Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Heart rate increased, Hypersomnia, Hypertension, Impaired gastric emptying, Loss of personal independence in daily activities
Clinical narrative: autonomic dysfunction/ neurological injuries/fever/ high blood pressure;body ache; Postural orthostatic tachycardia syndrome/ autonomic dysfunction/ neurolohigh heart rate/ constant headache, body aches, severe dizziness, and increased nausea/ felt overall very ill/dizzy/ felt overall very ill/ chronic fatigue/ exhaustion/body pain; Gastroparesis/ weight loss/ inability to eat which required the insertion of a f; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers of unknown age male patient on 31-JAN-2024.  On 16-NOV-2021, at 14 years old,  the patient was vaccinated with a first dose of  quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine(GARDASIL)Intramuscular Injection for prevents cancer (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 feel achy, had a fever, was nauseous, dizzy, and felt overall very ill. He had continued to feel worse every day since. He developed a constant headache, body aches, severe dizziness, and increased nausea. He also developed chronic fatigue which made it difficult to participate in daily activities. As the months progressed, so pt's injuries. He was seen by multiple physicians and specialists for his complaints which now included: high heart rate and blood pressure, weight loss, gastroparesis, and the inability to eat which required the insertion of a feeding tube. Pt. had suffered and continued to suffer severe and permanent physical injuries, and associated symptomology and had suffered severe and permanent emotional injuries, including pain and suffering. 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's symptoms caused him to go from a straight A student to a student that was unable to attend a full day of school due to his nausea, dizziness, exhaustion, headaches, and body pain. He spent most of his days in bed. When he did leave the bed, he used assistive devices including a wheelchair, cane, or walker to be able to move around the house or access the community. Short outings can cause him to have such severe exhaustion that he may sleep more than twelve hours at a time.  Based upon his chronic and severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL), pt. had been diagnosed with various medical conditions, including but not limited to,  Autonomic dysfunction (symptoms reported : neurological injuries/fever/ high blood pressure/body ache (Autonomic nervous system imbalance); Postural orthostatic tachycardia syndrome (symptoms reported :  high heart rate/ constant headache, body aches, severe dizziness, and increased nausea/ felt overall very ill/dizzy/ felt overall very ill/ chronic fatigue/ exhaustion(Postural orthostatic tachycardia syndrome) and Gastroparesis (symptoms reported : weight loss/ inability to eat which required the insertion of a feeding tube (Impaired gastric emptying).  As a direct and proximate result of his quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, he had suffered and continues 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 autonomic nervous system imbalance, impaired gastric emptying and postural orthostatic tachycardia syndrome was reported as not recovered/not resolved. Causality for the events and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was considered to be related.  Postural orthostatic tachycardia syndrome (POTS), autonomic dysfunction (autonomic nervous system imbalance), and gastroparesis (impaired gastric emptying) was considered to be disabling.  Upon internal review Impaired gastric emptying was considered to be medically significant.