# In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS

* * * * * * * * * * * * * * * * * * * * * SHAGUFTA MALIK , * No. 13

- 595V * Special Master Moran Petitioner, *

* Filed: September 22 , 2015 v. * * SECRETARY OF HEALTH * Stipulation; influenza (“flu”) vaccine; AND HUMAN SERVICES, * Guillain

- Barré Syndrome (“GBS”). * Respondent. * * * * * * * * * * * * * * * * * * * * * * F. John Caldwell , Maglio, Christopher & Toale , PA , Sarasota, FL , for Petitioner; Traci Patton , U nited States Dep’t of Justice, Washington, DC , for Respondent. UNPUBLISHED DECISION 1 

## On September 11 , 2015 , respondent filed a joint stipulation concerning the petition for compensation filed by Shagufta Mal ik on August 21, 2013 . In her petition, M s . Malik alleged that the influenza (“ flu ”) vaccine , which is contained in the Vaccine Injury Table (the “Table”), 42 C.F.R. §100.3(a), and which s he received on October 15, 2010 , caused h er to suffer from Guilla i n - Barré Syndrome (“GBS”). 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. Respondent denies that the flu vaccine caused petitioner to suffer GBS or any other injury or condition

. Nevertheless, the parties agree to the joint stipulation, attached hereto as “Appendix A.” The undersigned finds said stipulation reasonable and adopts it as the decision of the Court in awarding damages, on the terms set forth the rein.

1 

### T he E

- Government Act of 2002, Pub. L. No. 107

- 347, 116 Stat. 2899, 2913 (Dec. 17, 2002), requires that the Court post this decision on its website. Pursuant to Vaccine Rule 18(b), the party has 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.2



## Damages awarded in that stipulation include: A. A lump sum of $ 150 ,000.00 in the form of a check payable to petitioner, Shagufta Malik . This amount represents compensation for all damages , other than reimbursement of a State of New Jersey Medic aid lien, that would be available under 42 U.S.C. § 300aa 15(a ); and B. A lump sum of $ 26,565.18 , which amount represents reimbursement of a State of New Jersey Medicaid lien, in the form of a check payable jointly to petitioner and

Treasurer, State of New Jersey Division of Revenue Lockbox 656 160 S. Broad Street, 1 st 

## Floor Trenton, NJ 08646 Medicaid Beneficiary: Shagufta Malik File No.: EAR/40603 Petitioner agrees to endorse the check to the State of New Jersey . In the absence of a motion for review filed pursuant to RCFC, Appendix B, the clerk is directed to enter judgment in case 13

- 595V according to this decision and the attached stipulation. 2 

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

- 6 360

. IT IS SO ORDERED. s/ Christian J. Moran Christian J. Moran Special Master

2 

### Pursuant to Vaccine Rule 1 1(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.

### Case 1:13-vv-00595-UNJ Document 55 Filed 09/11/15 Page 1 of 5

IN THE UNITED ST A TE S C OURT OF FEDERAL C LAIMS

SHAGUFT A MA LIK , P e tit io n e r, V , 

### OFFI C E O F SPE C I AL MA ST ERS
) ) ) 

### ) ) No. J 3

- 595V
SECRET 

### AR Y OF H EAL TH AN D HU MA N ) S E RV I CES ,

## ~ S pec i a l Mas t e r Mora n EC F

R es p o nd e nt. )

### ~~~**~~ ~~~~** **~- )** **TIP ULA** **ION** The part i es hereby stip ul at e t o th e fo ll ow i ng m atte r s: 

### 1 . S h ag u fta M a l ik , p e tit io n e r , fi l e d a pe t i ti o n for vaccine compen s a ti o n und e r th e Nationa l Vacc i ne I njury Com p ens ati o n P rog ram , 42 U

. S

. C. § 300 aa-10 

### e t seq . (t h e "Vacc i n e Prog r am"). The pe ti tio n see k s com p ensat i o n for in ju ries a ll eged l y r el ated to Ms. M al ik' s rec e ipt

o f th e in fl u enza (" flu ") vaccine, w h i c h vacc in e i s co n ta in ed in t he Vacci n e In j u ry Ta b le (the "Ta b l e " ) , 4 2 C.F. R

. 

### § 100.3(a). 2

. Pet i t i o n er r ece i ve d h er flu immu n i za ti on o n Oc t o b e r 15, 20 10. 

### 3

. T h e v acc i ne was a dm ini ste r e d w i t hi n th e U ni te d S t a t es. 4. Pe t i ti oner a ll eges t h a t th e 

### fl u vacc1ne caused h er to s u ffer G u i ll a in-I3 ane Syn d rome ("GBS"). 5. Peti t ioner r e pre s e n t s tha t there h as b een n o prio r awa r d or settle m ent of a c i vil ac ti on for damages o n he r b e h a lf as a res u l t of h e r co n d it io n. 6. Re s po n den t de ni es th at the flu vacci n e ca u sed pe ti tio n e r to s u ffer G D S o r a n y o t her in

jury or co nd it i o n .

### Case 1:13-vv-00595-UNJ Document 55 Filed 09/11/15 Page 2 of 5

7. Maintaining their above-stated positi o n s, the patties n ev erthel ess now agree t h at the iss ue s betwe e n them shall be se ttled and tha t a decision sho u l d be ent ered award i ng th e compe n sa tion de s cr i b ed i n paragraph 8 of th i s Stipu l a t io n. 8. As s oon a s prac t icab J e af t e r an e n try of jud g m e nt re fl ectfog a d e cis i on consistent with
t h e term s of thi s Stipula tion, and after peti ti oner ha s fi led an e le c tion to receive compensation pursuant t o 42 U.S.C

. 

### § 300aa-2l(a)( l ), the Secretary of Health and Human Services will issue
the fo ll owing vaccine co mpen sa t i on payments:

a. A l ump sum of $ 1 50 ,000 .0 0, in the fonn of a c hec k payab l e to pe tit i o n er . Th i s amo tmt represent s co mp e n sa t io n fo r 

### aU damages, ot h er than re im bur se ment of a State of New Jer s ey Medicaid li e n , that would be ava ilable under 4 2 U.S.C. 

### § 3 00aa- 15(a); and b

. A lump sum of $26,565. 1 8, wh.i c h a m ount r e p r esents reimbursement of a Sta te of New J e r sey Medicaid l i e n , in th e for m of a ch ec k p aya b le jointly t o pe t it i one r and Treasurer, State of New Jersey Divi s i on of Revenue L ockbox 6 56 160 S. Broad Street, 1 st F l oor Trenton, NJ 08646 M ed ic a id Be nefici ary: Shagufta Malik Pile No.: EAR/40603 Petit i oner agree s t o e ndor se th e check to t he State of New Jersey. 9. As soon a s prac ticab l e a fi er the en t ry of judgment on e nt i tlement in t h is c a se, a nd afte r petitioncl' h as fi l ed bo t h a prope r and time l y e l ection t o r ecei ve compensation pu r s u ant to 42 U.S.C. § 3 00 aa -21(a)(l ), and au appl i cat i o n , the par t ies w i l l submit to furt h er proce e ding s before the special m aste r to awa rd re aso n ab le attorn eys ' fees an d costs incurred in p roceed ing upon th i s petition. 10. Petitioner and her a tt orney r epresent th at compe n sat i o n t o be provided purs u ant to
t h is S tipu l ation i s n ot for any item s or serv ice s for which the Pro g ram i s not prim a ri ly liab le

2

### Case 1:13-vv-00595-UNJ Document 55 Filed 09/11/15 Page 3 of 5

under 42 U.S.C. 

### § 300aa-l S(g), t o the extent that payment has been made or ca n rea sona bly be expected to be made und er any State compe n sation programs, insuranc e policie s , Federal or S ta te health benefi ts programs (other than Title XIX of lhe Social Security Ac t (42 U.S.C. 

### § 13 9 6 et seq.)), o r by en tit ies that prov id e health services on a pre - paid basis. 11. Payments made pursuant to paragraph 8 and any amount s awarded pursuant to paragraph 9 of this St ipu lation wi ll be made in accorda n ce with 42 U.S.C. 

### § 300aa- l 5(i), s ubject
to lhe ava ilability of sufficien t stalu t ory fund s. 12. The pruiics and their at to rneys further agree and s tip ulate Lhat, except for any award for a ttorneys' fees and liti gation costs, and past unre i mbu rsabl e expenses, th e money provided pursuant to th i s Stipulation wi ll be used so l e l y for th e b e nefit of pet iti oner as contemplated by a

s trict constn 1 ction of 42 U.S.C. 

### § 300aa

- 15(a) and (d), and sub j ect lo the conditions of 42 U

. S.C. 

### § 300aa -15 (g) and (h)

. 13. In return for the pay m ents described in paragraphs 8 and 9, petitioner, in her individual capacity, and on h e h alf of her heirs, executors, administrato r s, successors or assigns, does forever ir r evocably a nd unconditionally r e l ease, acquit and discharge the United S t ates and the Secretary of Heal t h and Human Services from any and a ll act i ons or causes of act i on (includ in g agreements, judgments, c l aims" damages, lo ss of services, expenses and a U demands of whatever kind o r nature) tha t have been brought, cou l d have been brought , or cou l d be timely brough t in the Cowt of Federal C l aims, under the Nationa l Vaccine Injury Compe n sation Program , 42 V.S .C. 

### § 300aa- l 0 et seq., on accoun t of, o r i n any way growing out of, any and all known or unknown, s u spected or unsuspected personal injuries to or deatl1 of petitioner resulting from, or a ll eged to have resulted from, th e fl u vaccination adm i nistered on October 15, 2010, as



### 3

### Case 1:13-vv-00595-UNJ Document 55 Filed 09/11/15 Page 4 of 5

a JL eged by petit ioner in a petition for vaccine compensation filed on or about August 

### 21, 2013, in the Un ited States Court of Federal Claims as petition No. 1 3

- 595V. 

### 14. If petitioner s hould die prior to entry of judgment, this agreement shall be voidable
upon proper notice t o the Cou rt on behal f of either or both of the parties. 15

. If the s pecial ma s ter fails to is sue a deci sion in co mplet e confom1ity with the terms of this Stipu lati on or if th e Cow t of Federal C l aims fails to enter judgment in conformity with a de c ision that is i n comp l ete conformity with the te r m s of this Stipulation , then the parties'

se ttlemen t and this S ti pulation shall be voidable at the so le discre ti on of either party. 

### 1 6. This Stipu l a tio n expresses a full and complete negotiated sett le men t of liability and damages c l aimed under the Nati ona l Ch ild hood Vaccine Injury Act of 1986, as amended, except

as othe1wise noted in p a ragraph 9 above. There is absolutely no agreement on th e part of the parties hereto lo make any payment or to do any ac t or th i ng other than i s herein expressly s tated and c l early ag reed t o. The pa1tie s further agre e and understand that th e award de scr ibed in thi s S tipulation may reflect a compromise of t h e parties' respective positions as to liability and/or
amount of damages, and furt h er, th at a change in the nature of the injury or condition or in th e items of compe n sa t ion sought, i s not grounds to modify or revise this agreeme n t. 1 7. This Stipulation sha ll not be construed as an admission by the United States or the Secretary of He alt h a nd Human Se r v i ces th a t tb e flu vaccine caused petitioner 's OBS o r any
ot her injury or con d ition. 18. Al l right s and obliga ti ons of petitioner here un der s hall apply equally to petitioner's heirs, execu t ors, admin i strato rs, successors, and/or assigns. 

### END OF STIPULATION

4

### Case 1:13-vv-00595-UNJ Document 55 Filed 09/11/15 Page 5 of 5 Sep 03 15 03 : 12p Abdu l J. Malik

Respectfully 

### sub mitted,



### PETITIONER:

ATTORNEY OF RECORD FOR PETITIONER:



### 1 605 Main Stree t Smte 71 

## o S a rasota, F L 34236 

### Tel : (888) 952-5242 TOALE,PA



### AUTHORIZED REPRESENTATIVE OF THE SECRETA HEALTH ANDHUMAN <R



### QUSTON, M.D. , M.P.H., FAAP Di.rector, rn visio n of Injury Compensation 

### Program s (DICP) H eal th care Systems 

### Bureau U.S. Departme n t 

### of Health and Human S e rvices 5600 Fisbers 

### L a ne Parklawn Build i ng , M ai l Stop I lC-26 

### R ockv ille , MD 2 08 57

Dat ed : 

# &¢

. (( 1 

# ,)otQ
5 2013337441



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### OF THE ATTORNEY GENERAL:



# . '

### \J~)**.JV\~t.-. ~.**  

### VINC;;?J,

# MATA~ Deputy Direct o r 

### Tort s Branch Civil 

### Divis i on 

### U. S. Department of Ju sti ce P.O

. Box 14 6 Benjamin, Franklin S tn ti o n 

### Wa s hington , DC 200 4 4 -0 1 46**ATTOR~EYOFRECORDFOR** 

### RESPONDENT:

# ~'£& IB.ACIR. P AT TON Se n i or Tri al Att o rn ey 

### To rts Branch C ivil Division 

### U. S. Depar tm e nt 

### of Jus tice P.O. Box 1 4 6 Benj a min Frankl fa Stati o n W ashi ngton, DC 20 04 4- 0 1 4 6 T el: (202) 353wl589 

### p . 1