Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Educational problem, Fatigue, Headache, Loss of personal independence in daily activities, Nausea
Clinical narrative: symptoms similar to postural orthostatic tachycardia syndrome (POTS)/ hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; limited to autonomic, autoimmune, and neurological injuries; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog (trouble concentrating), and fatigue; limited to autonomic, autoimmune, and neurological injuries; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; emotional injuries including pain and suffering; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; symptoms similar to postural orthostatic tachycardia syndrome (POTS), hands turn purple, and experienced daily headaches that last nearly all day, chest pains, and lightheadedness, tremors, nausea, brain fog, and extremechronic fatigue; Information has been received from a lawyer regarding a case in litigation and referred to an adult male patient (pt). The pt's pertinent medical history, concurrent conditions, drugs reactions or allergies and concomitant medications were not provided by the reporter. On 05-NOV-2019, at the age of 14-year-old, the pt was vaccinated with the first dose of quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection for preventing cancer (strength, dose, scheme frequency, route and anatomical location of administration, lot number and expiration date were not provided). His mother, agreed to her son receiving the vaccine after being exposed to the Company's marketing that the vaccine was very safe. Following the first dose, on an unreported date, the pt began to notice his hands turned purple (cyanosis peripheral), and experienced daily headaches that last nearly all day, chest pains, and lightheadedness when rising up from being seated or from a lying position. He experienced tremors, nausea, brain fog, and extreme chronic fatigue. As the months progressed, so did pt's injuries. He was seen by multiple physicians and specialists for his complaints. As a result of his post-vaccine symptoms, pt was unable to engage in activities that a normal young person would enjoy. The pt's education performance deteriorated and he has trouble concentrating. 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, symptoms that were similar to postural orthostatic tachycardia syndrome (POTS). Pt contended that his vaccine caused him to develop serious and debilitating autoimmune, autonomic, and neurological, injuries, including but not limited to purple hands, daily headaches, chest pains, lightheadedness, tremors, nausea, brain fog, chronic fatigue, POTS-like symptoms, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events, many 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 vaccine-induced autoimmune disorder. 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. The 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 his autoimmune disease and other injuries caused by the vaccine. The pt suffered and 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. At the reporting time, the pt had not recovered from the events. The lawyer considered all events to be related to quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (GARDASIL).  Upon internal review, the event of autoimmune disorder was determined to be medically significant.   All the events were considered as disability events by the reporter.