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# In the United States Court of Federal Claims

OFFICE OF SPECIAL MASTERS

No. 17-596V Filed: August 24, 2018

* * * * * * * * * * * * * OLIVIA JEFFERS, as Natural * Guardian and Legal Representative * of her Minor Son , X.J. * UNPUBLISHED *

Petitioner, * Decision on Joint Stipulation; * Transverse Myelitis; v. * Influenza (“Flu”) Vaccine * SECRETARY OF HEALTH * AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * Nancy Myers Esq. , Ward Black Law, Greensboro, NC, for petitioner. Lara Englund, Esq

. , US Department of Justice, Washington, DC, for respondent. DECISION ON JOINT STIPULATION 1 Roth , Special Master: On May 3, 2017, Petitioner [ “ Ms. Jeffers or “petitioner”] filed a petition on behalf of her minor son, X.J., for compensation under the National Vaccine Injury Compensation Program. 2 Petitioner alleges that he developed transverse myelitis after receiving an influenza (“flu”) vaccine

1 Although this Decision has been formally designated “unpublished,” it will nevertheless be posted on the Court of Federal Claims’s website, in accordance with the E-Government Act of 2002, Pub. L. No. 107- 347, 116 Stat. 2899, 2913 (codified as amended at 44 U.S.C. § 3501 note (2006)). This means the Decision will be available to anyone with access to the internet. However, the partie s may object to the Decision’s inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party has fourteen days within which to request redaction “of any information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). Otherwise, the wh ole Decision will be available to the public. Id

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2 National 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 subpara graph of 42 U.S.C. § 300aa (2012 ).

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on November 13, 3015. Stipulation, filed August 16, 2018, at ¶¶ 1-4. Respondent denies that any of the aforementioned immunizations caused petitioner ’s injury. Stipulation at ¶ 6. Nevertheless, the parties have agreed to settle the case. On August 16, 2018, the parties filed a joint stipulation agreeing to settle this case and describing the settlement terms. Respondent agrees to issue the following payments:

a. A lump sum of

$63,497.39 , which represents a lien for services rendered in the form of a check payable jointly to petitioner, Olivia Jeffers, and Optum Subrogation Services File #SN13439094 75 Remittance Drive Suite 6019 Chicago, IL 60675-6019 b. A lump sum of $500.00 , in the form of a check payable to petitioner for past unreimbursed expenses; and

c. An amount sufficient to purchase the annuity contract described in paragraph 10 of the Stipulation, paid to the life insurance company from which the annuity will be purchased (th e “Life Insurance Company”). This amount represents compensation for all damages that would be available under § 300aa-15(a). I adopt the parties’ stipula tion attached hereto, and award compensation in the amount and on the terms set forth therein. The clerk of the court is directed to enter judgment in accordance with this decision. 3 IT IS SO ORDERED. s/ Mindy Michaels Roth Mindy Michaels Roth Special Master

3 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party filing a notice renouncing the right to seek review.IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS OLIVIA JEFFERS, as Natural Guardian and ) Legal Representative of her Minor Son, X.J., ) ) Petitioner, ) ) v. ) No. 17-596V ) Special Master Mindy Michaels Roth SECRETARY OF ) HEALTH AND HUMAN SERVICES, ) ) Respondent. ) ) STIPULATION The p arties hereby stipulate to the following matters: 1. On behalf of h er son, X.J ., petitioner 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 X.J. ’s receipt of the influen za (“flu”) vaccine, which vaccine is contained in the Vaccine Injury Table (the “Table”), 42 C.F.R. § 100.3 (a).
2. X.J

. received his immunization on or about November 13, 2015. 3. The vaccine was administered within the United States. 4. Petitioner allege s that t he vaccine caused X.J. to suffer from transverse myelitis , and that X.J. experienced residual effects of this injury for more than six months. 5. Petitioner represents that there has been no prior award or settlement of a civil action for d amages on behalf of X.J

. as a result of his condition. 6. Respondent denies that the vaccine caused X.J

. to suffer from transverse myelitis or
any other injury or his current condition.2 7. Maint aining 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 ha s filed an election to receive compensation pursuant to 42 U.S.C. § 300aa- 21(a)(1), the Secretary of Heal th and Human Services will issue the following vaccine compensation payments for all damages that would be available under 42 U.S.C. §300aa- 15(a):

a. A lump sum of $63,497.39 , which amount represents reimbursement of a lien for services rendered on behalf of X.J ., in the form of a check payable jointly to petitioner and Optum S ubrogation Services File # SN13439094 75 Remittance Drive Suite 6019 Chicago, IL 60675-6019 Petition er agrees to endorse this check to Optum Subrogation Services. b. A lump s um of $500.00 , in the form of a check payable to petitioner for past unreimbursed expenses ; and

c. An amount sufficient to purchase the annuity contract described in paragraph 10 below, paid to the life insurance company from which the annuity will be purchased (the “Life Insurance Company”). 9. The L ife Insurance Company must have a minimum of $250,000,000.00 capital and surplus, exclusive of any mandatory security valuation reserve. The Life Insurance Company must have one of the following ratings from two of the following rating organizations:

a. A.M. Best Company: A++, A+, A+g, A+p, A+r, or A+ s; b. Moody’ s Investor Service Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa;3 c. Standard and Poor’s Corporation Insurer Claims- Pay ing Ability Rating: AA

- , AA, AA+, or AAA; d. Fitch C redit Rating Company, Insurance Company Claims Paying Ability Rating: AA

- , AA, AA+, or AAA. 10. The Se cretary of Health and Human Services agrees to purchase an annuity contract from the Life Insurance Company for the b enefit of X.J. , pursuant to which the which the Life Insurance Company will agree to make four lump sum payments to X.J. for all remaining damages that would be available under 42 U.S.C. §300aa-15(a), as follows:

a. a guaranteed lump sum payment of $31,087.00 to be paid on August 27, 2020; b. a guaranteed lump sum payment of $32,126.00 to be paid on August 27, 2021;

c. a gu aranteed lump sum payment of $33,229.00 to be paid on August 27, 2022; and d. a guaranteed lump sum payment of $34,464.00 to be paid on August 27, 2023. The period certain payments shall be made as set forth; however, should X.J. predecease any date of payment referenced above in this paragraph or be declared incompetent by a court with proper jurisdiction, then any remaining payment shall be made to X.J.’s estate. Written notice to the Secretary of Health and Human Services and to the Life Insurance Company shall be provided within twenty (20) days of X.J. ’s death. 11. The annuity contract will be owned solely and exclusively by the Secretary of Health and Human Services and will be purchased as soon as practicable following the entry of a judgment in conformity with this Stipulation. The parties stipulate and agree that the Secretary of Health and Human Services and the United States of America are not responsible for the payment of any sums other than the amounts set forth in paragraph 8 herein and the amounts awarded pursuant to paragraph 12 herein, and that they do not guarantee or insure any of the future annuity payments. Upon the purchase of the annuity contract, the Secretary of Health and4 Human Services and the United States of A merica are released from any and all obligations with respect to future annuity payments. 12. As soon as practicable after the entry of judgment on entitlement in this case, and after petitioner ha s filed both a proper and timely election to receive compensation pursuant to 42 U.S.C. § 300aa-21(a)(1), 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. 13. Petitioner and h er 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 ba sis. 14. Payments made pursuant to paragraph 8 and any amounts awarded pursuant to paragraph 12 of this Stipulation will be made in accordance with 42 U.S.C. § 300aa-15(i), subject to the availability of sufficient statutory funds. 15. The parties and their attorneys further agree and stipulate that, except for any award for attorneys’ fees and litigation costs, the money provided pursuant to this Stipulation will be used solely for the benefit of X.J. as contemplated by a strict construction of 42 U.S.C. §300aa15(a) and (d), and subject to the conditions of 42 U.S.C. § 300aa-15(g) and (h). 16. In return for the payments described in paragraphs 8 and 12, petitioner, in h er individual capaci ty and as legal representative of X.J. , on behalf of h ersel f , X.J. , and his heirs, executors, administrators, successors or assigns, do es forever irrevocably and unconditionally5 release, acquit and discharge the United States and the Secretary of Health and Human Services from a ny 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. § 300 aa -10 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 X.J. resulting from, or alleged to have resulted from, the vaccination administered on November 13, 2015, as alleged by petitioner in a p etition for vaccine compensation filed on or about May 3, 2017 , in the United States Court of Federal Claims as petition No. 17-596 V.
17 . If X.J. 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.
18 . 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 compl ete conformity with the terms of this Stipulation, then the parties’ settlement and this Stipulation shall be voidable at the sole discretion of either party. 19 . This Stipulation expresses a full and complete negotiated settlement of liability and damag es claimed under the National Childhood Vaccine Injury Act of 1986, as amended, except as otherwise noted in paragraph 12 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/or6 amount of damages, and further, that a c hange in the nature of the injury or condition or in the items of compensation sought, is not grounds to modify or revise this agreement. 20. Petitioner hereby authorizes respondent to disclose documents filed by petitioner in this case consistent with the Privacy Act and the routine uses described in the National Vaccine Injury Compensation Program System of Records, No. 09-15-0056. 21. This Stipulation shall not be construed as an admission by the United States or the Secretary of Health and Human Services that the flu vaccine caused X.J. to suffer transverse myelitis or any other injury or his current condition. 22. All rights and obligations of petitioner hereunder shall apply equally to petitioner’ s heirs, executors, administrators, successo rs, and/or assigns as legal representatives of X.J. END OF STIPULATION