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The patient suffered from persistent headaches, dizziness, recurrent syncope, poor motor coordination, weakness, fatigue, myalgias, numbness, tachycardia, dyspnea, visual disturbances, phonophobia, cognitive impairment, insomnia, gastrointestinal disturbances, and a weight loss of 20 pounds. The psychiatric evaluation ruled out the possibility that her symptoms were psychogenic or related to anxiety disorders. Furthermore, the patient tested positive for ANA (1:1280), lupus anticoagulant, and antiphospholipid. On clinical examination she presented livedo reticularis and was diagnosed with Raynaud\u2019s syndrome. This case fulfills the criteria for the autoimmune\/auto-inflammatory syndrome induced by adjuvants (ASIA). Because human papillomavirus vaccination is universally recommended to teenagers and because POTS frequently results in long-term disabilities (as was the case in our patient), a thorough follow-up of patients who present with relevant complaints after vaccination is strongly recommended.<\/jats:p>","DOI":"10.1177\/2324709614527812","type":"journal-article","created":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T22:18:48Z","timestamp":1395181128000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Postural Orthostatic Tachycardia With Chronic Fatigue After HPV Vaccination as Part of the \u201cAutoimmune\/Auto-inflammatory Syndrome Induced by Adjuvants\u201d"],"prefix":"10.1177","volume":"2","author":[{"given":"Lucija","family":"Tomljenovic","sequence":"first","affiliation":[{"name":"Sheba Medical Center, Tel-Hashomer, Israel"},{"name":"University of British Columbia, Vancouver, British Columbia, 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