Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Arthralgia, Asthenia, Autonomic nervous system imbalance, Brain fog, Chronic fatigue syndrome
Clinical narrative: postural orthostatic tachycardia syndrome/ black outs when he stood up and white spots and floaters in his eyes; chronic fatigue syndrome/ debilitating fatigue/autonomic dysfunction/ nausea and digestive issues/ brain fog/dizziness/rapid heart rate/ headaches/autonomic and neurological injuries; chronic regional pain syndrome/ pain in his hips and legs; autoimmune; injuries; adverse symptoms/ complications/ other adverse events; Information has been received from a lawyer regarding a case in litigation and referring to a male patient (pt) of unspecified age. His medical history, concurrent conditions and concomitant therapies were not provided. On an unknown date (when pt was 16 years old), the pt was vaccinated with his 1st dosage of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (strength, dose, lot #, expiry date, and route of administration were not provided) as recommended by physician with his mother's consent for prophylaxis. On an unknown date (when pt was 17 years old), the pt received his 2nd dosage of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (strength, dose, lot #, expiry date, and route of administration were not provided). On unknown dates, the patient experienced serious autoimmune, autonomic and neurological injuries as a result of quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL). Following his 2nd vaccination, pt developed pain in his hips and legs, nausea and digestive issues, weight loss, brain fog, dizziness, rapid heart rate, black outs when he stood up and white spots and floaters in his eyes, headaches, and debilitating fatigue, chronic pain. As the months progressed, so did pt's symptoms. He was seen by multiple physicians and specialists for his complaints. Based upon his chronic and severe post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, pt had been diagnosed with various medical conditions, including but not limited to postural orthostatic tachycardia syndrome (POTS), chronic fatigue syndrome, chronic regional pain syndrome, and autonomic dysfunction. As a result of his post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, pt had been unable to engage in activities that a normal young person would enjoy. Pt was a competitive soccer player and ran several miles a day. He was active in his school and church. He routinely socialized with his friends. Pt can no longer exercise, even climbing the stairs wais a challenge. He could no longer eat the food that he enjoyed, slept completely, went to school or got a job. Pt contended that his quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) injections caused him to develop serious and debilitating autoimmune, autonomic, and neurological, injuries, including but not limited to POTS, chronic fatigue syndrome, chronic regional pain syndrome and autonomic dysfunction, 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 quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) or otherwise linked to his quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL)-induced autoimmune disorder.He can no longer eat the food that he enjoys, sleep completely, go to school or get a job. As a proximate result of quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL), the patient suffered and continued to suffer severe and permanent physical injuries, and associated symptomology and suffered severe and permanent emotional injuries, including pain and suffering. He also had a substantial fear of suffering additional and ongoing harms, including but not limited to being at an increased risk of cancer, and future symptoms and harms associated with his injuries caused by quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL). As a direct and proximate result of his quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, the pt suffered and continued to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and he would continue to incur these losses and expenses in the future. The outcome of all the events was not recovered. The causality assessment was considered as related by the lawyer.  The lawyer considered all the events to be disabling. Upon internal review, the event autoimmune disorder was determined to be medically significant.