Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Pain, Pneumonia
Clinical narrative: On July 25, 2007 patient went into the Pediatrician's office for a School Physical.  The nurse practitioner recommended the Gardasil vaccine.  After discussing with her the possible side effects and the fact that patient, has many allergies and I was concerned about possible reactions to the vaccine.  The nurse assured us that the vaccine that should not give her a problem.  I agreed to the vaccine.  The second shot was given to patient on or about October 22, 2007.  Within a week of getting, the second vaccine patient started complaining of generally not feeling well.  Patient began feeling very tired and generally "achy" all over.  She started missing school.  Through the entire month of November, patient missed school occasionally due to fatigue and overall achiness.   This progressed and became worse.  By the end of December, patient had started missing entire weeks of school.  She had headaches, joint pain, ached all over, fatigue, difficulty breathing on occasion.  Because patient was so ill that when it was time to receive the 3rd shot of Gardasil, we chose to wait even though the doctors reassured us that it would be alright.  The symptoms appeared to be consistent with Mono, so in early January we took her to the doctor.  He ran Mono tests, Strep tests and blood tests.  The strep test was positive, the mono test was negative and the blood tests showed no problems.  The doctor prescribed on Antibiotics for the strep.  Through the entire Month of January, she was ill, and went through several rounds of antibiotics.  Her glands were swollen, her body was in pain, her stomach and chest hurt, legs and joints hurt (at times you could not even touch her, she would cry in pain).  There were days that she just could not get out of bed, severe fatigue.    By February, patient had developed pneumonia and was so ill that the doctor contemplated putting her in the hospital.  The only reason he did not hospitalize her was that due to her allergies to antibiotics he indicated that he really did not have anything he could treat her with intravenously and "there are things going around the hospital that if she were to get, we would have no defense for!"  We were visiting the doctor's office on a weekly basis.  Prior to the diagnosis of pneumonia, the diagnosis was"just a virus."    By the beginning of March, patient started having the severe headaches, stomach pain, fatigue and continued with overall pain.  The doctor diagnosed her with a "sinus infection," and put her on Antibiotics for several weeks.  After two or three rounds of the antibiotic, with no improvement in her condition, she stopped taking the antibiotics.  n addition to the above noted symptoms reported to the doctors, patient reported difficulty concentrating.     We have enlisted the help of a Integrated Manual Therapist to get the toxins out of her body.  She has been in treatment since mid April and has been improving.  She still has occasional severe headaches and stomach pain, but not to the extent, they were.  The fatigue is still an issue but much less.