Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Palpitations, Peripheral coldness, Postural orthostatic tachycardia syndrome, Syncope
Clinical narrative: Postural Orthostatic Tachycardia Syndrome (POTS):  sudden fainting spells,increased heart rate and heart palpitations, pain and coldness in her hands and feet, chronic fatigue and headaches, widespread pain, shortness of breath, decreased ability to; Autoimmune, Autonomic, and Neurological Injuries; constellation of adverse symptoms, complications, injuries, and other adverse; terrified of going to school for fear that she will pass out in front of her peers or as she is walking upstairs/downstairs to classes. This has taken a; Autoimmune, Autonomic, and Neurological Injuries; received gardasil on 09-OCT-2018 and second dose on 30-NOV-2021; This initial spontaneous report was received from a lawyer regarding a case in litigation, concerning a an child (age not specified) female patient. Patient's current conditions, medical history and  concomitant therapy was not reported. On 09-OCT-2018, (at 10 years old), the patient was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL)  subsequently, on 30-NOV-2021 (at 13 years old), the patient received her second dose (strengths, doses, lot numbers, expiration dates, routes of administration and anatomical locations were not provided)  (Inappropriate schedule of product administration) administered for prevention cervical cancer. On an unknown date, following her vaccination, pt sustained serious autoimmune, autonomic, and neurological injuries as a result of her injection; she started to experience sudden fainting spells, as a result of the vaccination, the pt suffered  extreme fatigue and most times faints upon standing; the fainting has gotten to the point that the pt was terrified of going to school for fear that she will pass out. The pt also often had an increased heart rate and heart palpitations, pain and coldness in her hands and feet, chronic fatigue and headaches, widespread pain, shortness of breath, decreased ability to concentrate and issues with her memory, and trouble sleeping.Based upon her chronic and severe post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) symptoms, she had been diagnosed with various medical conditions, including but not limited to POTS 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, Plaintiff 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 claimed events were considered as disabling by reporter.  Upon internal review, the event of autoimmune disorder was determined to be medically significant.