Eiji Kusumi • 2016-01-03 01:44 PM No one can clarify causal relationship between HPV vaccine and the symptoms. Do you think cervical cancer among HPV vaccinated person is caused by HPV vaccine ? -No. Pneumonia after HPV vaccination is vaccine related ? -No. Why do "vaccine-injured" people complain that their symptoms are caused by HPV vaccine ? Recent mass-investigation in Nagoya city, the Japan's fourth most populous urban area, elucidated that HPV vaccine was safe. Though HPV vaccine itself is safe, few people might feel severe pain while injection, which might cause CRPS. However, the Nagoya study denies the increase of fibromyalgia and CRPS like symptoms after HPV vaccination. We should go on both proactive HPV vaccination and compensation program in Japan. In addition, it is quite unusual that more than half of comments on this article are from Japanese, and most of them are from anti-vaccine point of view. This fact itself reflects the insane atmosphere surrounding the HPV vaccine in Japan. Now its time to discuss it scientifically, not emotionally.