Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Muscular weakness, Nervous system disorder, Postural orthostatic tachycardia syndrome, Speech disorder, Tremor
Clinical narrative: functional neurological disorder; functional limb weakness; Postural Orthostatic Tachycardia ("POTS").; vision disorder; speech symptoms; functional movement disorder; central and vestibular abnormalities; central and vestibular abnormalities; Other Related Injuries; autoimmune disease; First dose on 14-AUG-2018 and second dose on 10-SEP-2019; Information was received from a lawyer regarding a case in litigation and refers to a 13 year old female patient. Prior to receiving her quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection, she had no autoimmune diseases and no autonomic issues. Information about historical drugs and concomitant medications were not reported.  On 14-AUG-2018 and 10-SEP-2019, the patient was vaccinated with the first and second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) respectively for prophylaxis (dose, route, lot number and expiration date were not reported) (Inappropriate schedule of vaccine administered).  On 10-SEP-2019 at the evening, she began falling out of her turns, later that week began to experience tremors and dizzy spells. As the months progressed, she was seen by multiple physicians for her complaints which now included: tunnel vision, headaches, tremors, dizziness, severe lethargy, anxiety, elevated heart rate and painful periods.  As a result of her post-Gardasil symptoms, the patient was unable to engage in normal activities that a normal young person could enjoy. Due to her unrelenting stomach aches, headaches, constant dizziness, tremors, fatigue, and extremely elevated heart rate, she now struggles in school and could not complete tasks she could before the Gardasil vaccine. Because it was so difficult for her to learn, her grades in school had suffered and that is affecting her ability to attend college.   On an unknown date she was diagnosed with functional neurological disorder (conversion disorder), nervous system disorder (medically significant), vestibular disorder (medically significant), functional movement disorder, functional speech symptoms, functional vision disorder, postural orthostatic tachycardia syndrome (POTS), functional muscular weakness, autoimmune disease and other related injuries (ill-defined disorder).      The outcome of conversion disorder, nervous system disorder, vestibular disorder, movement disorder, speech disorder, visual impairment, postural orthostatic tachycardia syndrome, muscular weakness, autoimmune disease and ill-defined disorder was unknown.     The reporter considered conversion disorder, nervous system disorder, vestibular disorder, movement disorder, speech disorder, visual impairment, postural orthostatic tachycardia syndrome, muscular weakness, autoimmune disease and ill-define disorder to be related to Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL).     It was reported that the events had resulted in her suffering from severe, serious, disabling and painful chronic Injuries.