Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Hysterectomy, Maternal exposure before pregnancy, Ovarian cyst, Ovarian cyst ruptured, Pain
Clinical narrative: Cervical cancer; The patient has frequent cysts on her ovaries that rupture and cause significant pain; The patient has frequent cysts on her ovaries; The patient has suffered digestive problems; The patient has suffered kidney problems; The patient received 3 Gardasil doses and then she was pregnant; Information has been received from a lawyer regarding a case in litigation concerning an adult female patient (pt) of unknown age. The pt's concurrent conditions, medical history and concomitant therapies were not provided.   On unknown dates (at the age of 16 years old), the pt was vaccinated with the three recommended doses of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)(lot #, expiration dates, strengths, doses, routes of administration and anatomical locations were not provided) as prevention of cervical cancer, as recommended by her physician and consented by the pt's mother. On an unknown date, the patient began experiencing painful menstruation and, at age 25 and while pregnant, she received abnormal results from a routine pap test. On an unknown date, a biopsy was taken, and she was told she had cancer. It was uncertain whether she would be able to maintain her pregnancy and give birth to her child. Notwithstanding her cancer diagnosis, the pt was able to go to full term and deliver her baby. Thereafter, the pt underwent a hysterectomy. Since her hysterectomy, the pt had suffered digestive problems, kidney problems, and frequent cysts on her ovaries that rupture and caused significant pain.  Based upon her 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, cervical cancer and ovarian cysts. As a proximate result of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL), the pt suffered and continued to suffer severe and permanent physical injuries and associated symptomatology and suffered severe and permanent emotional injuries, including pain and suffering. She 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 her injuries caused by quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). As a direct and proximate result of her quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, she also suffered and continued to suffer economic losses including considerable financial expenses for medical care and treatment, and diminished income capacity and she would continue to incur these losses and expenses in the future. The outcome of the events of cervical cancer, ovarian cysts, ovarian cysts rupture, digestive impaired, and kidney disorder was not recovered at the time of the report. The events were considered to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb vaccine (GARDASIL).  The event of cervical cancer was determined to be medically significant. The events of cervical cancer, ovarian cysts, ovarian cysts rupture, digestive impaired, and kidney disorder were considered to be disabling.