VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-00187 Package ID: USCOURTS-cofc-1_24-vv-00187 Petitioner: Jeffrey Pack Filed: 2024-02-07 Decided: 2025-12-22 Vaccine: influenza Vaccination date: 2022-12-02 Condition: shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 26500 AI-assisted case summary: On February 7, 2024, Jeffrey Pack filed a petition alleging that an influenza vaccination administered on December 2, 2022 caused a shoulder injury related to vaccine administration, or alternatively significantly aggravated a shoulder condition. The public stipulation identifies him as an adult but does not state an exact age. Respondent denied that Mr. Pack sustained a Table SIRVA, denied that the vaccine caused or significantly aggravated the alleged shoulder injury or any other injury, and denied that his current condition was vaccine-related. The public decision does not describe onset, treatment, imaging, injections, therapy, or expert opinions. On December 22, 2025, Chief Special Master Corcoran adopted the parties' stipulation and awarded $26,500.00 as a lump sum through counsel for all damages available under the Vaccine Act. Theory of causation field: Adult petitioner; influenza vaccine December 2, 2022; alleged SIRVA/significant aggravation. COMPENSATED by stipulation. Respondent denied Table SIRVA and causation; public text lacks clinical chronology. Decision December 22, 2025. Award $26,500.00 lump sum. Petition filed February 7, 2024. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_24-vv-00187-0 Date issued/filed: 2026-01-21 Pages: 7 Docket text: PUBLIC DECISION (Originally filed: 12/22/2025) regarding 31 DECISION Stipulation/Proffer. Signed by Chief Special Master Brian H. Corcoran. (cr) Service on parties made. -------------------------------------------------------------------------------- Case 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 1 of 7 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-0187V JEFFREY PACK, Chief Special Master Corcoran Petitioner, v. Filed: December 22, 2025 SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. David Alexander Tierney, Rawls Law Group (Richmond), Richmond, VA, for Petitioner. Lauren Kells, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On February 7, 2024, Jeffrey Pack 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”), a defined Table injury, or in the alternative a significant aggravation injury, after receiving an influenza (“flu”) vaccine on December 2, 2022. Petition at 1, ¶¶ 2, 9; Stipulation, filed Dec. 22, 2025, ¶¶ 1-2, 4. Petitioner further alleges that he received the vaccines within the United States, that he suffered the residual effects of the SIRVA for more than six months, and that neither he nor any other party has filed a civil action or received compensation for his SIRVA. Petition at ¶¶ 2, 8, 10-11; Stipulation ¶¶ 3-5. “Respondent denies that [P]etitioner sustained a SIRVA Table injury; denies that the vaccine caused [P]etitioner’s alleged shoulder injury or caused or significantly aggravated 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 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 2 of 7 Nevertheless, on December 22, 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 $26,500.00, 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 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 3 of 7 Case 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 4 of 7 Case 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 5 of 7 Case 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 6 of 7 Case 1:24-vv-00187-UNJ Document 32 Filed 01/21/26 Page 7 of 7