# In the United States Court of Federal Claims

OFFICE OF SPECIAL MASTERS

No. 19

- 0146 V

UNPUBLISHED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 STIPULATION 1

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 ( “ fl u ” ) vaccine received on November
12, 2016 . Petition at 1 ; Stipulation

, fil ed March 2, 2021

, at ¶¶ 2

- 4

. Petitioner further alleges

the vacc ine was a dministered 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 con di tion . Petit ion

at 1, 4 ; Stipulation at ¶¶ 3

- 5

. “Respondent denies that petitioner su stained 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

- relate d 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1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am required to post it on the United States Court of Federal Claims' website in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 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 w hich 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

- 6 60, 100 Stat. 3755. Hereinafter, for ease
of citation, all section references to the Vaccine Act will be to the pertinent subpara graph of 42 U.S.C. § 300aa (2012 ).2

Nevertheless, o n 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 term s 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 P etitioner ; and

• A lump sum of $1,786

. 42, representing reimburse ment of a Medic aid lien

for services rendered to P etitioner by the State of North Carolina, in the form of a check pa yable jointly t o P etitioner and the North Carolina Di vision
of Health Benefits, and mailed to :

Division of Health Benefits

Office of the Controller

2022 Mail Service Center

Rale igh, NC 27699

- 2022

Case #312102

Pet itioner agrees to endorse this check to the Division of Health Benefits.

Stipulation at ¶ 8

.

Th ese amount s represent compensation for all damages that wo uld be available under

Section 15 (a). Id

.

I approve the requested amount for P etitioner’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 filin g of notice renouncing the right to seek review.