VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_25-vv-00313
Package ID: USCOURTS-cofc-1_25-vv-00313
Petitioner: Jaime Johnson
Filed: 2025-02-21
Decided: 2025-10-21
Vaccine: influenza
Vaccination date: 2023-01-29
Condition: left shoulder injury related to vaccine administration (SIRVA)
Outcome: compensated
Award amount USD: 42750.9

AI-assisted case summary:
On February 21, 2025, Jaime Johnson filed a petition alleging that an influenza vaccine administered on January 29, 2023 caused a left shoulder injury related to vaccine administration. The public record identifies her as an adult petitioner but does not state her exact age.

Respondent conceded entitlement after review by DICP. The concession stated that Ms. Johnson had no prior left-shoulder pain, inflammation, or dysfunction; that pain occurred within 48 hours of vaccination; that pain and reduced range of motion were limited to the vaccinated shoulder; that no other condition explained the pain; and that the residual effects lasted more than six months.

Chief Special Master Corcoran found entitlement on September 30, 2025. On October 21, 2025, he awarded $42,750.90: $42,500.00 for pain and suffering and $250.90 to satisfy a Wisconsin Medicaid lien. Ms. Johnson was represented by Jonathan P. Groth.

Theory of causation field:
Influenza vaccine January 29, 2023 causing left Table SIRVA in adult petitioner. COMPENSATED. Respondent conceded no prior left shoulder symptoms, pain within 48 hours, pain/reduced ROM limited to vaccinated shoulder, no alternative condition, and severity beyond six months. Entitlement September 30, 2025; damages October 21, 2025. Award $42,750.90 ($42,500 pain/suffering + $250.90 Wisconsin Medicaid lien). Petition filed February 21, 2025.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_25-vv-00313-0
Date issued/filed: 2025-10-31
Pages: 2
Docket text: PUBLIC ORDER/RULING (Originally filed: 09/30/2025) regarding 19 Ruling on Entitlement. Signed by Chief Special Master Brian H. Corcoran. (cr) Service on parties made.
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Case 1:25-vv-00313-UNJ Document 29 Filed 10/31/25 Page 1 of 2
In the United States Court of Federal Claims
5
OFFICE OF SPECIAL MASTERS
No. 25-0313V
JAIME JOHNSON, Chief Special Master Corcoran
Petitioner, Filed: September 30, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Jonathan P. Groth, Groth Law Firm, Wauwatosa, WI, for Petitioner.
Alyssa M. Petroff, U.S. Department of Justice, Washington, DC, for Respondent.
RULING ON ENTITLEMENT1
On February 21, 2025, Jaime Johnson 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 he suffered a shoulder injury related to vaccine
administration as the result of an influenza (“flu”) vaccination received on January 29,
2023. Petition at 3. Petitioner further alleges that he suffered the residual effects of his
injury for more than six months. Petition at 6. The case was assigned to the Special
Processing Unit of the Office of Special Masters.
On September 26, 2025, Respondent filed his Rule 4(c) report in which he
concedes that Petitioner is entitled to compensation in this case. Respondent’s Rule 4(c)
Report at 1. Specifically, Respondent states that “petitioner’s alleged injury is consistent
1 Because this Ruling 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 Ruling 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 1:25-vv-00313-UNJ Document 29 Filed 10/31/25 Page 2 of 2
with SIRVA as defined by the Vaccine Injury Table. Specifically, petitioner had no history
of pain, inflammation, or dysfunction of his left shoulder prior to vaccination; pain occurred
within forty-eight hours after receipt of an intramuscular vaccination; pain and reduced
range of motion was limited to the shoulder in which the vaccine was administered; and
no other condition or abnormality has been identified to explain petitioner’s shoulder pain.”
Id. at 6-7. Respondent further agrees that Petitioner suffered the residual effects of his
condition for more than six months, and that based on the record as it now stands,
Petitioner has satisfied all legal prerequisites for compensation under the Act. Id.
In view of Respondent’s position and the evidence of record, I find that
Petitioner is entitled to compensation.
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
2

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DOCUMENT 2: USCOURTS-cofc-1_25-vv-00313-1
Date issued/filed: 2025-12-09
Pages: 5
Docket text: PUBLIC DECISION (Originally filed: 10/21/2025) regarding 25 DECISION Stipulation/Proffer. Signed by Chief Special Master Brian H. Corcoran. (cr) Service on parties made.
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Case 1:25-vv-00313-UNJ Document 31 Filed 12/09/25 Page 1 of 5
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 25-0313V
JAIME JOHNSON , Chief Special Master Corcoran
Petitioner, Filed: October 21, 2025
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Jonathan P. Groth, Groth Law Firm, S.C., Wauwatosa, WI, for Petitioner.
Alyssa M. Petroff, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On February 21, 2025, Jaime Johnson 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 he suffered a shoulder injury related to vaccine
administration as the result of an influenza (“flu”) vaccination received on January 29,
2023. Petition at 3. The case was assigned to the Special Processing Unit of the Office
of Special Masters.
On September 30, 2025, a ruling on entitlement was issued, finding Petitioner
entitled to compensation. On October 21, 2025, Respondent filed a proffer on award of
compensation (“Proffer”) indicating Petitioner should be awarded $42,500.00 to Petitioner
for his pain and suffering and $250.90 to the State of Wisconsin Medicaid lien. Proffer at
2. In the Proffer, Respondent represented that Petitioner agrees with the proffered award.
Id. Based on the record as a whole, I find that Petitioner is entitled to an award as stated
in the Proffer.
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 1:25-vv-00313-UNJ Document 31 Filed 12/09/25 Page 2 of 5
Pursuant to the terms stated in the attached Proffer, I award Petitioner the
following:
A. A lump sum payment of $42,500.00 (for Petitioner’s pain and suffering), to be
paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for
prompt disbursement to Petitioner, Jaime Johnson, and
B. A lump sum payment of $250.90, representing compensation for satisfaction
pf the State of Wisconsin Medicaid lien, in the form of a check payable jointly
to Petitioner and:
Wisconsin Casualty Recovery
5615 High Point Drive Suite 100
Irving, TX 75038-9984
Petitioner agrees to endorse this check to Wisconsin Casualty Recovery.
These amounts represent compensation for all damages that would be available
under Section 15(a). The Clerk of Court is directed to enter judgment in accordance with
this decision.3
IT IS SO ORDERED.
s/Brian H. Corcoran
Brian H. Corcoran
Chief Special Master
3 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 1:25-vv-00313-UNJ Document 31 Filed 12/09/25 Page 3 of 5
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
JAIME JOHNSON,
Petitioner,
No. 25-0313V
v.
Chief Special Master Corcoran
ECF
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
PROFFER ON AWARD OF COMPENSATION1
On February 21, 2025, Jaime Johnson (“petitioner”) filed a petition for compensation
under the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-1 to -34
(“Vaccine Act” or “Act”), alleging that he sustained shoulder injury related to vaccine
administration (“SIRVA”), as defined in the Vaccine Injury Table, 42 C.F.R. § 100.3, as the
result of an influenza (“flu”) vaccination received on January 29, 2023. ECF No. 1 at 3. On
September 26, 2025, the Secretary of Health and Human Services (“respondent”) filed a Rule
4(c) Report indicating that this case is appropriate for compensation under the terms of the Act
for a SIRVA Table injury. ECF No. 18. On September 30, 2025, the Chief Special Master
issued a Ruling on Entitlement finding petitioner entitled to compensation. ECF No. 19.
I. Items of Compensation
Based on the evidence of record, respondent proffers that petitioner should be awarded
the following:
1 This Proffer does not include attorneys’ fees and costs, which the parties intend to address after
the Damages Decision is issued.

Case 1:25-vv-00313-UNJ Document 31 Filed 12/09/25 Page 4 of 5
A. Pain and Suffering
Respondent proffers that petitioner should be awarded $42,500.00 in pain and suffering.
See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.
B. Medicaid Lien
Respondent proffers that petitioner should be awarded funds to satisfy the State of
Wisconsin Medicaid lien in the amount of $250.90, which represents full satisfaction of any right
of subrogation, assignment, claim, lien, or cause of action the State of Wisconsin may have
against any individual as a result of any Medicaid payments the State of Wisconsin has made to
or on behalf of petitioner from the date of his eligibility for benefits through the date of judgment
in this case as a result of his vaccine-related injury suffered on or about January 29, 2023.
The above amounts represent all elements of compensation to which petitioner is entitled
under 42 U.S.C. § 300aa-15(a). Petitioner agrees.
II. Form of the Award/Recommended Payments
The parties recommend that compensation provided to petitioner should be made through
two lump sum payments described below, and request that the Chief Special Master’s decision
and the Court’s judgment award the following: 2
A. A lump sum payment of $42,500.00 to be paid through an ACH deposit to
petitioner’s counsel’s IOLTA account for prompt disbursement to petitioner, Jaime
Johnson; and
B. A lump sum payment of $250.90, representing compensation for satisfaction of the
State of Wisconsin Medicaid lien, in the form of a check payable jointly to petitioner
and:
Wisconsin Casualty Recovery
5615 High Point Drive Suite 100
Irving, TX 75038-9984
2 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court
for appropriate relief. In particular, respondent would oppose any award for future medical
expenses, future pain and suffering, and future lost wages.
2

Case 1:25-vv-00313-UNJ Document 31 Filed 12/09/25 Page 5 of 5
Petitioner agrees to endorse this check to Wisconsin Casualty Recovery.
Petitioner is a competent adult. Proof of guardianship is not required in this case.
Respectfully submitted,
BRETT A. SHUMATE
Assistant Attorney General
C. SALVATORE D’ALESSIO
Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Deputy Director
Torts Branch, Civil Division
JULIA M. COLLISON
Assistant Director
Torts Branch, Civil Division
/s/ Alyssa M. Petroff
ALYSSA M. PETROFF
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146, Benjamin Franklin Station
Washington, D.C. 20044-0146
Tel: (202) 307-3852
Fax: (202) 616-4310
Email: Alyssa.Petroff2@usdoj.gov
Date: October 21, 2025
3