$033&$5&%
In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-1677V
MISTY FULLER, Chief Special Master Corcoran
Petitioner, v. Filed: April 24, 2025
SECRETARY OF HEALTH AND HUMAN SERVICES,
Respondent.
John Beaulieu, Siri & Glimstad LLP, Louisville, KY, for Petitioner.
Margaret Armstrong, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On September 28, 2023, Misty Fuller filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). On January 20, 2022, Petitioner received an influenza (“flu”) vaccine, which vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a). Petitioner alleges that Petitioner suffered a shoulder injury related to vaccine administration (“SIRVA”) within the time period set forth in the Table, or in the alternative, that Petitioner suffered an off-Table nerve/arm injury that was caused-in-fact by the flu vaccine. Petitioner further alleges that Petitioner experienced the residual effects of this condition for more than six months.
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). Respondent denies that Petitioner sustained a SIRVA Table injury; denies that the flu vaccine caused Petitioner’s alleged shoulder injury, nerve injury, arm injury, or any other injury; and denies that the flu vaccine caused Petitioner any other injury or Petitioner’s current condition.
Nevertheless, on April 24, 2025, the parties filed the attached joint stipulation,3 stating that a decision should be entered awarding compensation. I find the stipulation reasonable and adopt it as my decision awarding damages, on the terms set forth therein.
Pursuant to the terms stated in the attached Stipulation, I award the following compensation:
A lump sum of $17,000.00, to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner. Stipulation at ¶ 8. This amount represents compensation for all items of damages that would be available under Section 15(a). Id.
I approve the requested amount for Petitioner’s compensation. In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of Court is directed to enter judgment in accordance with this decision.4
IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master
3 In attaching the parties’ joint stipulation, I have omitted the last page – a Dropbox Sign form that includes
personal information regarding Petitioner. 4 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 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS
MISTY FULLER,
Petitioner, No. 23- I677V Chief Special Master Corcoran v. ECF
STIPULATION
The parties hereby stipulate to the following matters:
I. Misty Fuller ("'peti~ioner'') filed a petition for vaccine compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 to 34 (the ''Vaccine
Program"). The petition seeks compensation for injuries allegedly related to petitioner's receipt
of an influenza ('•flu") vaccine, which vaccine is contained in the Vaccine Injury Table (the
"Table"), 42 C.F.R. § I 00.3(a).
2. Petitioner received a flu vaccine on January 20, 2022.
3. The vaccine was administered within the United States.
4. Petitioner alleges that petitioner suffered from a shoulder injury related to vaccine
administration ("SIRVA'") within the time period set forth in the Table. or in the alternative, that
petitioner suffered an off-Table nerve/arm injury that was caused-in-fact by the flu vaccine.
Petitioner further alleges that petitioner suffered the residual effects of the alleged injury for
more than six months.
Doc ID: fe98af0c307d2dc1029cca37b445d2dbdf4Qa483 5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages on petitioner's behalf as a resu lt of the alleged injury.
6. Respondent denies that petitioner sustained a SIRVA Table injury; denies that the flu
vaccine caused petitioner's alleged shoulder injury, nerve injury, arm injury, or any other injury;
and denies that the t7u vaccine caused petitioner any other injury or petitioner's current
condition.
7. Maintaining their above-stated positions, the parties nevertheless now agree that the
issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment reflecting a decision consistent with
the terms of this Stipulation, and after petitioner has filed an election to receive compensation
pursuant to 42 U.S.C. § 300aa-2l (aXI ), the Secretary of Health and Human Services will issue
the following vaccine compensation payment for all damages that would be available under 42
U.S.C. § 300aa-15(a):
A lump sum payment of $17,000.00 to be paid through an ACH deposit to petitioner's counsel's IOLTA account for prompt disbursement to petitioner. This amount represents compensation for all damages that would be available under 42 U.S.C. § 300aa-l 5(a).
9 . As soon as practicable after the entry ofjudgment on entitlement in this case, and after
petitioner has filed both a proper and timely election to receive compensation pursuant to 42
U.S.C. § 300aa-21 (a)(I), and an application, the parties will submit to further proceedings before
the special master to award reasonable attorneys' fees and costs incurred in proceeding upon this
petition.
I 0. Petitioner and petitioner's attorney represent that compensation to be provided
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$033&$5&%
In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 23-1677V
MISTY FULLER, Chief Special Master Corcoran
Petitioner, v. Filed: April 24, 2025
SECRETARY OF HEALTH AND HUMAN SERVICES,
Respondent.
John Beaulieu, Siri & Glimstad LLP, Louisville, KY, for Petitioner.
Margaret Armstrong, U.S. Department of Justice, Washington, DC, for Respondent.
DECISION ON JOINT STIPULATION1
On September 28, 2023, Misty Fuller filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.2 (the “Vaccine Act”). On January 20, 2022, Petitioner received an influenza (“flu”) vaccine, which vaccine is listed in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3(a). Petitioner alleges that Petitioner suffered a shoulder injury related to vaccine administration (“SIRVA”) within the time period set forth in the Table, or in the alternative, that Petitioner suffered an off-Table nerve/arm injury that was caused-in-fact by the flu vaccine. Petitioner further alleges that Petitioner experienced the residual effects of this condition for more than six months.
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). Respondent denies that Petitioner sustained a SIRVA Table injury; denies that the flu vaccine caused Petitioner’s alleged shoulder injury, nerve injury, arm injury, or any other injury; and denies that the flu vaccine caused Petitioner any other injury or Petitioner’s current condition.
Nevertheless, on April 24, 2025, the parties filed the attached joint stipulation,3 stating that a decision should be entered awarding compensation. I find the stipulation reasonable and adopt it as my decision awarding damages, on the terms set forth therein.
Pursuant to the terms stated in the attached Stipulation, I award the following compensation:
A lump sum of $17,000.00, to be paid through an ACH deposit to Petitioner’s counsel’s IOLTA account for prompt disbursement to Petitioner. Stipulation at ¶ 8. This amount represents compensation for all items of damages that would be available under Section 15(a). Id.
I approve the requested amount for Petitioner’s compensation. In the absence of a motion for review filed pursuant to RCFC Appendix B, the Clerk of Court is directed to enter judgment in accordance with this decision.4
IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master
3 In attaching the parties’ joint stipulation, I have omitted the last page – a Dropbox Sign form that includes
personal information regarding Petitioner. 4 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 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS
MISTY FULLER,
Petitioner, No. 23- I677V Chief Special Master Corcoran v. ECF
STIPULATION
The parties hereby stipulate to the following matters:
I. Misty Fuller ("'peti~ioner'') filed a petition for vaccine compensation under the
National Vaccine Injury Compensation Program, 42 U.S.C. § 300aa-10 to 34 (the ''Vaccine
Program"). The petition seeks compensation for injuries allegedly related to petitioner's receipt
of an influenza ('•flu") vaccine, which vaccine is contained in the Vaccine Injury Table (the
"Table"), 42 C.F.R. § I 00.3(a).
2. Petitioner received a flu vaccine on January 20, 2022.
3. The vaccine was administered within the United States.
4. Petitioner alleges that petitioner suffered from a shoulder injury related to vaccine
administration ("SIRVA'") within the time period set forth in the Table. or in the alternative, that
petitioner suffered an off-Table nerve/arm injury that was caused-in-fact by the flu vaccine.
Petitioner further alleges that petitioner suffered the residual effects of the alleged injury for
more than six months.
Doc ID: fe98af0c307d2dc1029cca37b445d2dbdf4Qa483 5. Petitioner represents that there has been no prior award or settlement of a civil action
for damages on petitioner's behalf as a resu lt of the alleged injury.
6. Respondent denies that petitioner sustained a SIRVA Table injury; denies that the flu
vaccine caused petitioner's alleged shoulder injury, nerve injury, arm injury, or any other injury;
and denies that the t7u vaccine caused petitioner any other injury or petitioner's current
condition.
7. Maintaining their above-stated positions, the parties nevertheless now agree that the
issues between them shall be settled and that a decision should be entered awarding the
compensation described in paragraph 8 of this Stipulation.
8. As soon as practicable after an entry of judgment reflecting a decision consistent with
the terms of this Stipulation, and after petitioner has filed an election to receive compensation
pursuant to 42 U.S.C. § 300aa-2l (aXI ), the Secretary of Health and Human Services will issue
the following vaccine compensation payment for all damages that would be available under 42
U.S.C. § 300aa-15(a):
A lump sum payment of $17,000.00 to be paid through an ACH deposit to petitioner's counsel's IOLTA account for prompt disbursement to petitioner. This amount represents compensation for all damages that would be available under 42 U.S.C. § 300aa-l 5(a).
9 . As soon as practicable after the entry ofjudgment on entitlement in this case, and after
petitioner has filed both a proper and timely election to receive compensation pursuant to 42
U.S.C. § 300aa-21 (a)(I), and an application, the parties will submit to further proceedings before
the special master to award reasonable attorneys' fees and costs incurred in proceeding upon this
petition.
I 0. Petitioner and petitioner's attorney represent that compensation to be provided
pursuant to this Stipulation is not for any items or services for which the Program is not
Doc ID: fe98af0c307d2dc1029cca37b445d2dbdf40a483 primarily liable under 42 U.S.C. § JO0aa-1 S(g), to the extent that payment has been made or can
reasonably be expected to be made under any State compensation programs, insurance policies,
Federal or State health benefits programs (other than Title XIX of the Social Security Act (42
U.S.C. § 1396 et seq.)), or by entities that provide health services on a pre-paid basis.
11. Payment made pursuant to paragraph 8 and any amounts awarded pursuant to
paragraph 9 of this Stipu lation will be made in accordance with 42 U.S.C. § 300aa-l 5(i), subject
to the availability of sufficient statutory funds.
12. The parties and their attorneys further agree and stipulate that, except for any award
for attorneys' fees and litigation costs, and past unreimbursed expenses, the money provided
pursuant to this Stipulation will be used solely for the benefit of petitioner as contemplated by a
strict construction of42 U.S.C. § 300aa-15(a) and (d). and subject to the conditions of 42 U.S.C.
§ 300aa-15(g) and (h ).
13. In return for the payments described in paragraphs 8 and 9, petitioner. in petitioner's
individual capacity, and on behalf of petitioner's heirs. executors, administrators, successors or
assigns, does forever irrevocably and unconditionally release, acquit and discharge the United
States and the Secretary of Health and Human Services from any and all actions or causes of
action (including agreements, judgments, claims, damages, loss of services. expenses and all
demands of whatever kind or nature) that have been brought, could have been brought, or could
be timely brought in the Court of Federal Claims. under the National Vaccine Injury
Compensation Program, 42 U.S.C. § 300aa-J0 et seq.,on account of, or in any way growing out
of, any and all known or unknown, suspected or unsuspected personal injuries to or death of
petitioner resulting from, or alleged to have resulted from, the flu vaccination administered on
Doc ID: fe98af0c307d2dc1029cca37b445d2dbdf40a483 January 20, 2022. as alleged in a petition for vaccine compensation filed on or about September
28, 2023, in the United States Court of Federal Claims as petition No. 23~ 1677V.
14. If petitioner should die prior to entry of judgment, this agreement shall be voidable
upon proper notice to the Court on behalf of either or both of the parties.
15. If the special master fails to issue a decision in complete conformity with the terms
of this Stipulation or if the Court of Federal Claims fails to enter judgment in conformity with a
decision that is in complete conformity with the terms of this Stipulation, then the parties'
settlement and this Stipulation shall be voidable at the sole discretion of either party.
16. This Stipulation expresses a full and complete negotiated settlement of liability and
damages claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except
as otherwise noted in paragraph 9 above. There is absolutely no agreement on the part of the
parties hereto to make any payment or to do any act or thing other than is herein expressly stated
and clearly agreed to. The parties further agree and understand that the award described in this
Stipulation may reflect a compromise of the parties' respective positions as to liability and/or
amount of damages, and further. that a change in the nature of the injury or condition or in the
items of compensation sought, is not grounds to modify or revise this agreemenL
17. This Stipulation shall not be construed as an admission by the United States or the
Secretary of Health and Human Services thatthe flu vaccine caused petitioner's alleged shoulder
and/or arm injury or any other injury or petitioner's current disabilities, or that petitioner suffered
an injury contained in the Vaccine Injury Table.
18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's
heirs, executors, administrators, successors, and/or assigns.
END OF STIPULATION
Doc ID: fe98af0c307d2dc1029cca37b445d2dbdf40a483 Respectfully submitted,
PETITlONER:
~~ MISTY FULLER
ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE PETJTI ON ER: OF THE ATTORNEY GENERAL:
~ a+HA,¾_ f ? u a ~ J~LIEU HEATHER L. PEARLMAN SJRI & GLIMSTAD LLP Deputy Director IO I North Seventh Street, #827 Torts Branch Louisville, KY 40202 Civil Division (509) 822-2463 U.S. Department of Justice jbeau lieu@sirilIp.com P.O. Box 146 Benjamin Franklin Station Washington, DC 20044-0146
AUTHORlZED REPRESENTATIVE ATTORNEY OF RECORD FOR OF THE SECRETARY OF HEALTH RESPONDENT: AND HUMAN SERVICES: Jeffrey S. Digitally signed by Jeffreys. Beach ·S
~ ~ D.lte: 2025.03.11 , _Beach S _ _ _-___ 1s;44;44 .94·00· ,or CAPT GEORGE REED GRIMES, MD, MPH MARGARET ARMSTRONG Director, Division off njury Trial Attorney Compensation Programs Torts Branch Health Systems Bureau CiviJ Division Health Resources and Services U.S. Department of Justice Administration P.O. Box 146 U.S. Department of Health Benjamin Franklin Station and Human Services Washington, DC 20044-0146 5600 Fishers Lane, 08W-25A (202) 616-4043 Rockville, MD 20857 margaret.armstrong@usdoj.gov
Doc ID: fe98af0c307d2dc1029cca37b445d2dbdf40a483