Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Muscular weakness, Neuralgia, Pain in extremity, Photophobia, Postural orthostatic tachycardia syndrome
Clinical narrative: pulmonary embolism; prolonged immobility; autoimmune, autonomic, and neurological, injuries; Tourette's Syndrome; Functional Neurological Disorder (F.N.D.); Postural Orthostatic Tachycardia Syndrome; constellation of adverse symptoms, complications, injuries, and other adverse events; constellation of adverse symptoms, complications, injuries, and other adverse events; respiratory complications; Information has been received from a lawyer regarding a case in litigation and referred to a female adolescent patient (pt) (exact age not provided). Her other medical history, concurrent conditions and concomitant therapies were not provided. On an unknown date (at the age of 11 years old), the pt was vaccinated with the first dose of quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (exact dose, route of administration, anatomical location, lot # and expiration date were not provided), as recommended by her health care providers, with her mother's consent, for prophylaxis (reported as for preventing cervical cancer). On unknown date (at the age of 12 years old), the pt was vaccinated with the second dose of quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (exact dose, route of administration, anatomical location, lot # and expiration date were not provided). On unknown dates following her quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) vaccinations, pt developed headaches, brain fog, fatigue, dizziness, rapid heart rate, exhaustion, leg pain, ringing in the ears, light sensitivity, muscle weakness, involuntary movements of her neck, head, legs, and arms, inability to walk normally, frequent stumbling, inability to swallow (ultimately requiring a feeding tube), vision issues, respiratory complications (Respiratory disorder), and excruciating nerve pain. Pt eventually was consigned to a wheelchair and required full time 24/7 care due to her immobility and inability to sit up. Based upon her post-quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, pt has been diagnosed with postural orthostatic tachycardia syndrome, Tourette's syndrome (Tourette's disorder), and functional neurological disorder (FND) (Conversion disorder). On 02-JUN-2021, she died from a pulmonary embolism directly attributable to prolonged immobility (Immobilisation prolonged) because of her autoimmune diseases triggered by quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) (Autoimmune disorder). It was contended that the quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) injections caused pt to develop serious and debilitating autoimmune, autonomic, and neurological, injuries, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events, many of which are alleged herein (Ill-defined disorder; Adverse event) and all of which were caused by quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) or otherwise linked to her quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL)-induced autoimmune disorder, autonomic disorder, and neurological injuries leading to her subsequent wrongful death. As a proximate result of company's wrongful acts and breaches of warranties concerning the safety and efficacy of quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL), the pt suffered severe and permanent physical injuries and associated symptomatology and had suffered severe and permanent emotional injuries, including pain and suffering, leading to her wrongful death. Pt's mother also had suffered severe and permanent emotional distress injuries in witnessing her daughter's declining health and subsequent wrongful death. As a direct and proximate result of her quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, the pt's mother suffered economic losses, including considerable financial expenses for medical care and treatment.   The outcome of all events except for event pulmonary embolism and immobilisation prolonged was not recovered. The lawyer considered all events to be related to quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL).  The lawyer considered all events to be disabling.  Upon internal review, the events autoimmune disorder, pulmonary embolism, conversion disorder, immobilisation prolonged and Tourette's disorder were determined as medically significant.; Reported Cause(s) of Death: Pulmonary embolism; died from a pulmonary embolism directly attributable to prolonged immobility