Someone received a dose of GARDASIL 9 “on Friday” and now “feels like they have a lump under their arm but when they look there is not a lump” / it felt as if there was a knot there but when I went to feel it there was no knot; This spontaneous report was received from a pharmacist and refers to a female patient of an unknown age. The patient’s medical history, concurrent conditions and concomitant therapies were not reported. On 09-JAN-2025, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection (strength, exact quantity volume, lot #, expiry date, route and anatomical site of administration were not provided) administered for prophylaxis. On 10-JAN-2025 (also reported as “on Friday and now”), the patient felt like she had a lump under her arm but when she looked there was not a lump, also reported as “it felt as if there was a knot there but when she went to feel it there was no knot” around the injection site (Vaccination site discomfort). At the time of the report the patient had not recovered. The causal relationship between the event and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) was unknown.