rapid heartbeat that kept her awake at night/heart rate would be extremely high/irregular heart rate; resulted in pt hitting her head; panic attacks/anxiety; panic attacks/anxiety; trouble eating; autonomic and neurological injuries; autonomic and neurological injuries; a constellation of adverse symptoms, complications, injuries, and other adverse events/other symptoms; a constellation of adverse symptoms, complications, injuries, and other adverse events/other symptoms; GARDASIL-induced autoimmune disorder; kept her awake at night/insomnia; numbness in her arms and legs/arm and leg numbness; vertigo; rash; non-epileptic seizures/violent seizures/thrash around, unable to breathe, and she would scratch at her throat and face; a constellation of adverse symptoms, complications, injuries, and other adverse events/other symptoms; syncopal episodes/fainting; Information has been received from a lawyer regarding a case in litigation and refers to an adult female patient (pt) of an unknown age. Information about concurrent condition, medical history and concomitant medications was not reported. On 22-JUL-2020, at the age of 18-year-old, pt received her first dosage of quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) (dose, route of administration, anatomical location, lot # and expiration date were not reported) for preventing cervical cancer upon the recommendation of her physician. On unknown dates (reported as following her quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) vaccination), pt began experiencing a rapid heartbeat that kept her awake at night. She also experienced numbness in her arms and legs, as well as other symptoms. Thereafter, pt began having episodes of syncope. Pt's fainting episodes began to be accompanied by seizures. Pt began having almost daily seizures, sometimes multiple times a day. The seizures were violent and resulted in pt hitting her head, she would thrash around, unable to breathe, and she would scratch at her throat and face. Pt's heart rate would be extremely high as well. Pt was seen by multiple physicians and specialists for her complaints which now included: vertigo, fainting, irregular heart rate, insomnia, panic attacks/anxiety, rash, arm and leg numbness, trouble eating, and fainting with violent seizures sometimes several times a day. As a result of her post-quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, pt had been unable to engage in activities that a normal young person would enjoy. Pt had to stop driving because of fainting spells and had delayed going to college. She had trouble completing a full shift at her job as a cashier because of fainting spells. Based upon her chronic and severe post-quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, pt had been diagnosed with various medical conditions, including but not limited to, syncopal episodes, and non-epileptic seizures. Pt contended that her quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) injection caused her to develop serious and debilitating autonomic and neurological injuries, including but not limited to syncope episodes sometimes accompanied by non-epileptic seizures with high heart rate, 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 quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL) or otherwise linked to her quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced autoimmune disorder. As a proximate result of quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL), pt had suffered and continued to suffer severe and permanent physical injuries, and associated symptomology and had suffered severe and permanent emotional injuries, including pain and suffering. Pt 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 (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL). As a direct and proximate result of her quadrivalent human papillomavirus (HPV) (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, pt had 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 all events was considered to be not recovered. The lawyer considered the events to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL).  All the events were considered to be disabling. Upon internal review, the events of non-epileptic seizure, syncopal episodes/fainting and autoimmune disorder was determined to be medically significant.