RASH v. SECRETARY OF HEALTH AND HUMAN SERVICES

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In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 22-12V
Filed: January 8, 2026
WILLIAM RASH,
Petitioner,
v.
SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
Special Master Horner
David John Carney, Green & Schafle LLC, Philadelphia, PA, for petitioner.
Joseph Douglas Leavitt, U.S. Department of Justice, Washington, DC, for respondent.
RULING ON ENTITLEMENT1
On January 5, 2022, 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 as a result of his September 11, 2020 influenza
(“flu”) vaccination he suffered a Table Injury of a shoulder injury related to vaccine
administration (“SIRVA”), or alternatively, a shoulder injury caused-in-fact by his
vaccination. (ECF No. 1, pp. 1, 7.)
After petitioner filed his vaccine administration record (Ex. 1), an affidavit (Ex. 2),
medical records (Exs. 3-6), and an expert report supporting his claim by orthopedic
specialist Brett Cascio, M.D. (Ex. 7), respondent initially filed a Rule 4(c) Report
1 Because this document contains a reasoned explanation for the action taken in this case, it must be
made publicly accessible and will be posted on the United States Court of Federal Claims' website, and/or
at https://www.govinfo.gov/app/collection/uscourts/national/cofc, in accordance with the E-Government
Act of 2002. 44 U.S.C. § 3501 note (2018) (Federal Management and Promotion of Electronic
Government Services). This means the document 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).
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recommending against compensation. (ECF No. 41.) Respondent contended that
petitioner could not demonstrate a Table SIRVA because onset of his condition was 72-
hours post-vaccination. (Id. at 5 n.2.) He further contended that Dr. Cascio’s report
lacked the specificity necessary to support a cause-in-fact claim. (Id. at 6.) Petitioner
subsequently filed a supplemental expert report by Dr. Cascio (Ex. 10), and respondent
was provided the opportunity to present a responsive expert report (Non-PDF
Scheduling Order, filed Oct. 14, 2025). Instead, respondent filed an amended Rule 4(c)
Report in which he indicated that he “maintains that petitioner has not met his burden of
proof under the Vaccine Act. Nevertheless, in light of petitioner’s expert reports,
respondent no longer wishes to defend against petitioner’s entitlement claim before the
Office of Special Masters and requests a ruling on the record regarding petitioner’s
entitlement to compensation.” (ECF No. 44, p. 7.)
In view of Respondent’s position (see Vaccine Rule 8(f)) and based on my review
of the evidentiary record as a whole, I find that petitioner is entitled to compensation.
Compare, e.g., Pitts v. Sec’y of Health & Human Servs., No. 18-1512V, 2023 WL
2770943, at *14 (Fed. Cl. Spec. Mstr. Apr. 4, 2023) (finding one-week post-vaccination
onset does not support a vaccine-related shoulder injury), with Murray v. Sec’y of Health
& Human Servs., No. 17-1357V, 2022 WL 17829797, at *16-17 (Fed. Cl. Spec. Mstr.
Oct. 27, 2022) (finding entitlement where onset of shoulder pain occurred within “a few
days” and less than seven days post-vaccination), and Jewell v. Sec’y of Health &
Human Servs., No. 16-0670V, 2017 WL 7259139, at * 3 (Fed. Cl. Spec. Mstr. Aug. 4,
2017) (finding entitlement for shoulder injury occurring 72 hours post-vaccination).
IT IS SO ORDERED.
s/Daniel T. Horner
Daniel T. Horner
Special Master
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