Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Postural orthostatic tachycardia syndrome, Tunnel vision
Clinical narrative: Postural orthostatic tachycardia syndrome/autonomic injury/constantly felt tired and light lphysical activity left her out of breath/ tunnel vision/ dizzines when standing; patient suffered serious autoimmnune and nerological injuries; auditory impairment; patient suffered serious autoimmnune and nerological injuries; This initial spontaneous report was received from a lawyer regarding a case in litigation, concerning an adult (age not specified) female patient (pt). Patient's current conditions, medical history and concomitant therapy was not reported. On 10-JUN-2009 at the age of 14-year-old, the patient was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) intramuscular injection; and on unspecified dates, the patient was vaccinated with the second and third doses of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) intramuscular injection (strengths, doses, lot numbers, expiration dates, route of administration and anatomical locations were not provided), all for prevention of cervical cancer. Plaintiff agreed to receive the vaccine after being convinced by the Company that the vaccine was very safe and prevents cancer. On unspecified date, patient sustained serious autoimmune, autonomic, and neurological injuries as a result of the vaccination (nervous system disorder/ autoimmune disorder). As the months progressed, so did patient's injuries. On unspecified date, she constantly felt tired and light physical activity left her out of breath. Plaintiff experienced tunnel vision, auditory impairment (hearing impaired), and dizziness when standing. As a result of her post-vaccination symptoms, plaintiff was unable to engaged in activities that a normal young person would enjoy. Based upon her chronic and severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) symptoms, the patient was diagnosed with various medical conditions, including but not limited to, postural orthostatic tachycardia syndrome (POTS). The patient required antidepressants and amfetamine aspartate (+) amfetamine sulfate (+) dexamfetamine saccharate (+) dexamfetamine sulfate (ADDERALL) to manage her chronic and severe post-vaccination symptoms. The patient 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. Patient also had 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 her injuries caused by the vaccine. As a direct and proximate result of her quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) -induced injuries, the patient had suffered and continued to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and she would continue to incur these losses and expenses in the future. At the time of reporting, the pt 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 disabling by the reporter. Upon internal review, the event of autoimmune disorder was determined to be medically significant.