In the United States Court of Federal Claims 

OFFICE OF SPECIAL MASTERS 

No. 19-0910V 

UNPUBLISHED 

ADRIANA LOPEZ, 

 Petitioner, 

v. 

SECRETARY OF HEALTH AND 

HUMAN SERVICES, 

 Respondent. 

Chief Special Master Corcoran 

Filed: January 26, 2021 

 

Special Processing Unit (SPU); Joint 

Stipulation on Damages; Hepatitis A 

(Hep A) Vaccine; Hepatitis B (Hep B) 

Shoulder Injury Related to Vaccine 

Administration (SIRVA) 

 

Michael G. McLaren, Black McLaren Jones Ryland & Griffee, P.C., Memphis, TN, for 

Petitioner. 

Voris Edward Johnson, U.S. Department of Justice, Washington, DC, for respondent. 

DECISION ON JOINT STIPULATION1

 On June 21, 2019, Adriana Lopez 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”) as a result of receiving a hepatitis A and hepatitis B 

vaccine on July 1, 2016. Petition at 1; Stipulation, filed at January 26, 2021, ¶¶ 4, 6. 

Petitioner further alleges that she experienced the residual effects of her SIRVA for more 

than six months. Amended Petition at 4; Stipulation at ¶¶4, 6. “Respondent denies that 

petitioner sustained a Table SIRVA within the Table timeframe, and denies that the 

hepatitis A/hepatitis B vaccine in fact caused her alleged shoulder injury and residual 

effects, or any other injury.” 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1 Because this unpublished decision contains a reasoned explanation for the action in this case, I am 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 (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). 
2

Nevertheless, on January 26, 2021, 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. A lump sum of $133.54, for satisfaction of a State of Utah Medicaid lien, 

in the form of a check payable jointly to Petitioner and”

Office of Recovery Services 

Bureau of Medical Collections 

515 E 100 S 

P.O. Box 45025 

Salt Lake City, UT 84145-0025 

Attn: Jenny Kay Del Rio 

Ref: Adriana Lopez/Case # C001308000TEMA 85 

b. A lump sum of $37,500.00, 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 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.