VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-00965
Package ID: USCOURTS-cofc-1_24-vv-00965
Petitioner: Jessica Mora
Filed: 2024-06-25
Decided: 2025-10-07
Vaccine: influenza
Vaccination date: 2022-10-28
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 100000

AI-assisted case summary:
On June 25, 2024, Jessica Mora filed a petition seeking compensation for a left shoulder injury related to vaccine administration after an influenza vaccination on October 28, 2022. She alleged a Table SIRVA, administration in the United States, residual effects lasting more than six months, and no prior civil recovery.

Respondent denied that Ms. Mora had sustained a SIRVA Table injury, denied that the flu vaccine caused her alleged shoulder injury, and denied that the vaccine caused any other injury or current condition. The public decision does not describe her first symptom, onset interval, treatment, imaging, functional limitations, experts, or medical mechanism; it is limited to the stipulation facts.

On October 7, 2025, Chief Special Master Brian H. Corcoran adopted the parties' joint stipulation. Ms. Mora was awarded a $100,000.00 lump sum through counsel's IOLTA account for all Vaccine Act damages. Attorneys' fees and costs were reserved for later proceedings. She was represented by Elizabeth Hess of Shannon Law Group.

Theory of causation field:
Influenza vaccine in left shoulder, October 28, 2022, alleged Table SIRVA. COMPENSATED by stipulation. Respondent denied Table SIRVA, flu-vaccine causation, and other injury/current condition, but the parties resolved the case. Public stipulation does not provide onset, treatment, diagnostic testing, experts, or a mechanism beyond Table SIRVA. Award: $100,000 lump sum for all Section 15(a) damages, ACH to counsel IOLTA. Chief Special Master Corcoran October 7, 2025. Attorney Elizabeth Hess, Shannon Law Group; respondent Adam Nemeth Muffett.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_24-vv-00965-0
Date issued/filed: 2025-11-10
Pages: 7
Docket text: PUBLIC DECISION (Originally filed: 10/07/2025) regarding 28 DECISION Stipulation/Proffer ( Signed by Chief Special Master Brian H. Corcoran. )(mpj) Service on parties made.
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Case 1:24-vv-00965-UNJ Document 34 Filed 11/10/25 Page 1 of 7
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 24-965V
JESSICA MORA, Chief Special Master Corcoran
Petitioner, Filed: October 7, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Elizabeth Hess, Shannon Law Group, Woodridge, IL, for Petitioner.
Adam Nemeth Muffett, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On June 25, 2024, Jessica Mora 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 she suffered a Table shoulder injury related to
vaccine administration (“SIRVA”) as a result of his October 28, 2022 influenza (“flu”)
vaccination. Petition at ¶¶ 2, 4, 38; Stipulation at ¶¶ 2, 4. Petitioner further alleges that
she received her vaccination in the United States, that she suffered the residual effects
of her injury for more than six months, and that there has been no prior award or
settlement of a civil action on her behalf as a result of her injury. Petition at ¶¶ 2, 38, 41;
Stipulation at ¶¶ 3-5. “Respondent denies that [P]etitioner sustained a SIRVA Table Injury,
denies that [P]etitioner’s alleged shoulder injury was caused-in-fact by the flu vaccine,
and denies that the flu vaccine caused [P]etitioner any other injury or her current
condition.” 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-00965-UNJ Document 34 Filed 11/10/25 Page 2 of 7
Nevertheless, on October 7, 2025, the parties filed the attached joint stipulation,
stating that a decision should be entered awarding compensation.3 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 $100,000.00, 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.4
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
3 The final page of the parties’ stipulation, an e-signature verification, has been removed from the attached
copy of the stipulation.
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-00965-UNJ Document 34 Filed 11/10/25 Page 3 of 7
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
JESSICA MORA, )
)
Petitioner, )
) No. 24-965V (ECF)
V. ) Chief Special Master Corcoran
)
SECRETARY OF HEALTH )
AND HUMAN SERVICES, )
)
Respondent. )
STIPULATION
The parties hereby stipulate to the following matters:
1. Jessica Mora, petitioner, filed a petition for vaccine compensation under the National
Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 to -34 ("Vaccine Program"). The
petition seeks compensation for injuries allegedly related to petitioner's receipt of the influenza
("flu") vaccine, which vaccine is contained in the Vaccine Injury Table ("Table"), 42 C.F.R.
§ 100.3(a).
2. Petitioner received the flu vaccination in her left shoulder on October 28, 2022.
3. The vaccine was administered within the United States.
4. Petitioner alleges that she suffered a Shoulder Injury Related to Vaccine
Administration ("SIRVA") within the time period set forth in the Table, and that she experienced
residual effects of this 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 her behalf as a result of her condition.
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Case 1:24-vv-00965-UNJ Document 34 Filed 11/10/25 Page 4 of 7
6. Respondent denies that petitioner sustained a SIRVA Table Injury, denies that
petitioner's alleged shoulder inju1y was caused-in-fact by the flu vaccine, and denies that the flu
vaccine caused petitioner any other injury or her cunent condition.
7. Maintaining their above-stated positions, the patties neve1theless 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-21(a)(l), the Secretary of Health and Human Services will issue
the following vaccine compensation payment:
A lump sum payment of $100,000.00 to be paid through an ACH deposit to
petitioner's counsel's IOLTA account for prompt disbursement to petitioner, Jessica
Mora. This amount represents compensation for all damages that would be
available under 42 U.S.C. § 300aa-l 5(a).
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)(l), and an application, the pa1ties will submit to fmther proceedings before
the special master to award reasonable attorneys' fees and costs incmTed in proceeding upon this
petition.
10. Petitioner and her 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.
2
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Case 1:24-vv-00965-UNJ Document 34 Filed 11/10/25 Page 5 of 7
11. Payment made pursuant to paragraph 8 of this Stipulation, and any amounts awarded
pursuant to paragraph 9 of this Stipulation, will be made in accordance with 42 U.S.C. § 300aa-
15(i), subject to the availability of sufficient statutory funds.
12. The patties and their attorneys fmther agree and stipulate that, except for any award
for attorneys' fees and litigation costs, and past unreimbursable 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-15(g) and (h).
13. In return for the payments described in paragraphs 8 and 9, petitioner, in her
individual capacity and on behalf of her heirs, executors, administrators, successors or assigns,
does forever in-evocably and unconditionally release, acquit and discharge the United States and
the Secretary of Health and Human Services from any and all actions, causes of 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 Comt of Federal Claims, under the National Vaccine Injury Compensation Program, 42
U.S.C. § 300aa-l 0, 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 vaccine administered on or about October 28, 2022, as
alleged by petitioner in a petition for vaccine compensation filed on June 25, 2024, in the United
States Comt of Federal Claims as petition No. 24-965V.
14. If petitioner should die prior to entry of judgment, this agreement shall be voidable
upon proper notice to the Comt on behalf of either or both of the parties.
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Case 1:24-vv-00965-UNJ Document 34 Filed 11/10/25 Page 6 of 7
15. If the Chief Special Master fails to issue a decision in complete confonnity with the
terms of this Stipulation, or if the Comt of Federal Claims fails to enter judgment in conformity
with a decision that is in complete conformity with the terms of this Stipulation, then the parties'
settlement and this Stipulation shall be voidable at the sole discretion of either patty.
16. This Stipulation expresses a full and complete negotiated settlement of liability 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 patt of the
patties 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 parties' 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.
17. This 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 shoulder
injury or any other injury.
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-00965-UNJ Document 34 Filed 11/10/25 Page 7 of 7
Respectfully submitted,
PETITIONER:
JESSICA MORA
ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE
PETITIONER: OF THE ATTORNEY GENERAL:
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ELIZABETH HESS HEATHER L. PEARLMAN
Shannon Law Group, P.C. Deputy Director
530 Oak Comt Dr., Suite 360 Torts Branch
Woodridge, IL 60517 Civil Division
(312) 578-9501 U.S. Depaitment of Justice
ehess@shannonlawgroup.com P.O. Box 146
Benjamin Franklin Station
Washington, DC 20044-0146
AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR
OF THE SECRETARY OF HEALTH RESPONDENT:
AND HUMAN SERVICES:
Jeffrey S. Digitally signed by
Jeffrey S. Beach -S
A#:f:;;:!:/ / ~
Beach -5 Date: 2025.09.25
13:34:08 -04'00' 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. Box 146
U.S. Department of Health Benjamin Franklin Station
and Human Services Washington, DC 20044-0146
5600 Fishers Lane, 14W-18 (202) 616-2895
Rockville, MD 20857 adam.muffett@usdoj.gov
/ _1--+/-_z_5_ _
Dated: _ t_o_ __
5
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