Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Loss of personal independence in daily activities, Magnetic resonance imaging, Muscle spasms, Myalgia
Clinical narrative: POTS: racing heart rate, dizziness, pressure in her head, stomach issues, sweating, difficulty regulating her body temperature, tingling in legs & arms,chest pain, brain fog, muscle spams, joint & muscle pain, joint stiffness,dry mouth, back pain,; Chronic pain syndrome/ joint pain, deep muscle and bone aches/ lower and upper back; frequent dehydration; autonomic, autoimmune, and neurological injuries; autonomic, autoimmune, and neurological injuries; the fourth Gardasil vaccine on August 12, 2021; This spontaneous report was received from the lawyer, regarding a case in litigation, and refers to an adult female patient (pt) (specific age not provided). The pt's medical history, concurrent conditions, drugs reactions or allergies and concomitant medications were not provided. On 11-AUG-2016 at the age of 12-year-old, the pt was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection; then on 05-OCT-2016, 03-JAN-2017, and 12-AUG-2021, she received her second, third and fourth doses of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) respectively (doses, routes and anatomical locations of administration, lot #, and expiration dates were not provided) for preventing cervical cancer (extra dose administered). The pt's health care provider recommended that the pt receive the vaccine, which was touted as a safe and effective. The pt's father consented to being injected with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). The pt sustained serious autoimmune, autonomic, and neurological injuries as a result of her vaccine. Following the fourth dose of the vaccine (on an unspecified date), the pt experienced racing heart rate, dizziness, pressure in her head, stomach issues, frequent dehydration, minimal-to-no sweating, difficulty regulating her body temperature, tingling in her legs from the knees down and tingling in her arms from the elbows down, frequent and constant chest pains, brain fog, muscle spasms, joint pain, deep muscle and bone aches, joint stiffness, lower and upper back pain, dry mouth, and random electrical shocks throughout her body. As the months progressed, so did pt's symptoms. She was seen by multiple physicians and specialists and went through repeated blood work, two ultrasounds, four magnetic resonance imaging (MRIs), a memory test, thyroid tests, a tilt table test, and many other tests. The pt was diagnosed with postural orthostatic tachycardia syndrome (POTS) and chronic pain syndrome. To manage her illnesses, she had altered her diet, increased her salt and sodium intake, wore compression socks and ankle braces, and increased her water intake. She needed to be able to lie down and prop her legs up when she felt the onset of symptoms to avoid passing out. As a result of her post-vaccine symptoms, pt was unable to engage in activities that a normal young person would enjoy and her ability to function was severely impacted. Before her vaccines, pt enjoyed playing the flute in the band, riding roller coasters, playing soccer with her siblings, and going on vacation with her family. Based upon her chronic and severe post-vaccine symptoms, pt was diagnosed with various medical conditions, including but not limited to, POTS and chronic pain syndrome. The 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. Pt 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 autoimmune disease and other injuries caused by the suspect vaccine. As a direct and proximate result of her vaccine-induced injuries, pt had suffered 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 reporting time, the pt had not recovered from the events. The causal relationship between the events and the suspect vaccine was considered as related by the reporter.   Upon internal review, the event of autoimmune disorder was determined to be medically significant. The events of POTS, chronic pain syndrome, dehydration, nervous system disorder and autoimmune disorder were considered to be a disability events by the reporter.