             In the United States Court of Federal Claims
                             OFFICE OF SPECIAL MASTERS
                                  (Filed: April 14, 2017)
                                       No. 15-218V

* * * * * * * * * * * * *
TISIA GREEN,            *                                     UNPUBLISHED
                        *
          Petitioner,   *                                     Decision on Joint Stipulation;
                        *                                     Shoulder Injury Related to
v.                      *                                     Vaccine Administration
                        *                                     (“SIRVA”); Influenza
SECRETARY OF HEALTH     *                                      (“Flu”) Vaccine.
AND HUMAN SERVICES,     *
                        *
          Respondent.   *
                        *
* * * * * * * * * * * * *

Milton Ragsdale IV, Ragsdale LLC, Birmingham, AL, for petitioner.
Camille Collett, US Department of Justice, Washington, DC, for respondent.

                            DECISION ON JOINT STIPULATION1

Roth, Special Master:

       On March 3, 2015, Tisia Green (“Ms. Green,” or “petitioner”) filed a petition for
compensation under the National Vaccine Injury Compensation Program.2 Petitioner alleges that
she developed a shoulder injury as a result of receiving an influenza vaccination on or around


1
  Because this unpublished decision contains a reasoned explanation for the action in this case, I
intend to post this decision on the United States Court of Federal Claims' website, in accordance
with the E-Government Act of 2002, Pub. L. No. 107-347, § 205, 116 Stat. 2899, 2913 (codified
as amended at 44 U.S.C. § 3501 note (2012)). In accordance with Vaccine Rule 18(b), a party
has 14 days to identify and move to delete medical or other information, that satisfies the criteria
in 42 U.S.C. § 300aa-12(d)(4)(B). Further, consistent with the rule requirement, a motion for
redaction must include a proposed redacted decision. If, upon review, I agree that the identified
material fits within the requirements of that provision, I will delete 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).


                                                  1
October 15, 2014. See Stipulation, filed April 14, 2017, at ¶¶ 1-4. Respondent denies that the
influenza immunization caused petitioner’s injury. Stipulation at ¶ 6.

         Nevertheless, the parties have agreed to settle the case. On April 14, 2017, the parties
filed a joint stipulation agreeing to settle this case and describing the settlement terms.

Respondent agrees to issue the following payments:

                  A lump sum of $30,000.00 in the form of a check payable to petitioner,
                   Tisia Green.

                  A lump sum of $846.66, which amount represents reimbursement of a
                   Medicaid lien, in the form of a check payable jointly to petitioner and

                               New York State Department of Health
                               P.O. Box 415874
                               Boston, MA 02241-5874

      Petitioner agrees to endorse this check to New York State Department of Health. This
amount represents compensation for all damages that would be available under § 300aa-15(a).

       I adopt the parties’ stipulation attached hereto, and award compensation in the amount
and on the terms set forth therein. The clerk of the court is directed to enter judgment in
accordance with this decision.3

IT IS SO ORDERED.

                               s/ Mindy Michaels Roth
                                  Mindy Michaels Roth
                                  Special Master




3
 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party filing a
notice renouncing the right to seek review.
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