VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_23-vv-01626
Package ID: USCOURTS-cofc-1_23-vv-01626
Petitioner: Amanda Page
Filed: 2023-09-21
Decided: 2025-10-03
Vaccine: influenza
Vaccination date: 2022-11-28
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 124125.29

AI-assisted case summary:
On September 21, 2023, Amanda Page, a 39-year-old teacher, filed a petition alleging that an influenza vaccine administered in her left arm on November 28, 2022 caused a shoulder injury related to vaccine administration. Her medical history included type II diabetes, fatty liver disease, and irritable bowel syndrome.

Respondent contested entitlement only on onset. The first explicit shoulder complaint in the record appeared on December 18, 2022, when Ms. Page messaged her primary-care provider that her arm still hurt and she could not lift it without pain. Respondent argued that earlier portal messages about diabetes medication, liver issues, and appointments undercut her account and that later records described onset inconsistently. Chief Special Master Brian H. Corcoran rejected those arguments, finding that the earlier unrelated medical communications did not make her shoulder account unreliable and that the total record established pain within 48 hours of vaccination, although the public decision does not state an exact hour.

Ms. Page later saw orthopedist Dr. Darius Davina, was diagnosed with a minor tendon tear and inflammation, underwent physical therapy and steroid injections, and had arthroscopic surgery on August 30, 2023, including partial labral debridement, partial chondroplasty, and subacromial decompression. On October 3, 2025, Chief Special Master Corcoran granted entitlement and awarded damages. Ms. Page received $124,125.29: $120,000.00 for pain and suffering and $4,125.29 for unreimbursed medical expenses. She was represented by Jimmy A. Zgheib of Zgheib Sayad, P.C.

Theory of causation field:
Influenza vaccine, November 28, 2022, age 39, causing SIRVA. COMPENSATED after reasoned entitlement/damages decision. Respondent contested onset, citing intervening diabetes/liver-related portal messages, later first shoulder complaint, and inconsistent timing records; Chief Special Master Corcoran found the total record established shoulder pain within 48 hours, while exact hour/day was not stated. Medical course included left shoulder pain and limited ROM, physical therapy, steroid injections, and August 30, 2023 arthroscopic surgery. Award October 3, 2025: $124,125.29 ($120,000 pain/suffering + $4,125.29 unreimbursed expenses). Attorney Jimmy A. Zgheib; respondent Madylan Yarc.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_23-vv-01626-0
Date issued/filed: 2025-11-10
Pages: 12
Docket text: PUBLIC DECISION (Originally filed: 10/03/2025) regarding 35 Ruling on Entitlement, DECISION of Special Master, Order on Motion for Ruling on the Record. ( Signed by Chief Special Master Brian H. Corcoran. )(mpj) Service on parties made.
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Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 1 of 12
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 23-1626V
AMANDA PAGE, Chief Special Master Corcoran
Petitioner,
v. Filed: October 3, 2025
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Jimmy A. Zgheib, Zgheib Sayad, P.C., White Plains, NY, for Petitioner.
Madylan Yarc, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT AND DECISION AWARDING DAMAGES1
On September 21, 2023, Amanda Page filed a petition for compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (“Vaccine
Act”). Petitioner alleged that she suffered a shoulder injury related to vaccine
administration (“SIRVA”) as a result of an influenza (“flu”) vaccine received on November
28, 2022. Petition at 1. The case was assigned to the Special Processing Unit (“SPU”) of
the Office of Special Masters. The parties could not agree to entitlement or damages and
their dispute was therefore submitted to resolution at an expedited proceeding on
September 26, 2025.
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-01626-UNJ Document 43 Filed 11/10/25 Page 2 of 12
For the following reasons, I find that Petitioner is entitled to compensation,
and I award damages in the form of a lump sum payment of $124,125.29
($120,000.00 for past pain and suffering, plus $4,125.29 for agreed-upon
unreimbursed expenses).
I. Procedural History
The case was assigned to the SPU in November 2023. ECF No. 11. On September
9, 2024, Respondent filed a Rule 4(c) Report recommending that entitlement to
compensation be denied. ECF No. 25 (“Rule 4(c) Report”). On March 7, 2025, Petitioner
filed a motion for a ruling on the record as to both entitlement and damages. ECF No. 29
(“Pet’r Mot.”). Respondent filed his response on April 16, 2025. ECF No. 30 (“Resp’t
Opp’n”). Petitioner filed a reply in support of her motion on April 25, 2025. ECF No. 31
(Pet’r Reply). On September 3, 2025, I set this matter for an expedited hearing.
At the end of the September 26, 2025 hearing, I issued an oral ruling from the
bench on both entitlement and damages. That ruling is set forth fully in the transcript from
the hearing, which is yet to be filed on the case’s docket (but is fully incorporated into this
Decision).
I. Factual Findings
Petitioner was 39 years old at the time of vaccination and worked as a teacher. Ex.
4 at 8. Petitioner was morbidly obese. Id. at 11. In the months prior to vaccination, she
sought treatment, including an emergency room visit, for irritable bowel
syndrome/diarrhea and abdominal pain. See Ex. 5 at 193, 253, 256, 283, 306; Ex. 12 at
557. Petitioner underwent various diagnosis tests and was diagnosed with type II
diabetes, for which she was prescribed metformin. Ex. 5 at 193-196. Her blood tests also
showed leukocytosis and chronically elevated liver enzymes. See Ex. 5 at 232; Ex. 12 at
417, 537, 543. An ultrasound revealed possible enlargement of the liver with some fat
accumulation. Ex. 5 at 232, 252-253. Petitioner then established care with Duke Health
Liver Clinic. See Ex. 12 at 611-617.
Petitioner received the flu vaccine in her left arm on November 28, 2022, at an
appointment with her primary care provider (“PCP”), Dr. Christine Baker. Ex. 4 at 8. The
purpose of this appointment was to follow up on Petitioner’s diabetes, fatty liver issue,
and gastrointestinal issues. See id. at 8-12. Dr. Baker recommended a GLP-1 agonist for
weight loss and asked Petitioner to discuss this medication with her hepatologist, Dr.
Maria Segovia. See id.
2

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 3 of 12
Later that same day, Petitioner messaged Dr. Segovia about obtaining a
colonoscopy. Ex. 12 at 593. Dr. Segovia responded and suggested scheduling a video
appointment to discuss a colonoscopy and recent liver labs. Id. The next day, November
29, 2022, Petitioner replied and reported “days of awful inflammation in [her] intestines
and liver,” as well as painful diarrhea. Id. at 592-593. She also conveyed that Dr. Baker
wanted to take her off metformin and try “another medicine,” presumably the GLP-1
agonist. Id. Further messages were exchanged about the scheduling of Petitioner’s next
appointment for December 5, 2022. Id. at 591-592.
On December 5, 2022, Petitioner messaged Dr. Baker about discussing “the new
medication” with Dr. Segovia at her appointment later that day, and noted that she had a
migraine the day before. Ex. 4 at 27. Dr. Baker responded that Petitioner should ask Dr.
Segovia about a GLP-1 agonist. Id. at 26. Petitioner had a video appointment with Dr.
Segovia that same day. Petitioner reported ongoing diarrhea and several months of dull,
intermittent right upper quadrant pain that wrapped around her back. Ex. 12 at 611-617.
Dr. Segovia suspected non-alcoholic steatohepatitis (“NASH”), but wanted to rule out
auto-immune hepatitis. See id. Dr. Segovia scheduled Petitioner for a liver biopsy and
also a colonoscopy. Id.
On December 7, 2022, Petitioner called and left a message with a medical
assistant in Dr. Baker’s office. Ex. 4 at 37. Petitioner stated that Dr. Segovia had advised
her to stop taking metformin and wanted to clarify how to stop taking it. Id.
Petitioner underwent a liver biopsy on December 12, 2022. Ex. 12 at 661-663. The
findings were consistent with NASH and there was no evidence of auto-immune hepatitis.
Id. at 714.
On December 18, 2022, Petitioner sent another message to Dr. Baker. Ex. 4 at 26.
This message was part of the earlier thread from December 5, 2022. See id. Petitioner
reported that Dr. Segovia said that “the new medication” should be fine. Id. Petitioner then
wrote, “I had a question about my flu shot. It has been 3 weeks and my arm still hurts. I
can’t lift my arm straight up without pain. Is this normal this round?” Id. Dr. Baker told
Petitioner to call the office to schedule an appointment about her sore arm. Id.
Petitioner followed up and called Dr. Baker’s office on December 22, 2022.3 Ex. 4
3 Petitioner may have had contact with Dr. Segovia’s office on December 19 and 20, 2022. There are
records with headers with these dates, and that list Petitioner’s allergies, medical history etc., but there are
no further notes describing anything that occurred. See, e.g., Ex. 12 at 702-710. It is possible that these
records were generated because Dr. Baker sent Dr. Segovia a message about Petitioner’s medications
around these dates. Id. at 712-713.
3

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 4 of 12
at 45. A nurse wrote that Petitioner called with a complaint of “left arm pain where flu
vaccination was given 3 weeks ago.” Id. Petitioner described the pain with movement as
8/10 and at rest as 2/10. Id. The pain did not radiate. Id. Petitioner had tried heat, ice, and
rest with minimal improvement. Id. Also on December 22, 2022, Petitioner spoke with Dr.
Segovia to discuss the findings of the liver biopsy and managing NASH. Ex. 12 at 715.
Petitioner had an appointment with Dr. Baker on December 23, 2022. Ex. 4 at 49-
56. Dr. Baker wrote that Petitioner presented with “[l]eft arm pain. Painful to raise the arm.
X 3 weeks.” Id. at 49, 52. Petitioner also reported that “following flu shot she has had
some left tricep pain.” Id. at 53. Dr. Baker suspected “mild muscle inflammation following
injection or perhaps due to overuse or combination of both.”4 Id. at 55. Dr. Baker
recommended stretches and taking naproxen as needed. Id.
In January and February 2023, Petitioner had appointments with the Duke Health
Liver Clinic and Dr. Baker regarding her diabetes, weight loss medication, liver, and
having almost passed out after donating blood. See Ex. 12 at 746; Ex. 4 at 69, 73, 94. It
does not appear that Petitioner referenced her left shoulder pain at these appointments.
On February 27, 2023, Petitioner messaged Dr. Baker requesting a referral for an
MRI on her shoulder/arm and to see a “shoulder specialist.” Ex. 4 at 98. Dr. Baker
provided a referral to orthopedist Dr. Darius Davina. Id.
Petitioner had an initial evaluation with Dr. Davina on March 2, 2023. Ex. 6 at 14.
Dr. Davina’s notes stated that Petitioner “did receive a flu injection to that area in
December and has had pain to that area ever since.” Id. Petitioner displayed positive
impingement signs. Id. at 15. Dr. Davina took x-rays, which were normal. Id. Dr. Davina’s
plan was to rule out impingement syndrome versus deltoid inflammation. Id. He did not
prescribe oral steroids because of Petitioner’s diabetes, but prescribed naproxen. Id. Dr.
Davina scheduled another appointment in two weeks to assess if she needed a steroid
injection and MRI. Id. After this appointment with Dr. Davina, Petitioner saw Dr. Baker for
a rash and ended up receiving oral steroids for poison ivy. Ex. 12 at 795; Ex. 4 at 109.
Petitioner returned to Dr. Davina on March 16, 2023. Ex. 6 at 12. Petitioner stated
that the steroids for her poison ivy did not have any effect on her left shoulder pain. Id.
Dr. Davina ordered an MRI. Id. The MRI revealed a “tiny intrasubstance tear of the mid
subscapularis tendon” with no high-grade rotator cuff tear, “mild supraspinatus
tendinosis,” and “mild biceps tendinosis and tenosynovitis.” Id. at 45. At the next
appointment on April 27, 2023, Dr. Davina referred Petitioner to physical therapy (“PT”)
4 Respondent uses bold text for the words “or perhaps due to overuse” in the Rule 4(c) Report and
opposition to Petitioner’s motion, but does not make any argument on this point.
4

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 5 of 12
and recommended dry needling. Id. at 62-63.
On May 15, 2023, Petitioner had an initial appointment with Cora PT. Ex. 7 at 5. In
her PT records, the onset date was recorded as “11/17/2022.” See id. However, the
section for her history and symptoms stated that Petitioner “was independent with all
activities prior to Nov. 2022 when she started having left shoulder pain after a flu shot.”
Id. Petitioner had 17 total PT sessions through July 2023. Id. at 5-41. Petitioner was
discharged from PT on July 28, 2023. Id. at 41.
Petitioner had appointments with Dr. Davina on June 8 and July 13, 2023. At the
June appointment, Dr. Davina did not recommend a steroid injection because Petitioner
denied any “deep shoulder pain” and only complained of pain in the “outer aspect of her
left arm.” Ex. 6 at 98. However, at the next appointment in July, Dr. Davina administered
a subacromial steroid injection in her left shoulder. Id. at 135, 142.
On July 27, 2023, Petitioner had a telephonic appointment with Dr. Davina. Ex. 6
at 177. Petitioner reported that the steroid injection only provided three days of pain relief.
Id. Dr. Davina suggested that left shoulder arthroscopy could be an option and Petitioner
expressed interest in having surgery. Id.
Petitioner saw Dr. Davina again on August 3, 2023. Ex. 6 at 173. Petitioner
reiterated that the steroid injection had not been helpful and believed that PT was making
her shoulder pain worse. Id. Dr. Davina and Petitioner decided to move forward with a left
shoulder arthroscopy. Id. at 174.
Petitioner underwent surgery on August 30, 2023. Ex. 6 at 210. Dr. Davina
performed a left shoulder partial labral debridement, partial chondroplasty of the humeral
head and glenoid, and a subacromial decompression. Id.
At her first post-op appointment on September 14, 2023, Petitioner did not report
any pain (although she was still taking opioid painkillers). Ex. 6 at 218. Petitioner had a
further post-op appointment on October 12, 2023. Ex. 13 at 11. Petitioner stated that she
was “doing much better at this point with an overall pain a 2/10.” Id. Dr. Davina also
believed that Petitioner had made “great improvement” and noted that her pain was “much
more tolerable at this point.” Id. However, Dr. Davina added that Petitioner still had issues
with her overall range of motion. Id. Dr. Davina told Petitioner to continue with home
exercises and naproxen as needed and that if she got “frustrated” in the future with
shoulder pain, then she could return and they would discuss additional PT. Id.
Petitioner did not seek any further treatment for her left shoulder.
5

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 6 of 12
II. Ruling on Entitlement
A. Legal Standard
To receive compensation under the Vaccine Program, a petitioner must prove
either (1) that he suffered an injury falling within the Vaccine Injury Table, or (2) that he
suffered an injury that was actually caused by his vaccine. See Sections 13(a)(1)(A) and
11(c)(1). The petitioner carries the burden of establishing the matters required in the
petition by a preponderance of the evidence. Section 13(a)(1)(A); see Song v. Sec'y of
Health & Hum. Servs., 31 Fed. Cl. 61, 65-66 (1994), aff'd, 41 F.3d 1520 (Fed. Cir. 2014).
The Vaccine Act prohibits finding that a petitioner has met this burden “based on
the claims of a petitioner alone, unsubstantiated by medical records or by medical
opinion.” Section 13(a). Medical records must be considered, see Section 13(b)(1), and
are generally afforded substantial weight. Cucuras v. Sec’y of Health & Hum. Servs., 993
F.2d 1525, 1528 (Fed. Cir. 1993). However, the Federal Circuit has “reject[ed] as incorrect
the presumption that medical records are accurate and complete as to all the patient’s
physical conditions.” Kirby v. Sec’y of Health & Hum. Servs., 997 F.3d 1378, 1383 (Fed.
Cir. 2021). The factual matters required to prove elements of a Vaccine Act claim may be
established by a mix of witness statements and record proof, with the special master
required to fully consider and compare the medical records, testimony, and all other
“relevant and reliable evidence contained in the record.” La Londe v. Sec’y of Health &
Hum. Servs., 110 Fed. Cl. 184 (2013) (citing Section 12(d)(3); Vaccine R. 8), aff’d, 746
F.3d 1335 (Fed. Cir. 2014).
The most recent version of the Table, which can be found at 42 C.F.R. § 100.3,
identifies the vaccines covered under the Program, the corresponding injuries, and the
time period in which the particular injuries must occur after vaccination. Section 14(a).
Pursuant to the Table, a SIRVA is compensable if it manifests within 48 hours of the
administration of a flu vaccine. 42 C.F. R. § 100.3(a)(XIV)(B). The criteria establishing a
SIRVA under the accompanying Qualifications and Aids to Interpretations (“QAI”) are as
follows:
Shoulder injury related to vaccine administration (SIRVA). SIRVA manifests
as shoulder pain and limited range of motion occurring after the
administration of a vaccine intended for intramuscular administration in the
upper arm. These symptoms are thought to occur as a result of unintended
injection of vaccine antigen or trauma from the needle into and around the
underlying bursa of the shoulder resulting in an inflammatory reaction.
6

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 7 of 12
SIRVA is caused by an injury to the musculoskeletal structures of the
shoulder (e.g. tendons, ligaments, bursae, etc.). SIRVA is not a neurological
injury and abnormalities on neurological examination or nerve conduction
studies (NCS) and/or electromyographic (EMG) studies would not support
SIRVA as a diagnosis (even if the condition causing the neurological
abnormality is not known). A vaccine recipient shall be considered to have
suffered SIRVA if such recipient manifests all of the following:
(i) No history of pain, inflammation or dysfunction of the affected shoulder
prior to intramuscular vaccine administration that would explain the alleged
signs, symptoms, examination findings, and/or diagnostic studies occurring
after vaccine injection;
(ii) Pain occurs within the specified time-frame;
(iii) Pain and reduced range of motion are limited to the shoulder in which
the intramuscular vaccine was administered; and
(iv) No other condition or abnormality is present that would explain the
patient’s symptoms (e.g. NCS/EMG or clinical evidence of radiculopathy,
brachial neuritis, mononeuropathies, or any other neuropathy).
42 C.F.R. § 100.3(c)(10).
A special master may find that the first symptom or manifestation of onset of an
injury occurred “within the time period described in the Vaccine Injury Table even though
the occurrence of such symptom or manifestation was not recorded or was incorrectly
recorded as having occurred outside such period.” Section 13(b)(2). “Such a finding may
be made only upon demonstration by a preponderance of the evidence that the onset [of
the injury] . . . did in fact occur within the time period described in the Vaccine Injury
Table.” Id.
B. Petitioner Has Proven Onset Within 48 Hours by a Preponderance of
the Evidence
Respondent’s only challenge to entitlement is onset, and he presents three
arguments with respect to this issue. See Rule 4(c) Report at 8-10; Resp’t Opp’n at 10-
14. First, Respondent notes that Petitioner had several intervening appointments before
December 18, 2022, in which she did not mention left shoulder pain. Second, when
Petitioner did report left shoulder pain, she was not specific enough in recalling that it
7

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 8 of 12
started within 48 hours of vaccination. And third, Respondent points to records indicating
that Petitioner’s pain started either before or after the 48 hour window.
None of these arguments are persuasive. Respondent’s first argument regarding
intervening treatment in undermined by the fact that Petitioner reported left shoulder pain
twenty days after vaccination, which is relatively quick for a SIRVA case and well within
the timeframe that I have previously considered sufficient. Respondent mischaracterizes
Petitioner’s portal messages to Drs. Baker and Segovia about her ongoing diabetes and
liver issues as separate encounters in which she would have had an opportunity to
discuss all possible medical concerns.5 See Resp’t Opp’n at 13-14. And numerous cases
have recognized that a petitioner’s failure to mention shoulder pain at appointments for
unrelated medical conditions does not necessarily undermine onset. Respondent’s
suggestion that Petitioner should have complained about left shoulder pain during a liver
biopsy is particularly unconvincing.
Respondent’s arguments also fault Petitioner for not conforming to the ideal of a
perfect patient. For example, Respondent contends that Petitioner frequently reached out
to her treaters, especially when she experienced new symptoms, and thus would have
been expected to mention left shoulder pain more immediately out of concern that it could
be connected to her underlying liver disease. See id. According to Respondent, a
reasonable person “would have at least mentioned a new and significant symptom when
seeking care for a changing clinical picture, even if it was quickly ruled out as unrelated
by a medical doctor.” Id. at 14. However, Petitioner already knew that her symptoms of
diarrhea and abdominal pain were connected to her weight, diabetes, and fatty liver. As
is normal in SIRVA cases, Petitioner explained that she believed her shoulder pain would
dissipate and attempted to self-treat. This behavior does not weigh against finding a 48-
hour onset.
With regard to Respondent’s second argument, see id. at 11-12, Petitioner’s
statement on December 18, 2022, that “it has been 3 weeks and my arm still hurts” is not
at all vague or ambiguous. Petitioner could have been more precise in her other reports
of onset, but use of descriptive terms like “after,” “following,” or “ever since” the
vaccination are generally understood in Vaccine Act SIRVA cases to mean shortly after
the event. And Petitioner never pinpointed onset to a time outside of the 48 hours, as in
the case cited by Respondent.
5 Respondent also incorrectly counts the possible contacts with Dr. Segovia’s office on December 19, 2022
and December 20, 2022 as intervening encounters when these in fact occurred after Petitioner had reported
her left shoulder pain to Dr. Baker on December 18, 2022. See Resp’t Opp’n at 11.
8

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As to the third argument regarding inconsistent descriptions of onset, Respondent
reads too much into stray errors in the medical records. Although a form box in Petitioner’s
PT records did state that onset began pre-vaccination on November 17, 2022, the actual
text describing Petitioner’s problem makes clear that her pain started after vaccination.
See Ex. 7 at 5. Dr. Davina’s notes stated that Petitioner “did receive a flu injection to that
area in December and has had pain to that area ever since,” Ex. 6 at 15, but this is most
reasonably read as Petitioner misremembering the exact date of vaccination, which
occurred at the very end of November.
The evidence thus supports a finding that Petitioner’s shoulder pain began within
48 hours of vaccination. The remaining QAI and statutory requirements are not disputed,
and I find that they are satisfied. Petitioner has established all statutory and Table
requirements and is thus entitled to compensation.
III. Damages
In another recent decision, I discussed at length the legal standard to be
considered in determining damages and prior SIRVA compensation within SPU. I fully
adopt and hereby incorporate my prior discussion in Section II of Matthews v. Sec’y of
Health & Human Servs., No. 22-1396V, 2025 WL 2606607 (Fed. Cl. Spec. Mstr. Aug. 13,
2025).
In sum, compensation awarded pursuant to the Vaccine Act shall include “[f]or
actual and projected pain and suffering and emotional distress from the vaccine-related
injury, an award not to exceed $250,000.00.” Section 15(a)(4). The petitioner bears the
burden of proof with respect to each element of compensation requested. Brewer v. Sec’y
of Health & Human Servs., No. 93-0092V, 1996 WL 147722, at *22-23 (Fed. Cl. Spec.
Mstr. Mar. 18, 1996). Factors to be considered when determining an award for pain and
suffering include: 1) awareness of the injury; 2) severity of the injury; and 3) duration of
the suffering.6
In this case, awareness of the injury is not disputed. The record reflects that at all
times Petitioner was a competent adult with no impairments that would impact her
awareness of his injury. Therefore, I analyze principally the severity and duration of
Petitioner’s injury.
6 I.D. v. Sec’y of Health & Human Servs., No. 04-1593V, 2013 WL 2448125, at *9 (Fed. Cl. Spec. Mstr. May
14, 2013) (quoting McAllister v. Sec’y of Health & Human Servs., No 91-1037V, 1993 WL 777030, at *3
(Fed. Cl. Spec. Mstr. Mar. 26, 1993), vacated and remanded on other grounds, 70 F.3d 1240 (Fed. Cir.
1995)).
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When performing the analysis in this case, I review the record as a whole to include
the medical records, declarations, affidavits, and all other filed evidence, plus the parties’
briefs and other pleadings. I consider prior awards for pain and suffering in both SPU and
non-SPU SIRVA cases and rely upon my experience adjudicating these cases. However,
I base my determination on the circumstances of this case.
As explained at the September 26, 2025 hearing (and in many prior cases),
awarding an amount for pain and suffering is an art and not a science. The parties should
look to the general landscape of past pain and suffering awards, and specific past
reasoned decisions that they believe to be directly “on point,” when presenting their
specific valuations of a case that is formally in damages. That information, when offered
by the parties, can be highly useful in guiding my award (although a petitioner’s personal
circumstances are always the primary foundation of the award ultimately issued).
Petitioner seeks a pain and suffering award of $150,000.00. Pet’r Mot. at 12-14. In
support of her proposed award, she cites S.C., Reed, and Reynolds.7 The S.C. and Reed
petitioners were awarded $160,000.00 and the Reynolds petitioner was awarded
$150,000.00. In the briefing, Respondent recommended an award of $80,000.00, relying
on Hunt and Shelton, which awarded $95,000.00 and $97,500.00 respectively.8 Resp’t
Opp’n at 24-25. During the Motions Day Hearing, Respondent made a new
recommendation of $100,000.00.
I do not find that an award of $150,000.00 would be appropriate, however, because
Petitioner’s selected comparators all involved more severe courses of treatment. In S.C.,
the petitioner sought treatment within a similar timeframe to the instant case and had one
surgery, but had more severe findings on her MRI, higher subjective reports of pain, and
received four steroid injections. Further, the S.C. petitioner also ultimately completed 95
sessions of PT (30 sessions pre-surgery and 65 sessions post-surgery). The total
duration of treatment was also much longer and spanned several years.
Similarly, the Reed petitioner sought treatment in a short timeframe and had one
steroid injection and one surgery, but had a more intense course of treatment involving
two orthopedists over a much longer time period. That petitioner reported immediate high
levels of pain and difficulty with range of motion. She also did not have much improvement
7 S.C. v. Sec’y of Health & Hum. Servs., No. 19-341V, 2021 WL 2949763 (Fed. Cl. Spec. Mstr. June 14,
2021), Reed v. Sec’y of Health & Hum. Servs., No. 16-1670V, 2019 WL 1222925 (Fed. Cl. Spec. Mstr.
Feb. 1, 2019), and Reynolds v. Sec’y of Health & Hum. Servs., No. 20-294V, 2022 WL 17819545 (Fed.
Cl. Spec. Mstr. Nov 7, 2022).
8 Hunt v. Sec’y of Health & Hum. Servs., No. 19-1003V, 2022 WL 2826662 (Fed. Cl. Spec. Mstr. June 16,
2022) and Shelton v. Sec’y of Health & Hum. Servs., No. 19-279V, 2021 WL 2550093 (Fed. Cl. Spec.
Mstr. May 21, 2021).
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after surgery and was prescribed long-term opioid pain medication through a pain
management doctor.
In Reynolds, the main similarities to the instant case are again the short timeframe
for seeking treatment and that the petitioner underwent one surgery. But the Reynolds
petitioner received a total of four steroid injections and participated in 49 sessions of PT
(24 pre-op and 25 post-op). Further, she received treatment for three years post-
vaccination.
However, Respondent’s cases are also not all that on point. As Petitioner correctly
notes, Hunt and Shelton are outliers from the general six-figure benchmark for pain and
suffering awards in SIRVA cases involving surgery. Pet’r Reply at 11 (citing Hathcock v.
Sec’y of Health & Hum. Servs., No. 20-0005V, 2025 WL 512186, at *12 (Fed. Cl. Spec.
Mstr. Jan. 14, 2025)). Further, the Hunt petitioner had periods without any pain and the
Shelton petitioner had a long initial treatment gap. This case does not involve any similar
issue that would counsel against a higher award for pain and suffering. Respondent’s
proposed award of only $80,000.00 would fall well outside the norm for a SIRVA case of
this caliber.
Thus, having reviewed the record and briefing, I find that none of the parties’ cases
are particularly analogous. The appropriate award for Petitioner should be somewhere
between the parties’ preferred figures. I look to the recent Motions Day decision in
McDonald, which awarded $115,000.00 for pain and suffering, as a useful comparator for
a moderate SIRVA involving one surgery.9
The McDonald, petitioner (a 38 year-old nurse) reported pain within two weeks
post-vaccination to her PCP, and then went to an orthopedist. She received one steroid
injection and participated in eight PT sessions. The petitioner returned to the orthopedist
two months later with an exacerbation of symptoms. She received another steroid
injection. She then underwent arthroscopic surgery about seven months after vaccination.
At her final post-op orthopedic appointment, the doctor noted improvement, but still some
deficits. The petitioner completed 12 more PT sessions and had her final session
approximately 10 months after vaccination. She still had some limitations in range of
motion but apparently did not seek further treatment.
Overall, given the slightly longer course of treatment here as compared to
McDonald, I find it appropriate to award $120,000.00 for pain and suffering (along with
9 McDonald v. Sec'y of Health & Hum. Servs., No. 22-0215V, 2025 WL 778359 (Fed. Cl. Spec. Mstr. Feb.
5, 2025)).
11

Case 1:23-vv-01626-UNJ Document 43 Filed 11/10/25 Page 12 of 12
the undisputed amount of unreimbursed medical expenses).10
Conclusion
For the foregoing reasons and based on consideration of the entire record,
Petitioner is awarded a lump sum payment of $124,125.29 ($120,000.00 for past pain
and suffering, and $4,125.29 for unreimbursed expenses) to be paid through an
ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement.
This amount represents compensation for all damages that would be available under 42
U.S.C. § 300aa-15(a).
The Clerk of the Court is directed to enter judgment in accordance with this
Decision.11
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
10 Since this amount is being awarded for actual, rather than projected, pain and suffering, no reduction to
net present value is required. See Section 15(f)(4)(A); Childers v. Sec’y of Health & Hum. Servs., No. 96-
0194V, 1999 WL 159844, at *1 (Fed. Cl. Spec. Mstr. Mar. 5, 1999) (citing Youngblood v. Sec’y of Health &
Hum. Servs., 32 F.3d 552 (Fed. Cir. 1994)).
11 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.
12