Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Arthritis, Fatigue, Gastrointestinal disorder, Hypoaesthesia
Clinical narrative: Rheumatoid Arthritis:autoinmune injury, joint pain, weight gain, fatigue, body inflamed and painful, barely move, go upstairs, get up, grip to open jars, brush theeth, swelling, numbness, chronic fatigue, autoimmnune injury; constellation of adverse symptoms, complications, injuries, and other adverse events; lost muscle mass; GI issues; autonomic, autoimmune, and neurological injuries; autonomic, autoimmune, and neurological injuries; This initial spontaneous report was received from a lawyer regarding a case in litigation, concerning a an adult (age not specified) female patient. Patient's current conditions, medical history and  concomitant therapy was not reported. On 17-DEC-2019 (at 22 years old), the patient was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL), subsequently, on 26-FEB-2020 and on 26-JUN-20202, she was vaccinated with second and third dose (strengths, doses, lot numbers, expiration dates, routes of administration and anatomical locations were not provided) administered for prevention cervical cancer.On an unknown date, after her third vaccination, pt sustained serious autoimmune, autonomic, and neurological injuries as a result of her injection, pt began experiencing joint pain, weight gain, and fatigue, every joint in her body was inflamed and painful, she could barely move, go upstairs, or get up from her seat, lost her grip to open jars, brush her teeth, or pull a bed cover over her body. She lost muscle mass in her legs from lack of movement, and her toes began hurting, with swelling and numbness. As the months progressed, so did pts symptoms, she was seen by multiple physicians and specialists for her complaints which now included chronic fatigue, whole body pain and gastrointestinal issues. As a result of her post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) symptoms, the pt has been unable to engage in activities that a normal young person would enjoy and her ability to function has been severely impacted. Based upon her chronic and severe post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL)symptoms, the pt was diagnosed with various medical conditions, including but not limited to, rheumatoid arthritis. Pt contends that her vaccination caused her to develop serious and debilitating autoimmune injuries, including but not limited to rheumatoid arthritis, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events. As a proximate result of the company's alleged wrongful acts and omissions and its negligent and fraudulent testing, labeling, manufacturing, marketing and promotion of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL), the pt suffered and continued to suffer severe and permanent physical injuries, and associated symptomology and suffered severe and permanent emotional injuries, including pain and suffering.  As a direct and proximate result, pt has suffered and continues to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and she will continue to incur these losses and expenses in the future. At the time of reporting, plaintiff had not recovered from the events. The reporter considered all the aforementioned events to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL).  All the events were considered as disabling by reporter.  Upon internal review, the event of Rheumatoid Arthritis was determined to be medically significant.