Would you like email updates of new search results? A Ministry of Health spokesperson said it was better for people with ME/CFS to get the vaccine than not get it. The doctors treating you can help you manage a setback or relapse by: 2022;399:237248. Geetika Gupta, MD, is a board-certified internist working in primary care with a focus on the outpatient care of COVID-19. "We propose that once an acute COVID-19 infection has been overcome, a subgroup of remitted patients are likely to experience long-term adverse effects resembling CFS/ME symptomatology such as persistent fatigue, diffuse myalgia, depressive symptoms, and non-restorative sleep.. 3. Yes, I did work and I worked every day, but I could only manage about an hour before having to rest. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. Brooks now leads the 'Immunity and Molecular studies of SARS-CoV-2 infection, post-viral conditions, and COVID-19 vaccination' study, launched in October, looking at immune dysfunction and multi-system dysregulation that occurs following Sars-CoV-2 infection and comparing it to those with ME/CFS. 2023 Dotdash Media, Inc. All rights reserved. J. Med. I need to rest more and pace better. Materials provided by Keele University. This study aims to explore factors that influence the risk of uveitis relapse after COVID-19 vaccination to guide the prevention of disease. myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), Myalgic encephalomyelitis/chronic fatigue syndrome, Coronavirus may cause chronic fatigue syndrome, Fauci says, Into the looking glass: Post-viral syndrome post COVID-19, Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study, More than 50 long-term effects of COVID-19: a systematic review and meta-analysis, Post-discharge health status and symptoms in patients with severe COVID-19, Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery, Morbidity and mortality weekly report (MMWR): Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems networkUnited States, Immediate and long-term consequences of COVID-19 infections for the development of neurological disease, Long term complications and rehabilitation of COVID-19 patients, The multifaceted long-term effects of the COVID-19 pandemic on urology. Thank you. amzn_assoc_bg_color = "FFFFFF"; The information found on Health Rising is mostly put together by people with ME/CFS and/or FM. nausea, severe migraine type headache, severe joint pain, aching all over even to my fingertips, face and jaw pain, confusion/brain fog, unable to sleep, unable to eat, upset stomach. The chance of developing Guillain-Barr Syndrome was much higher if one develops COVID-19 infection (i.e., has a positive COVID test) than after receiving the Astra Zeneca vaccine. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. With 2.4 million vaccinations a day occurring in the U.S., more and more people are confronting whether or not to get vaccinated. Usually confined to house. Myalgic encephalomyelitis/chronic fatigue syndrome. Tate says the physiology of sufferers is profoundly disrupted and at the core of their disease is a dysfunctional immune system, making inoculation with the vaccine potentially dangerous. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a multifactorial and poorly undersood disabling disease. Similarities between ME/CFS and post-acute COVID-19 symptoms are documented on the U.S. Centers for Disease Control and Prevention (CDC) website, which states, A recent [Morbidity and Mortality Weekly] report found that COVID-19 can result in prolonged illness, even among adults without underlying chronic medical conditions. Covid-19 & ME/CFS: Not everyone tolerated the first Covid vaccine. A recent finding may provide some relief for those with ME/CFS/FM + long COVID. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Graefes Arch Clin Exp Ophthalmol. She premedicates with mast cell stabilizers ( eg quercitin) antihistamine and NAC and suggests that people with mast cell activation syndrome may need low dose prednisone and a blood test to assure an adequate response. 2023 Feb 1;6(2):e2255804. The gap between infection and vaccination is likely to lead to a better immune response and result in longer protection from reinfection. amzn_assoc_marketplace = "amazon"; Preliminary findings of a survey of ME/CFS sufferers and those with Long Covid, carried out by the Associated New Zealand ME Society (ANZMES), found nearly 20 percent of the 359 survey participants had experienced a relapse, with worsened symptoms that had not returned to baseline, after taking the Pfizer vaccine. "Vaccine-Related Chronic Fatigue Syndrome In An Individual Demonstrating Aluminium Overload." Several studies suggested that coronavirus disease 2019 (COVID-19) vaccination may lead to uveitis, a vision-threatening condition often associated with a variety of autoimmune or autoinflammatory diseases. Verywell Health's content is for informational and educational purposes only. A month after the infection, 38% reported they were back to baseline, but 38% reported they were either moderately or much worse off than before theyd been infected. Photo: Supplied/Kate Duder. Have you experienced a severe reaction (lasting longer than a week) to the first or second dose of the Covid-19 vaccines? The Stanford Hall consensus statement for post-COVID-19 rehabilitation. doi: 10.1001/jamanetworkopen.2022.55804. The findings will be submitted to the Immunisation Advisory Centre (Imac) and the Ministry. Vice-president of ME Auckland, Kate Duder. Experts say there are clear signs of kidney and. 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It was 86% effective in preventing serious illnesses. eCollection 2022. Other medical problems. amzn_assoc_width = 265; The IHME predicts that if social distancing remains as it is, infection rates should steadily decline over time. Researchers tested a trio of mRNA vaccines . Before Unable to perform any strenuous tasks. Please enable it to take advantage of the complete set of features! Nancy Klimas reports that her patients are tolerating the vaccines well. Available every day of the week between these times: 10am - 12noon2pm - 4pm7pm - 9pm. Register for our free ME/CFS, fibromyalgia, and long COVID blogs here. This is quite different than ME/CFSby definition, symptoms must persist for at least 6 months before a diagnosis of ME/CFS can be made. Far-right U.S. news outlet The Epoch Times reported on March 6 that 966 people had died after having the Pfizer or Moderna COVID vaccines. Age. ME/CFS and FM Experts on Whether to Take the Coronavirus Vaccine Plus The Vaccine Polls. Overall activity level reduced to 50% of expected. Zhong Z, Wu Q, Lai Y, Dai L, Gao Y, Liao W, Su G, Wang Y, Zhou C, Yang P. JAMA Netw Open. My GP described it as Post Viral Fatigue. So, unsurprisingly, I was very keen to get my Covid-19 vaccination. It suggests that some long haulers may improve after getting vaccinated perhaps because the vaccine is giving their immune system the boost it needs to remove the small bits of the virus which remain. I think they've done a fantastic job. Emeritus Professor Warren Tate says the government needs a more nuanced approach in its vaccination drive. Hazard ratios for uveitis relapse after any dose (A) or the first dose (B) were adjusted for age, sex, dose of vaccines, vaccine type, history of uveitis, time since the last relapse, and use of cyclosporine. BMC Neurol. The poll is now tracking four vaccines: Pfizer, Moderna, AstraZeneca and Johnson & Johnson. CNN. Epub 2022 May 25. amzn_assoc_height = 250; Background: Since the advent of global COVID-19 vaccination, several studies reported cases of encephalitis with its various subtypes following COVID-19 vaccinations. Amongst the healthy population, side-effects can be more common and pronounced after a second dose because the immune system has been primed by the first dose to react against anything that it recognises as a potential Covid-19 infection i.e., a second dose of vaccine. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery. On a personal basis I had no side-effects at all following my second dose of the AstraZeneca vaccine and saw someone this week who had developed a nasty and widespread allergic skin rash following the second dose of the Pfizer vaccine. This poll is for people with ME/CFS or FM who are at 30 or below on Dr. Bells 0-100 Functional scale. This is to optimise vaccine protection. Effect of 2 inactivated SARS-CoV-2 vaccines on symptomatic COVID-19 infection in adults: a randomized clinical trial. "There is no current information on what dose interval would work but it is evident that the time to complete a four-dose programme will be longer than a two-dose programme, meaning that this vulnerable group of people would be at risk of Covid-19 infection for longer.". A Chinese study showed that 16% of COVID-19 survivors still experienced fatigue three months after being discharged from the hospital.. 2020;76(1):3-19. doi:10.3233/JAD-200581, Dasgupta A, Kalhan A, Kalra S. Long term complications and rehabilitation of COVID-19 patients. This is the first report linking aluminium overload with either of the two conditions and the possibility is considered that the coincident aluminium overload contributed significantly to the severity of these conditions in a patient. "They should be given exemptions at least to the point where they're not stigmatised by the fact that they haven't been vaccinated. Most respondents did report have activity limitations. She is one of thousands of Kiwis with CFS who have been unable to. I do hope Neil is improving. Russell Fleming, Content Manager, ME Association. Side effects are common after COVID-19 vaccinations. A study published prior to peer-review in August 2020 surveyed people discharged after being hospitalized with COVID-19. Content on this website is for information only. A 71-year-old male with intermittent asthma developed a sore. Around 60% of the respondents reported having chronic fatigue syndrome (ME/CFS) or fibromyalgia, leaving 40% who did not report having either one a result that I have trouble understanding given that I would be surprised: a) if the poll reached outside the ME/CFS/FM communities and; b) given that I dont know why other people would want to participate, anyway. Sarah Blesener for The New York Times. I knew that I might have some post-vaccination symptoms, perhaps a bit of a headache or feel tired, an aching arm or even a bit of nausea. Nausea / stomach upset Muscle / joint pain Brain fog Difficulty standing without symptoms Problems Sleeping Other Symptoms from the first Pfizer vaccine shot lasted for: (If it's been less than a month and you are still having symptoms please answer this question after a month has passed). Decisions. The Moderna vaccine is an mRNA vaccine that has a 94% effectiveness rate. occurring after coronavirus Vaccination . Within half an hour I was asleep on the sofa and didnt wake until my husband came home around 4.30pm. Its clear that the sooner we get the SARS-CoV-2 coronavirus back in the bottle as much as possible, the better for all of us. It may be a while before healthcare providers are able to identify whether people with post-COVID-19 symptoms experience PEM. The B.1.1.7 variant from the U.K. appears to be about 65% more deadly than prior forms of the virus. Subscribe To Health Risings Free Chronic Fatigue Syndrome and Fibromyalgia Information, HEALTH RISING IS NOT A 501 (c) 3 NON-PROFIT. The chance of having this occur after these vaccines is very low, 5 per million vaccinated persons in the UK study. The . Studies are planned to identify whether some people with delayed recovery develop an ME/CFS-like illness.. Indeed, it may increase the risk of side effects since the reactogenicity (which is the expected symptoms you get from your immune system such as headaches, fevers, flu-like symptoms) is expected to increase with each dose," she said. Association between Vaccination with the BNT162b2 mRNA Coronavirus Disease 2019 Vaccine and Noninfectious Uveitis: A Population-Based Study. Not nice but Covid would be worse. This poll is only for people who have ME/CFS and/or FM and who score 30 or below on the Bell Functionality Scale. Damage to multiple organs, including the heart, lungs, Neuroinflammation and other nervous system abnormalities, Individualized treatment plans depending on your needs and other health problems, Education about your condition and strategies for recovery, Regular review of your progress as you go through the rehabilitation process, A focus on improving symptoms, physical function, and quality of life. One cup of coffee later I was feeling quite tired, which was odd. Many had food and chemical sensitivities, and a quarter of sufferers were in the acute phase of their disease and therefore at high-risk of an adverse reaction, he added. The question whether or not to get a coronavirus vaccine hinges on two issues: the risk of getting sick from the vaccine versus the risk of getting sick from the virus. Oh heck, GP has just phoned to ask if I am able to come in for my 2nd jab. A letter to the editor of the medical journal Medical Hypotheses states, After the acute SARS episode some patients, many of whom were healthcare workers went on to develop a Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) like illness which nearly 20months on prevented them returning to work. Since then, if I am ever unwell (anything from a common cold to major surgery) there is the possibility that I will crash and burn, more so as I get older, so I do look after myself. Front Public Health. For these people the benefits of vaccination outweigh the risks of the effects of catching Covid-19 infection. There are no home visits or physical examinations.From reading other's experiences it sounds as if this may not be only in my area. Theres no evidence, on the other hand, that getting the vaccine is going to kill anyone, but you do run the risk of a relapse. Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome; Board on the Health of Select Populations; Institute of Medicine. If these polls are accurate, far more people with ME/CFS/FM are having more trouble fighting off the virus than recovering from the vaccine. We were all vaccinated against Yellow Fever, and Malaria for holidays and did so without a second thought. An earlier poll asked people with ME/CFS/FM how theyd fared with the coronavirus (or an illness they assumed was the coronavirus). Preliminary findings of a survey of ME/CFS sufferers and those with Long Covid, carried out by the Associated New Zealand ME Society (ANZMES), found nearly 20 percent of the 359 survey. Its possible you may never get the virus. The result was a severe and ongoing immune response to elevated body stores of aluminium, which was initiated by a course of five aluminium adjuvant-based vaccinations within a short period of time. This I did, eventually after about 4/5 days the symptoms gradually abated. Will Future Computers Run on Human Brain Cells? Many are eventually diagnosed with myalgic encephalomyelitis, also called chronic fatigue syndrome (ME/CFS), a poorly understood condition that has no FDA-approved treatment and that often leaves people debilitated for life. Medicines and Healthcare products Regulatory Agency (MHRA). What seems likely is that all those over 50, and those in vulnerable clinical groups (i.e., JCVI group 4 and possibly group 6), will now be offered a booster dose in September or October, possibly combined with the annual flu vaccine that is due at the same time. We can see from these polls that a small minority are affected. Am I going to have it? In the most severe cases, people cannot sit up without triggering symptoms. Post-discharge health status and symptoms in patients with severe COVID-19. openmindmag.org. Severe symptoms with any exercise. I felt very slightly nauseous a couple of hours later, but nothing that a diet coke (my cure-all!) I describe myself as a healthy person. Pauline, Annette, and Neil (MEA Chairman) have ME/CFS, but Caroline (MEA Magazine Editor)does not and yet she still experienced a bad reaction. There are strong precedents for delayed hypersensitivity to aluminium in children receiving vaccinations which include aluminium-based adjuvants, with as many as 1% of recipients showing such a response. One hundred million doses will be available over the next couple of months in the U.S. Vaccine protocols. The five most common symptoms are: Data from the COVID Symptom Study suggests that between 10% and 15% of people have had lengthy recovery periods, including some who had only mild cases. Scientists are one step closer to developing a vaccine for cervical cancer after trials in mice showed it reduced tumours 80 per cent of the time.. Whether or not to get vaccinated is a difficult one for the many people in the chronic fatigue syndrome (ME/CFS) community, in particular, who have stayed away from any vaccines, sometimes for decades. So only the most urgent and important things got done one hour on, an hour or two off, probably working for a total of 2-3 hours a day at most. I feel the same, now I don't have the headaches. Over the years, researchers have investigated multiple pathogens in relation to ME/CFS. Its too much of a risk. But whereas Caroline did recover relatively quickly, the three with ME/CFS did not. My husband drove me the 40 minutes to the vaccination centre just in case I felt wobbly afterwards (I really dont like needles!) By Adrienne Dellwo Or you can share your story with us: Feedback@meassociation.org.uk Title your email: Covid Vaccine Feedback. The median age was 41 years (interquartile range, 30 to 51), and 57.3% were female. 2020 Jun 27;144:110055. doi:10.1016/j.mehy.2020.110055, Moldofsky H, Patcai J. Recovery was very quick thus far, with 95% reporting they were over their symptoms within a week, and 5% (1 person) reporting it took up to a month. People who experience post-COVID conditions most commonly report: General symptoms (Not a Comprehensive List) Tiredness or fatigue that interferes with daily life DOS. Vaccine mandates for many now in force - but has the law got the right balance? Three months later, only 40% reported they were back to baseline, but 38% reported they were still either moderately (16%) or much worse off (22%) than before the infection. Abstracts of Presentations at the Association of Clinical Scientists 143. Time to onset of uveitis relapse after COVID-19 vaccination. It has been approved for use in 43 countries. Symptoms . Beyond myalgic encephalomyelitis/chronic fatigue syndrome: Redefining an illness. A variant just popped up in France which is not detected by the standard PCR tests used to detect the coronavirus. But I think this has to be more nuanced, just like protecting people in rest homes, older people in the community, in the first phase.". A team of scientists have investigated a case of vaccine-associated chronic fatigue syndrome (CFS) and macrophagic myofasciitis in an individual demonstrating aluminum overload. It has been approved for use in 60 countries. Second shot As expected, symptoms were more prominent after the second shot. The system was so organised, there was no queue and I was in front of the nurse before I knew what was happening. We use cookies to ensure that we give you the best experience on our website. Most ME/CFS sufferers develop the illness as a post-viral response. Eighty percent of people in the poll did, however, report activity limitations. They're bound to change over time, as the full extent of the long-term effects become better understood. COVID kills people. -, Al Kaabi N., Zhang Y., Xia S., Yang Y., Al Qahtani M.M., Abdulrazzaq N., Al Nusair M., Hassany M., Jawad J.S., Abdalla J., Hussein S.E., Al Mazrouei S.K., Al Karam M., Li X., Yang X., Wang W., Lai B., Chen W., Huang S., Wang Q., Yang T., Liu Y., Ma R., Hussain Z.M., Khan T., Saifuddin Fasihuddin M., You W., Xie Z., Zhao Y., Jiang Z., Zhao G., Mahmoud S., ElTantawy I., Xiao P., Koshy A., Zaher W.A., Wang H., Duan K., Pan A. Sixty-three percent reported they were over the side effects by the first week, 18% by two weeks and 18 percent (2 people) reported they were still experiencing them a month later. The mixed-effects Cox regression model was used to account for the correlation of repeated measures on an individual, if necessary. "There is no current evidence that having four vaccinations will reduce side effects to vaccination. This is fatigue. First Shot A smaller percentage of people reported mild or no symptoms from the first shot (22%) compared to Pfizer/Moderna vaccines (60/66%). Pauline (ME/CFS relapsed after first vaccine) I have had ME for 21 years and gradually improved over that time to be roughly 50/60% of where I was before the symptoms developed. I had my first vaccination in the early evening of 11th March. Sixty-three percent reported having at least moderate to severe symptoms with exercise or activity; 28% percent reported that, at best, they were unable to leave house except rarely, and were confined to bed most of the day. Hell, I could barely crawl up the stairs. When it reached 50% of cases in Italy, the virus exploded, and now half of Italy is in strict lockdown. It's been two and a half months. Four to nine percent of people taking the second dose of the Pfizer or Moderna vaccine reported having symptoms a month later. The AstraZeneca adenovirus vaccine is from 70-90% effective. Guardian: Covid vaccine side-effects: what are they, who gets them and why, Covid-19 & ME/CFS: Information and Management 40-page Booklet | May 2021, Covid-19 & ME/CFS: Infection, Vaccines, & Long Covid | May 2021, Covid-19 & ME/CFS: Vaccine Information and Update | January 2021. "I have ME and react to a lot of things, so I've been very cautious about getting the vaccine when I can't even take supplements," Dudersaid. Tate has also submitted data to Imac over his concerns. Seventy-plus percent of people trying the first shots of the three vaccines are over their symptoms within a week. The disease is known to be associated with immune-system dysfunction, and possibly some features of autoimmunity (in which the body attacks itself.). Glucocorticoid use was defined as concomitant systemic treatment at the time of administration of each COVID-19 vaccine on a dose that had been stable for at least a week. I RECOVER Post Vaccine Protocol. Have about half of pre-vaccine energy. While its too soon to say how long lingering COVID-19 symptoms may last once youve recovered from the acute infection, there is a concern in the medical community that this virus could lead to chronic health conditionspossibly including ME/CFS or something similar. ScienceDaily. "We completely understand the concerns of people with long-term conditions such as ME/CFS around vaccination. Please contact our Press Officer Tony Britton. Twenty-eight percent of people fit this profile in the vaccine side-effects poll. Concomitant use of systemic glucocorticoids at the time of vaccination was independently associated with a decrease in risk of relapse after vaccination (HR, 0.23 [95% CI, 0.07-0.74]; P value = 0.014). Gradually I started to pick up and feel more like myself, but the first time I realised Id had a normal day was more than a month later. It has been giving me so much anxiety, because nothing is working, so bad to where I had to go on Zoloft. amzn_assoc_region = "US"; It is highly unlikely that you will be offered a choice of vaccine that is just based on the fact that you have ME/CFS. So while there certainly is a risk of an ME relapse with these hyper reactive vaccines (the first wave to be released), you have to weigh the possibility of an ME relapse against the risk of death from . The only way to stop the virus completely is to develop herd immunity to it. If theyre having trouble fighting off the virus, then getting the vaccine becomes more of a priority. Choose an option below, MAKING PURCHASES IN OUR SHOP Get the latest science news in your RSS reader with ScienceDaily's hourly updated newsfeeds, covering hundreds of topics: Keep up to date with the latest news from ScienceDaily via social networks: Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. The Johnson and Johnson one-shot vaccine as approved for use in the U.S. on Feb 27th. COVID-19 vaccines can cause mild side effects after the first or second dose, including: Pain, redness or swelling where the shot was given Fever Fatigue Headache Muscle pain Chills Joint pain Nausea and vomiting Swollen lymph nodes Feeling unwell Most side effects go away in a few days. I went back to school assuming I was better, but within days was unable to get out of bed and ended up having six months off school. 2020 Aug;54(16):949-959. doi:10.1136/bjsports-2020-102596, Sheehy LM. How long does COVID last? Getting over this Jab is harder than I thought. amzn_assoc_default_search_category = ""; One day after receiving her first dose of Moderna's Covid vaccine, Luz Legaspi, 72, woke up with bruises on her arms and legs, and blisters that bled . The complete inactivated SARS-CoV-2 vaccine schedules included three doses of CoronaVac (Sinovac) or three doses of BBIBP-CorV (Sinopharm). Methods We conducted a community-engaged qualitative descriptive study involving online semistructured interviews and participant visual illustrations. AMZMES was in talks with the Ministry of Health and Immunisation Advisory Centre (IMAC) about carrying out an alternative dosing trial involving four smaller doses instead of two standard doses. Preliminary findings of a survey of ME/CFS sufferers and those with Long Covid, carried out by the Associated New Zealand ME Society (ANZMES), found nearly 20 percent of the 359 survey participants had experienced a relapse, with worsened symptoms that had not returned to baseline, after taking the Pfizer vaccine. (2008, November 18). Methods: The report said it had drawn the data from . Have any problems using the site? Perrin R, Riste L, Hann M, Walther A, Mukherjee A, Heald A. If you get the virus, you run some risk of a very negative result being hospitalized, dying or a severe relapse. amzn_assoc_ad_type = "responsive_search_widget"; Even people who are severely affected by ME/CFS are not all reporting bad reactions. The latter are extremely effective immunogens in their own right and so improve the immune response to whichever antigen is administered in their presence. government site. Please donate today so we can provide support and bring hope to people with ME/CFS I have spoken to two other GPs and 111 as well as various ME support groups, including yourselves. This site needs JavaScript to work properly. Still, seventy-plus percent of people trying the first shots of any of these three vaccines were over their symptoms within a week. -. Symptoms of CFS often mimic the flu. Eighteen percent reported recovering within a week, 53% (9 people) reported having moderate symptoms and 29% (5 people) reported having severe symptoms. The median time to relapse after vaccination was 5 days (interquartile range, 1 to 14). However, these symptoms are reported by patients 2-3 weeks after testing positive for COVID. The experience was awful, but nothing will deter me from doing it all again. amzn_assoc_search_type = "search_widget"; Recognizing COVID-19-related myocarditis: The possible pathophysiology and proposed guideline for diagnosis and management, The Stanford Hall consensus statement for post-COVID-19 rehabilitation, Considerations for postacute rehabilitation for survivors of COVID-19, Fatigue and malaise, sometimes described as crushing, Neuroinflammation and other brain/nervous system abnormalities. Second shot Eleven percent reported mild or non-existent side effects, 55% moderate and 31% severe (n=241). Get the most in-depth information available on the latest ME/CFS and FM treatment and research findings by registering for Health Rising's free ME/CFS and Fibromyalgia blog here. After reviewing electronic health records in the Maccabi Healthcare Services database, the researchers identified 702 GBS patients, 579 of whom had received one Pfizer COVID-19 vaccine dose; 539 had received both doses.