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

******************** *
JANET FLORENCE,          *                          No. 15-255V
                         *                          Special Master Christian J. Moran
             Petitioner  *
                         *
v.                       *                          Filed: April 21, 2016
                         *
SECRETARY OF HEALTH      *                          Damages; decision based on proffer;
AND HUMAN SERVICES,      *                          influenza (“flu”) vaccination;
                         *                          lymphedema.
             Respondent. *
******************** *

Lawrence R. Cohan, Anapol Weiss, Philadelphia, PA, for Petitioner;
Heather L. Pearlman, U.S. Department of Justice, Washington, DC, for
Respondent.

             UNPUBLISHED DECISION AWARDING DAMAGES1

        On March 12, 2015, Janet Florence filed a petition seeking compensation
under the National Vaccine Injury Compensation Program, 42 U.S.C. §§ 300aa-1
et seq., alleging that the influenza vaccination caused her to suffer lymphedema.
On May 28, 2015, the undersigned ruled, based upon respondent’s concession, see
Respondent’s Report, filed May 19, 2015, that petitioners are entitled to
compensation under the Vaccine Act.

       On April 21, 2016, respondent filed a Proffer on Award of Compensation, to
which petitioner agrees. Based upon the record as a whole, the special master
finds the proffer reasonable and that petitioner is entitled to an award as stated in
the Proffer. Pursuant to the attached Proffer the court awards petitioner:
       1
         The E-Government Act, 44 § 3501 note (2012) (Federal Management and Promotion of
Electronic Government Services), requires that the Court post this decision on its website.
Pursuant to Vaccine Rule 18(b), the parties have 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.
1.      A lump sum payment of $258,381.93, in the form of a check payable to
        petitioner, Janet Florence. This amount represents compensation for all
        damages that would be available under 42 U.S.C. §300aa-15(a), except
        as set forth below in paragraph 2; and

2.      An amount sufficient to purchase an annuity contract as described in
        section II. B. of the Proffer.

       In the absence of a motion for review filed pursuant to RCFC, Appendix B,
the clerk is directed to enter judgment in case 15-255V according to this decision
and the attached proffer.2

        Any questions may be directed to my law clerk, Dan Hoffman, at (202) 357-
6360.

        IT IS SO ORDERED.

                                                     s/Christian J. Moran
                                                     Christian J. Moran
                                                     Special Master




        2
          Pursuant to Vaccine Rule 11(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.
                   IN THE UNITED STATES COURT OF FEDERAL CLAIMS

                        OFFICE OF SPECIAL MASTERS
_______________________________________
JANET FLORENCE,                         )
                                        )
                        Petitioner,    )
                                        )
            v.                          )   No. 15-255V
                                        )   Special Master Moran
SECRETARY OF HEALTH AND HUMAN )             ECF
SERVICES,                               )
                                        )
                        Respondent.     )
                                        )


               RESPONDENT'S PROFFER ON AWARD OF COMPENSATION

I.       Items of Compensation

         A.       Life Care Items

         Respondent engaged life care planner M. Virginia Walton, RN, MSN, FNP, CNLCP, and

petitioner engaged Roberta Hurley, Hurley Consulting, to provide an estimation of Janet

Florence’s future vaccine-injury related needs. For the purposes of this proffer, the term

“vaccine related” is as described in the respondent’s Rule 4(c) Report, filed on May 19, 2015.

All items of compensation identified in the life care plan are supported by the evidence, and are

illustrated by the chart entitled Appendix A: Items of Compensation for Janet Florence, attached

hereto as Tab A. 1 Respondent proffers that Janet Florence should be awarded all items of

compensation set forth in the life care plan and illustrated by the chart attached at Tab A.

Petitioner agrees.




         1
           The chart at Tab A illustrates the annual benefits provided by the life care plan. The annual benefit years
run from the date of judgment up to the first anniversary of the date of judgment, and every year thereafter up to the
anniversary of the date of judgment.

                                                         -1-
          B.      Lost Earnings

          The parties agree that based upon the evidence of record, Janet Florence has not suffered

a past loss of earnings and will not suffer a loss of earnings in the future. Therefore, respondent

proffers that Janet Florence should not be awarded lost earnings as provided under the Vaccine

Act, 42 U.S.C. § 300aa-15(a)(3)(A). Petitioner agrees.

          C.      Pain and Suffering

          Respondent proffers that Janet Florence should be awarded $200,000.00 in actual and

projected pain and suffering. This amount reflects that any award for projected pain and

suffering has been reduced to net present value. See 42 U.S.C. § 300aa-15(a)(4). Petitioner

agrees.

          D.      Past Unreimbursable Expenses

          Petitioner represents that she has not incurred past unreimbursable expenses related to her

vaccine-related injury.

          E.      Medicaid Lien

          Petitioner represents that there are no Medicaid liens outstanding against her for her

vaccine-related injury.

II.       Form of the Award

          The parties recommend that the compensation provided to petitioner should be made

through a combination of lump sum payments and future annuity payments as described below,

and request that the Special Master’s decision and the Court’s judgment award the following: 2




          2
           Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court for
appropriate relief. In particular, respondent would oppose any award for future medical expenses, future lost
earnings, and future pain and suffering.

                                                         -2-
        A. A lump sum payment of $258,381.93, representing compensation for life care

expenses expected to be incurred during the first year after judgment ($58,381.93) and pain and

suffering ($200,000.00), in the form of a check payable to petitioner, Janet Florence.

        B. An amount sufficient to purchase an annuity contract, 3 subject to the conditions

described below, that will provide payments for the life care items contained in the life care plan,

as illustrated by the chart at Tab A, attached hereto, paid to the life insurance company 4 from

which the annuity will be purchased. 5 Compensation for Year Two (beginning on the first

anniversary of the date of judgment) and all subsequent years shall be provided through

respondent’s purchase of an annuity, which annuity shall make payments directly to petitioner,

Janet Florence, only so long as she is alive at the time a particular payment is due. At the

Secretary’s sole discretion, the periodic payments may be provided to petitioner in monthly,

quarterly, annual or other installments. The “annual amounts” set forth in the chart at Tab A

describe only the total yearly sum to be paid to petitioner and do not require that the payment be

made in one annual installment.




        3
           In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life
insurance companies.
        4
          The Life Insurance Company must have a minimum of $250,000,000 capital and surplus, exclusive of
any mandatory security valuation reserve. The Life Insurance Company must have one of the following ratings
from two of the following rating organizations:

                 a. A.M. Best Company: A++, A+, A+g, A+p, A+r, or A+s;

                 b. Moody's Investor Service Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa;

                 c. Standard and Poor's Corporation Insurer Claims-Paying Ability Rating: AA-, AA, AA+, or
                 AAA;

                 d. Fitch Credit Rating Company, Insurance Company Claims Paying Ability Rating: AA-, AA,
                 AA+, or AAA.

                                                       -3-
         1.       Growth Rate

         Respondent proffers that a four percent (4%) growth rate should be applied to all non-

medical life care items, and a five percent (5%) growth rate should be applied to all medical life

care items. Thus, the benefits illustrated in the chart at Tab A that are to be paid through annuity

payments should grow as follows: four percent (4%) compounded annually from the date of

judgment for non-medical items, and five percent (5%) compounded annually from the date of

judgment for medical items. Petitioner agrees.

         2.       Life-contingent annuity

         Petitioner will continue to receive the annuity payments from the Life Insurance

Company only so long as she, Janet Florence, is alive at the time that a particular payment is due.

Written notice shall be provided to the Secretary of Health and Human Services and the Life

Insurance Company within twenty (20) days of Janet Florence’s death.

         3.       Guardianship

         Petitioner is a competent adult. Evidence of guardianship is not required in this case.

III.     Summary of Recommended Payments Following Judgment

         A.       Lump Sum paid to petitioner, Janet Florence:                                      $258,381.93
         B.       An amount sufficient to purchase the annuity contract described
                  above in section II. B.

                                                               Respectfully submitted,

                                                               BENJAMIN C. MIZER
                                                               Principal Deputy Assistant Attorney General

                                                               RUPA BHATTACHARYYA
                                                               Director
                                                               Torts Branch, Civil Division




         5
           Petitioner authorizes the disclosure of certain documents filed by the petitioner in this case consistent
with the Privacy Act and the routine uses described in the National Vaccine Injury Compensation Program System
of Records, No. 09-15-0056.
                                                         -4-
                              VINCENT J. MATANOSKI
                              Deputy Director
                              Torts Branch, Civil Division

                              ALTHEA W. DAVIS
                              Senior Trial Counsel
                              Torts Branch, Civil Division

                              s/ Heather L. Pearlman
                              HEATHER L. PEARLMAN
                              Senior Trial Attorney
                              Torts Branch, Civil Division
                              U.S. Department of Justice
                              P.O. Box 146
                              Benjamin Franklin Station
                              Washington, D.C. 20044-0146
                              Telephone: (202) 353-2699

Dated: April 21, 2016




                        -5-
                                                       Appendix A: Items of Compensation for Janet Florence                                                      Page 1 of 2

                                    Lump Sum
    ITEMS OF                       Compensation    Compensation     Compensation    Compensation    Compensation    Compensation    Compensation    Compensation      Compensation
  COMPENSATION         G.R. * M       Year 1         Year 2           Year 3          Year 4          Year 5          Year 6          Year 7          Year 8            Year 9
                                       2016            2017             2018            2019            2020            2021            2022            2023              2024
Medicare Part B Ded.   5%                166.00          166.00           166.00          166.00          166.00          166.00          166.00          166.00            166.00
Medigap G Premium      5%   M          1,641.00        1,705.08         1,771.80        1,841.16        1,909.20        1,986.00        2,064.72        2,144.04          2,223.96
Antibiotic             5%   M            120.00          120.00           120.00          120.00          120.00          120.00          120.00          120.00            120.00
Internist              5% *
Oncol./ Hematologist   5% *
Dermatology            5% *
PT                     4% M           16,318.00         5,351.20         5,351.20       5,351.20         5,351.20        5,351.20        5,351.20        5,351.20         5,351.20
Pulley System          4%                 50.39            10.08            10.08          10.08            10.08           10.08           10.08           10.08            10.08
Lymphedema Pump        4%              2,500.00                                         2,500.00                                         2,500.00
Grab Bars              4%                 37.90             3.79            3.79            3.79            3.79            3.79             3.79            3.79             3.79
Arm Bike               4%                 79.98             8.00            8.00            8.00            8.00            8.00             8.00            8.00             8.00
Gloves                 4%                 27.72            27.72           27.72           27.72           27.72           27.72            27.72           27.72            27.72
Waterproof Sleeves     4%                119.94           119.94          119.94          119.94          119.94          119.94           119.94          119.94           119.94
Sleeves                4%                600.00           600.00          600.00          600.00          600.00          600.00           600.00          600.00           600.00
Gauntlet               4%                150.00           150.00          150.00          150.00          150.00          150.00           150.00          150.00           150.00
Garmets                4%                373.00           124.33          124.33          124.33          124.33          124.33           124.33          124.33           124.33
Home Care              4%   M         32,648.00        32,648.00       32,648.00       32,648.00       32,648.00       32,648.00        32,648.00       32,648.00        32,648.00
Nat'l Lymph. Network   4%                 50.00            50.00           50.00           50.00           50.00           50.00            50.00           50.00            50.00
Home Mods              0%              3,500.00
Pain and Suffering                   200,000.00
Annual Totals                        258,381.93        41,084.14       41,150.86       43,720.22       41,288.26       41,365.06        43,943.78       41,523.10        41,603.02
                                  Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
                                  Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
                                  As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care
                                  expenses ($58,381.93) and pain and suffering ($200,000.00): $258,381.93.
                                  Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
                                  Annual amounts shall increase at the rates indicated above in column G.R., compounded annually from the date of judgment.
                                  Items denoted with an asterisk (*) covered by health insurance and/or Medicare.
                                  Items denoted with an "M" payable in twelve monthly installments totaling the annual amount indicated.
                                                       Appendix A: Items of Compensation for Janet Florence                                                      Page 2 of 2


    ITEMS OF                       Compensation    Compensation    Compensation    Compensation    Compensation    Compensation    Compensation    Compensation
  COMPENSATION         G.R. * M      Year 10         Year 11         Year 12         Year 13         Year 14         Year 15         Year 16       Years 17-Life
                                       2025            2026            2027            2028            2029            2030            2031         2032-Life
Medicare Part B Ded.   5%                166.00          166.00          166.00          166.00          166.00          166.00          166.00         166.00
Medigap G Premium      5%   M          2,300.28        2,397.12        2,480.76        2,566.68        2,658.72        2,750.76        2,865.12       2,980.80
Antibiotic             5%   M            120.00          120.00          120.00          120.00          120.00          120.00          120.00         120.00
Internist              5% *
Oncol./ Hematologist   5% *
Dermatology            5% *
PT                     4% M            5,351.20        5,351.20        5,351.20        5,351.20        5,351.20        5,351.20        5,351.20        5,351.20
Pulley System          4%                 10.08           10.08           10.08           10.08           10.08           10.08           10.08           10.08
Lymphedema Pump        4%              2,500.00          833.33          833.33          833.33          833.33          833.33          833.33          833.33
Grab Bars              4%                  3.79            3.79            3.79            3.79            3.79            3.79            3.79            3.79
Arm Bike               4%                  8.00            8.00            8.00            8.00            8.00            8.00            8.00            8.00
Gloves                 4%                 27.72           27.72           27.72           27.72           27.72           27.72           27.72           27.72
Waterproof Sleeves     4%                119.94          119.94          119.94          119.94          119.94          119.94          119.94          119.94
Sleeves                4%                600.00          600.00          600.00          600.00          600.00          600.00          600.00          600.00
Gauntlet               4%                150.00          150.00          150.00          150.00          150.00          150.00          150.00          150.00
Garmets                4%                124.33          124.33          124.33          124.33          124.33          124.33          124.33          124.33
Home Care              4%   M         32,648.00       32,648.00       32,648.00       32,648.00       32,648.00       32,648.00       32,648.00       32,648.00
Nat'l Lymph. Network   4%                 50.00           50.00           50.00           50.00           50.00           50.00           50.00           50.00
Home Mods              0%
Pain and Suffering
Annual Totals                         44,179.34       42,609.51       42,693.15       42,779.07       42,871.11       42,963.15       43,077.51       43,193.19
                                  Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
                                  Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
                                  As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care
                                  expenses ($58,381.93) and pain and suffering ($200,000.00): $258,381.93.
                                  Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
                                  Annual amounts shall increase at the rates indicated above in column G.R., compounded annually from the date of judgment.
                                  Items denoted with an asterisk (*) covered by health insurance and/or Medicare.
                                  Items denoted with an "M" payable in twelve monthly installments totaling the annual amount indicated.
