Age: 40.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody positive, Asthenia, Conversion disorder, Fatigue, Impaired driving ability
Clinical narrative: heart palpitations; autonomic  injuries; debilitating autoimmune injuries/tested positive for antinuclear antibodies/could no longer accomplish simple daily tasks such as cleaning, cooking, and driving comfortably.; myofascial pain, chronic pain syndrome/crippling pain/could no longer accomplish simple daily tasks such as cleaning, cooking, and driving comfortably; functional neurological disorder, generalized weakness, seizure-like symptoms, severe pain/ chronic fatigue/exhaustion/neurological injuries/could no longer accomplish simple daily tasks such as cleaning, cooking, and driving comfortably; Information (inf) has been received from a lawyer, regarding a case in litigation (CIL), concerning an current adult female patient (pt). No inf concerning the pt.'s medical history (MH), concurrent conditions (CC) or concomitant medications was provided. On 16MAR21, at 40 years old, the pt received her first dose of quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) (GARD). On 28MAY19, at 40 years old, she received her second GARD and on 21SEP21, at the same age, pt received the third dose of quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) (GARD) (doses, routes of administration, anatomical locations, lot #s and expiration dates were not reported), all doses administered to prevent cervical cancer. On an unknown date in 2021, after GARD vaccination, the pt experienced (EXP) severe pain and the symptoms of chronic fatigue, pt became debilitated by pain and exhaustion, could no longer accomplish simple daily tasks such as cleaning, cooking, and driving comfortably. In approximately 2022, she EXP heart palpitations and seizure-like symptoms. On the same date, pt was diagnosed with chronic pain syndrome, chronic fatigue, and generalized weakness. On an unspecified date in 2023, pt tested positive for antinuclear antibodies, functional neurological disorder and myofascial pain. Due to this, pt must take medication on a daily basis and follow a pain management plan. On unknown date, pt EXP daily crippling pain and fatigue, she spends most days laying down and often uses a cane and disabled placard for mobility. As the months progressed, so did the pt.'s injuries. She was seen by multiple physicians and specialists for her complaints which also included generalized weakness. As a result of her GARD symptoms, the pt was unable to engage in activities that a young person her age would enjoy. Pt is physically disabled by her injuries. Her goals of walking races for charity are now non-existent and requires medical treatments and a pain management plan for the rest of her life. On unknown dates, pt was diagnosed with functional neurological disorder, myofascial pain, and positive test for antinuclear antibodies. The pt contended that GARD caused her to develop serious and debilitating autoimmune, autonomic, and neurological injuries, including but not limited to chronic pain syndrome, chronic fatigue, generalized weakness, functional neurological disorder, myofascial pain, and positive test for antinuclear antibodies, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events, many of which are alleged herein and all of which were caused by GARD-induced autoimmune disorder. The pt had suffered and continued to suffer severe and permanent physical injuries, and associated symptomatology and had suffered severe and permanent emotional injuries, including pain and suffering. Pt also had a substantial fear of suffering additional and ongoing harms, including but not limited to now being at an increased risk of cancer, and future symptoms and harms associated with her injuries caused by GARD. As a direct and proximate result of her GARD induced injuries, the pt suffered and at the time of report continued to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and she would continue to incur these losses and expenses in the future. The outcome of the events were considered to be not recovered. The lawyer considered all the events to be related to GARD.  The reporter considered all the events to be disabling. Upon internal review, autoimmune disorder was determined to be medically significant.