision consistent with the te1111s of this Stipulation, and after petitioner has filed an election to receive compensation pursuant to 42 U.S.C. § 300aa-2 l ( a)( 1). the Secretary of Health and Human Services will issue the following vaccine compensation payments: A. A lump sum payment of $144,908.44 to be paid through an ACH deposit to petitioner's counsel's IOL TA account for prompt disbursement to petitioner; and B. A lump sum of $91.56, 1 representing reimbursement of a Medicaid lien for services rendered to petitioner by the State of Louisiana, in the form of a check payable jointly to petitioner and Optum: Attn: Team 4, Negotiations Analyst Optum PO Box 182643 Columbus. OH 43218 Petitioner agrees to endorse this check to Optum. These amounts represent compensation for all damages that would be available under 42 U.S.C. § 300aa-15(a). 9. As soon as practicable after the entry ofjudgment on entitlement in this case, and after petitioner has filed both a proper and timely election to receive compensation pursuant to 42 This amount represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action the State of Louisiana may have against any individual as a result of any Medicaid payments Optum has made to or on behalf of John Schouest (Optum Event Number: 136872079) as a result of his alleged vaccine-related injury suffered on or about October 29. 2022, under Title XIX of the Social Security Act, see 42 U.S.C. § 300aa-l5(g), (h). -2- U.S.C. § 300aa-21 (a)(l), and an application, the parties will submit to further proceedings before the special master to award reasonable attorneys ' fees and costs incrnTed in proceeding upon this petition. I 0. Petitioner and his attorney represent that they have identified to respondent all known sources of payment for items or services for which the Program is not primarily liable under 42 U.S.C. § 300aa-l 5(g), including State compensation programs, insurance policies, Federal or State health benefits programs (other than Title XIX of the Social Security Act (42 U .S.C. § 1396 et seq.)), or by entities that provide health services on a pre-paid basis. 11 . Payment made pursuant to paragraph 8 of this Stipulation, and any amount awarded pursuant to paragraph 9, will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject to the availability of sufficient statutory funds. 12. The parties and their attorneys fw1her agree and stipulate that, except for any award for attorney's fees and litigation costs, and past unreimbursable expenses, the money provided pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a strict construction of 42 U.S.C. § 300aa-l 5(a) and (d), and subject to the conditions of 42 U.S.C. § 300aa- l 5(g) and (h). 13 . In ret urn for the payments described in paragraphs 8 and 9. petitioner. in hi s indi, idua l capac ity . and on behalf of his he irs. exec utors. administrators, successors or assigns. does forever irrevocab ly and unconditiona ll y release. acquit and discharge the United States and the Secretary of Health and Human Se rvi ces from any and all actions or causes of action (including agreements. judgments. cla im s. damages, loss of serv ices. expenses and all demands of whatever kind or nature) that ha ve been brought, could ha ve been brought. or hereafter could be timely brought in the Co urt of Federal C laims. under the National Vaccine Injury -3- Compensation Program. 42 U.S .C. § 300aa-10 et seq __ on account of. or in any way growing out of. any and all known or unknown. suspected or unsuspected personal injuries to or death of petitioner resulting from. or that may be alleged to have resulted from . the flu vaccination admini stered on October 29, 2022. as alleged in a petition for vaccine compensation filed on or about August 18. 2023. in the United States Court of Federal Claim s as petition No. 23 - 1353\/. 14. If petitioner should die prior to entry of judgment, this agreement shall be voidable upon proper notice to the Com1 on behalf of either or both of the pai1ies. 15. If the special master fails to issue a decision in complete conformity with the terms of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a decision that is in complete conformity with the terms of this Stipulation, then the parties' settlement and this Stipulation shall be voidable at the sole discretion of either party. 16. This Stipulation expresses a full and complete negotiated settlement of liability and damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended , except as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the parties hereto to make any payment or do any act or thing other than is herein expressly stated and clearly agreed to. The parties further agree and understand that the award described in this Stipulation may reflect a compromise of the parties· respective positions as to liability and/or amount of damages and further, that a change in the nature of the injury or condition or in the items of compensation sought, is not grounds to modify or revise this agreement. 17. This Stipulation shall not be construed as an admission by the United States or the Secretary of Health and Human Services that the flu vaccine caused petitioner' s alleged GBS , or any other injury or condition, or that petitioner suffered a Vaccine Table injury. -4- 18. All rights and obligations of petitioner hereunder shall apply equally to petitioner' s heirs, executors, administrators, successors. and/or assigns. END OF STIPULATION I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I -5- Respectfully submitted, PETITIONER: ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE PETITI ER: OF THE ATTORNEY GENERAL: -/4-'.40~-~-l,•)!1.J?~ . D. C. ~4LV4TOPF D' ALE~8t0 ~ L , ~ The nko Law Firm, LLC Direet0o1· iX,.~.O • r ~ 406 West 3 rd Street Suite 105 Torts Branch Thibodaux, LA 70301 Civil Division (985) 893-6530 U.S. Department of Justice steve@wankolawfirm.com P.O. Box 146 Benjamin Franklin Station Washington, DC 20044-0146 AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR OF THE SECRETARY OF HEALTH RESPONDENT: AND HUMAN SERVICES: Jeffrey S. ~i~~:~~ ~~g ned by Jeffrey ~ - ~~~ Bea Ch -5 _______ Date: 2025.05.28 15:02:47 -04'oo· for ~ ~ ~ L-f_.( ~ CAPT GEORGE REED GRIMES , MD, MPH JULIANNA R. KOBER Director, Division of Injury Trial Attorney Compensation Programs To1is Branch Health Systems Bureau Civil Division Health Resources and Services U.S. Department of Justice Administration P.O. Box 146 U.S. Department of Health and Human Services Benjamin Franklin Station 5600 Fishers Lane, 08W-25A Washington, DC 20044-0146 Rockville, MD 20857 (202) 742-6375 Julianna.R.Kober@usdoj .gov Dated: 0 '='J 1-:Y/un& -6-