"A 17-year-old woman presented to the emergency room with a 4-day history of abdominal pain, nausea and vomiting. Symptoms started after receiving the human papillomavirus vaccine a week earlier ... laboratory, electrocardiogram and echocardiogram indicated that the woman was in acute cardiogenic shock .... A histological image ... of the myocardium shows intense inflammation and myocardial necrosis with interruption of the striated muscle fiber (left side) compared to the preserved striated structure (right side) ... Our patient had no prodromal symptoms, but fulminant myocarditis occurred after receiving the human papillomavirus vaccine. "

Photos: http://www.amjmed.com/article/S0002-9343(10)00922-8/fulltext