In the United States Court of Federal Claims 

OFFICE OF SPECIAL MASTERS

No. 17-546V 

Filed: August 7, 2018

UNPUBLISHED

SKY SORENSEN, 

 Petitioner,

v.

SECRETARY OF HEALTH AND 

HUMAN SERVICES,

 Respondent.

Special Processing Unit (SPU); Joint 

Stipulation on Damages; Human 

Papillomavirus (HPV) Vaccine;

Shoulder Injury Related to Vaccine 

Administration (SIRVA)

Andrew Downing, Van Cott & Talamante, PLLC, Phoenix, AZ, for petitioner.

Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for respondent.

DECISION ON JOINT STIPULATION1

Dorsey, Chief Special Master:

On April 18, 2017, petitioner 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 shoulder injury caused by the administration 

of her September 23, 2016 human papilloma virus (“HPV”) vaccine. Petition at 1; 

Stipulation, filed August 7, 2018, at ¶ 4. Petitioner further alleges that she suffered 

residual effects of this injury for more than six months and that there has been no prior 

award or settlement of a civil action for damages on her behalf as a result of her alleged 

vaccine injury. Petition at 3; Stipulation at ¶¶ 4-5. “Respondent denies that the HPV 

vaccine caused petitioner to suffer a shoulder injury or any other injury or her current 

condition. ” Stipulation at ¶ 6. 

Nevertheless, on August 7, 2018, the parties filed the attached joint stipulation, 

stating that a decision should be entered awarding compensation. The undersigned 

 

1 Because this unpublished decision contains a reasoned explanation for the action in this case, the 

undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with 

the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of 

Electronic Government Services). 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, the undersigned agrees that the identified material fits 

within this definition, the undersigned 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).
2

finds the stipulation reasonable and adopts it as the decision of the Court in awarding 

damages, on the terms set forth therein.

Pursuant to the terms stated in the attached Stipulation, the undersigned

awards the following compensation:

• A lump sum of $30,000.00 in the form of a check payable to 

petitioner; and 

• A lump sum payment of $1,495.37, representing compensation of a 

State of Oregon Medicaid lien, in the form of a check, payable jointly 

to petitioner, Sky Sorensen, and:

PacificSource Health Plans

PO Box 7068

Springfield, OR 97475

Re: Sky Sorensen 800040196-00

Petitioner agrees to endorse this payment to PacificSource Health Plans. 

Stipulation at ¶ 8. These amounts represent compensation for all items of damages that 

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

The undersigned approves 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/Nora Beth Dorsey

Nora Beth Dorsey

 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.