Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report

Abstract Background Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a neurological adverse effect after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) vaccinations. However, clinicians do not recognize the condition well, and no case report has shown a full recovery. Cas...

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Main Authors: Isaku Kurotori, Wataru Sasao, Masahiko Abe
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:PCN Reports
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Online Access:https://doi.org/10.1002/pcn5.70111
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author Isaku Kurotori
Wataru Sasao
Masahiko Abe
author_facet Isaku Kurotori
Wataru Sasao
Masahiko Abe
author_sort Isaku Kurotori
collection DOAJ
description Abstract Background Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a neurological adverse effect after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) vaccinations. However, clinicians do not recognize the condition well, and no case report has shown a full recovery. Case Presentation We present a 65‐year‐old Japanese female who experienced severe fatigue, postexertional malaise, orthostatic intolerance, and various symptoms after her third SARS‐CoV‐2 vaccination. Following thorough examinations and excluding other potential diagnoses, she met the diagnostic criteria for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The symptoms persisted for 30 months and improved ultimately with comprehensive treatment and a self‐management strategy, including pacing management, pharmacological treatments, and psychiatric interventions to support those struggling with the despair over the devastating symptoms. Conclusion This case report describes ME/CFS following the SARS‐CoV‐2 vaccination and its full recovery. It illustrates the importance of considering the differential diagnosis of psychiatric disorders and addressing the condition through psychiatric interventions. Our findings provide new insights into treating ME/CFS and the vaccination‐related adverse effects.
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spelling doaj-art-64eb36c6539c44f98d0ddb8cbaad5f7d2025-08-20T02:22:04ZengWileyPCN Reports2769-25582025-06-0142n/an/a10.1002/pcn5.70111Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case reportIsaku Kurotori0Wataru Sasao1Masahiko Abe2Public Health, Faculty of Medicine Hokkaido University Hokkaido JapanHokkaido Prefecture Haboro Hospital Hokkaido JapanHokkaido Prefecture Haboro Hospital Hokkaido JapanAbstract Background Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a neurological adverse effect after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) vaccinations. However, clinicians do not recognize the condition well, and no case report has shown a full recovery. Case Presentation We present a 65‐year‐old Japanese female who experienced severe fatigue, postexertional malaise, orthostatic intolerance, and various symptoms after her third SARS‐CoV‐2 vaccination. Following thorough examinations and excluding other potential diagnoses, she met the diagnostic criteria for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The symptoms persisted for 30 months and improved ultimately with comprehensive treatment and a self‐management strategy, including pacing management, pharmacological treatments, and psychiatric interventions to support those struggling with the despair over the devastating symptoms. Conclusion This case report describes ME/CFS following the SARS‐CoV‐2 vaccination and its full recovery. It illustrates the importance of considering the differential diagnosis of psychiatric disorders and addressing the condition through psychiatric interventions. Our findings provide new insights into treating ME/CFS and the vaccination‐related adverse effects.https://doi.org/10.1002/pcn5.70111Myalgic Encephalomyelitis/Chronic Fatigue Syndromesevere acute respiratory syndrome coronavirus 2 vaccinationpacingpostexertional malaiseorthostatic intolerance
spellingShingle Isaku Kurotori
Wataru Sasao
Masahiko Abe
Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report
PCN Reports
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
severe acute respiratory syndrome coronavirus 2 vaccination
pacing
postexertional malaise
orthostatic intolerance
title Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report
title_full Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report
title_fullStr Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report
title_full_unstemmed Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report
title_short Recovery from Myalgic Encephalomyelitis/Chronic Fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination: A case report
title_sort recovery from myalgic encephalomyelitis chronic fatigue syndrome developed after severe acute respiratory syndrome coronavirus 2 vaccination a case report
topic Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
severe acute respiratory syndrome coronavirus 2 vaccination
pacing
postexertional malaise
orthostatic intolerance
url https://doi.org/10.1002/pcn5.70111
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AT watarusasao recoveryfrommyalgicencephalomyelitischronicfatiguesyndromedevelopedaftersevereacuterespiratorysyndromecoronavirus2vaccinationacasereport
AT masahikoabe recoveryfrommyalgicencephalomyelitischronicfatiguesyndromedevelopedaftersevereacuterespiratorysyndromecoronavirus2vaccinationacasereport