In the United States Court of Federal Claims 

OFFICE OF SPECIAL MASTERS

No. 19-0146V

UNPUBLISHED

MOHAMED IDLI,

 Petitioner,

v.

SECRETARY OF HEALTH AND 

HUMAN SERVICES,

 Respondent.

Chief Special Master Corcoran 

Filed: March 2, 2021

Special Processing Unit (SPU); Joint 

Stipulation on Damages; Influenza 

(Flu) Vaccine; Shoulder Injury 

Related to Vaccine Administration 

(SIRVA)

Amy A. Senerth, Muller Brazil, LLP, Dresher, PA, for petitioner.

Debra A. Filteau Begley, U.S. Department of Justice, Washington, DC, for respondent.

DECISION ON JOINT STIPULATION1

On January 29, 2019, Mohamed Idli 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 he suffered a left shoulder injury related to vaccine 

administration (“SIRVA”) as a result of an influenza (“flu”) vaccine received on November 

12, 2016. Petition at 1; Stipulation, filed March 2, 2021, at ¶¶ 2-4. Petitioner further alleges 

the vaccine was administered in the United States, he experienced the residual effects of

his alleged injury for more than six months, and there has been no prior award or 

settlement of a civil action for damages on his behalf as a result of his condition. Petition

at 1, 4; Stipulation at ¶¶ 3-5. “Respondent denies that petitioner sustained a SIRVA Table 

injury; denies that the flu vaccines caused his alleged shoulder injury or any other injury 

or condition; and denies that his current condition is a sequelae of a vaccine-related 

injury.” Stipulation at ¶ 6. 

1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am 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 EGovernment 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. 

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).
2

Nevertheless, on March 2, 2021, 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 $10,000.00 in the form of a check payable to Petitioner; and

• A lump sum of $1,786.42, representing reimbursement of a Medicaid lien 

for services rendered to Petitioner by the State of North Carolina, in the 

form of a check payable jointly to Petitioner and the North Carolina Division 

of Health Benefits, and mailed to:

Division of Health Benefits

Office of the Controller

2022 Mail Service Center

Raleigh, NC 27699-2022

Case #312102

Petitioner agrees to endorse this check to the Division of Health Benefits. 

Stipulation at ¶ 8.

These amounts represent compensation for all 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 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.