# In the United States Court of Federal Claims

OFFICE OF SPECIAL MASTERS

No. 16-1379V Filed: April 17, 2017

UNPUBLISHED

* * * * * * * * * * * * * * * * * * * * * * * * * * * * AMY KOMAKI, *

* Petitioner, * Damages Decision Based on Proffer; v. * Prevnar 13 (Pneumococcal Conjugate) * Vaccination; Adhesive Capsulitis; SECRETARY OF HEALTH * Special Processing Unit (“SPU”) AND HUMAN SERVICES, *

* Respondent. *

*

* * * * * * * * * * * * * * * * * * * * * * * * * * * * John Robert Howie, Jr., Howie Law, PC, Dallas, TX, for petitioner. Douglas Ross, U.S. Department of Just ice, Washington, DC, for respondent.

DECISION AWARDING DAMAGES 1

Dorsey , Chief Special Master:

On October 21, 2016, petit ioner filed a petition fo r compensation under the National Vaccine Injury Compensat ion Program, 42 U.S.C. §300aa-10, et seq.

, 2 (the “Vaccine Act”). Petitioner alleges that she suffered a shoulder injury related to vaccine administration (SIRVA) and adhesiv e capsulitis as a result of her November 20, 2015 Prevnar 13 (pneumococcal conjugate) vaccination. Petition at 1, ¶¶ 6, 15. The case was assigned to the Special Processing Unit of the Office of Special Masters.

On March 13, 2017, a ruling on entitlement was issued, finding petitioner entitled to compensation for left-side adhesive capsulitis . On April 17, 2017, respondent filed a proffer on award of compensation (“Proffer ”) indicating petitioner should be awarded $100,425.36. Proffer at 1. In the Proffer, respondent repres ented that petitioner agrees with the proffered award.

1 Because this unpublished decision contains a reasoned explanation for the action in this case, the undersigned intends to post it on the United States Court of Federal Claims' website,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 inform ation, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, t he 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 Based on the record as a whole, the undersigned finds that pet itioner is entitled

to an award as stated in the Proffer.

Pursuant to the terms stat ed in the attached Proffer, the undersigned awards petitioner a lump sum payment of $100,425. 36 in the form of a check payable to petitioner, Amy Komaki. This amount represents compens ation for all damages that

would be available un der § 300aa-15(a).

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 c an 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

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

*

AM Y KOMAKI

, *
Petitioner, *

*

v . * No. 16-1379 V (ECF)

* C HIEF S PECIAL M ASTER
* N ORA B ETH D ORSEY
SECRETARY OF HEALTH *

AND HUMAN SERVICES

, *

* Respondent. *

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

RESPONDENT’S PROFFER ON AWARD OF COMPENSATION

In her March 13, 2017 Ruling on Entitlement, the Chief S pecial M aster found that a

preponderance of the medical evidence indicates that petitioner suffered a shoulder injury related

to vaccine administration (“SIRVA”), which was causally related to the Prevnar 13 vaccination

s he received on Novem ber 20, 2015. The parties have now addressed the amount of

compensation to be awarded in this case.

I. Compensation

Based upon the evidence of record, respondent proffer s that petitioner should be awarded

a total lump sum of $100,425.36, which amount represents all elements of compensation to

which petitioner would be entitled under 42 U.S.C. § 300aa-15(a). 1 Petitioner agrees.

1 Should petitioner die prior to entry of judgment, respondent would oppose any award for future medical expenses, future lost earnings, and future pain and suffering, and the parties reserve the right to move the C ourt for appropriate relief.2 II. Form of the Award

Petitioner is a competent adult. Accordingly, t he parties recommend that the

compensation provided should be made through a lump sum paymen t in the form of a check for

$100,425.36, payable to petitioner

.

Respectfully submitted,

C HAD A. READL ER Acting Assistant Attorney General

Civil Division

C. SALVATORE D’ALESSIO Acting Director
Torts Branch, Civil Division

CATHARINE E. REEVES Deputy Director
Torts Branch, Civil Division

MICHA E L P . MILMOE

Senior Trial Counsel
Torts Branch, Civil Division

/s/ DOUGLAS ROSS

DOUGLAS ROSS

Trial Attorney
Torts Branch, Civil Division U.S. Department of Justice P.O. Box 146, Benjamin Franklin Station Washington, D.C. 20044-0146 Tel.: (202) 616 -3667

DATE: April 17, 2017