The patient was diagnosed with stage four cervical cancer/emotional and physical trauma; unexpected fatigue/She felt tired; intense stomach aches; anxiety; overall weakness throughout her body; She felt tired; nausea; weight loss; muscle atrophy; emotional and physical trauma; menopause in her 20s/hot flashes,; her eggs are no longer viable due to the cancer treatment; She wears out much easier, has a verydifficult time focusing on tasks related to her job; constant mood swings; she can no longer have children of her own; hormonal imbalances; brain fog,; muscular and joint pain; muscular and joint pain; insomnia; She lives in constant fear that her cancer will come back; nervousness; pt. received  3nd dose of vaccine on in April 2018; pt. received  2nd dose of vaccine on in March 2018; This initial spontaneous report was received from a lawyer and patient's mother regarding a case in litigation and refers to a female patient of unknown age. No information was provided regarding medical history, concurrent conditions, or concomitant medications. On 21-DEC-2016, pt. received the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) for prevention of cervical cancer (lot#, expiration date, dose, and route not specified) .  In March 2018 and April 2018, the pt. was vaccinated with a second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) for prevention of cervical cancer (lot#, expiration date, dose, and route not specified) (Inappropriate schedule of product administration) and April 2018 the pt. received the third dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) for prevention of cervical cancer (lot#, expiration date, dose, and route not specified) (Inappropriate schedule of product administration). Subsequent to her third dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL)vaccination, on an unspecified date, the pt. began experiencing unexpected fatigue, intense stomach aches, anxiety, and overall weakness (asthenia) throughout her body. She felt tired all the time and could not understand, why because she ate a healthy diet, exercised almost every day, and highly valued sleep and good habits. She did not see a doctor about these issues because she assumed it was stress from school and applying to graduate programs. She also speculated it could be certain foods she was eating, or other stressors in life that were causing these unexpected changes. Pt. was diagnosed with stage four cervical cancer, on an unknown date. She received multiple biopsies, CT scans and MRIs (data and dates not showed); Pt. had six rounds of chemotherapy, 30 radiation treatments, three brachytherapy treatments, and countless doctor visits(dates unspecified). During this time, on an unknown dates, she experienced even more fatigue, nausea, weight loss, muscle atrophy, increased anxiety, and emotional and physical trauma (affect lability, emotional distress). She was unable to go back to university, on an un unspecified date for her final semester and struggled to finish the classwork necessary to receive her undergraduate degree. Because most of her treatment was directed at her cervix, her ovaries were also Affected (ovarian atrophy), putting her into menopause in her 20s (premature menopause) She would never be able to have children of her own (infertility female), because her eggs are no longer viable due to the cancer treatment(onsets dates unknown). Although it had been several years since her last treatment, the pt. still did not feel the same as before she developed cervical cancer. On an unspecified dates, she weared out much easier, she had a very difficult time focusing (disturbance in attention, onset date unknown) on tasks related to her job as a physical therapist, she continued to suffer from constant mood swings and hot flashes, which she tried to control with hormone therapy. She lived in constant fear that her cancer would come back, and her life could completely change once again. Based upon her chronic and severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) symptoms, pt. had been diagnosed with various medical conditions, including but not limited to cervical cancer, hormonal imbalances, continued hot flashes, mood swings, continuous fatigue and brain fog (depressed level of consciousness), muscular and joint pain (arthralgia, myalgia), and insomnia with anxiety and nervousness (onset dates unspecified), as well as a constellation of adverse symptoms, complications, injuries, and other adverse events, many of which are alleged herein and all of which were caused by severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) or otherwise linked to her severe post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) induced cervical cancer. As a proximate result of quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) for prevention of cervical cancer, the pt. suffered and would continue to suffer economic losses, including considerable financial expenses for in her favor   The outcome of cervix carcinoma stage iv, nervousness, fear of disease, insomnia, myalgia, arthralgia, depressed level of consciousness, hormone level abnormal, infertility female, mood swings, disturbance in attention, ovarian atrophy, premature menopause, emotional distress, muscle atrophy, weight decreased, nausea, asthenia, anxiety, abdominal pain upper and fatigue was reported as not recovered/not resolved.  The following events: cervix carcinoma stage iv, nervousness, fear of disease, insomnia, myalgia, arthralgia, depressed level of consciousness, hormone level abnormal, infertility female, mood swings, disturbance in attention, ovarian atrophy, premature menopause, emotional distress, muscle atrophy, weight decreased, nausea, asthenia, anxiety, abdominal pain upper and fatigue were considered to be related to Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL) or hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9).  The following events: cervix carcinoma stage iv, nervousness, fear of disease, insomnia, myalgia, arthralgia, depressed level of consciousness, hormone level abnormal, infertility female, mood swings, disturbance in attention, ovarian atrophy, premature menopause, emotional distress, muscle atrophy, weight decreased, nausea, asthenia, anxiety, abdominal pain upper and fatigue were considered disabling by the reporter.  Upon internal review, Cervix carcinoma stage IV, was considered to be medically significant event.