VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_25-vv-00677 Package ID: USCOURTS-cofc-1_25-vv-00677 Petitioner: A.R. Filed: 2025-04-21 Decided: 2025-11-21 Vaccine: hepatitis A; human papillomavirus (HPV) Vaccination date: 2024-07-26 Condition: left shoulder injury related to vaccine administration (SIRVA) Outcome: entitlement_granted_pending_damages Award amount USD: AI-assisted case summary: 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. Theory of causation field: Minor child A.R.; hepatitis A + HPV vaccines July 26, 2024; exact age not stated; left Table SIRVA. ENTITLEMENT GRANTED, damages pending. Respondent conceded no prior left-shoulder dysfunction, pain within 48 hours, pain/reduced ROM limited to vaccinated shoulder, no other explanatory condition, and legal prerequisites. SM Corcoran November 21, 2025. Petition filed April 21, 2025. Attorney: Jimmy A. Zgheib. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_25-vv-00677-0 Date issued/filed: 2025-12-22 Pages: 2 Docket text: PUBLIC ORDER/RULING (Originally filed: 11/21/2025) regarding 20 Ruling on Entitlement Signed by Chief Special Master Brian H. Corcoran. (ppa) Service on parties made. -------------------------------------------------------------------------------- Case 1:25-vv-00677-UNJ Document 23 Filed 12/22/25 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 25-0677V GUZAL ASTANOVA, as Parent and Chief Special Master Corcoran Natural Guardian of A.R., a Minor, Filed: November 21, 2025 Petitioner, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Jimmy A. Zgheib, Zgheib Sayad, P.C., White Plains, NY, for Petitioner. Emily Hanson, U.S. Department of Justice, Washington, DC, for Respondent. RULING ON ENTITLEMENT1 On April 21, 2025, Guzal Astanova 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 her child, A.R., suffered a shoulder injury related to vaccine administration (“SIRVA”) following Hepatitis A and HPV vaccination administered on July 26, 2024. Petition at 1. Petitioner further alleges that A.R. suffered the residual effects of his vaccine-related injury for more than six months. Petition at ¶ 27. The case was assigned to the Special Processing Unit of the Office of Special Masters. On November 10, 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) 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-00677-UNJ Document 23 Filed 12/22/25 Page 2 of 2 Report at 1. Respondent states that “A.R.’s alleged injury is consistent with SIRVA as defined by the Vaccine Injury Table. Specifically, A.R. 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 reduce range of motion was limited to the shoulder in which the vaccines were administered; and no other condition or abnormality has been identified to explain Petitioner’s shoulder pain.” Id. at 5. Respondent further agrees 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