Chiago v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedSeptember 8, 2025
Docket21-0727V
StatusUnpublished

This text of Chiago v. Secretary of Health and Human Services (Chiago v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Chiago v. Secretary of Health and Human Services, (uscfc 2025).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 21-727V

ROBERT CHIAGO, Chief Special Master Corcoran

Petitioner, v. Filed: July 7, 2025

SECRETARY OF HEALTH AND HUMAN SERVICES,

Respondent.

Courtney Christine Jorgenson, Siri & Glimstad, LLP, Phoenix, AZ, for Petitioner.

Mitchell Jones, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION1

On January 13, 2021, Robert Chiago 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 as a result of an influenza (“flu”) vaccine received on October 23, 2020, he suffered a left shoulder injury related to vaccine administration (“SIRVA”) as defined on the Vaccine Injury Table (“Table”). Petition (ECF No. 1) at ¶¶ 1, 3. The case was assigned to the Special Processing Unit (“SPU”) of the Office of Special Masters.

For the foregoing reasons, I find that Petitioner has provided insufficient proof of severity of injury, as required for all Vaccine Act claims. Respondent’s motion to dismiss 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 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 (2012). the Petition on that basis (ECF No. 35) is therefore granted.

I. Procedural History

Notably, Petitioner filed this action only three months after receiving the flu vaccine alleged to have caused his injury. He therefore was incapable, at the outset of this matter, from addressing the six month severity requirement. Instead, Petitioner generally alleged that his pain “has continued, and it is anticipated that it will last for several more months, at minimum” and that “[c]onservative treatment has yet to offer [him] any relief.” Id. at ¶¶ 1-2 (emphasis added).

On October 19, 2021, Petitioner completed his required filings. ECF No. 22. On April 14, 2022, the case was assigned to SPU. ECF No. 24. Respondent filed a Rule 4(c) Report on June 30, 2023 stating his position that the case should be dismissed for failure to demonstrate entitlement to compensation. ECF No. 31 (Rule 4(c) Report) at 2. Respondent also filed a separate motion to dismiss, referencing the Rule 4(c) Report, on June 30, 2023. ECF No. 32

In the Rule 4(c) Report, Respondent opposed the Table SIRVA claim on the ground that Petitioner had failed to satisfy the statutory severity requirement. Rule 4(c) Report at 7-10. Respondent also asserted that Petitioner had not established the Table requirement of an onset within forty-eight hours, and that his injury did not meet the SIRVA Qualifications and Aids to Interpretation (“QAI”). Id. at 10-11. In particular, Respondent pointed to medical records indicating that Petitioner had a history of shoulder pain and dysfunction predating the October 23, 2020 vaccination, that the vaccination record did not specify the administration situs, and that Petitioner’s treaters expressly related his post-vaccination complaints to his pre-existing shoulder condition. Id. Additionally, Respondent opposed an off-Table, causation-in-fact claim because Petitioner had not alleged a specific shoulder diagnosis and had not offered a medical or scientific theory showing that the flu vaccine caused his left shoulder injury. Id. at 12.

On July 10, 2023, I entered a scheduling order setting deadlines for briefing on Respondent’s motion to dismiss and for Petitioner to file any additional evidence. ECF No. 34. Petitioner then filed medical records and five witness statements. Petitioner filed a response to the motion to dismiss on July 31, 2023. ECF No. 38 (Pet’r Opp’n). Petitioner also filed a motion for a decision on the record, referencing his response to the motion to dismiss, on August 1, 2023. ECF No. 39. On August 31, 2025, Respondent filed a combined reply in support of his motion to dismiss and response to Petitioner’s motion for a decision on the record. ECF No. 40 (Resp’t Reply). On September 9, 2023, Petitioner

2 filed a combined reply in support of his motion for a decision on the record and a surreply to the motion to dismiss. ECF No. 41 (Pet’r Reply). This matter is ripe for adjudication.

II. Relevant Evidence

I have reviewed all of the evidence filed to date. I will only summarize or discuss evidence that directly pertains to the determinations herein, as informed by the parties’ respective citations to the record and their arguments.

A. Petitioner’s Pre-Vaccination Medical Status

Petitioner was born in 1942. See, e.g., Ex. 8 at 73. The earliest records filed by Petitioner dated from October 2017, and indicated that he was then receiving ongoing treatment for lower back pain and bilateral knee pain at The Pain Center of Arizona (“Pain Center”). Ex. 3 at 80-83. Through 2018 to 2020, Petitioner had regular appointments at the Pain Center for pain management, including refills of an opioid pain medication, focusing on his lower back and knee pain. Ex. 3 at 57-75; Ex. 8 at 347-365. It appears that the Pain Center recorded Petitioner as having the active problem of left shoulder pain in 2015, and that he mentioned shoulder tenderness on one occasion in October 2017. Ex. 8 at 302-303, 374. Petitioner received medial branch blocks and radiofrequency ablation for his lower back pain in June to October 2020. Ex. 3 at 2-4, 8.

Petitioner also regularly received medical care at the Phoenix Indian Medical Center (“PIMC”). As relevant here, records from a November 16, 2017 appointment noted that he had “chronic left shoulder pain,” bilateral rotator cuff syndrome, and bilateral biceps ruptures, for which he was “already seeing ortho through the [Veterans Affairs] Health Center.” Ex. 8 at 255, 259. At this November 16, 2017 appointment, Petitioner sought a referral for physical therapy (“PT”) for his left shoulder. Id. at 263. Petitioner also received treatment for his lower back and knee pain at PIMC starting in 2019. Id. at 102- 104, 107-109. Petitioner mentioned pain when moving his shoulders and rotator cuff tears in May 2019. Id. at 139-140. In July 2019, Petitioner requested an x-ray of his left shoulder for a “possible cyst” and also of his left elbow so that these issues could be discussed at an upcoming appointment for his back pain. Id. at 111.

Additionally, Petitioner raised lower back, knee, and hand pain concerns with the orthopedic clinic and his primary care physician at the Phoenix Veterans Affairs Health System (“VA”) in 2018-2019. Ex. 2 at 48, 73-74, 80. Petitioner received PT for right hand pain from March 2020 through October 8, 2020. Ex.

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