Filed: Apr. 25, 2018
Latest Update: Apr. 25, 2018
Summary: UNPUBLISHED DECISION AWARDING DAMAGES 1 NORA BETH DORSEY , Chief Special Master . On March 10, 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 related to vaccine administration ("SIRVA") due to a Hepatitis B vaccination received on May 20, 2015. Petition at 1. The case was assigned to the Special Processing Unit of the O
Summary: UNPUBLISHED DECISION AWARDING DAMAGES 1 NORA BETH DORSEY , Chief Special Master . On March 10, 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 related to vaccine administration ("SIRVA") due to a Hepatitis B vaccination received on May 20, 2015. Petition at 1. The case was assigned to the Special Processing Unit of the Of..
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UNPUBLISHED
DECISION AWARDING DAMAGES1
NORA BETH DORSEY, Chief Special Master.
On March 10, 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 related to vaccine administration ("SIRVA") due to a Hepatitis B vaccination received on May 20, 2015. Petition at 1. The case was assigned to the Special Processing Unit of the Office of Special Masters.
On April 25, 2018, a ruling on entitlement was issued, finding petitioner entitled to compensation for her SIRVA. On April 25, 2018, respondent filed a Rule 4(c) report including a proffer on award of compensation ("Proffer") indicating that petitioner should be awarded $109,586.83, representing compensation for lost earnings and pain and suffering, payable to petitioner; and $5,390.52, representing compensation for satisfaction of the State of Illinois Medicaid lien, payable jointly to petitioner and the Illinois Department of Healthcare and Family Services. Proffer at 4. In the Proffer, respondent represented that petitioner agrees with the proffered award. Based on the record as a whole, the undersigned finds that petitioner is entitled to an award as stated in the Proffer.
Pursuant to the terms stated in the attached Proffer, the undersigned awards the following compensation:
1. A lump sum payment of $109,586.83 in the form of a check payable to petitioner, Carmen Gonzalez. This amount represents compensation for all damages that would be available under § 300aa-15(a); and
2. A lump sum payment of $5,390.52, representing compensation for satisfaction of the State of Illinois Medicaid lien, payable jointly to petitioner and
Illinois Department of Healthcare and Family Services
Attn: Kevin Thornton
Bureau of Collections — Technical Recovery Section
201 South Grand Avenue East, Basement
Springfield, Illinois 62763
Recipient name: Carmen Gonzalez
Recipient ID: 188282438
Petitioner agrees to endorse this payment to the Illinois Department of Healthcare and Family Services.
The clerk of the court is directed to enter judgment in accordance with this decision.3
IT IS SO ORDERED.
