VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-01094 Package ID: USCOURTS-cofc-1_24-vv-01094 Petitioner: Karen DeBolle Filed: 2024-07-18 Decided: 2025-12-04 Vaccine: influenza Vaccination date: 2023-09-19 Condition: left shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 17000 AI-assisted case summary: On July 18, 2024, Karen DeBolle filed a petition alleging that an influenza vaccine administered in her left shoulder on September 19, 2023 caused a shoulder injury related to vaccine administration. Respondent denied that Ms. DeBolle sustained a Table SIRVA, denied vaccine causation, and denied that her current condition was vaccine-related. The public stipulation does not describe the first symptom, treatment visits, imaging, injections, physical therapy, or residual limitations. The parties resolved the case by stipulation. On December 4, 2025, Chief Special Master Brian H. Corcoran adopted the stipulation and awarded Ms. DeBolle $17,000.00 as a lump sum through counsel's IOLTA account. Theory of causation field: Influenza vaccine September 19, 2023 allegedly causing left SIRVA; adult, exact age not stated. COMPENSATED by stipulation. Respondent denied Table SIRVA, causation, and sequelae; public stipulation lacks clinical chronology. Award $17,000 lump sum. Chief SM Brian H. Corcoran; attorney Amy A. Senerth; petition July 18, 2024; decision December 4, 2025. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_24-vv-01094-0 Date issued/filed: 2026-01-09 Pages: 7 Docket text: PUBLIC DECISION (Originally filed: 12/04/2025) regarding 28 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made. -------------------------------------------------------------------------------- Case 1:24-vv-01094-UNJ Document 32 Filed 01/09/26 Page 1 of 7 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-1094V KAREN DEBOLLE, Chief Special Master Corcoran Petitioner, v. Filed: December 4, 2025 SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Amy A. Senerth, Muller Brazil, LLP, Dresher, PA, for Petitioner. Mary Novakovic, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On July 18, 2024, Karen Debolle filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). The petition seeks compensation for injuries allegedly related to Petitioner’s receipt of an influenza (“flu”) vaccine, which vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a). Petitioner received the flu vaccine in her left shoulder on September 19, 2023. Petitioner alleges that she suffered from a shoulder injury related to vaccine administration (“SIRVA”) as a result of receiving the flu vaccine. Petitioner further alleges that she suffered the residual effects of this condition for more than six months. 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-01094-UNJ Document 32 Filed 01/09/26 Page 2 of 7 Respondent denies that Petitioner sustained a Table SIRVA; denies that the vaccine caused Petitioner’s alleged shoulder injury, or any other injury; and denies that her current condition is a sequela of a vaccine-related injury. Nevertheless, on December 4, 2025, the parties filed the attached joint stipulation3 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 $17,000.00 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 In attaching the parties’ joint stipulation, I have omitted the last page – a VineSign form that includes personal information regarding Petitioner. 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-01094-UNJ Document 32 Filed 01/09/26 Page 3 of 7 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS KAREN DEBOLLE, Petitioner, No. 24-l094V Chief Special Master Corcoran V. ECF SECRET ARY OF HEAL TH AND JruMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: 1. On July 18, 2024, Karen De Bo lie ("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 ("flu") vaccine, which vaccine is contained in the Vaccine Injury Table (the "Table"), 42 C.F.R. § I00.3(a). 2. Petitioner received the flu vaccine in her left shoulder on September 19, 2023. 3. The vaccine was administered within the United States. 4. Petitioner alleges that she suffered from a shoulder injury related to vaccine administration (HSJRV A'') as a result of receiving the flu vaccine. Petitioner further alleges that she experienced the residual effects of this condition for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a civil action for damages as a result of her condition. 1 The signed document can be validated at https://app.vinesign.comNerify Case 1:24-vv-01094-UNJ Document 32 Filed 01/09/26 Page 4 of 7 Case 1:24-vv-01094-UNJ Document 32 Filed 01/09/26 Page 5 of 7 Case 1:24-vv-01094-UNJ Document 32 Filed 01/09/26 Page 6 of 7 Case 1:24-vv-01094-UNJ Document 32 Filed 01/09/26 Page 7 of 7 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_24-vv-01094-cl-extra-11239160 Date issued/filed: 2026-01-09 Pages: 1 Docket text: Supplementary opinion from CourtListener cluster 10772575 -------------------------------------------------------------------------------- In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-1094V KAREN DEBOLLE, Chief Special Master Corcoran Petitioner, v. Filed: December 4, 2025 SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Amy A. Senerth, Muller Brazil, LLP, Dresher, PA, for Petitioner. Mary Novakovic, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On July 18, 2024, Karen Debolle filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). The petition seeks compensation for injuries allegedly related to Petitioner’s receipt of an influenza (“flu”) vaccine, which vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a). Petitioner received the flu vaccine in her left shoulder on September 19, 2023. Petitioner alleges that she suffered from a shoulder injury related to vaccine administration (“SIRVA”) as a result of receiving the flu vaccine. Petitioner further alleges that she suffered the residual effects of this condition for more than six months. 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). Respondent denies that Petitioner sustained a Table SIRVA; denies that the vaccine caused Petitioner’s alleged shoulder injury, or any other injury; and denies that her current condition is a sequela of a vaccine-related injury. Nevertheless, on December 4, 2025, the parties filed the attached joint stipulation3 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 $17,000.00 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 In attaching the parties’ joint stipulation, I have omitted the last page – a VineSign form that includes personal information regarding Petitioner. 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 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS KAREN DEBOLLE, Petitioner, No. 24-l094V Chief Special Master Corcoran V. ECF SECRETARY OF HEALTH AND JruMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: 1. On July 18, 2024, Karen DeBo lie ("petitioner") filed a petition for vaccine compensation under the National Vac ine Injury Compensation Program, 42 U.S.C. §300aa-10 to -34 (the .. Vaccine Program"). The petition seeks compensation for injuries al egedly related to petitioner's receipt of an influenza ("flu") vac cine, which vaccine is contained in the Vaccine Injury Table (the "Table"), 42 C.F.R. § I00.3(a). 2. Petitioner received the flu vaccine in her left shoulder on September 19, 2023. 3. The vaccine was administered within the United States. 4. Petitioner alleges that she suffered from a shoulder injury related to vaccine administration (HSJRVA'') as a result of receiving the flu vac ine. Petitioner further alleges that she experienced the residual effects of this condition for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a civil action for damages as a result of her condition. 1 i The signed document can be validated at https://app.vinesign.comNer fy