Guzal Astanova v. HHS - HPV, left shoulder injury related to vaccine administration (SIRVA) (2025)

On April 21, 2025, Guzal Astanova filed a petition on behalf of her minor child, A.R., after A.R. received hepatitis A and human papillomavirus vaccinations on July 26, 2024. The petition alleged that A.R. suffered a shoulder injury related to vaccine administration and that the residual effects lasted more than six months.

The public ruling identifies A.R. as a minor but does not state his exact age. Respondent conceded entitlement in a Rule 4(c) report.

The concession stated that A.R. had no prior left-shoulder pain, inflammation, or dysfunction; that pain occurred within forty-eight hours after an intramuscular vaccination; that pain and reduced range of motion were limited to the vaccinated shoulder; and that no other condition had been identified to explain the shoulder pain. Chief Special Master Brian H.

Corcoran found A.R. entitled to compensation on November 21, 2025. Damages remain pending.

The public entitlement ruling does not describe the first symptom in narrative detail, medical visits, imaging, injections, therapy, or functional limits. Petitioner was represented by Jimmy A.

Zgheib of Zgheib Sayad, P.C.