In the United States Court of Federal Claims

OFFICE OF SPECIAL MASTERS

* * * * * * * * * * * * * * * * * * * * *

JANET FLORENCE, * No. 15-255V

* Special Master Christian J. Moran

Petitioner *

*

v. * Filed: April 21, 2016

*

SECRETARY OF HEALTH * Damages; decision based on proffer;

AND HUMAN SERVICES, * influenza (“flu”) vaccination; 

* lymphedema.

Respondent. *

* * * * * * * * * * * * * * * * * * * * *

Lawrence R. Cohan, Anapol Weiss, Philadelphia, PA, for Petitioner;

Heather L. Pearlman, U.S. Department of Justice, Washington, DC, for 

Respondent.

UNPUBLISHED DECISION AWARDING DAMAGES1

On March 12, 2015, Janet Florence filed a petition seeking compensation 

under the National Vaccine Injury Compensation Program, 42 U.S.C. §§ 300aa-1 

et seq., alleging that the influenza vaccination caused her to suffer lymphedema. 

On May 28, 2015, the undersigned ruled, based upon respondent’s concession, see

Respondent’s Report, filed May 19, 2015, that petitioners are entitled to 

compensation under the Vaccine Act. 

On April 21, 2016, respondent filed a Proffer on Award of Compensation, to 

which petitioner agrees. Based upon the record as a whole, the special master 

finds the proffer reasonable and that petitioner is entitled to an award as stated in 

the Proffer. Pursuant to the attached Proffer the court awards petitioner:

 

1 The E-Government Act, 44 § 3501 note (2012) (Federal Management and Promotion of 

Electronic Government Services), requires that the Court post this decision on its website. 

Pursuant to Vaccine Rule 18(b), the parties have 14 days to file a motion proposing redaction of 

medical information or other information described in 42 U.S.C. § 300aa-12(d)(4). Any 

redactions ordered by the special master will appear in the document posted on the website.
1. A lump sum payment of $258,381.93, in the form of a check payable to 

petitioner, Janet Florence. This amount represents compensation for all 

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

as set forth below in paragraph 2; and

2. An amount sufficient to purchase an annuity contract as described in 

section II. B. of the Proffer. 

In the absence of a motion for review filed pursuant to RCFC, Appendix B, 

the clerk is directed to enter judgment in case 15-255V according to this decision 

and the attached proffer.2

Any questions may be directed to my law clerk, Dan Hoffman, at (202) 357-

6360. 

IT IS SO ORDERED.

s/Christian J. Moran

Christian J. Moran

Special Master

 

2 Pursuant to Vaccine Rule 11(a), the parties can expedite entry of judgment by each 

party filing a notice renouncing the right to seek review by a United States Court of Federal 

Claims judge.
-1-

IN THE UNITED STATES COURT OF FEDERAL CLAIMS

OFFICE OF SPECIAL MASTERS

_______________________________________

JANET FLORENCE, )

 )

Petitioner, )

 )

v. ) No. 15-255V

 ) Special Master Moran

SECRETARY OF HEALTH AND HUMAN ) ECF

SERVICES, )

 )

Respondent. )

 )

RESPONDENT'S PROFFER ON AWARD OF COMPENSATION

I. Items of Compensation

A. Life Care Items

Respondent engaged life care planner M. Virginia Walton, RN, MSN, FNP, CNLCP, and 

petitioner engaged Roberta Hurley, Hurley Consulting, to provide an estimation of Janet 

Florence’s future vaccine-injury related needs. For the purposes of this proffer, the term 

“vaccine related” is as described in the respondent’s Rule 4(c) Report, filed on May 19, 2015. 

All items of compensation identified in the life care plan are supported by the evidence, and are 

illustrated by the chart entitled Appendix A: Items of Compensation for Janet Florence, attached 

hereto as Tab A.1 Respondent proffers that Janet Florence should be awarded all items of 

compensation set forth in the life care plan and illustrated by the chart attached at Tab A. 

Petitioner agrees.

 1 The chart at Tab A illustrates the annual benefits provided by the life care plan. The annual benefit years 

run from the date of judgment up to the first anniversary of the date of judgment, and every year thereafter up to the 

anniversary of the date of judgment.
-2-

B. Lost Earnings

The parties agree that based upon the evidence of record, Janet Florence has not suffered 

a past loss of earnings and will not suffer a loss of earnings in the future. Therefore, respondent 

proffers that Janet Florence should not be awarded lost earnings as provided under the Vaccine 

Act, 42 U.S.C. § 300aa-15(a)(3)(A). Petitioner agrees.

C. Pain and Suffering

Respondent proffers that Janet Florence should be awarded $200,000.00 in actual and 

projected pain and suffering. This amount reflects that any award for projected pain and 

suffering has been reduced to net present value. See 42 U.S.C. § 300aa-15(a)(4). Petitioner 

agrees.

D. Past Unreimbursable Expenses

Petitioner represents that she has not incurred past unreimbursable expenses related to her

vaccine-related injury. 

E. Medicaid Lien

Petitioner represents that there are no Medicaid liens outstanding against her for her 

vaccine-related injury.

II. Form of the Award

The parties recommend that the compensation provided to petitioner should be made 

through a combination of lump sum payments and future annuity payments as described below, 

and request that the Special Master’s decision and the Court’s judgment award the following:2

 2 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court for 

appropriate relief. In particular, respondent would oppose any award for future medical expenses, future lost 

earnings, and future pain and suffering.
-3-

A. A lump sum payment of $258,381.93, representing compensation for life care 

expenses expected to be incurred during the first year after judgment ($58,381.93) and pain and 

suffering ($200,000.00), in the form of a check payable to petitioner, Janet Florence.

B. An amount sufficient to purchase an annuity contract,3 subject to the conditions 

described below, that will provide payments for the life care items contained in the life care plan, 

as illustrated by the chart at Tab A, attached hereto, paid to the life insurance company4 from

which the annuity will be purchased.5

 Compensation for Year Two (beginning on the first 

anniversary of the date of judgment) and all subsequent years shall be provided through 

respondent’s purchase of an annuity, which annuity shall make payments directly to petitioner, 

Janet Florence, only so long as she is alive at the time a particular payment is due. At the 

Secretary’s sole discretion, the periodic payments may be provided to petitioner in monthly, 

quarterly, annual or other installments. The “annual amounts” set forth in the chart at Tab A 

describe only the total yearly sum to be paid to petitioner and do not require that the payment be 

made in one annual installment.

 3

 In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life 

insurance companies.

4

 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, Aa1, 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. 
-4-

1. Growth Rate

Respondent proffers that a four percent (4%) growth rate should be applied to all nonmedical life care items, and a five percent (5%) growth rate should be applied to all medical life 

care items. Thus, the benefits illustrated in the chart at Tab A that are to be paid through annuity 

payments should grow as follows: four percent (4%) compounded annually from the date of 

judgment for non-medical items, and five percent (5%) compounded annually from the date of 

judgment for medical items. Petitioner agrees.

2. Life-contingent annuity

Petitioner will continue to receive the annuity payments from the Life Insurance 

Company only so long as she, Janet Florence, 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 Janet Florence’s death. 

3. Guardianship

Petitioner is a competent adult. Evidence of guardianship is not required in this case. 

III. Summary of Recommended Payments Following Judgment

A. Lump Sum paid to petitioner, Janet Florence: $258,381.93

B. An amount sufficient to purchase the annuity contract described

above in section II. B.

Respectfully submitted,

BENJAMIN C. MIZER

Principal Deputy Assistant Attorney General

RUPA BHATTACHARYYA

Director

Torts Branch, Civil Division

 5

 Petitioner authorizes the disclosure of certain documents filed by the 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.
-5-

VINCENT J. MATANOSKI

Deputy Director

Torts Branch, Civil Division

ALTHEA W. DAVIS

Senior Trial Counsel

Torts Branch, Civil Division

s/ Heather L. Pearlman 

HEATHER L. PEARLMAN

Senior Trial Attorney

Torts Branch, Civil Division

U.S. Department of Justice

P.O. Box 146

Benjamin Franklin Station

Washington, D.C. 20044-0146

Telephone: (202) 353-2699 

Dated: April 21, 2016
Appendix A: Items of Compensation for Janet Florence 

ITEMS OF 

COMPENSATION G.R. * M

Lump Sum 

Compensation 

Year 1

Compensation 

Year 2

Compensation 

Year 3

Compensation 

Year 4

Compensation 

Year 5

Compensation 

Year 6

Compe

Yea

2016 2017 2018 2019 2020 2021 20

Medicare Part B Ded. 5% 166.00 166.00 166.00 166.00 166.00 166.00 

 

Medigap G Premium 5% M 1,641.00 1,705.08 1,771.80 1,841.16 1,909.20 1,986.00 2,0

 

Antibiotic 5% M 120.00 120.00 120.00 120.00 120.00 120.00 

 

Internist 5% *Oncol./ Hematologist 5% *Dermatology 5% *PT 4% M 16,318.00 5,351.20 5,351.20 5,351.20 5,351.20 5,351.20 5,3

 

Pulley System 4% 50.39 10.08 10.08 10.08 10.08 10.08 

 

Lymphedema Pump 4% 2,500.00 2,500.00 2,5

Grab Bars 4% 37.90 3.79 3.79 3.79 3.79 3.79 

 

Arm Bike 4% 79.98 8.00 8.00 8.00 8.00 8.00 

 

Gloves 4% 27.72 27.72 27.72 27.72 27.72 27.72 

 

Waterproof Sleeves 4% 119.94 119.94 119.94 119.94 119.94 119.94 

 

Sleeves 4% 600.00 600.00 600.00 600.00 600.00 600.00 6

 

Gauntlet 4% 150.00 150.00 150.00 150.00 150.00 150.00 

 

Garmets 4% 373.00 124.33 124.33 124.33 124.33 124.33 

 

Home Care 4% M 32,648.00 32,648.00 32,648.00 32,648.00 32,648.00 32,648.00 32,6

 

Nat'l Lymph. Network 4% 50.00 50.00 50.00 50.00 50.00 50.00 

 

Home Mods 0% 3,500.00

Pain and Suffering 200,000.00Annual Totals 41,084.14 258,381.93 41,150.86 43,720.22 41,288.26 41,365.06 43,9

 

Note: Compensation Year 1 consists of the 12 month period following the date of judgment.Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of jAs soon as practicable after entry of judgment, respondent shall make the following payment to petitioner expenses ($58,381.93) and pain and suffering ($200,000.00): $258,381.93.Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the dAnnual amounts shall increase at the rates indicated above in column G.R., compounded annually from the Items denoted with an asterisk (*) covered by health insurance and/or Medicare.Items denoted with an "M" payable in twelve monthly installments totaling the annual amount indicated.
Appendix A: Items of Compensation for Janet Florence 

ITEMS OF 

COMPENSATION G.R. * M

Medicare Part B Ded. 5%Medigap G Premium 5% MAntibiotic 5% MInternist 5% *Oncol./ Hematologist 5% *Dermatology 5% *PT 4% MPulley System 4%Lymphedema Pump 4%Grab Bars 4%Arm Bike 4%Gloves 4%Waterproof Sleeves 4%Sleeves 4%Gauntlet 4%Garmets 4%Home Care 4% MNat'l Lymph. Network 4%Home Mods 0%Pain and SufferingAnnual Totals

Compensation 

Year 10

Compensation 

Year 11

Compensation 

Year 12

Compensation 

Year 13

Compensation 

Year 14

Compensation 

Year 15

Compens

Year 

2025 2026 2027 2028 2029 2030 203

 166.00 166.00 166.00 166.00 166.00 166.00 16

 

 2,397.12 2,300.28 2,480.76 2,566.68 2,658.72 2,750.76 2,86

 

 120.00 120.00 120.00 120.00 120.00 120.00 12

 

 5,351.20 5,351.20 5,351.20 5,351.20 5,351.20 5,351.20 5,35

 

 10.08 10.08 10.08 10.08 10.08 10.08 1

 

 833.33 2,500.00 833.33 833.33 833.33 833.33 83

 

 3.79 3.79 3.79 3.79 3.79 3.79 

 

 8.00 8.00 8.00 8.00 8.00 8.00 

 

 27.72 27.72 27.72 27.72 27.72 27.72 2

 

 119.94 119.94 119.94 119.94 119.94 119.94 11

 

 600.00 600.00 600.00 600.00 600.00 600.00 60

 

 150.00 150.00 150.00 150.00 150.00 150.00 15

 

 124.33 124.33 124.33 124.33 124.33 124.33 12

 

 32,648.00 32,648.00 32,648.00 32,648.00 32,648.00 32,648.00 32,64

 

 50.00 50.00 50.00 50.00 50.00 50.00 5

 

 42,609.51 44,179.34 42,693.15 42,779.07 42,871.11 42,963.15 43,07

 

Note: Compensation Year 1 consists of the 12 month period following the date of judgment.Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of jAs soon as practicable after entry of judgment, respondent shall make the following payment to petitioner expenses ($58,381.93) and pain and suffering ($200,000.00): $258,381.93.Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the dAnnual amounts shall increase at the rates indicated above in column G.R., compounded annually from the Items denoted with an asterisk (*) covered by health insurance and/or Medicare.Items denoted with an "M" payable in twelve monthly installments totaling the annual amount indicated.