Sex: F
Vaccine: HPVX, HPVX
Symptoms: Epistaxis, Fatigue, Headache, Hot flush, Musculoskeletal chest pain
Clinical narrative: dysautonomia and  Postural Orthostatic Tachycardia Syndrome (POTS); Information has been received from a lawyer, regarding a case in litigation and concerning a 14-year-old (reported as adult) female patient. No information concerning the pt's medical history, concurrent conditions or concomitant medications was provided.  On an unknown date, the patient was vaccinated with the first dose of Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) (strength, dose, route, anatomical location, lot number and expiration date were not provided). On an unknown date, the patient received the second dose of Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) (strength, dose, route, anatomical location, lot number and expiration date were not provided) for preventing cancer.  On an unknown date, after receiving the Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) vaccination, the pt began to suffer from headaches, dizziness, lightheadedness, nose bleeds, hot flashes, cold sweats, nausea, fatigue, loss of menses, loss of appetite, gastrointestinal discomfort, which includes bloating after eating, stomach pains and cramping. The pain radiated to her back. The pt sought medical treatment for abdominal pain, nausea, cold sweats, lightheadedness, dizziness on/off for one month, and bloating after eating, and during one visit, it was noted that she had been without a menses for months. Prior to the Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) vaccine, her menstrual cycle was normal and present. She had tried various medications to help regulate her body, nothing has worked. During one appointment, the records state "Rib pain and random times of dizziness, hot flashes, blurred vision, pressure behind eyes and nausea. Patient vomited once "yesterday" and have been to multiple specialists for the rib pain, have not gotten any answers to what is going on with patient.  Based upon her chronic and severe post- Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) symptoms, Matter has been diagnosed with various medical conditions, including but not limited to, dysautonomia and Postural Orthostatic Tachycardia Syndrome (POTS). It was mentioned that although her symptoms started after her first vaccination, everything worsened after the second Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) vaccination. The pt contended that her Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) injections caused her to develop serious and debilitating autoimmune, and neurological, injuries and all of which were caused by Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) or otherwise linked to her Gardasil-induced autoimmune disorder and additionally continue to suffer severe and permanent physical injuries and permanent emotional injuries, including pain and suffering. the patient experienced dysautonomia and  Postural Orthostatic Tachycardia Syndrome (POTS).   At the reporting time, the patient had not recovered from Postural Orthostatic Tachycardia Syndrome (POTS).  The lawyer considered the event of Postural Orthostatic Tachycardia Syndrome (POTS) to be related to Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL).  The lawyer considered the event Postural Orthostatic Tachycardia Syndrome (POTS) to be medically significant and disabling/incapacitating.; Sender's Comments: Priority : 2 , Is case serious : Yes , Index user :  , Index date : 2025-07-16 , MNSC number : , CLIC number : , ESTAR number : LEGCOL , IRMS number : 68936 , Central date : 2025-07-14 , Classification : DMC, Attachment description : Legal , Safety case number :