VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_23-vv-01786
Package ID: USCOURTS-cofc-1_23-vv-01786
Petitioner: Jeremy Myrick
Filed: 2023-10-11
Decided: 2025-12-02
Vaccine: Tdap
Vaccination date: 2020-11-20
Condition: Shoulder Injury Related to Vaccine Administration (SIRVA)
Outcome: compensated
Award amount USD: 30000

AI-assisted case summary:
On October 11, 2023, Jeremy Myrick filed a petition alleging that a tetanus-diphtheria-acellular pertussis (Tdap) vaccination administered on November 20, 2020 caused a shoulder injury related to vaccine administration. The public stipulation identifies him as an adult but does not state an exact age.

Respondent denied that Mr. Myrick sustained a Table SIRVA, denied that the Tdap vaccine caused his shoulder injury or any other injury, and denied that his current condition was vaccine-related. The public text does not describe onset, treatment, imaging, injections, therapy, or functional limitations. On December 2, 2025, Chief Special Master Corcoran adopted the parties' stipulation and awarded $30,000.00 as a lump sum through counsel for all damages available under the Vaccine Act.

Theory of causation field:
Adult petitioner; Tdap vaccine November 20, 2020; alleged SIRVA. COMPENSATED by stipulation. Respondent denied Table SIRVA and causation; public text lacks clinical chronology. Decision December 2, 2025. Award $30,000.00 lump sum. Petition filed October 11, 2023.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_23-vv-01786-0
Date issued/filed: 2026-01-06
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 12/02/2025) regarding 37 DECISION Stipulation/Proffer, Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made.
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Case 1:23-vv-01786-UNJ Document 41 Filed 01/06/26 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 23-1786V
JEREMY MYRICK, Chief Special Master Corcoran
Petitioner, Filed: December 2, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
JohnDavid Toren, Menzer Law Firm, PLLC, Seattle, WA, for Petitioner.
Dima Atiya, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On October 11, 2023, Jeremy Myrick 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”) resulting from a tetanus diphtheria acellular pertussis (“Tdap”)
vaccine received on November 20, 2020. Petition at 1; Stipulation, filed December 2,
2025, at ¶¶ 2-4. Petitioner further alleges that the Tdap vaccine was administered in the
United States, he suffered residual effects of his injury for more than six months, and
there has been no prior award or settlement of a civil action for damages on Petitioner’s
behalf as a result of the alleged injury. Petition at ¶¶ 2, 14-16; Stipulation at ¶¶ 3-5.
“Respondent denies that petitioner sustained a SIRVA Table injury; denies that the Tdap
vaccine caused petitioner to suffer a right shoulder injury, or any other injury; and denies
that his current condition is a sequela of a vaccine-related injury.” Stipulation at ¶ 6.
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-01786-UNJ Document 41 Filed 01/06/26 Page 2 of 7
Nevertheless, on December 2, 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 lump sum of $30,000.00, 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.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-01786-UNJ Document 41 Filed 01/06/26 Page 3 of 7
IN THE U�ITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
JEREMY MYRICK,
Petitioner, No. 23-l 786V
Chief Special Master Corcoran
V. ECF
SECRETA RY OF HEALTH AND
HUMAN SERVICES,
Respondent.
STIPULATION
The parties hereby stipulate to the following matters:
1. Jeremy Myrick ("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 is a vaccine contained in the
Vaccine h1jmy Table (the "Table"). 42 C.F.R. § 100.3(a).
2. Petitioner received a Tdap vaccine on November 20, 2020.
3. The vaccine was administered within the United States.
4. Petitioner alleges that he sustained a Shoulder Injury Related to Vaccine
Administration ("SIRVA") within the time period set forth in the Table, or in the alternative, that
his alleged shoulder injury was caused by the Tdap vaccine. Petitioner fu1ther alleges that he
suffered the residual effects of the alleged injury for more than six months.
5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages on petitioner's behalf as a result of the alleged injmy.

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