Patient’s parent reported on 1/30/2025 at 3:23pm that patient developed a “golf-ball sized knot” at approximately 12:00pm on 1/30/2025 at the injection site where she received her HPV vaccine the day prior. Patient also reports mild pain around the site. No other symptoms reported. Parent states that after her first HPV vaccine, the patient experienced only mild site pain. Parent was advised to contact primary care provider.