Sex: F
Vaccine: HPV4
Symptoms: Gait disturbance, Headache, Heart rate increased, Loss of personal independence in daily activities, Migraine
Clinical narrative: postural orthostatic tachycardia syndrome (POTS); dysautonomia; Autoimmune disease; chronic fatigue syndrome (CFS); migraines; This initial spontaneous report was received on from a lawyer regarding a case in litigation and refers to a teenager female patient of an unknown age. The patient's concurrent conditions, medical history and concomitant medication were not provided.   On 27-DEC-2017, the patient was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) (Lot #, expiration date, dose, route of administration and anatomical location of vaccine were not provided) for preventing cervical cancer. On an unspecified date, within the first three months, she began to experience dizziness, headaches, and fatigue. Plaintiff and her mother did not think much about the symptoms, although the symptoms persisted for the next several months. On 13-NOV-2018, she was vaccinated with the second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL). After the second dose, her symptoms dramatically worsened.  In early 2019, Plaintiff began having trouble walking up the stairs at their house and she would complain about her increased heart rate. Her mother assumed it was simply from exertion. As the months progressed, so did her injuries which now included: chronic fatigue, dizziness, migraines, faintness, and heart palpitations. The patient saw several doctors to determine what might be triggering her symptoms. During this time, she began to have intensified migraines, for which her doctors prescribed her medication. In March 2021, Plaintiff's cardiologist diagnosed her with postural orthostatic tachycardia syndrome (POTS) and dysautonomia. As a result of her post-Gardasil symptoms, patient could not engage in normal activities that a teenager would enjoy or participate in the activities she used to enjoy. Additionally, based upon her chronic and severe post-Gardasil symptoms, patient had been diagnosed with various medical conditions, including, but not limited to, POTs, dysautonomia, Chronic fatigue syndrome (CFS) and autonomic dysfunction. The patient contends that patient human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) injection(s) caused her to develop serious and debilitating injuries, including but not limited to POTS, dysautonomia, CFS, migraines, 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 human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) or otherwise linked to her Gardasil-induced autoimmune disorder. Autoimmune Disease and Other Related Injuries and had resulted in her suffering from severe, debilitating, disabling and painful chronic injuries.  The reporter considered the events to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL).  Upon internal review the event of Autoimmune Disease was considered as medically significant