VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_23-vv-02100 Package ID: USCOURTS-cofc-1_23-vv-02100 Petitioner: W.J. Filed: 2023-12-11 Decided: 2025-08-19 Vaccine: rotavirus Vaccination date: 2023-06-02 Condition: intussusception Outcome: compensated Award amount USD: 38466.78 AI-assisted case summary: On December 11, 2023, Cory and Olga Jubinville filed a petition on behalf of their minor child, W.J., alleging that a rotavirus vaccine administered on June 2, 2023 caused intussusception. Respondent conceded entitlement, agreeing that the record supported a Table intussusception claim, that no likely alternative cause had been shown, and that the severity requirement was met because W.J. was hospitalized and underwent surgical intervention. The public documents do not describe the exact onset of symptoms, imaging or diagnostic workup, operation, hospitalization course, or recovery. Chief Special Master Brian H. Corcoran found entitlement on September 5, 2024. On August 19, 2025, he awarded $35,000.00 for W.J.'s pain and suffering, payable for W.J.'s benefit through petitioners as guardians or conservators, and $3,466.78 in past unreimbursed expenses, for a total of $38,466.78. Theory of causation field: Rotavirus vaccine June 2, 2023 causing Table intussusception in minor W.J.; exact age not stated. ENTITLEMENT CONCEDED; COMPENSATED. Respondent conceded Table intussusception, no likely alternative cause, hospitalization, and surgical intervention; public documents lack symptom-onset/testing/surgery details. Award $35,000 pain/suffering + $3,466.78 expenses = $38,466.78. Chief SM Brian H. Corcoran; petitioners Cory and Olga Jubinville; petition December 11, 2023; entitlement September 5, 2024; damages August 19, 2025. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_23-vv-02100-0 Date issued/filed: 2024-10-11 Pages: 2 Docket text: PUBLIC ORDER/RULING (Originally filed: 09/05/2024) regarding 24 Ruling on Entitlement. Signed by Chief Special Master Brian H. Corcoran. (kle) Service on parties made. -------------------------------------------------------------------------------- Case 1:23-vv-02100-UNJ Document 27 Filed 10/11/24 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-2100V CORY JUBINVILLE and OLGA Chief Special Master Corcoran JUBINVILLE, on behalf of W.J., a minor child, Filed: September 5, 2024 Petitioners, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Elizabeth Kyla Abramson, Maglio Christopher & Toale, PA, Washington, DC, for Petitioners. Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for Respondent. RULING ON ENTITLEMENT1 On December 11, 2023, Cory Jubinville and Olga Jubinville, on behalf of W.J., a minor child, filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). Petitioners allege that W.J. suffered from intussusception resulting from a rotavirus vaccine received on June 2, 2023. Petition at 1-5. Petitioners further allege that the vaccine was received in the United States, W.J.’s vaccine-related injury required inpatient hospitalization and surgical intervention, and neither Petitioners, nor any other party, have ever brought an 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), Petitioners have 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-02100-UNJ Document 27 Filed 10/11/24 Page 2 of 2 action or received compensation in the form of an award or settlement for W.J.’s vaccine- related injury. Petition at ¶¶ 8, 17, 20, 21. The case was assigned to the Special Processing Unit of the Office of Special Masters. On September 4, 2024, Respondent filed his Rule 4(c) report in which he concedes that Petitioners are entitled to compensation in this case. Respondent’s Rule 4(c) Report at 1. Specifically, Respondent agrees that “[t]he record preponderantly supports a Table claim, specifically intussusception following the rotavirus vaccine. The record does not, by preponderant evidence, establish a likely alternative cause of WJ’s intussusception.” Id. at 4. Respondent further agrees that the statutory severity requirement is satisfied in that W.J. was hospitalized and underwent surgical intervention for his intussusception. Id. In view of Respondent’s position and the evidence of record, I find that Petitioners are entitled to compensation. IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master 2 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_23-vv-02100-cl-extra-10734016 Date issued/filed: 2024-10-11 Pages: 1 Docket text: Supplementary opinion from CourtListener cluster 10267426 -------------------------------------------------------------------------------- In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-2100V CORY JUBINVILLE and OLGA Chief Special Master Corcoran JUBINVILLE, on behalf of W.J., a minor child, Filed: September 5, 2024 Petitioners, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Elizabeth Kyla Abramson, Maglio Christopher & Toale, PA, Washington, DC, for Petitioners. Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for Respondent. RULING ON ENTITLEMENT1 On December 11, 2023, Cory Jubinville and Olga Jubinville, on behalf of W.J., a minor child, filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). Petitioners allege that W.J. suffered from intussusception resulting from a rotavirus vaccine received on June 2, 2023. Petition at 1-5. Petitioners further allege that the vaccine was received in the United States, W.J.’s vaccine-related injury required inpatient hospitalization and surgical intervention, and neither Petitioners, nor any other party, have ever brought an 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), Petitioners have 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). action or received compensation in the form of an award or settlement for W.J.’s vaccine- related injury. Petition at ¶¶ 8, 17, 20, 21. The case was assigned to the Special Processing Unit of the Office of Special Masters. On September 4, 2024, Respondent filed his Rule 4(c) report in which he concedes that Petitioners are entitled to compensation in this case. Respondent’s Rule 4(c) Report at 1. Specifically, Respondent agrees that “[t]he record preponderantly supports a Table claim, specifically intussusception following the rotavirus vaccine. The record does not, by preponderant evidence, establish a likely alternative cause of WJ’s intussusception.” Id. at 4. Respondent further agrees that the statutory severity requirement is satisfied in that W.J. was hospitalized and underwent surgical intervention for his intussusception. Id. In view of Respondent’s position and the evidence of record, I find that Petitioners are entitled to compensation. IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master 2 ================================================================================ DOCUMENT 3: USCOURTS-cofc-1_23-vv-02100-1 Date issued/filed: 2025-09-19 Pages: 6 Docket text: PUBLIC DECISION (Originally filed: 08/19/2025) regarding 37 DECISION Stipulation/Proffer, ( Signed by Chief Special Master Brian H. Corcoran. )(mpj) Service on parties made. -------------------------------------------------------------------------------- Case 1:23-vv-02100-UNJ Document 40 Filed 09/19/25 Page 1 of 6 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-2100V CORY JUBINVILLE and OLGA Chief Special Master Corcoran JUBINVILLE, on behalf of W.J., a minor child, Filed: August 19, 2025 Petitioners, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Elizabeth Kyla Abramson, Maglio Christopher & Toale, PA, Washington, DC, for Petitioners. Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for Respondent. DECISION AWARDING DAMAGES1 On December 11, 2023, Cory Jubinville and Olga Jubinville, on behalf of W.J., a minor child, filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). Petitioners allege that W.J. suffered from intussusception resulting from a rotavirus vaccine received on June 2, 2023. Petition at 1-5. The case was assigned to the Special Processing Unit of the Office of Special Masters. On September 5, 2024, a ruling on entitlement was issued, finding Petitioners, on behalf of W.J., entitled to compensation for intussusception. On August 19, 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), Petitioners have 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-02100-UNJ Document 40 Filed 09/19/25 Page 2 of 6 Respondent filed a proffer on award of compensation (“Proffer”) indicating Petitioners should be awarded (1) $35,000.00 for W.J.’s pain and suffering, and (2) past unreimbursable expenses incurred by Petitioners related to W.J.’s vaccine injury in the amount of $3,466.78. Proffer at 2. In the Proffer, Respondent represented that Petitioners agree with the proffered award. Id. Based on the record as a whole, I find that Petitioners are entitled to an award as stated in the Proffer. Pursuant to the terms stated in the attached Proffer, I award Petitioners the following: A. A lump sum payment of $35,000.00 (for W.J.’s pain and suffering), to be paid through an ACH deposit to Petitioners’ counsel’s IOLTA account for prompt disbursement to Petitioners as guardians/conservators of the estate of W.J., for the benefit of W.J.; and B. A lump sum payment of $3,466.78 (for past unreimbursable expenses), to be paid through an ACH deposit to Petitioners’ counsel’s IOLTA account for prompt disbursement to Petitioners. These amounts represent compensation for all damages that would be available to Petitioners, individually and on W.J.’s behalf, 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 1:23-vv-02100-UNJ Document 40 Filed 09/19/25 Page 3 of 6 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS CORY JUBINVILLE and OLGA JUBINVILLE, on behalf of WJ, a minor child, No. 23-2100V Petitioners, Chief Special Master Corcoran ECF v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. PROFFER ON AWARD OF COMPENSATION1 On December 11, 2023, Cory and Olga Jubinville (“petitioners”) 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”) on behalf of their minor child, WJ. Petitioners alleged that following receipt of the rotavirus vaccine on June 3, 2023, WJ suffered intussusception, as defined in the Vaccine Injury Table (“Table”), within the timeframe identified in the Table. Petition at 2. On September 4, 2024, respondent filed his Vaccine Rule 4(c) report, concluding that petitioners had satisfied the requirements for compensation under the terms of the Act for a Table injury. ECF No. 23. On September 5, 2024, Chief Special Master Corcoran issued a ruling on entitlement, finding petitioners entitled to compensation. ECF No. 24. I. Items of Compensation Based on the evidence of record, respondent proffers that petitioner should be awarded 1 This Proffer does not include attorneys’ fees and costs, which the parties intend to address after the Damages Decision is issued. Case 1:23-vv-02100-UNJ Document 40 Filed 09/19/25 Page 4 of 6 the following: A. Pain and Suffering Respondent proffers that petitioners, for the benefit of WJ, should be awarded a lump sum of $35,000.00 for WJ’s pain and suffering. See 42 U.S.C. §300aa-15(a)(4). Petitioners agree. B. Past Unreimbursable Expenses Evidence supplied by petitioners document that they incurred past unreimbursable expenses on behalf of WJ, related to WJ’s vaccine injury. Respondent proffers that petitioners should be awarded past unreimbursable expenses in the amount of $3,466.78. See 42 U.S.C. § 300aa-15(a)(1)(B). Petitioners agree. These amounts represent all elements of compensation to which petitioners, individually and on WJ’s behalf, are entitled under 42 U.S.C. § 300aa-15(a). Petitioners agree. II. Form of the Award The parties recommend that the compensation provided to petitioners on behalf of WJ should be made through two lump sum payments as described below, and request that the Chief Special Master’s decision and the Court’s judgment award the following:2 A. A lump sum payment of $35,000.00 paid through an ACH deposit to petitioners’ counsel’s IOLTA account for prompt disbursement to petitioners as guardians/conservators of the estate of WJ, for the benefit of WJ.3 2 Should WJ 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 medical expenses, lost future earnings, and future pain and suffering. 3 Petitioners represent that petitioners presently are, or within 90 days of the date of judgment will become, duly authorized to serve as guardians/conservators of WJ’s estate under the laws of the State of New York. Respondent will not make any payment until petitioners provide 2 Case 1:23-vv-02100-UNJ Document 40 Filed 09/19/25 Page 5 of 6 B. A lump sum payment of $3,466.78, to be paid through an ACH deposit to petitioners’ counsel’s IOLTA account for prompt disbursement to petitioners. III. Summary of Recommended Payments Following Judgment A. Lump sum to petitioners, as guardians/conservators of the estate of WJ for the benefit of WJ, via ACH deposit: $35,000.00 B. Lump sum to petitioners, via ACH deposit: $3,466.78 Respectfully submitted, BRETT A. SHUMATE Assistant Attorney General C. SALVATORE D’ALESSIO Director Torts Branch, Civil Division HEATHER L. PEARLMAN Deputy Director Torts Branch, Civil Division VORIS E. JOHNSON, JR. Assistant Director Torts Branch, Civil Division s/ Camille M. Collett By s/ Madelyn E. Weeks CAMILLE M. COLLETT Trial Attorney Torts Branch, Civil Division U.S. Department of Justice P.O. Box 146, Ben Franklin Station respondent with documentation establishing that they have been appointed as the guardians/conservators of WJ’s estate. If petitioners are not authorized by a court of competent jurisdiction to serve as guardians/conservators of the estate of WJ any such payment shall be disbursed to the party or parties appointed by a court of competent jurisdiction to serve as guardian(s)/conservator(s) of the estate of WJ upon submission of written documentation of such appointment to the Secretary. Further, if guardianship is no longer required under the laws of the state of New York after WJ has attained the age of majority, any such payment shall be paid to WJ upon submission of written documentation of the termination of guardianship to the Secretary. 3 Case 1:23-vv-02100-UNJ Document 40 Filed 09/19/25 Page 6 of 6 Washington, DC 20044-0146 Tel: (202) 616-4098 Email: Camille.M.Collett@usdoj.gov Date: August 19, 2025 4 ================================================================================ DOCUMENT 4: USCOURTS-cofc-1_23-vv-02100-cl-extra-11141101 Date issued/filed: 2025-09-19 Pages: 1 Docket text: Supplementary opinion from CourtListener cluster 10674514 -------------------------------------------------------------------------------- In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-2100V CORY JUBINVILLE and OLGA Chief Special Master Corcoran JUBINVILLE, on behalf of W.J., a minor child, Filed: August 19, 2025 Petitioners, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Elizabeth Kyla Abramson, Maglio Christopher & Toale, PA, Washington, DC, for Petitioners. Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for Respondent. DECISION AWARDING DAMAGES1 On December 11, 2023, Cory Jubinville and Olga Jubinville, on behalf of W.J., a minor child, filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). Petitioners allege that W.J. suffered from intussusception resulting from a rotavirus vaccine received on June 2, 2023. Petition at 1-5. The case was assigned to the Special Processing Unit of the Office of Special Masters. On September 5, 2024, a ruling on entitlement was issued, finding Petitioners, on behalf of W.J., entitled to compensation for intussusception. On August 19, 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), Petitioners have 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 filed a proffer on award of compensation (“Proffer”) indicating Petitioners should be awarded (1) $35,000.00 for W.J.’s pain and suffering, and (2) past unreimbursable expenses incurred by Petitioners related to W.J.’s vaccine injury in the amount of $3,466.78. Proffer at 2. In the Proffer, Respondent represented that Petitioners agree with the proffered award. Id. Based on the record as a whole, I find that Petitioners are entitled to an award as stated in the Proffer. Pursuant to the terms stated in the attached Proffer, I award Petitioners the following: A. A lump sum payment of $35,000.00 (for W.J.’s pain and suffering), to be paid through an ACH deposit to Petitioners’ counsel’s IOLTA account for prompt disbursement to Petitioners as guardians/conservators of the estate of W.J., for the benefit of W.J.; and B. A lump sum payment of $3,466.78 (for past unreimbursable expenses), to be paid through an ACH deposit to Petitioners’ counsel’s IOLTA account for prompt disbursement to Petitioners. These amounts represent compensation for all damages that would be available to Petitioners, individually and on W.J.’s behalf, 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 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS CORY JUBINVILLE and OLGA JUBINVILLE, on behalf of WJ, a minor child, Petitioners, No. 23-2100V Chief Special Master Corcoran v. ECF SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. PROFFER ON AWARD OF COMPENSATION1 On December 11, 2023, Cory and Olga Jubinville (“petitioners”) 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”) on behalf of their minor child, WJ. Petitioners alleged that following receipt of the rotavirus vaccine on June 3, 2023, WJ suffered intussusception, as defined in the Vaccine Injury Table (“Table”), within the timeframe identified in the Table. Petition at 2. On September 4, 2024, respondent filed his Vaccine Rule 4(c) report, concluding that petitioners had satisfied the requirements for compensation under the terms of the Act for a Table injury. ECF No. 23. On September 5, 2024, Chief Special Master Corcoran issued a ruling on entitlement, finding petitioners entitled to compensation. ECF No. 24. I. Items of Compensation Based on the evidence of record, respondent proffers that petitioner should be awarded 1 This Proffer does not include attorneys’ fees and costs, which the parties intend to address after the Damages Decision is issued. the following: A. Pain and Suffering Respondent proffers that petitioners, for the benefit of WJ, should be awarded a lump sum of $35,000.00 for WJ’s pain and suffering. See 42 U.S.C. §300aa-15(a)(4). Petitioners agree. B. Past Unreimbursable Expenses Evidence supplied by petitioners document that they incurred past unreimbursable expenses on behalf of WJ, related to WJ’s vaccine injury. Respondent proffers that petitioners should be awarded past unreimbursable expenses in the amount of $3,466.78. See 42 U.S.C. § 300aa-15(a)(1)(B). Petitioners agree. These amounts represent all elements of compensation to which petitioners, individually and on WJ’s behalf, are entitled under 42 U.S.C. § 300aa-15(a). Petitioners agree. II. Form of the Award The parties recommend that the compensation provided to petitioners on behalf of WJ should be made through two lump sum payments as described below, and request that the Chief Special Master’s decision and the Court’s judgment award the following:2 A. A lump sum payment of $35,000.00 paid through an ACH deposit to petitioners’ counsel’s IOLTA account for prompt disbursement to petitioners as guardians/conservators of the estate of WJ, for the benefit of WJ.3 2 Should WJ 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 medical expenses, lost future earnings, and future pain and suffering. 3 Petitioners represent that petitioners presently are, or within 90 days of the date of judgment will become, duly authorized to serve as guardians/conservators of WJ’s estate under the laws of the State of New York. Respondent will not make any payment until petitioners provide 2 B. A lump sum payment of $3,466.78, to be paid through an ACH deposit to petitioners’ counsel’s IOLTA account for prompt disbursement to petitioners. III. Summary of Recommended Payments Following Judgment A. Lump sum to petitioners, as guardians/conservators of the estate of WJ for the benefit of WJ, via ACH deposit: $35,000.00 B. Lump sum to petitioners, via ACH deposit: $3,466.78 Respectfully submitted, BRETT A. SHUMATE Assistant Attorney General C. SALVATORE D’ALESSIO Director Torts Branch, Civil Division HEATHER L. PEARLMAN Deputy Director Torts Branch, Civil Division VORIS E. JOHNSON, JR. Assistant Director Torts Branch, Civil Division s/ Camille M. Collett By s/ Madelyn E. Weeks CAMILLE M. COLLETT Trial Attorney Torts Branch, Civil Division U.S. Department of Justice P.O. Box 146, Ben Franklin Station respondent with documentation establishing that they have been appointed as the guardians/conservators of WJ’s estate. If petitioners are not authorized by a court of competent jurisdiction to serve as guardians/conservators of the estate of WJ any such payment shall be disbursed to the party or parties appointed by a court of competent jurisdiction to serve as guardian(s)/conservator(s) of the estate of WJ upon submission of written documentation of such appointment to the Secretary. Further, if guardianship is no longer required under the laws of the state of New York after WJ has attained the age of majority, any such payment shall be paid to WJ upon submission of written documentation of the termination of guardianship to the Secretary. 3 Washington, DC 20044-0146 Tel: (202) 616-4098 Email: Camille.M.Collett@usdoj.gov Date: August 19, 2025 4