Age: 38.0
Sex: M
Vaccine: HPV4
Symptoms: Vision blurred
Clinical narrative: Bells Pals/ loss of facial muscle control/ intense pressure and pain behind his eyes causing headaches/ sensitivity to light/ dizziness/ blurred vision; Autonomic, and Neurological Injuries; POTS/Autonomic Injuries/ dizziness/ headaches/ blurred vision; a constellation of adverse symptoms, complications, injuries, and other adverse events; fibromyalgia; pain amplification syndrome; Gardasil-induced autoimmune disorder; a constellation of adverse symptoms, complications, injuries, and other adverse events; The patient was 38 years old when he received Gardasil.; Information has been received regarding a case in litigation from a lawyer and referred to an adult male patient (pt). No information was provided regarding medical history, concurrent conditions, or concomitant medications. On an unknown date (when the pt was 38-year-old), he was vaccinated with the first dose of Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL) intramuscular injection (strength, dose, route, lot# and expiration date were not reported) for preventing cervical cancer (product administered to patient of inappropriate age). Following his vaccine, the pt experienced intense pressure and pain behind his eyes causing headaches, dizziness, blurred vision, including, sensitivity to light, and loss of facial muscle control. As the months progressed, so did the pt's injuries. He was hospitalized and diagnosed with Bells Palsy (Bell's palsy). When the pt was able to return to work following some time after his hospitalization, he was unable to perform his regular job duties as a painter. Since that time, he no longer operated in the same capacity and his work schedule decreased substantially. The pt contended that his injection caused him to develop serious and debilitating injuries, including autoimmune, autonomic, and neurological injuries (autoimmune disorder, nervous system disorder) including but not limited to Bells Palsy, dizziness, blurred vision, and headaches, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events (Ill-defined disorder, adverse event), many of which were alleged herein and all of which were caused by the vaccine or otherwise linked to his vaccine-induced autoimmune disorder. The pt had suffered and continued to suffer severe and permanent physical injuries, including, but not limited to, Postural orthostatic tachycardia syndrome (POTS), fibromyalgia, and pain amplification syndrome (amplified musculoskeletal pain syndrome), and associated symptomology 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 injuries caused by the vaccine. As a direct and proximate result of his vaccine-induced injuries, the pt had 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. His injuries and damages were permanent and would continue into the future. The outcome of all events (except for the marker code) was not resolved. The causality assessment between all the events (except for the marker code) and Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL) was considered as related by the lawyer.     All the events (except for the marker code) were considered to be disability by the lawyer. Upon on internal review, the events of Bell's palsy and autoimmune disorder were considered to be medically significant.