Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Aphasia, Brain fog, Cardiac murmur, Dizziness, Exercise tolerance decreased
Clinical narrative: Autonomic injuries; Brain fog (struggles with memory and is no longer able to continue with advanced math courses due to issues with comprehension and retention); Autoimmune injuries; chronic fatique/exhaustion; heart murmur (intense dizziness); Patient received 1st dose of Gardasil on 03-FEB-2016, 2 nd dose on 10-FEB-2021; Information has been received from a lawyer, regarding a case in litigation and concerning an adult male patient (pt) of an unknown age. No information concerning the pt's medical history, concurrent conditions or concomitant medications was provided. On 03-FEB-2016, at the age of 12 years old, the pt received his first dose of quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) (dose, route of administration, anatomical location, lot # and expiration date were not reported) for preventing cancer. On 10-FEB-2021, the pt received his second dose of quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) (dose, route of administration, anatomical location, lot # and expiration date were not reported), as recommended by his physician (LLT: inappropriate schedule of vaccine administration). On an unknown dates, following his second post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) vaccination, the pt experienced exhaustion, brain fog, and intense dizziness. On unspecified dates, as the months progressed, so did pt's symptoms. He began having daily fatigue. Pt was diagnosed with a heart murmur on 07-MAY-2021. As a result of his post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, the pt has been unable to engage in activities that a normal young person would enjoy, and his ability to function has been impacted. His daily fatigue has significantly reduced his capacity to exercise. He can no longer maintain being a competitive swimmer. His post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms have also impacted his abilities as a full-time college student. Pt struggled with memory and was no longer able to continue with advanced math courses due to issues with comprehension and retention. Based upon his chronic and severe post-quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, the pt was diagnosed with various medical conditions, including but not limited to chronic fatigue (date of diagnosis not reported)  and a heart murmur. The pt contended that his quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection(s) caused him to develop serious and debilitating autoimmune and autonomic injuries, including but not limited to chronic fatigue and a heart murmur, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events, many of which are alleged herein and all of which were alleged herein and all of which were caused by quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) or otherwise linked to his quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced autoimmune disorder. The pt had suffered and at the time of report continued to suffer severe and permanent physical injuries, and associated symptomatology and had suffered severe and permanent emotional injuries, including pain and suffering. He 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 his autoimmune disease and other injuries caused by quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). As a direct and proximate result of his quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, the pt suffered and at the time of report continued to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and he would continue to incur these losses and expenses in the future. The outcome of the events was considered not recovered. The reporter considered the events to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL).  The events were considered disabling.  Upon internal review, the events of autoimmune disorder and autonomic neuropathy were determined to be medically significant.