It means NOTHING if you don't understand it - which you probably don't
From the report, here is a table, the letters at the bottom in parenthesis "()" represent a code. There were 4 different placebos used. 3 adjuvants 1 saline.
I'm showing it in yellow.
Am I typing slow enough?
So Study 018, aka Protocol 018, is done with Saline Placebo. They do say so.
....and look, heres the bigger picture....
...and one more for good measure
It's all perfectly consistent. No tricks. No conspiracy.
Are you intentionally trying to conflate irrelevancies in an attempt to defend your religious dogma? Or are you just "not getting it"?
According to you, the study wasn't supposed to exist at all, yet here it is! That was your original request for "proof".
Regarding your conflation ... The document presented contains the results a number of separate studies
Don't you get that at all ???
You can tell they are separate studies: - they have different placebos - they have different control groups - they have different subject groups
The saline placebo clearly exists was one study among many.
Phased Trials for Gardasil -ALL Double Blind Placebo- for different demographics.
Koreahttps://ijgc.bmj.com/content/18/5/1013.abstract Maleshttps://www.nejm.org/doi/full/10.1056/nejmoa0909537 Other infectionshttps://academic.oup.com/jid/article/196/10/1438/1075198 Pregnant womenhttps://journals.lww.com/greenjournal/Fulltext/2009/12000/Pneumoamnion_and_Pregnancy_Loss_After.5.aspx UKhttps://www.tandfonline.com/doi/full/10.1080/21645515.2016.1277846
And a whole bunch of tests done post licensure....a number of years after it was used -- confirming pre-licenusre Phased trial results.