patient experienced intense chest pain; pains in the right side of abdomen; headaches and migraines/ also experienced dizziness, heart palpitations, weakness in both legs/ has been diagnosed and treated for bartonella and babesia; patient experienced intense chest pain; pains in the right side of abdomen; headaches and migraines/ also experienced dizziness, heart palpitations, weakness in both legs/ has been diagnosed and treated for bartonella and babesia; patient experienced intense chest pain; pains in the right side of abdomen; headaches and migraines/ also experienced dizziness, heart palpitations, weakness in both legs/ diagnosed with small fiber neuropathy; patient experienced intense chest pain; pains in the right side of abdomen; headaches and migraines/ also experienced dizziness, heart palpitations, weakness in both legs/ diagnosed with dysautonomia; patient experienced intense chest pain; pains in the right side of abdomen; headaches and migraines/ also experienced dizziness, heart palpitations, weakness in both legs/ diagnosed with chronic inflammatory demyelinating polyneuropathy; The patient received the GARDASIL 9 vaccination, three dose series, on 11/02/2013, 01/30/2014, and 01/09/2015; This spontaneous report has been received from the patient's mother, referring to a 14-year-old female patient, who did not have any pertinent medical history, drug reactions, allergies, nor concomitant medication.   On 02-NOV-2013, 30-JAN-2014, and 09-JAN-2015, the patient received 1 dosage form respectively, of the hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection three-dose series vaccination (inappropriate schedule of product administration), intramuscularly, as recommended by the physician (concentration, anatomical location of vaccination, lot number and expiration date were unknown by the reporter).  On 09-MAR-2015 (reported as "two months after the third dose", and as "approximately 4 years a"), the patient experienced intense chest pain, which lasted for 2 years; pains in the right side of the abdomen, which lasted for months; headaches and migraines, which lasted for three years. It was reported that the migraines would occur every day. The patient also experienced dizziness, heart palpitations, and weakness in both legs. According to the patient's mother, medical attention was sought and the patient had been diagnosed with bartonella and babesia; in addition, the patient was diagnosed with small fiber neuropathy, dysautonomia, and chronic inflammatory demyelinating polyneuropathy and was admitted to the hospital in approximately April 2019 (reported as "approximately 6 months ago"). It was reported that unspecified antibiotics and intravenous immunoglobulin (IVIG) were given to the patient as treatment for the reported events. Additionally, a "bloodwork" was performed to the patient; however, the results were not provided.   By reporting time, the patient had not recovered from the reported events. The causality assessment between vaccination with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) and the occurred events was not provided by the reporter.  Upon internal review, the events of chronic inflammatory demyelinating polyneuropathy, bartonellosis and babesiosis were determined to be medically significant.