Etchebarren-Scholes v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedJune 10, 2025
Docket22-0840V
StatusUnpublished

This text of Etchebarren-Scholes v. Secretary of Health and Human Services (Etchebarren-Scholes 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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Etchebarren-Scholes v. Secretary of Health and Human Services, (uscfc 2025).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 22-0840V

JANINE ETCHEBARREN-SCHOLES, Chief Special Master Corcoran Petitioner, v. Filed: May 2, 2025 SECRETARY OF HEALTH AND HUMAN SERVICES,

Respondent.

Paul R. Brazil, Muller Brazil, LLP, Dresher, PA, for Petitioner.

Mary Novakovic, U.S. Department of Justice, Washington, DC, for Respondent.

DECISION AWARDING DAMAGES1

On August 2, 2022, Janine Etchebarren-Scholes 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 Table shoulder injury related to vaccine administration (“SIRVA”) as a result of an influenza (“flu”) vaccine she received to her right shoulder on September 17, 2020. Petition at 1. The case was assigned to the Special Processing Unit of the Office of Special Masters.

Although Petitioner has been found entitled to compensation, the parties could not agree on the damages to be awarded, and therefore the matter was scheduled for a

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). “Motions Day” proceeding. For the reasons discussed below, and after hearing argument from the parties, I find that Petitioner is entitled to compensation in the amount of $115,000.00 for her actual pain and suffering.

I. Procedural History

On November 8, 2023, I issued a ruling on entitlement in favor of Petitioner. ECF No. 26. But the parties were unable to agree on damages, and therefore agreed to brief the issue. ECF No. 35. On December 5, 2024, Petitioner filed her brief in support of damages (“Mot.”), and Respondent filed a Response on January 29, 2025 (“Opp.”). Petitioner did not file a reply. ECF Nos. 40-41. I heard arguments from both parties during a Motions’ Day Damages hearing held on April 30, 2025.

II. Relevant Medical History

A complete recitation of the facts can be found in the Petition, declarations, the parties’ respective pre-hearing filings, and in Respondent’s Rule 4(c) Report.

In brief summary, Ms. Etchebarren-Scholes was 54 years old at the time she received the flu vaccine in her right shoulder at a Kaiser Permanente medical facility on September 17, 2020. Ex. 1 at 11. Her past medical history showed that three years prior to this vaccination, she underwent bilateral shoulder x-rays due to pain, and there is a medical record indicating some complaints of bilateral shoulder pain in March 2020. Ex. 2 at 755-786. However, Respondent has not argued that any of these complaints contributed to Petitioner’s SIRVA injury.

On September 28, 2020 (11 days after vaccination), Petitioner went to urgent care for complaints of “right arm pain after receiving flu shot 09/17/2020.” Ex. 2 at 1180. She reported that her “[p]ain started after she was given the flu shot in her right deltoid muscle. Did have some redness and swelling initially but those symptoms have resolved but the pain is increasing.” Id. On exam, Petitioner had decreased range of motion (“ROM”) with increased pain with abduction of shoulder and tenderness. Id. She was diagnosed with bursitis of the right shoulder and prescribed Prednisone. Id. at 1181.

On October 6, 2020, Petitioner emailed her primary care provider (“PCP”) stating, “day after flu shot I could not use my arm, arm has more mobility now but pain with movement.” Id. at 1204. Petitioner emailed her PCP again five days later, writing, “[m]y arm is so messed up I can’t do any range of motion exercise cause my arm won’t move to do it. My jobs r (sic) threatened and I’m in so much pain from this. Id. at 1205. See Ex. 2 at 1205, 1210, 1217-19, 1223, 1231.

2 On November 4, 2020, Petitioner’s received a right subacromial cortisone injection. Ex. 2 at 1250. Although the injection helped her gain some mobility, Petitioner still complained of pain and requested a stronger pain medication. Ex. 2 at 1267; Ex. 7 at 828.

On December 1, 2020, Petitioner contacted her neurologist, Justin Cho, M.D., whom Petitioner previously saw for vertigo and headaches. Ex. 2 at 1288-1290. Petitioner was concerned that her right shoulder pain might reflect CRPS or brachial neuritis. Id. Dr. Cho responded advising, “[s]o CRPs can occur after minor injuries but is not very common and has certain features on exam.” Id. at 1290. He also responded that, “[b]rachial neuritis also is not quite common and would be strange to occur from a local injection since the nerves in the brachial plexus are deep in the shoulder area.” Id.

On December 16, 2020, Petitioner underwent an MRI of her right shoulder which revealed a 1.4cm full-thickness tear of the anterior aspect of the supraspinatus tendon footprint, and mild-to-moderate subacromial/subdeltoid bursal fluid/bursitis. Ex. 2 at 1308- 09.

Petitioner returned to Dr. Cho on December 17, 2020. Ex. 2 at 1322-25. Petitioner related her pain to her flu vaccination, but Dr. Cho was unclear if there was a causal relationship. Id. at 1326. Dr. Cho was less suspicious of CRPS given Petitioner’s exam. Id. He recommended a trial of a different prescription pain medication. Id.

On December 23, 2020, Petitioner reviewed the results of the MRI with a treater. Ex. 2 at 1345. Surgery was discussed, but Petitioner wanted to consider her options. Id. at 1345. Later that day, Petitioner decided to proceed with surgery. Id. at 1352. However, due to COVID restrictions, the surgery was postponed. Id. Petitioner underwent a cervical MRI on January 6, 2021, which showed “[m]ild to moderate cervical spondylosis.” Id. at 1329; Ex. 7 at 874. On January 17, 2021, Petitioner received a second right subacromial cortisone injection. Id. at 1381. At another treater visit in March 2020, it was proposed that some of Petitioner’s pain was from her right rotator cuff tear. Id. at 1380-81.

Thereafter, Petitioner saw several other orthopedic providers for opinions on her right shoulder pain. See, e.g., Ex. 4 at 30, 83-89; Ex. 7 at 952. On May 18, 2021, Petitioner saw orthopedist Sarah Lewis, M.D. Ex. 4 at 83. Petitioner stated that her pain began after her flu vaccine and that treatment measures thus far had not provided relief. Id. Dr. Lewis noted that petitioner had a “CRPS like response.” Id. at 89.

Petitioner continued to see Dr. Lewis for her right shoulder pain, as well as for treatment of her carpal tunnel syndrome. See, e.g, Ex. 4 at 141-44, 366. Dr.

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