Atencio v. Secretary of Health and Human Services

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 18-1530V UNPUBLISHED JANICE Y. ATENCIO, Chief Special Master Corcoran Petitioner, Filed: March 10, 2020 v. SECRETARY OF HEALTH AND Special Processing Unit (SPU); Joint HUMAN SERVICES, Stipulation on Damages; Influenza (Flu) Vaccine; Shoulder Injury Respondent. Related to Vaccine Administration (SIRVA) Jimmy A. Zgheib, Zgheib Sayad, P.C., White Plains, NY, for petitioner. Sarah Christina Duncan, U.S. Department of Justice, Washington, DC, for respondent. DECISION ON JOINT STIPULATION 1 On October 3, 2018, Janice Atencio 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 left Shoulder Injury Related to Vaccine Administration (SIRVA) after receiving an influenza (“flu”) vaccination on November 10, 2015. Petition at 1; Stipulation, filed February 25, 2020, at ¶¶ 4. Petitioner further alleges that she suffered left shoulder rotator cuff tear, rotator cuff tendinitis, and impingement syndrome, along with other sequelae, and further alleges that she experienced the residual effects of her injury for more than six months. She also alleges that she had no history of left shoulder injury or pain prior to vaccination and that her symptoms began immediately after receiving the flu shot. In the alternative, Petitioner alleges that her shoulder injury was caused-in-fact by the flu vaccine she received. Petition at 1-2; Stipulation at ¶¶ 4. Respondent denies that 1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am required to post it on the United States Court of Federal Claims' website in accordance with the E- Government Act of 2002. 44 U.S.C. § 3501 note (2012) (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. 2National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). Petitioner sustained a SIRVA Table injury and denies that Petitioner’s alleged left shoulder injuries and their residual effects were caused-in-fact by her flu vaccine. Respondent further denies that the flu vaccine caused Petitioner any other injury or her current condition. Stipulation at ¶ 6. Nevertheless, on February 25, 2020, the parties filed the attached joint stipulation, 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 $30,000.00 for pain and suffering in the form of a check payable to Petitioner; and A lump sum of $735.50, which amount represents reimbursement of a Medicaid lien, in the form of a check payable jointly to Petitioner and HMS New Mexico Casualty Recovery Case File No. 111730 P.O. Box 165596 Irving, TX 75016 Stipulation at ¶ 8. This amount represents compensation for all items of damages that would be available under § 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 the court is directed to enter judgment in accordance with this decision. 3 IT IS SO ORDERED. s/Brian H. Corcoran Brian H. Corcoran Chief Special Master 3 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 mE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS ) JANICE Y. ATENCIO, ) ) Petitioner, ) ) No. 18-1530V V. ) Chief Special Master Corcoran ) ECf SECRETARY OF HEALTH AND HUMAN ) SERVICES, ) ) _________ Respondent. ) ) STIPULATION The parties hereby stipulate to the following matters: 1. Janice Y. Atencio, petitioner, filed a petition for vaccine compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §§ 300aa-l Oto -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. § I00.3(a). 2. Petitioner received the flu immunization on November 10, 2015. 3. The vaccination was administered within the United States. 4. Petitioner alleges that she suffered a Shoulder Injury Related lo Vaccine Administration ("SIRVA"), including a left shoulder complete rotator cuff tear, rotator cuff tendinitis, partial tearing of the supraspinatus and infraspinatus tendons, partial tearing and focal thinning of the biceps tendon, biceps tendinitis, impingement syndrome, frozen shoulder, a strain of the long head of the biceps tendon, and a sprain of the rotator cuff capsule, within the time period set forth in the Table, and further alleges that she experienced the residual effects of her injury for more than six months. In the alternative, petitioner alleges that her shoulder injury was caused-in-fact by the flu vaccine she received. 5. Petitioner represents that there has been no prior award or settlement of a civil action for damages on her behalf as a result· of her condition. 6. Respondent denies that petitioner sustained a Sm.VA Table injury and denies that p(?titioner's alleged left shoulder injuries, including a left shoulder complete rotator cuff tear, rotator cuff tendinitis, partial tearing of the supraspinatus and infraspinatus tendons, partial tearing and focal thinning of the biceps tendon, biceps tendinitis, impingement syndrome, frozen shoulder, a strain of the long head of the biceps tendon, and a sprain of the rotator cuff capsule, and their residual effects were caused-in-fact by her flu vaccine. Respondent further denies that the flu vaccine caused petitioner any other injury or her 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 entere.d 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(a){l), the Secretary of Health and Human Services will issue the following vaccine compensation payments: a. A lump sum of $30,000.00 for pain and suffering in the fonn of a check payable to petitioner; and b. A lump sum of $735.50, which amount represents reimbursement of a Medicaid lien, in the form of~ check payable jointly to petitioner and HMS New Mexico Casualty Recovery Case File No. 111730 P.O. Box 165596 Irving, TX 75016 2 Petitioner agrees to endorse this check to HMS New Mexico Casualty Recovery. Payments made pursuant to paragraphs 8(a) and 8(b) represent 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 of judgment 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-2 I(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. 10. Petitioner and her attorney represent that compensation to be provided pursuant to this Stipulation is not for any items or services for which the Program is not primarily liable under 42 U.S.C. § 300aa-15(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. I I. Payment made pursuant to paragraph 8 of this Stipulation and any amounts awarded ' pursuant to paragraph 9 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa- l S(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 of 42 U.S.C. § 300aa-l 5(a) and (d), and subject to the conditions of 42 U.S.C. § 300aa-15(g) and (h). 3 13. In return for the payments described in paragraphs 8 and 9, petitioner, in her individual capacity, and on behalf of her 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-10 et seq., on accoW1t 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 November I0, 2015, as alleged by petitioner in a petition for vaccine compensation filed on or about October 3, 2018, in the United States Court of Federal Claims as petition No. l 8-l 530V. 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 confonnity 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 comp1ete 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 4 Stipulation may reflect a compromise of the parties' respective positions as to liability and/or amount of damages, a!ld 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 agreement. 17. This Stipulation shall not be constrned as an admission by the United Stales or the Secretary of Health and Human Services that the flu vaccin~ caused petitioner to develop SIRVA, including a left shoulder complete rotator cuff tear, rotator cuff tendinitis, partial tearing of the supraspinatus and infraspinatus tendons, partial tearing and focal thinning of the biceps tendon, biceps tendinitis, impingement syndrome, frozen shoulder, a strain of the long head of the biceps tendon, and a sprain of the rotator cuff capsule, or any other injury. 18. All rights and obligations of petitioner hereunder shall apply equally to petitioner's heirs, executors, administrators, successors, and/or assigns. END OF STIPULATION I I I I I I I I I I I I I I I I I I I I I I I I 5 Respectfully submitted, PETITIONER: ~ < i i . . . - ·'v\ ~ C < 0 JANICE Y. ATENCIO 0 ATTORNEY OF RECORD FOR AUTHORIZED REPRESENTATIVE PETITIONER: OF THE ATTORNEY GENERAL: JJ ·A: ZG 1B ai cib Sayad, .C. irector 75 South Broadway Torts Branch 4th Floor Civil Division White Plains, NY l 060 l U.S. Department of Justice Tel: (914) 729- I l JO P.O. Box 146 Benjamin Franklin Station Washington, DC 20044-0146 AUTHORIZED REPRESENTATIVE ATTORNEY OF RECORD FOR OF THE SECRETARY OF HEALTH RESPONDENT: AND HUMAN SERVICES: _3-!_~ -~tt~t±_~_ _ ~y--__ TAMARA OVERBY SARAH C. DUNCAN Acting Director, Division of Injury Compensation Trial Attomcy Programs (DICP) Torts Branch Healthcare Systems Bureau Civil Division Health Resource·s and Services Administration U.S. Department of Justice U.S. Department of Health and Human Services P.O. Box 146 5600 Fishers Lane Benjamin Franklin Station Parklawn Building, Mail Stop 08Nl46B Washington, DC 20044-0146 Rockville, MD 20857 Tel: (202) 514-9729 6