Age: 16.0
Sex: U
Vaccine: HPV4
Symptoms: Dysmenorrhoea, Dysphagia, Exercise tolerance decreased, Fatigue, Gastrooesophageal reflux disease
Clinical narrative: autonomic, autoimmune, and neurological injuries; Autonomic and Neurological Injuries; Autonomic and Neurological Injuries; gastroesophageal reflux disease (GERD; postural orthostatic tachycardia syndrome(POTS)/ dizziness/nausea/chronic fatigue/ fast, irregular heartbeat, irregular/ Headaches/sickness/syncope/memory loss/ unable to climb a; sinus tachycardia and abnormal uterine bleeding.; sinus tachycardia and abnormal uterine bleeding.; pill dysphagia; painful menstrual cycles; irregular menstrual cycles; third dose was on April 28, 2021; Her second dose was on January 2, 2020; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a adult female patient (pt) of unknown age. No information was provided regarding concomitant medications, concurrent conditions or medical history.  On 22-OCT-2018, the patient was vaccinated with a first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (dose, lot#, expiration date, and route were not reported) for preventing cervical cancer.  On 02-JAN-2020 and 22-APR-2021, the patient was vaccinated with a second and third dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)respectively (dose, lot#, expiration date, and route were not reported) for preventing cervical cancer(Inappropriate schedule of product administration, Inappropriate schedule of product administration).  On an unknown date, the patient experienced autonomic(,Autonomic nervous system imbalance) autoimmune(Autoimmune disorder), and neurological injuries(Nervous system disorder).  Following vaccination the patient experienced on an unknown date: dizziness, nausea, chronic fatigue, fast, irregular heartbeat, irregular,headaches,sickness, syncope,memory loss, unable to climb a flight of stairs or walk the track at the gym without getting easily tired, she was also unable to browse in stores for periods of time, or participate in a walk/run 5K and was diagnosed with postural orthostatic tachycardia syndrome(POTS) (date unspecified). Before her injuries, she was involved with Scouts and a member of program.  It was reported that the patient experienced painful menstrual cycles(Dysmenorrhoea), on a unknown date. She has been seen by multiple physicians and specialists, including a neurologist, gastroenterologist, allergist, cardiologist, pulmonologist and OBGYN. Pt. has had to endure seeing radiologists and having multiple lab draws to try to diagnose all her symptoms (data not showed). She had to manage multiple physician appointments and regular naps because of her chronic fatigue. Due to her unrelenting exhaustion and pill dysphagia, she now had to cope with nausea and sickness (POTs symptoms).  Based upon her chronic and severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms experienced on an unknown date, including:gastrointestinal dysfunction diagnosed as gastroesophageal reflux disease (GERD), on an unspecified date; irregular menstrual cycles (Menstruation irregular). She had been diagnosed with various medical conditions sinus tachycardia and abnormal uterine bleeding (date of diagnosis unspecified).  As a result of her post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) the patient has suffered and continues to suffer severe and permanent physical injuries, and associated symptomology and has suffered severe and permanent emotional injuries, including pain and suffering. Patient also has 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 quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL).  As a direct and proximate result of her quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL)-induced injuries, patient hadsuffered and continues 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.  The outcome of the events of autoimmune disorder,autonomic nervous system imbalance, nervous system disorder, Gastroesophageal reflux disease, postural orthostatic tachycardia syndrome (POTS), Sinus tachycardia, Abnormal uterine bleeding, Abnormal uterine bleeding, dysphagia, dysmenorrhoea,  menstruation irregular was reported as not recovered/not resolved.was reported as not recovered.  Causality between the events of autoimmune disorder,autonomic nervous system imbalance, nervous system disorder, Gastroesophageal reflux disease, postural orthostatic tachycardia syndrome (POTS), Sinus tachycardia, Abnormal uterine bleeding, Abnormal uterine bleeding, dysphagia, dysmenorrhoea,  menstruation irregular and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was related.  The events of autoimmune disorder,autonomic nervous system imbalance, nervous system disorder, Gastroesophageal reflux disease, postural orthostatic tachycardia syndrome (POTS), Sinus tachycardia, Abnormal uterine bleeding, Abnormal uterine bleeding, dysphagia, dysmenorrhoea,  menstruation irregular were considered disabling by the reporter mentioned as suffered severe and permanent emotional injuries.  Upon internal review Autoimmune (Autoimmune disorder)  was considered to be medically significant.