# In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 20-0292V UNPUBLISHED
SHARI HARTLEY, Petitioner, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Chief Special Master Corcoran Filed: August 10, 2022 Special Processing Unit (SPU); Joint Stipulation on Damages; Influenza (Flu) Vaccine; Shoulder Injury Related to Vaccine Administration (SIRVA) Leah VaSahnja Durant, Law Offices of Leah V. Durant, PLLC, Washington, DC, for Petitioner. Dhairya Divyakant Jani, U.S. Department of Justice, Washington, DC, for Respondent. DECISION ON JOINT STIPULATION 1 

### On March 16, 2020, Shari Hartley 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 ” ) resulting from an influenza ( “ flu ” ) vaccine received on October 2, 2018. Petition at 1; Stipulation, filed August 10, 2022, at ¶¶ 2-4. Petitioner further alleges the vaccine was received in the United States, her pain has lasted longer than six months, and neither Petitioner nor any other party has ever received compensation in the form of an award or settlement for her vaccine-related injury. Petition at ¶¶ 1, 11-12; Stipulation at ¶¶ 3-5. “ Respondent denies that petitioner sustained a SIRVA injury within the Table time period, and further denies that the flu vaccine caused petitioner to suffer a left shoulder injury or any other injury or her current condition. ” 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1 Because this unpublished Decision contains a reasoned explanation for the action in this case, I am required to post it on the United States Court of Federal Claims' website in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 (2 012) (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), Petiti oner has 14 days to identify and move to redact medical or other information, the disclosure of which wou ld constitute an unwarranted invasion of privacy. If, upon review, I agree that the identif ied material fits within this definiti on, 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 August 10, 2022, 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 $101,255.72 in the form of a check payable 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 P etitioner’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. 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.IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS 

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## * * >I< ST IPULATION No. 20-292V (ECF) C H IEF SPEC I AL MAST E R BRIAN H. CO RCORAN

The par ti es h ereby s tipulat e to the fo ll ow in g matt ers: l
. Shari Hartl ey, petitioner , filed a petiti o n for v accine compensation und er the Na tional Va cc in e Injur y Compe nsation Program, 4 2 U. S.C
. §§ 300aa-l Oto -34 (the "Vacc in e Program "). Th e petitio n seeks compensatio n for injuri es alleged l y relat e d to p eti tioner' s rec e ipt of an influen za ( " flu") vacc in e , whic h is a vaccine co nt a in e d in the Vac ci n e Injury Table (th e "Tab l e''), 4 2 C. F.R. § 100 .3 (a). 2. Petitioner rece ived th e flu vaccine o n October 2, 2 018
. 3
. Th e vaccination was admin i s t e r

ed within t h

e United States. 4. Petition er a ll eges that s he s uff e r

e d from a l e ft s h ou ld e r injury related to vacci nati o n administrat ion ("S lRV A ") as a re su lt of re ce iving the flu vaccine , and s uff e r

ed the re s idu a l effec ts of thi s a ll eged injury for m o re than s ix month s. 5
. Petition er r epresents that there has been no prior award or se tt l e m e nt of a c ivi l a c tion for dama ges on he r behal f as a re s ul t of h er con dition
. 6. R espo nd e nt denie s that petitioner s u st ain ed a SlRYA i njmy within the Table tim epe ri od, and fur the r d e ni es that the tlu vacc in e ca u se d p eti ti one r to s uff er a left s houlder in j m y or
any oth e r i njury o r her cu rre nt co nditi on . 7. Maintainin g th e ir a bove-s tat ed positi o n s , th e pa rti es n eve rth e less now agree that the i ss ue s betwe e n them s ha ll be se ttled a nd that a decis io n s h ou ld be e nt e r e d a wa rdin g th e
co mp ensation d esc ribed in para g raph 8 of thi s S tipul at ion
. 8. A s soo n as pra cticabl e after an e n try of judgment refl ectin g a d ec is ion co n s i s t e nt with the t e r1J1 s of thi s S tipul atio n , a nd after petiti o ne r h as fi l e d an e le c ti o n to r ece ive co mp e nsa tion pu r s uant to 42 U
. S.C. § 300 a a-2 I (a)( I ), th e Sec re ta r y of Hea l th and I lum an Services will i ss u e th e foll ow in g v acc in e compe n sa ti on payment: A lump s um of$ I O1 , 2 55.72 in th e fo rm of a c h eck payable to p e ti tione r. Thi s amount represe nt s co mp e n sa tion for a l l damag es that wo uld be ava ilab l e und e r 42 U .S.C. § 3 00aa-l 5( a)
. 9. As soo n as pra ct ic ab le afte r t he e ntr y of j ud g m e n t on e ntitl e m e n t in t his c a se, a nd a ft er p et ition e r ha s fi l e d both a proper a nd timely e l ec tion to r eceive com pe n s ation pur s ua nt to 4 2 U
. S
. C. § 3 00aa -2 l(a)(l), and a n ap pl ica ti o n , th e parti es will s ubmi t t o further pro cee din gs befo re th e s pec ial mas ter to award r easo na bl e att o rne ys' f ees and cos ts in curre d in p r oceedin g upon thi s p e ti t io n . I 0. P e t ition er a nd he r at t o rn ey re p resent that compensati o n to b e provid e d pur s u a n t to thi s St ipul ation i s no t for any ite m s o r se r v ic e s fo r w hi c h t he Pro g ram i s no t primarily li ab l e und er 4 2 U. S.C. § 3 00aa- 15(g), t o th e exte n t th a t pa y m e nt has been m ade or ca n reasonably be
ex p ected to be made und er any S t ate co mp e n s at io n progra m s, in s uranc e po li c i es, Federa l or Sta te health be nefi t s p rograms (o ther th an T it le X I X of t he Social Sec urit y Act (4 2 U. S.C. § 1 396 et se q.)) , or by entiti es that p rovide hea l t h se r vi ces o n a p r e-pai d b as i s.

2l 1. Paym en t made pu rs uant to para g r ap h 8 of this Stipulati on a n<l any amounts awarded purs u ant to para g raph 9 of t hi s Stipu lati on w il l be mad e in accordance with 4 2 U.S .C. 

### § 3 00aa1 5(i), subject to the availabi lity of s uffi c ie nt s tatut o ry funds. 1 2. The parties and t hei r attorneys further ag ree a nd s tip ulat e that, exce p t fo r a n y awa rd for attorneys' fees a n d liti ga tion cos t s, and pas t unr e imbur se d expe n ses, the mo ney provided p ur s ua n t to thi s S tipulati on wi ll b e use d so l ely for th e b e nefit of petitioner as co ntem p lated by a
s tr ict co n structio n of 4 2 U.S.C. § 300aa- I5(a) and (d), and s ub ject to the co ndition s of 42 U
. S.C
. § 3 00aa -15(g) and (h). 1 3. ln r etu rn for the paym e nt s described in para grap h s 8 a nd 9, petitioner, in h er indi vid ual capa c ity , and on be hal f of her he i rs , executo rs, adm inistrators , s u ccesso rs or a ss ig n s, docs forever irr evoca bly and un co nd i tionally release, ac quit and di sc ha rge the United Sta tes and the Sec re tary o f H ealth an d l l uman Services from any and a ll actions o r ca u ses of action (including agreements, judgment s, c la im s, d amages, lo ss of serv i ces, ex p e nses a nd a ll dema nd s of whatever kind o r natu re) that have been brought, cou l d ha ve been brought, o r co uld be timely brought in t h

e Co urt of Federal C laim s, u nder th e Na ti o n a l Vaccine I njur y Compe nsat i on Program, 4 2 U. S.C. § 300aa- l O ct se q. , o n acco unt of, or in any way g r owing out of, a n y and al l known or unknown, s u s pec te d o r u ns u spec t ed personal in j uri es t o or d eath o f petitioner resu l tin g fr o m , or alle ge d to ha ve r es ulted fr o m , the t1u vaccina ti on admini s te r ed on October 2, 20 1 8, as alleged by p etition er in a petition fo r vacc i ne compe n sa ti o n fil ed o n or abo ut Marc h 16, 2020, in the United S tates Co urt of Federal C laim s as p etiti o n No. 20 -292V. 14. I J petitioner s h o uld die pri o r to entry of jud gment, thi s agreement s ha l l be vo id able upon proper not ice to th e Cou rt on behalf of e i t h

er o r both of th e parties.

31 5. If the s p ec ial ma ste r fai ls to iss ue a decision in compl ete co n fo r mi ty with the term s of t hi s Stipu l at io n or if th e Co urt of Federa l C laims fai ls to enter jud gme nt in conformity w ith a decis ion that is in complete co nfo rmity w ith the term s of this S tipulation , th e n th e parti es' sett l eme nt and thi s St i pu latio n s h all be vo id able at th e so l e di scre tion of e ither pa rty . 16. T his S tipu lation ex presses a full and complete n egotia t e d sett l ement of li a bility and dama ges cla im e d und e r th e Nat i on a l Ch ildh ood Vacc in e Jn jury Act of 19 86, as amended, excep t
as o therwi se not ed in paragraph 9 above. There is abso l utely n o ag r eement on the part of the parties hereto to make any paym e nt o r to d o any ac t or th i ng othe r than i s he r ein exp ress l y sta ted
a nd c l early agreed to. Th e parti es furthe r agree and un derstand that th e awa rd d esc rib e d in t hi s St i pu la tio n m ay reflect a co mpromi se of t h e parties' respective positions as to liabi li ty and/ o r amount of dama ges, and further , th at a change in t he nature of the injury or con diti on o r in th e i tems of compe n sa tion soug ht , i s n ot ground s to modify o r revise t hi s ag r eeme nt. 17. T his Stipu latio n s h a ll not be construed as an admission by t he Un ite d States o r the Sec r etary of Hea l th and IJu ma n Services that th e flu vacc ine caused p et it io n e r to have a left
s ho uld er injury, or any other injur y o r her c urrent co n dit ion. 1 8. All ri ght s and o bli ga tion s of pet i tione r h e reund er sha l l app l y equa lly to petiti o n er's h

e irs, executors, admin istrato r s, s u ccesso r s, and /or assigns.

I I I I I I I I I I END OF ST IPULATION

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