Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria, Visual impairment
Clinical narrative: Serious Autoimmune, Autonomic, and Neurological Injuries as a Result of Her Gardasil Injection; Psychogenic Non-Epileptic Seizures (PNES); Postural Orthostatic Tachycardia (POTS), dysautonomia, migraines, headaches, chest pain, armpit pain, excessive sleeping, chronic fatigue, impaired vision,balacking-out, GI issues, stomach, abdominal pain, tired all the time, causing her to sleep fre; Chronic Central Neuropathic Pain; numbness in both arms, burning sensation, swelling on the right side of her body with reduced strength, cervical pain, breast pain; Serious Autoimmune, Autonomic, and Neurological Injuries as a Result of Her Gardasil Injection; numbness in both arm, burning sensation, tingling in her fingers, toes, and legs;; anemia; difficulty walking; thyroid issues/irregular menstrual cycles with severe cramping and heavy blood clotting; swollen lymph nodes; Urticaria; red rashes accompanied by swelling in her face and neck; First dose on 03-FEB-2017 and second dose on 07-FEB-2019; Information has been received from a lawyer regarding a case in litigation concerning a female patient (pt) of unknown age. The pt's medical history, concurrent conditions and concomitant medications were not provided. On 03-FEB-2017, when the pt was 12 years old, she was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) and on 07-FEB-2019, she was vaccinated with the second dose as prophylaxis (dose, route of administration, anatomical location, lot#, expiration date were unknown) (inappropriate schedule of vaccine administered). Following to pt's quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) vaccination, she experienced severe migraine headaches, severe chest and armpit pain, excessive sleeping, chronic fatigue, loss of appetite, anemia, impaired vision, blacking-out, numbness in both arms, burning sensation and swelling on the right side of her body with reduced strength, thyroid issues, swollen lymph nodes, urticaria, cervical pain, gastrointestinal issues, breast pain, and irregular menstrual cycles with severe cramping and heavy blood clotting. She was in and out of hospitals and was seen by multiple physicians and specialists for her complaints. She also, began to experience seizures multiple times per day, causing weakness and on some days, she had difficulty walking and the seizures were preceded by nausea. Her seizures involved symptoms such as rolling eyes, an opisthotonic posture, and tonic-clonic movements of the extremities. Also, had stomach pain intense that eating was also triggering severe abdominal pain. She was extremely tired all the time, causing her to sleep frequently. She experienced tingling in her fingers, toes and legs, along with tics and muscle jerking and pain. Additionally, she developed red rashes accompanied by swelling in her face and neck. Her body temperature fluctuates, making her feel feverish. She had severe fatigue and heart rate increased. She had been diagnosed with Postural Orthostatic Tachycardia (POTS), dysautonomia, Psychogenic Non-Epileptic Seizures (PNES), chronic central neuropathic pain. She suffered serious autoimmune, autonomic and neurological dysfunctions. As a result of her vaccination, pt has and would continue to suffer severe and permanent physical injuries, and associated symptomology, emotional injuries, including pain and suffering, economic losses, financial expenses for medical care and treatment. At the time of the report, the outcome of events was not resolved. The causal relationship between the events and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was related.  Upon internal review, seizure and autoimmune disorder were considered medically significant. All events were considered as disabling.