VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-00300
Package ID: USCOURTS-cofc-1_24-vv-00300
Petitioner: Melanie Jordan
Filed: 2024-02-26
Decided: 2025-10-22
Vaccine: influenza
Vaccination date: 2022-09-29
Condition: shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 62500

AI-assisted case summary:
On February 26, 2024, Melanie Jordan filed a petition alleging that an influenza vaccination administered on September 29, 2022 caused a shoulder injury related to vaccine administration. She alleged a Table SIRVA and residual effects lasting more than six months.

Respondent denied that the alleged Table SIRVA or its residual effects were caused by the flu vaccine, and denied that the flu vaccine caused any other injury or current condition. The public stipulation does not describe the first symptom, onset interval, treatment, imaging, injections, therapy, or functional limitations.

On October 21, 2025, the parties filed a joint stipulation. Chief Special Master Brian H. Corcoran adopted it on October 22, 2025. The award totaled $62,500.00: $46,500.00 through counsel's IOLTA account for prompt disbursement to Ms. Jordan, and $16,000.00 payable jointly to Ms. Jordan and AmeriHealth Caritas Medicaid c/o MultiPlan, Inc. for a District of Columbia Medicaid lien. Ms. Jordan was represented by Paul R. Brazil of Muller Brazil, LLP.

Theory of causation field:
Adult petitioner; influenza vaccine September 29, 2022; alleged Table SIRVA/off-Table shoulder injury. COMPENSATED by stipulation. Respondent denied causation; public text lacks clinical chronology. SM Corcoran October 22, 2025. Award $62,500.00 = $46,500.00 lump sum + $16,000.00 DC/AmeriHealth Caritas Medicaid lien. Petition filed February 26, 2024. Attorney: Paul R. Brazil.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_24-vv-00300-0
Date issued/filed: 2025-12-15
Pages: 8
Docket text: PUBLIC DECISION (Originally filed: 10/22/2025) regarding 32 DECISION Stipulation/Proffer. Signed by Chief Special Master Brian H. Corcoran. (cr) Service on parties made.
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Case 1:24-vv-00300-UNJ Document 36 Filed 12/15/25 Page 1 of 8
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 24-300V
MELANIE JORDAN, Chief Special Master Corcoran
Petitioner,
v. Filed: October 22, 2025
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Paul R. Brazil, Muller Brazil, LLP, Dresher, PA, for Petitioner.
Nathaniel Trager, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On February 26, 2024, Melanie Jordan filed a petition for compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the
“Vaccine Act”). On September 29, 2022, Petitioner received an influenza (“flu”) vaccine,
a vaccine contained in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a).
Petitioner alleges that she sustained a shoulder injury related to vaccine administration
(“SIRVA”) as defined in the Table; she further alleges that the vaccine caused her alleged
shoulder injury, and that she suffered the residual effects of her alleged injury for more
than six months.
Respondent denies that Petitioner’s alleged Table SIRVA or its residual effects
were caused by the flu vaccine; and denies that the flu vaccine caused Petitioner any
other injury or her current condition.
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-00300-UNJ Document 36 Filed 12/15/25 Page 2 of 8
Nevertheless, on October 21, 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. A lump sum of $46,500.00 to be paid through an ACH deposit to
Petitioner’s counsel’s IOLTA account for prompt disbursement to
Petitioner.
B. A lump sum of $16,000.00,3 representing reimbursement of a Medicaid
lien for services rendered to Petitioner by the District of Columbia, in the
form of a check payable jointly to Petitioner and:
AmeriHealth Caritas Medicaid c/o MultiPlan, Inc.
535 E. Diehl Road, Suite 100
Naperville, IL 60563
Ref.: Melanie Jordan, Case No. 805180
Petitioner agrees to endorse this check to AmeriHealth Caritas Medicaid.
See Stipulation ¶ 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.4
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
3 This amount represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of
action the District of Columbia and/or AmeriHealth Caritas Medicaid may have against any individual as a
result of any Medicaid payments the District of Columbia and/or AmeriHealth Caritas Medicaid has made
to or on behalf of Melanie Jordan as a result of her alleged vaccine-related injury suffered on or about
September 29, 2022, under Title XIX of the Social Security Act, see 42 U.S.C. § 300aa-15(g), (h).
4 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-00300-UNJ Document 36 Filed 12/15/25 Page 3 of 8
Vinesign Document ID: 8C7DFB87-6938-4EC9-8067-E390D4BF4F8A
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
MELANIE JORDAN,
Petitioner. No. 24-300V
Chief Special Master Corcoran
V. ECF
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
STIPULATION
The parties hereby stipulate to the following matters:
I. Melanie Jordan (''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 an influenza ( .. Ou") vaccine. which vaccine is contained in the Vaccine Injury Table (the
·'Table"). 42 C.F.R. § 100.3(a)
2. Petitioner received a Ou vaccine on September 29. 2022.
3. The vaccine was administered within the United States.
4. Petitioner alleges that petitioner suffered a shoulder injury related to vaccine
administration (""SIRVA'') within the time period set fo1th in the Table. Petitioner further alleges
that petitioner 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 injury.
The signed document can be validated at https://app.vinesign.comN erify

Case 1:24-vv-00300-UNJ Document 36 Filed 12/15/25 Page 4 of 8
6. Respondent denies that petitioner"s alleged Table SIRVA or its residual effects were
caused by the flu vaccine; and denies that the flu vaccine caused petitioner any other injury or
petitioner's current condition.
7. Maintaining their above-stated positions, the parties nevertheless now agree that the
issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment reflecting a decision consistent with
the terms of this Stipulation. and after petitioner has filed an election to receive compensation
pursuant to 42 U. S.C. § 300aa-2 I( a)( I). the Secretary of Health and Human Services will issue
the following vaccine compensation payments for all damages that would be available under 42
U.S.C. § 300aa-l 5(a):
A. A lump ~um payment of $-H,,500.00 to he paid through an ACI I deposit to
petitio111:r's rnunsel's IOI.Tl\ account for prompt dishursemem
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petitioner.
B. A lump
!>Um
01'$16.000.00.1 rcprcscn1ing reimbursement of a Medicaid
lien for services rendered to petitioner by the District of Columbia, in the
form of a check payable jointly to petitioner and:
AmeriHealth Caritas Medicaid c/o MultiPlan. Inc.
535 E. Diehl Road. Suite I 00
Naperville. IL 60563
Ref.: Melanie Jordan. Case No. 805180
Petitioner agrees to endorse this check to AmeriHealth Caritas Medicaid.
'This amount represents full satisfaction of any right of subrogation, assignment, claim. lien. or
cause of action the District of Columbia and/or AmeriHeahh Caritas Medicaid may have against
any individual as a result of any Medicaid payments the District of Columbia and/or
AmeriHealth Caritas Medicaid has made to or on behalfofMelanie Jordan as a result of her
alleged vaccine-related injury suffered on or about September 29. 2022, under Title XIX of the
Social Security Act,~ 42 U. S.C. § 300aa-l 5(g), (h).
2

Case 1:24-vv-00300-UNJ Document 36 Filed 12/15/25 Page 5 of 8
9. As soon as practicable after the entry of judgment on entitlement in this case, and after
petitioner has filed both a proper and timely election to receive compensation pursuant to
42 U.S.C. § 300aa-21 (a)( I), and an application. the parties will submit to further proceedings
before the special master to award reasonable attorneys' fees and costs incurred in proceeding
upon this petition.
IO. Petitioner and petitioner's attorney represent that compensation to be provided
pursuant to this Stipulation is not for any items or services for which the Program is not
primarily liable under 42 U.S.C. § 300aa-15(g}. to the extent that payment has been made or can
reasonably be expected to be made under any State compensation programs. insurance policies.
Federal or State health benefits programs (other than Title XIX of the Social Security Act (42
U.S.C. § 1396 et seq.)). or by entities that provide health services on a pre-paid basis.
11 . Payments made pursuant to paragraph 8 and any amounts awarded pursuant to
paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject
to the availability of sufficient statutory funds.
12. The parties and their attorneys further agree and stipulate that. except for any award
for attorneys· fees and litigation costs. and past unreimbursed expenses, the money provided
pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a
strict construction of 42 U.S.C. § 300aa-15(a) and (d). and subject to the conditions of 42 U.S.C.
§ 300aa-l 5(g) and (h).
13. In return for the payments described in paragraphs 8 and 9. petitioner, in petitioner's
individual capacity, and on behalf of petitioner's heirs, executors, administrators. successors or
assigns. does forever irrevocably and unconditionally release. acquit and discharge the United
States and the Secretary of Health and Human Services from any and all actions or causes of
3

Case 1:24-vv-00300-UNJ Document 36 Filed 12/15/25 Page 6 of 8
action (including agreements, judgments, claims, damages, loss of services, expenses and all
demands of whatever kind or nature) that have been brought. could have been brought. or could
be timely brought in the Court of Federal Claims. under the National Vaccine Injury
Compensation Program, 42 U.S.C. § 300aa-10 et seq., on account of, or in any way growing out
of, any and all known or unknown. suspected or unsuspected personal injuries to or death of
petitioner resulting from. or alleged to have resulted from. the flu vaccination administered on
September 29, 2022, as alleged in a petition for vaccine compensation filed on or about February
26. 2024, in the United States Court of Federal Claims as petition No. 24-300V.
14. If petitioner should die prior tn entry of judgment, this agreement shall be voidable
upon proper notice to the Coul't on behalf of either or both of the parties.
15. If the special master foils to i-.suc u decision in complete conformity with the terms
of this Stipulation or if the Court or h:dcral Claims fails to enter judgment in conformity with a
decision that b, in complete conformit) with the terms of this Stipulation, then the parties'
settlement and this Stipulation shall be voidable at the sole discretion of either party.
16. This Stipulation expresses a full and complete negotiated settlement ofliability and
damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended. except
as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the
parties hereto to make any payment or to do any act or thing other than is herein expressly stated
and clearly agreed to. The parties further agree and understand that the award described in this
Stipulation may reflect a compromise of the pa11ies' respective positions as to liability and or
amount of damages, and further. that a change in the nature of the injury or condition or in the
items of compensation sought, is not grounds to modify or revise this agreement.
4

Case 1:24-vv-00300-UNJ Document 36 Filed 12/15/25 Page 7 of 8
17. TI1is Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services that the flu vaccine caused petitioner· s alleged injury or
any other injury or petitioner·s cul'l'ent disabilities.
18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's
heirs, executors. administrators, successors. and or assigns.
END OF STIPULATION
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Case 1:24-vv-00300-UNJ Document 36 Filed 12/15/25 Page 8 of 8
Respectfully submitted,
PETITIONER:
MELANIE JORDAN
ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE
PETITIONER: OF THE ATTORNEY GENERAL:
~
.4&~\;h,O~
HEATHER L. PEARLMAN
MULLER BRAZIL Deputy Director
715 Twining Road Suite 208 Torts Branch
1
Dresher. PA 19025 Civil Division
Phone: (215) 885-1655 U.S. Department of Justice
Emai I: Paul@mu llerbrazi I.com P.O. Box 146
Benjamin Franklin Station
Washington, DC 10044-0146
AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR
OF THE SECRETARY OF HEAL TH RESPONDENT:
AND HUMAN SERVICES:
Jeffrey S. D,g,tally signed by Jeffrey
S Beach-S
~M~~J::,{
Beach-5 Date: 2025 10.15 l 0 55:29
. _ .-o4'QO' for
CAPT GEORGE REED GRIMES. MD. MPH
Director, Division of Injury Trial Attorney
Compensation Programs Torts Branch
Health Systems Bureau Civil Division
Health Resources and Services U.S. Department of Justice
Administration P.O. Oox 146
U.S. Department of Health Benjamin Franklin Station
and Human Services Washington, DC 20044-0146
5600Fishers Lane. 14W-18 Phone:(202)305-3912
Rockville. MD 20857 Email: Nathaniel.Trager@usdoj.gov
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