In the United States Court of Federal Claims 

OFFICE OF SPECIAL MASTERS

No. 17-186V

UNPUBLISHED

CARA PEDEN,

 Petitioner,

v.

SECRETARY OF HEALTH AND 

HUMAN SERVICES,

 Respondent.

Chief Special Master Corcoran 

Filed: June 12, 2020, 

Special Processing Unit (SPU); Joint 

Stipulation on Damages; Influenza 

(Flu) Vaccine; Guillain-Barre 

Syndrome (GBS)

Maximillian J. Muller, Muller Brazil, LLP, Dresher, PA, for petitioner.

Robert Paul Coleman, III, U.S. Department of Justice, Washington, DC, for respondent.

DECISION ON JOINT STIPULATION1

On February 8, 2017, Cara Peden filed a 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 Guillain-Barre Syndrome (“GBS”) as 

a result of her October 9, 2015 influneza (“flu”) vaccination. Petition at 1; Stipulation, 

filed June 9, 2020, ¶¶ 2, 4. Petitioner further alleges that the vaccine was administered 

within the United States, that she suffered the residual effects of her injury for more than 

six months, and that there has been no prior award or settlement of a civil action on her

behalf as a result of her injury. Stipulation at ¶¶ 3-5; see Petition at ¶¶2, 30-32. 

“Respondent denies that the flu vaccine caused petitioner to suffer from GBS or any 

other injury or her current condition.” Stipulation at ¶ 6. 

Nevertheless, on June 9, 2020, the parties filed the attached joint stipulation, 

stating that a decision should be entered awarding compensation. I find the stipulation 

 1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am 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 “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 

300aa (2012).
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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. A lump sum of $133,708.01, which amount represents compensation 

for first year life care expenses ($63,708.01) and combined pain and 

suffering and past unreimbursable expenses ($70,000.00), in the form 

of a check payable to Petitioner. 

b. 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 (the "Life Insurance 

Company").

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.
IN THE UNITED STATES COURT OF FEDERAL CLAIMS 

OFFICE OF SPECIAL MASTERS 

CARA PEDEN, 

) 

) 

) 

) 

) 

) 

) 

) 

) 

) 

Petitioner, 

V. 

SECRET ARY OF HEAL TH 

AND HUMAN SERVICES 

Respondent. 

No. l 7-186V (ECF) 

Chief Special Master Corcoran 

STIPULATION 

The parties hereby stipulate to the following matters: 

1. Cara Peden, 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 petitioner's receipt of the 

influenza ("flu") vaccine, which vaccine is contained in the Vaccine Injury Table (the "Table"), 

42 C.F.R. § 100.3 (a). 

2. Petitioner received her vaccination on or about October 9, 2015. 

3. The vaccination was administered within the United States. 

4. Petitioner alleges that she suffered from Guillain-Barre Syndrome ("GBS") as a result 

of receiving the flu vaccine, and further alleges that she experienced the residual effects of this 

condition for more than six months. 

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 the flu vaccine caused petitioner to suffer from GBS or 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 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 has filed an election to receive compensation 

pursuant to 42 U.S.C. § 300aa-21(a)(l), the Secretary of Health and Human Services will issue 

the following vaccine compensation payments: 

a. A lump sum of $133,708.01, which amount represents compensation for first year life 

care expenses ($63,708.01) and combined pain and suffering and past unreimbursable 

expenses ($70,000.00), in the form of a check payable to petitioner; 

b. 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"). 

These amounts represent compensation for all damages that would be available under 42 

U.S.C. §300aa-l 5(a). 

9. The Life Insurance Company must have a minimum of $250,000,000 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, Aal, or Aaa; 

c. Standard and Poor's Corporation Insurer Claims-Paying Ability Rating: AA-, 

AA, AA+, or AAA; 

d. Fitch Credit Rating Company, Insurance Company Claims Paying Ability Rating: 

AA-, AA, AA+, or AAA. 

10. The Secretary of Health and Human Services agrees to purchase an annuity contract 

from the Life Insurance Company for the benefit of petitioner, Cara Peden, pursuant to which the 

Life Insurance Company will agree to make payments periodically to petitioner as follows for all 

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remaining damages that would be available under 42 U.S.C. §300aa-15(a): 

a. For future unreimbursable health insurance maximum out of pocket expenses, 

beginning on the first anniversary of the date of judgment, an annual amount of 

$4,000.00 to be paid up to the anniversary of the date of judgment in year 2052, 

increasing at the rate of three percent (3%), compounded annually from the date of 

judgment. 

b. For future unreimbursable Medicare Supplement and Medicare Part D expenses, 

beginning on the anniversary of the date of judgment in year 2052, an annual amount of 

$8,488.52 to be paid for the remainder of petitioner's life, increasing at the rate of three 

percent (3%), compounded annually from the date of judgment. 

c. For future unreimbursable palliative therapy expenses, beginning on the first 

anniversary of the date of judgment, an annual amount of $720.00 to be paid up to the 

second anniversary of the date of judgment. Then, beginning on the second anniversary 

of the date of judgment, an annual amount of $240.00 to be paid up to the anniversary of 

the date of judgment in year 2052, all amounts increasing at the rate of three percent 

(3%), compounded annually from the date of judgment. 

d. For future unreimbursable strength training expenses, beginning on the first 

anniversary of the date of judgment, an annual amount of $1,428.00 to be paid for the 

remainder of petitioner's life, increasing at the rate of three percent (3%), compounded 

annually from the date of judgment. 

e. For future unreimbursable Scooter, Scooter Battery, Scooter Maintenance, Scooter 

Lift, and Cane expenses, beginning on the first anniversary of the date of judgment, an 

annual amount of $599.08 to be paid for the remainder of petitioner's life, increasing at 

the rate of three percent (3%), compounded annually from the date of judgment. 

f. For future unreimbursable Latex Glove, Bed Pad, and Cold Pack expenses, beginning 

on the first anniversary of the date of judgment, an annual amount of $344.90 to be paid 

for the remainder of petitioner's life, increasing at the rate of three percent (3%), 

compounded annually from the date of judgment. 

g. For future unreimbursable Air Purifier, Air Purifier Filter, Nebulizer, Memory Foam 

Mattress, and Adjustable Bed expenses, beginning on the first anniversary of the date of 

judgment, an annual amount of $396.72 to be paid up to the anniversary of the date of 

judgment in year 2029. Then, on the anniversary of the date of judgment in year 2029, a 

lump sum of $596.70. Thereafter, beginning on the anniversary of the date of judgment 

in year 2030, an annual amount of$416.72 to be paid for the remainder of petitioner's 

life, all amounts increasing at the rate of three percent (3%), compounded annually from 

the date of judgment. 

h. For future unreimbursable Travel to Cleveland Clinic and Companion Travel to 

Cleveland Clinic expenses, beginning on the first anniversary of the date of judgment, an 

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annual amount of $8,280.00 to be paid for the remainder of petitioner's life, increasing at 

the rate of three percent (3%), compounded annually from the date of judgment. 

i. For future unreimbursable Home Health Aide expenses, beginning on the first 

anniversary of the date of judgment, an annual amount of$36,400.00 to be paid up to the 

anniversary of the date of judgment in year 2052. Thereafter, beginning on the 

anniversary of the date of judgment in year 2052, an annual amount of $41,600.00 to be 

paid for the remainder of petitioner's life, all amounts increasing at the rate of three 

percent (3%), compounded annually from the date of judgment. 

j. For future unreimbursable Stair Lift expenses, beginning on the first anniversary of the 

date of judgment, an annual amount of $269 .50 to be paid for the remainder of 

petitioner's life, increasing at the rate of three percent (3%), compounded annually from 

the date of judgment. 

At the sole discretion of the Secretary of Health and Human Services, the periodic payments set 

forth in paragraph 10 above may be provided to petitioner in monthly, quarterly, annual or other 

installments. The "annual amounts" set forth above describe only the total yearly sum to be paid 

to petitioner and do not require that the payment be made in one annual installment. Petitioner 

will continue to receive the annuity payments from the Life Insurance Company only so long as 

she, Cara Peden, is alive at the time that a particular payment is due. Written notice shall be 

provided to the Secretary of Health and Human Services and the Life Insurance Company within 

twenty (20) days of petitioner'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 and 

Human Services and the United States of America are released from any and all obligations with 

4 
respect to future annuity payments. 

12. 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-21(a}(l), 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 her attorney represent that they have identified to respondent all 

known sources of payment for items or services for which the Program is not primarily liable 

under 42 U.S.C. § 300aa-15(g), including 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 entities that provide health services on a pre-paid basis. 

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, and past unreimbursable expenses, the money provided 

pursuant to this Stipulation either immediately or as part of the annuity contract, will be used 

solely for petitioner's benefit 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 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 

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(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 petitioner resulting 

from, or alleged to have resulted from, the flu vaccination administered on or about October 9, 

2015, as alleged by petitioner in a petition for vaccine compensation filed on or about February 

8, 2017, in the United States Court of Federal Claims as petition No. 17-186V. 

17. 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. 

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 complete 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 

damages 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/or 

amount of damages, and 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. 

6 
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 petitioner's alleged GBS or 

any other injury or her current disabilities. 

22. All rights and obligations of petitioner hereunder shall apply equally to petitioner's 

heirs, executors, administrators, successors, and/or assigns. 

I 

I 

I 

I 

END OF STIPULATION 

7 
Respectfully submitted, 

- --------------~--' 

PETITIONER: 

ATTORNEY OF RECORD FOR"' 

PETITIONER: 

MULLER 

MAXIMILLIANLMULLER,ESQ. 

~ BRAZIL, LLP 

715 Twining Road, Suite 208 

Dresher, PA 19025 

Tel: (215) 885-1655 

C 

Deputy Director 

Torts Branch 

Civil Division 

U.S. Department of Justice.·· 

P.O. Box 146 . _ , _ :'. 

Benjamin Franklin Station , '., ·,. .,h -'. _-

Washington, DC 200~-014O--,~,-,.~----;-z.-+.,...