Sex: F
Vaccine: HPV9, HPV9
Symptoms: Feeling abnormal, Muscle twitching, Piloerection, Pruritus, Tremor
Clinical narrative: the patient felt itchy allover/ patient was scratching her face and arm; the patient was shaking uncontrollably; The patient fell hot over / and described feeling like burning up; The patient developed goose bumps; Patient was "able to walk but upper body" was twitching; This spontaneous report was received from a physician referring a 17-year-old not pregnant, female patient. The patient's concurrent conditions included includes attention deficit/ hyperactivity disorder(ADHD), underweight, allergy to apples, seasonal allergy, and sly allergy. The patient's pertinent medical history, and previously past drug reactions were not reported. Her concomitant medications were amphetamine aspartate (+) amphetamine sulfate (+) dextroamphetamine saccharate (+) dextroamphetamine sulfate (ADDERALL), melatonin, ethinyl estradiol (+) norgestimate (ORTHO-CYCLEN), minerals (unspecified) (+) vitamins (unspecified) (CEROVITE) and minerals (unspecified) (+) protein (unspecified) (+) vitamins (unspecified) (ENSURE).   It was reported that on 05-SEP-2019, the patient went to the dentist and there was administered oral lidocaine, one hour after that, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, intramuscularly, as protection of human papillomavirus (HPV) (strenght, dose, and anatomical location vaccination were not reported; lot number R023608 has been verified to be valid for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast); expiration date was not reported: but upon internal verification established as 30-APR-2021).  On the same (reported as one hour and half after vaccination), the patient experienced hot allover (burning sensation), itchy allover, itchy all over (pruritus), an uncontrollably shaking (tremor). Therefore, the patient was brought to medical unit at detention center, for the symptoms. It was reported, that the patient did not had rash or fever, however she was scratching (pruritus) her face and arm, it was described as feeling like burning up (burning sensation). Also, the patient developed goose bumps (piloerection). The physician reported that the patient's blood pressure was 120/88 (units not provided), but the patient was tensing arms, clenching hands, and curl toes, during the process of getting blood pressure. Also, it was reported that patient was alert and able to follow directions like open eyes, patient was able to walk, but upper body was twitching (muscle twitching), however the physician reported that  from waste down, the patient appeared to be fine. Benadryl 50 milligram (mg) was administered to the patient due treatment, and gatorade. The events lasted for two hours, and laboratory dignostics or studies were not performed to the patient. Finally, the physician was not sure if symptoms was an allergic reaction, but also considered possible psychosomatic component to symptoms.    On the same day, the patient was recoverd from the events pruritus, tremor, burning sensation, piloerection, and muscle twitching.  The relatedness between the events and therapy with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) was not reported.