VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_24-vv-01560 Package ID: USCOURTS-cofc-1_24-vv-01560 Petitioner: Carroll Williams Filed: 2024-10-02 Decided: 2025-12-19 Vaccine: tetanus, diphtheria, and acellular pertussis (Tdap) Vaccination date: 2023-11-16 Condition: right shoulder injury related to vaccine administration (SIRVA) Outcome: compensated Award amount USD: 37517.53 AI-assisted case summary: On October 2, 2024, Carroll Williams filed a petition alleging that a Tdap vaccine administered on November 16, 2023 caused a right shoulder injury related to vaccine administration. Respondent denied that Ms. Williams sustained a Table SIRVA, denied that Tdap caused her shoulder injury or any other injury, and denied that her current condition was vaccine-related. The public stipulation does not describe the first symptom, timing, treatment visits, imaging, injections, therapy, or remaining limitations. The parties resolved damages by stipulation. On December 19, 2025, Chief Special Master Brian H. Corcoran adopted the stipulation and awarded $37,517.53 as a lump sum through counsel's IOLTA account. Theory of causation field: Tdap vaccine November 16, 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 $37,517.53. Chief SM Brian H. Corcoran; petition October 2, 2024; decision December 19, 2025. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_24-vv-01560-0 Date issued/filed: 2026-01-27 Pages: 7 Docket text: PUBLIC DECISION (Originally filed: 12/19/2025) regarding 26 DECISION Stipulation/Proffer, Signed by Chief Special Master Brian H. Corcoran. (nh) Service on parties made. -------------------------------------------------------------------------------- Case 1:24-vv-01560-UNJ Document 30 Filed 01/27/26 Page 1 of 7 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-1560V CARROLL WILLIAMS, Chief Special Master Corcoran Petitioner, Filed: December 19, 2025 v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Laura Levenberg, Muller Brazil, LLP, Dresher, PA, for Petitioner. Joseph Douglas Leavitt, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION1 On October 2, 2024, Carroll Williams 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 shoulder injury related to vaccine administration (“SIRVA”) following a Tdap vaccination she received on November 16, 2023. Petition at 1; Stipulation, filed at December 18, 2025, ¶¶ 2, 4. Petitioner further alleges that her “SIRVA symptoms persisted for more than six months.” Petition at ¶ 9; Stipulation at ¶ 4. “Respondent denies that Petitioner sustained a SIRVA Table injury and denies that the vaccine caused her alleged shoulder injury, or any other injury.” Stipulation at ¶ 6. Nevertheless, on December 18, 2025, the parties filed the attached joint stipulation,3 stating that a decision should be entered awarding compensation. I find the 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). 3 The filed Stipulation included an electronic signature page that has been removed from the attachment to protect the confidential information of the signers. Case 1:24-vv-01560-UNJ Document 30 Filed 01/27/26 Page 2 of 7 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 $37,517.53, 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 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-01560-UNJ Document 30 Filed 01/27/26 Page 3 of 7 Vinesign Document ID: C4947400-E517-4262-9858-97E2FE6A8F48 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS CARROLL WILLIAMS, Petitioner, V. No. 24-1560V (ECF) Chief Special Master Corcoran SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: I. On October 2, 2024, petitioner filed a petition for vaccine compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-l Oto -34 (the "Program"). The petition seeks compensation for an injury allegedly related to petitioner's receipt of the tetanus, diphtheria, and acellular pertussis ("Tdap") vaccine, which vaccine is contained in the Vaccine Injury Table, 42 C.F.R. § 100.3(a) (the "Table"). 2. Petitioner received a Tdap vaccine on November 16, 2023. 3. The vaccine was administered within the United States. 4. Petitioner alleges that she suffered a right-sided shoulder injury related to vaccine administration ("SIRVA") as a result of her vaccination. Petitioner further alleges that she experienced the 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 as a result of her alleged injury. The signed document can be validated at https://app.vinesign.com/Verify Case 1:24-vv-01560-UNJ Document 30 Filed 01/27/26 Page 4 of 7 6. Respondent denies that petitioner sustained a SIRVA Table injury and denies that the vaccine caused her alleged shoulder injury, or any other 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 eight of this Stipulation. 8. As soon as practicable after an entry ofj udgment 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)(]), the Secretary of Health and Human Services will issue the following vaccine compensation payment: A lump sum payment of $37,517.53 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 42 U.S.C. § 300aa-15(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 parties will subm itto further proceedings before the special master to award reasonable attorneys' fees and costs incutTed in proceeding upon this petition. I 0. Petitioner and her attorney represent that the 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 Case 1:24-vv-01560-UNJ Document 30 Filed 01/27/26 Page 5 of 7 11. Payment made pursuant to paragraph eight and any amounts awarded pursuant to paragraph nine 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. I 2. 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-15(g) and (h). 13. In return for the compensation described in paragraphs eight and nine, petitioner, in her individual capacity, and on behalfof her heirs, executors, administrators, successors, or assigns, does forever and irrevocably and unconditionally re lease, acquit, and discharge the United States and the Secretary of Health and Human Services from any and all actions or 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 Court of Federal Claims, under the National Vaccine Injury Compensation Program, 42 U .S.C. § 300aa-IO et seq., on account 01: 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 Tdap vaccination administered on November 16, 2023, as alleged in a petition for vaccine compensation filed on or about October 2, 2024, in the United States Court of Federal Claims as petition No. 24-1560V. 14. If petitioner should die prior to entry ofj udgment, this agreement shall be voidable upon proper notice to the Court on behalf of either or both of the parties. 3 Case 1:24-vv-01560-UNJ Document 30 Filed 01/27/26 Page 6 of 7 15. If the Chief 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 patties' 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 nine 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. 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 shou Ider injury or any other injury, or that she suffered an injury contained in the Vaccine Injury Table. 18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's heirs, executors, administrators, successors, and/or assigns. END OF STIPULATION 4 Case 1:24-vv-01560-UNJ Document 30 Filed 01/27/26 Page 7 of 7 Respectfully submitted, PETITIONER: CARROLL WILLIAMS ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE PETITIONER: OF THE ATTORNEY GENERAL: ~~ ~\kR-L~ LAURA LEVENBERG HEATHER L. PEARLMAN Muller Brazil Deputy Director 715 Twining Road Torts Branch Suite 208 Civil Division Dresher, PA 19025 U.S. Depaitment of Justice Telephone: (215) 885-1655 P.O. Box 146 laura@mullerbrazil.com Benjamin Franklin Station Washington, D.C.20044-0146 AUTHORIZED REPRESENTATIVE OF ATTORNEY OF RECORD FOR THE SECRET ARY OF HEAL TH AND RESPONDENT: HUMAN SERVICES: Jeffrey S. Digitally signed by Jeffrey S. Beach -5 -S Beach Date: 2025.12.11 09:51:16 _ _ _____ -os·oo· for - --1------------- CAPT GEORGE REED GRIMES, MD, MPH Director, Division of Injury Compensation Programs Health Systems Bureau Civil Division Health Resources and Services U.S. Department of Justice Administration P.O. Box 146 U.S. Depa1tment of Health Benjamin Franklin Station and Human Services Washington, D.C.20044-0146 5600 Fishers Lane, 14W-l 8 (202) 880-0390 Rockville, MD 20857 joseph.leavitt@usdoj.gov 5 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_24-vv-01560-cl-extra-11246562 Date issued/filed: 2026-01-27 Pages: 1 Docket text: Supplementary opinion from CourtListener cluster 10779949 -------------------------------------------------------------------------------- In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 24-1560V CARROLL WILLIAMS, Chief Special Master Corcoran Petitioner, Filed: December 19, 2025 v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Laura Levenberg, Muller Brazil, LLP, Dresher, PA, for Petitioner. Joseph Douglas Leavitt, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION 1 On October 2, 2024, Carroll Williams 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 shoulder injury related to vaccine administration (“SIRVA”) following a Tdap vaccination she received on November 16, 2023. Petition at 1; Stipulation, filed at December 18, 2025, ¶¶ 2, 4. Petitioner further alleges that her “SIRVA symptoms persisted for more than six months.” Petition at ¶ 9; Stipulation at ¶ 4. “Respondent denies that Petitioner sustained a SIRVA Table injury and denies that the vaccine caused her alleged shoulder injury, or any other injury.” Stipulation at ¶ 6. Nevertheless, on December 18, 2025, the parties filed the attached joint stipulation, 3 stating that a decision should be entered awarding compensation. I find the 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). 3 The filed Stipulation included an electronic signature page that has been removed from the attachment to protect the confidential information of the signers. 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 $37,517.53, 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 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 Vinesign Document ID: C4947400-E517-4262-9858-97E2FE6A8F48 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS CARROLL WILLIAMS, Petitioner, V. No. 24-1560V (ECF) Chief Specia l Master Corcoran SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. STIPULATION The parties hereby stipulate to the following matters: I. On October 2, 2024, petitioner filed a petition for vaccine compensation under the National Vaccine Injury Compensation Program , 42 U.S.C. § 300aa-l Oto -34 (the "Program"). The petition seeks compensation for an injury a lleged ly related to petitioner's receipt of the tetanus, diphtheria, and ace llular pertussis ("Tdap") vaccine, which vacc in e is contained in the Vaccine Injury Table, 42 C.F.R. § 100.3(a) (the "Table"). 2. Petitioner received a Tdap vaccine on November 16, 2023. 3. The vaccine was administered within the United States. 4. Petitioner alleges that she suffered a right-sided shou ld er injury related to vaccine administration (" SIRVA") as a result of her vaccination . Petitioner further alleges that she experienced the residual effects of this injury for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a c ivil action for damages as a result of her alleged injury. The signed document can be validated at https://app.vinesign.com/Verify 6. Respondent denies that petitioner sustained a SIRVA Table injury and denies that the vaccine caused her alleged shoulder injury, or any other 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 eight 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)(]), the Secretary of Health and Human Services will issue the following vaccine compensation payment: A lump sum payment of $37,517.53 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 42 U.S.C. § 300aa-15(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 parties will subm itto further proceedings before the special master to award reasonable attorneys' fees and costs incutTed in proceeding upon this petition . I 0. Petitioner and her attorney represent that the 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 11. Payment made pursuant to paragraph eight and any amounts awarded pursuant to paragraph nine of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject to the avai lability of suffic ient statutory funds. I 2 . The parties and their attorneys further agree and stipu late that, except for any award for attorneys' fees and litigatio n 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 compensation described in paragraphs e ight and nine, petitioner, in her individual capacity, and on behalfof her heirs, executors, administrators, successors, or assigns, does forever and irrevocably and un conditio nally re lease, acquit, and discharge the United States and the Secretary of Health and Human Services from any and a ll action s or causes of action (including agreements,judgments, claims, damages, lo ss of services, expenses, and a ll demands of whatever kind or nature) that hav e been brought, could have been brought, or cou ld be timely brought in the Court of Federal Claims, under the Nationa l Vaccine Injury Compensation Program, 42 U .S.C. § 300aa- IO et seq., on account 01: 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 Tdap vaccination administered on November 16, 2023, as alleged in a petition for vaccine compensation filed on or about October 2, 2024, in the Un ited States Court of Federal C laim s as petition No. 24- 1560V. 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. 3 15. If the Chief Special Master fai ls to issue a decision in comp lete conformity with the terms of this Stipulation or if the Co urt of Federa l Claims fails to enter judgment in conformity with a decision that is in complete conformity with the terms of this Stipulation , then the patties' settlement and this Stipu lation shall be voidable at the so le discretion of either party. 16. This Stipu lat ion expresses a full and complete negotiated settlement of li ability and damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except as otherwise noted in paragraph nine above. There is abso lutely 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 c learly agreed to. The parties further agree and understand that the award described in this Stipu lation may reflect a comprom ise 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 sha ll 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 a lleged shou Ider injury or any other injury , or that she suffered an injury contained in the Vaccine Injury Table. 18. A ll rights and obligations of petitioner hereunder sha ll apply equally to petitioner' s heirs, executors, administrators, successors, and/or assigns. END OF STIPULATION 4 Respectfully submitted , PETITIONER: CARROLL WILLIAMS ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE PETITIONER: OF THE ATTORNEY GENERAL: ~~ LAURA LEV ENBERG ~\kR-L~ HEATHER L. PEARLMAN Muller Brazil Deputy Director 715 Twining Road Torts Branch Suite 208 Civil Division Dresher, PA 19025 U.S. Depaitment of Ju stice Telephone : (215) 885-1655 P.O. Box 146 laura@ mullerbrazil.com Benjamin Franklin Station Washington , D.C.20044-0146 AUTHORIZED REPRESENTATIVE OF ATTORNEY OF RECORD FOR THE SECRET ARY OF HEAL TH AND RESPONDENT: HUMAN SERVICES: Digitally signed by Jeffrey Jeffrey S. S. Beach -5 -S Date: 2025.12.11 09:51:16 _ Beach _ _____ -os·oo· for - - -1--- -- - - -- - - - - CAPT GEORGE REED GRIMES, MD, MPH Director, Division of Injury Compensation Programs Health Systems Bureau Civil Division Health Resources and Services U.S. Department of Ju stice Administration P.O. Box 146 U.S. Depa1tment of Health Benjamin Franklin Station and Human Services Washington, D.C.20044-0146 5600 Fishers Lane , 14W-l 8 (202) 880-0390 Rockville, MD 20857 joseph.leavitt@ usdoj.gov 5