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More than 6\u2009years have already passed since the suspension of proactive recommendations of all available vaccines in Japan. Although no causal relationship between the adverse effects and HPVV has been confirmed, the Japanese government has not withdrawn the suspension. Thus, it is important to show various possible causes of the adverse events other than HPVV. It is attempted to describe the possible contribution of the misunderstanding regarding the symptoms of postural tachycardia syndrome, deconditioning, and exercise\u2010induced hyperalgesia as the adverse effects of HPVV in this review article.<\/jats:p>","DOI":"10.1111\/jog.14227","type":"journal-article","created":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T06:25:53Z","timestamp":1583821553000},"page":"678-683","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Human papillomavirus vaccination and postural tachycardia syndrome, deconditioning and exercise\u2010induced hyperalgesia: An alternate interpretation of the reported adverse reactions"],"prefix":"10.1111","volume":"46","author":[{"given":"Yuko","family":"Ishizaki","sequence":"first","affiliation":[{"name":"Department of Pediatrics Kansai Medical University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harumi","family":"Gomi","sequence":"additional","affiliation":[{"name":"Office of Medical Education, Center for Infectious Diseases International University of Health and Welfare  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,9]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"6","article-title":"Clinical features and preliminary diagnostic criteria of human papillomavirus vaccination associated with neuroimmunologic syndrome (HANS)","volume":"17","author":"Nishioka K","year":"2014","journal-title":"Int J Rheum Dis"},{"key":"e_1_2_8_3_1","first-page":"46","article-title":"HANS (human papilloma virus vaccination associated neuroimmunopathic syndrome): Clinical assessment and pathophysiological considerations","volume":"4758","author":"Yokota S","year":"2015","journal-title":"Japan Med J"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-017-0574-6"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.03.098"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61152-7"},{"key":"e_1_2_8_7_1","unstructured":"The Vaccine Adverse Reactions Review Committee of Japan. 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