Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Insomnia, Loss of personal independence in daily activities, Migraine, Pain, Postural orthostatic tachycardia syndrome
Clinical narrative: Lightheadedness/dizziness/ weakness/ trouble sleeping/ chronic headaches/ chronic fatigue/POTS; The patient was diagnosed with fibromyalgia.; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to an 18-year-old female patient.   On 12-JUL-2021, patient was vaccinated with a first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) for prevention of cervical cancer (lot#, expiration date, dose, and route not specified) (lot#, expiration date, dose, and route not specified.  Following vaccination with quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL), on an unknown date, the pt. started experiencing chronic headaches and chronic fatigue. She was seen by multiple physicians and specialists for her complaints which now included: migraines, dizziness.lightheadedness, weakness, trouble sleeping, and widespread pain.  As a result of her post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) symptoms, the pt. had been unable to engage in activities that a normal young person would enjoy. Prior to quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) vaccination, the pt. was a happy and healthy young woman who enjoyed doing gymnastics, working, and spending time with her family and friends. Based upon her chronic and severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) symptoms, on an unknown date, the pt. had been diagnosed with postural orthostatic tachycardia syndrome (POTS) and fibromyalgia.  As a proximate result of company's 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. has suffered and continues to suffer severe and permanent physical injuries, and associated symptomology and has suffered severe and permanent emotional injuries, including pain and suffering. Pt. also has 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 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, pt had suffered and continues to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and he will continue to incur these losses and expenses in the future.The outcome of the events was unknown.  The events Lightheadedness/dizziness/ weakness/ trouble sleeping/ chronic headaches/ chronic fatigue/POTS (postural orthostatic tachycardia syndrome (POTS)) and  fibromyalgia were considered to be disabling by the reporter.  The events were considered related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL).