VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-01453 Package ID: USCOURTS-cofc-1_24-vv-01453 Petitioner: Ranya Khdier Filed: 2024-09-18 Decided: 2025-10-08 Vaccine: influenza Vaccination date: 2023-08-13 Condition: right shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 33100 AI-assisted case summary: On September 18, 2024, Ranya Khdier filed a petition alleging that an influenza vaccine administered on August 13, 2023 caused a right shoulder injury related to vaccine administration. Respondent denied that Ms. Khdier sustained a Table SIRVA, denied that the flu vaccine caused her alleged shoulder injury or any other injury, and denied vaccine-related sequelae. The public stipulation does not describe onset, medical visits, imaging, injections, therapy, or residual limitations. The parties resolved the case by stipulation. On October 8, 2025, Chief Special Master Brian H. Corcoran awarded $30,666.82 as a lump sum and $2,433.18 to satisfy a North Carolina Medicaid lien administered through Optum, for a total award of $33,100.00. Theory of causation field: Influenza vaccine August 13, 2023 allegedly causing right SIRVA; adult, exact age not stated. COMPENSATED by stipulation. Respondent denied Table SIRVA, causation, and sequelae; public stipulation lacks clinical chronology. Award $30,666.82 lump sum + $2,433.18 North Carolina Medicaid/Optum lien = $33,100. Chief SM Brian H. Corcoran; petition September 18, 2024; decision October 8, 2025. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_24-vv-01453-0 Date issued/filed: 2025-11-10 Pages: 8 Docket text: PUBLIC DECISION (Originally filed: 10/08/2025) regarding 25 DECISION Stipulation/Proffer Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made. -------------------------------------------------------------------------------- Case 1:24-vv-01453-UNJ Document 29 Filed 11/10/25 Page 1 of 8 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-1453V RANYA KHDIER, Chief Special Master Corcoran Petitioner, Filed: October 8, 2025 v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Alison Haskins, Siri & Glimstad, LLP, Aventura, FL, for Petitioner. Nathaniel Trager, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On September 18, 2024, Ranya Khdier 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 shoulder injuries related to vaccine administration (“SIRVA”) as a result of an influenza (“flu”) vaccine administered on August 13, 2023. Petition at 1; Stipulation, filed at October 6, 2025, ¶¶ 1, 2. Petitioner further alleges that the vaccine was administered within the United States, that she sustained an injury within the time period set forth in the Vaccine Injury Table, that she experienced the residual effects of her condition for more than six months, and that there has been no award or settlement of a civil action for damages on her behalf as a result of her injury. Petition at 1, 9; Stipulation at ¶¶ 1-5. Respondent denies that the flu vaccine caused Petitioner to suffer a right shoulder injury or any other injury or her current condition and denies that Petitioner sustained a SIRVA table 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-01453-UNJ Document 29 Filed 11/10/25 Page 2 of 8 Nevertheless, on October 6, 2025, the parties filed the attached joint stipulation,3 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 $30,666.82, to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner; and B. A lump sum of $2,433.18, representing reimbursement of a Medicaid lien for services to Petitioner by the State of North Carolina, in the form of a check payable jointly to Petitioner and Optum PO Box 182643 Columbus, OH 4321802643 Tax ID: 41-1858498 Ref: Ranya Khdier, Event ID: 143093801 Petitioner agrees to endorse this check to the Optum. 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 Dropbox Sign signature page located at page 7 is omitted 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-01453-UNJ Document 29 Filed 11/10/25 Page 3 of 8 Case 1:24-vv-01453-UNJ Document 29 Filed 11/10/25 Page 4 of 8 Case 1:24-vv-01453-UNJ Document 29 Filed 11/10/25 Page 5 of 8 Case 1:24-vv-01453-UNJ Document 29 Filed 11/10/25 Page 6 of 8 Case 1:24-vv-01453-UNJ Document 29 Filed 11/10/25 Page 7 of 8 Case 1:24-vv-01453-UNJ Document 29 Filed 11/10/25 Page 8 of 8 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_24-vv-01453-cl-extra-11200725 Date issued/filed: 2025-11-10 Pages: 1 Docket text: Supplementary opinion from CourtListener cluster 10734140 -------------------------------------------------------------------------------- Sn the Guited States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-1453V RANYA KHDIER, Chief Special Master Corcoran Petitioner, Filed: October 8, 2025 V. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Alison Haskins, Siri & Glimstad, LLP, Aventura, FL, for Petitioner. Nathaniel Trager, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION’ On September 18, 2024, Ranya Khdier filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.* (the “Vaccine Act’). Petitioner alleges that she suffered shoulder injuries related to vaccine administration (“SIRVA’) as a result of an influenza (“flu”) vaccine administered on August 13, 2023. Petition at 1; Stipulation, filed at October 6, 2025, Jf] 1, 2. Petitioner further alleges that the vaccine was administered within the United States, that she sustained an injury within the time period set forth in the Vaccine Injury Table, that she experienced the residual effects of her condition for more than six months, and that there has been no award or settlement of a civil action for damages on her behalf as a result of her injury. Petition at 1, 9; Stipulation at Jf] 1-5. Respondent denies that the flu vaccine caused Petitioner to suffer a right shoulder injury or any other injury or her current condition and denies that Petitioner sustained a SIRVA table injury. Stipulation at J 6. ’ 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:/Awww.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, | agree that the identified material fits within this definition, | 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). Nevertheless, on October 6, 2025, the parties filed the attached joint stipulation, ? stating that a decision should be entered awarding compensation. | 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, | award the following compensation: A. A lump sum of $30,666.82, to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner; and B. A lump sum of $2,433.18, representing reimbursement of a Medicaid lien for services to Petitioner by the State of North Carolina, in the form of a check payable jointly to Petitioner and Optum PO Box 182643 Columbus, OH 4321802643 Tax ID: XX-XXXXXXX Ref: Ranya Khdier, Event ID: 1430933801 Petitioner agrees to endorse this check to the Optum. Stipulation at J 8. This amount represents compensation for all items of damages that would be available under Section 15(a). /d. | 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 1S SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master 3 The Dropbox Sign signature page located at page 7 is omitted 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. IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS RANYA KHDIER, Petitioner, No. 24-1453V Chief Special Master Corcoran V. ECF SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: 1, Ranya Khdier (“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. § 100.3(a) 2. Petitioner received a flu vaccine on August 13, 2023. 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 forth 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. Doc ID: 80880fc2543461 5cf216ddf573c1b99db44d6c87 6. Respondent denies that the flu vaccine caused petitioner to suffer a right shoulder injury or any other injury or his current condition and denies that petitioner sustained a SIRVA table injury. 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-21(a)(1), 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-15(a): A. A lump sum payment of $30,666.82 to be paid through an ACH deposit to petitioner’s counsel’s IOLTA account for prompt disbursement to petitioner. B. A lump sum of $2,433.18,' representing reimbursement of a Medicaid lien for services rendered to petitioner by the State of North Carolina, in the form of a check payable jointly to petitioner and: Optum PO Box 182643 Columbus, OH 4321802643 Tax ID: XX-XXXXXXX Ref: Ranya Khdier, Event ID: 143093801 Petitioner agrees to endorse this check to Optum. ' This amount represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action the State of North Carolina, North Carolina Medicaid, and/or Optum have made to or on behalf of Ranya Khdier as a result of her alleged vaccine-related injury suffered on or about August 13, 2023, under Title XIX of the Social Security Act, see 42 U.S.C. § 300aa-15(g), (h). Doc ID: 80880f¢2543461 5cf216ddf573c1 b99db44a6c87 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)(1), 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. 10, 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-15(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 attorney’s 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-15(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 Doc ID: 80880fc25434615cf216ddf573c1b99db44d6c87 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 August 13, 2023, as alleged in a petition for vaccine compensation filed on or about September 18, 2024, in the United States Court of Federal Claims as petition No. 24-1453V. 14. If petitioner should die prior to entry of judgment, this agreement shall be voidable upon proper notice to the Court on behalf of either or both of the parties. 15. If the special master fails to issue a decision in complete conformity with the terms of this Stipulation or if the Court 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 party. 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 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 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. Doc ID: 80880fc2543461 Scf216ddf573c1b99db44d6c87 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 Table SIRVA or any other injury or petitioner’s current 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 Doc ID: 80880f¢2543461 5cf216ddf573c1b99db44d6c87 Respectfully submitted, PETITIONER: be RANYA KHDIER ATTORNEY OF RECORD FOR PETITIONER: Awa ef ON HASKINS\_/ Sti Glimstad 20200 West Dixie Highway, Suite 902 Aventure, FL 33180 Phone: 786-949-5875 Email: AHaskins@sirillp.com AUTHORIZED REPRESENTATIVE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES: Digitally signed by Jeffrey S. Beach -S Jeffrey S. Date: 2025.09.16 12:05:48 -04'00" Beach -S for CAPT GEORGE REED GRIMES, MD, MPH Director, Division of Injury Compensation Programs Health Systems Bureau Health Resources and Services Administration U.S. Department of Health and Human Services 5600 Fishers Lane, 14W-18 Rockville, MD 20857 Dated: O Apher © aE AUTHORIZED REPRESENTATIVE OF THE ATTORNEY GENERAL: Moadusy L. HEATHER L. PEARLMAN Deputy Director Torts Branch Civil Division U.S. Department of Justice P.O. Box 146 Benjamin Franklin Station Washington, DC 20044-0146 ATTORNEY OF RECORD FOR RESPONDENT: NATHANIEL M. TRAGER Trial Attorney Torts Branch Civil Division U.S. Department of Justice P.O. Box 146 Benjamin Franklin Station Washington, DC 20044-0146 Phone: (202) 305-3912 Email: Nathaniel.Trager@usdoj.gov Doc ID: 80880fc25434615cf216ddf573c1b99db44d6c87