VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-00193
Package ID: USCOURTS-cofc-1_24-vv-00193
Petitioner: Adam Meduski
Filed: 2024-02-08
Decided: 2025-04-08
Vaccine: pneumococcal conjugate
Vaccination date: 2023-04-25
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 57740

AI-assisted case summary:
Adam Meduski filed a petition for compensation under the National Vaccine Injury Compensation Program, alleging that he suffered a shoulder injury related to vaccine administration (SIRVA) as a result of his April 25, 2023, pneumococcal conjugate (PCV20) vaccination. He claimed the injury was a Table injury and that he suffered residual effects for more than six months. The respondent conceded that Meduski's left shoulder injury was consistent with SIRVA, as defined by the Vaccine Injury Table. The respondent noted that Meduski had no recent history of shoulder pain, the onset of pain occurred within 48 hours after vaccination, the pain and limited range of motion were confined to the vaccinated shoulder, and no other condition explained the pain. Furthermore, the respondent agreed that Meduski suffered residual effects for more than six months. Based on the respondent's concession and the evidence, the court found Meduski entitled to compensation. Subsequently, the respondent proffered an award of $57,500.00 for pain and suffering and $240.00 for past unreimbursable expenses, totaling $57,740.00. Meduski agreed with this proffered award. The court awarded Meduski a lump sum payment of $57,740.00, representing compensation for all damages available under the Act.

Theory of causation field:
Table

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_24-vv-00193-0
Date issued/filed: 2025-03-17
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 02/04/2025) regarding 19 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (nh) Service on parties made.
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Case 1:24-vv-00193-UNJ Document 26 Filed 03/17/25 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 24-193V
ADAM MEDUSKI, Chief Special Master Corcoran
Petitioner, Filed: February 4, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
Petitioner.
Christopher Pinto, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On February 8, 2024, Adam Meduski 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 Table injury - shoulder injury related
to vaccine administration (“SIRVA”), as a result of the administration of his April 25, 2023
pneumococcal conjugate (“Prevnar-20” or “PCV20”) vaccination. Petition at 1. Petitioner
further alleges that he suffered the residual effects of his injury for more than six months,
and that there has been no prior award or settlement of a civil action on his behalf as a
result of his injury. See Petition at ¶¶ 10-11. The case was assigned to the Special
Processing Unit of the Office of Special Masters.
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), 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-00193-UNJ Document 26 Filed 03/17/25 Page 2 of 2
On January 31, 2025, Respondent filed his Rule 4(c) report in which he concedes
that Petitioner is entitled to compensation in this case. Respondent’s Rule 4(c) Report at
1. Specifically, Respondent that the Division of Injury Compensation Programs,
Department of Health and Human Services (“DICP”)
has concluded that [P]etitioner’s left shoulder injury is consistent with
SIRVA, as defined by the Vaccine Injury Table. 42 C.F.R. §
100.3(a)(XIV)(B), (c)(10). Specifically, [P]etitioner had no recent history of
pain, inflammation, or dysfunction of his left shoulder; the onset of pain
occurred within forty-eight hours after receipt of a PCV20 vaccination; the
pain and limited range of motion was limited to the shoulder where the
vaccine was administered; and no other condition or abnormality has been
identified to explain [P]etitioner’s shoulder pain. Id. Additionally, based on
the medical records outlined above, [P]etitioner suffered the residual effects
of his condition for more than six months. Therefore, based on the record
as it now stands, [P]etitioner has satisfied all legal prerequisites for
compensation under the Act. See 42 U.S.C. § 300aa-13(a)(1)(B); 42 U.S.C.
§ 300aa-11(c)(1)(D)(i).
Id. at 5.
In view of Respondent’s position and the evidence of record, I find that
Petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master

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DOCUMENT 2: USCOURTS-cofc-1_24-vv-00193-1
Date issued/filed: 2025-04-08
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 02/28/2025) regarding 22 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (nh) Service on parties made.
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Case 1:24-vv-00193-UNJ Document 27 Filed 04/08/25 Page 1 of 5
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 24-193V
ADAM MEDUSKI, Chief Special Master Corcoran
Petitioner, Filed: February 28, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for
Petitioner.
Christopher Pinto, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On February 8, 2024, Adam Meduski 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 Table injury - shoulder injury related
to vaccine administration (“SIRVA”), as a result of the administration of his April 25, 2023
pneumococcal conjugate-20 (“Prevnar-20” or “PCV20”) vaccination. Petition at 1. The
case was assigned to the Special Processing Unit of the Office of Special Masters.
On February 4, 2025, a ruling on entitlement was issued, finding Petitioner entitled
to compensation for SIRVA. On February 27, 2025, Respondent filed a proffer on award
of compensation (“Proffer”) indicating Petitioner should be awarded $57,500.00 in pain
and suffering and $240.00 in past unreimbursable expenses. Proffer at 1-2. In the Proffer,
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-00193-UNJ Document 27 Filed 04/08/25 Page 2 of 5
Respondent represented that Petitioner agrees with the proffered award. Id. Based on
the record as a whole, I find that Petitioner is entitled to an award as stated in the Proffer.
Pursuant to the terms stated in the attached Proffer, I award Petitioner a lump
sum payment of $57,740.00 (representing $57,500.00 in pain and suffering and
$240.00 in past unreimbursable expenses) to be paid through an ACH deposit to
Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner. This
amount represents compensation for all damages that would be available 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 1:24-vv-00193-UNJ Document 27 Filed 04/08/25 Page 3 of 5
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
ADAM MEDUSKI, )
)
Petitioner, )
) No. 24-193V
v. ) Chief Special Master Corcoran
) ECF
SECRETARY OF HEALTH AND HUMAN )
SERVICES, )
)
Respondent. )
)
RESPONDENT’S PROFFER ON AWARD OF COMPENSATION
On February 8, 2024, Adam Meduski (“petitioner”) 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”), alleging that he suffered a Shoulder Injury Related to Vaccine
Administration (“SIRVA”), as defined in the Vaccine Injury Table, following administration of a
pneumococcal conjugate-20 (“PCV20”) vaccine on April 25, 2023. Petition at 1. On January
31, 2025, the Secretary of Health and Human Services (“respondent”) filed a Rule 4(c) Report
indicating that this case is appropriate for compensation under the terms of the Act for a SIRVA
Table injury, and on February 4, 2025, the Chief Special Master issued a Ruling on Entitlement
finding petitioner entitled to compensation. ECF No. 18; ECF No. 19.
I. Items of Compensation
A. Pain and Suffering
Respondent proffers that petitioner should be awarded $57,500.00 in pain and suffering.
See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.

Case 1:24-vv-00193-UNJ Document 27 Filed 04/08/25 Page 4 of 5
B. Past Unreimbursable Expenses
Evidence supplied by petitioner documents that he incurred past unreimbursable expenses
related to his vaccine-related injury. Respondent proffers that petitioner should be awarded past
unreimbursable expenses in the amount of $240.00. See 42 U.S.C. § 300aa-15(a)(1)(B).
Petitioner agrees.
Thess amounts represent all elements of compensation to which petitioner is entitled
under 42 U.S.C. § 300aa-15(a). Petitioner agrees.
II. Form of the Award
Petitioner is a competent adult. Evidence of guardianship is not required in this case.
Respondent recommends that the compensation provided to petitioner should be made through a
lump sum payment as described below and requests that the Chief Special Master’s decision and
the Court’s judgment award the following1: a lump sum payment of $57,740.00 to be paid
through an ACH deposit to petitioner’s counsel’s IOLTA account for prompt disbursement to
petitioner.
III. Summary of Recommended Payments Following Judgment
Lump sum payable to petitioner, Adam Meduski: $57,740.00
Respectfully submitted,
YAAKOV M. ROTH
Acting Assistant Attorney General
C. SALVATORE D’ALESSIO
Director
Torts Branch, Civil Division
1 Should petitioner 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 lost earnings
and future pain and suffering.
2

Case 1:24-vv-00193-UNJ Document 27 Filed 04/08/25 Page 5 of 5
HEATHER L. PEARLMAN
Deputy Director
Torts Branch, Civil Division
COLLEEN HARTLEY
Assistant Director
Torts Branch, Civil Division
s/ CHRISTOPHER J. PINTO
CHRISTOPHER J. PINTO
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, D.C. 20044-0146
Tel: (202) 353-5992
christopher.pinto@usdoj.gov
DATED: February 27, 2025
3