Donegan, Katherine, Beau-Lejdstrom, Raphaelle, King, Bridget et al. · Vaccine · 2013 · DOI
This study examined whether the cervical cancer vaccine (Cervarix) given to girls in the UK was linked to chronic fatigue syndrome or other fatigue conditions. Researchers compared how often fatigue-related conditions were reported after the vaccine was introduced in 2008 to how often they were expected to occur naturally. They found no evidence that the vaccine increased the risk of developing these fatigue syndromes.
This study directly addresses a key concern raised during vaccine rollout—whether HPV vaccination could trigger ME/CFS-like illnesses in adolescent girls. The use of multiple surveillance methods and large population-level data provides reassurance regarding vaccine safety, which is important for public health decision-making and for patients considering vaccination.
This study does not prove that ME/CFS cannot occur after any vaccination, nor does it establish mechanisms of causation or exclusion at the biological level. It also cannot rule out rare or severe cases that may not be captured in routine primary care databases, and temporal association studies cannot definitively establish or refute individual patient causal claims.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Donegan, Katherine, Beau-Lejdstrom, Raphaelle, King, Bridget, Seabroke, Suzie, Thomson, Andrew, & Bryan, Philip (2013). Bivalent human papillomavirus vaccine and the risk of fatigue syndromes in girls in the UK.. Vaccine. https://doi.org/10.1016/j.vaccine.2013.08.024
BibTeX
@article{mecfsatlas-donegan-2013-bivalent-human,
author = {Donegan, Katherine and Beau-Lejdstrom, Raphaelle and King, Bridget and Seabroke, Suzie and Thomson, Andrew and Bryan, Philip},
title = {Bivalent human papillomavirus vaccine and the risk of fatigue syndromes in girls in the UK.},
journal = {Vaccine},
year = {2013},
doi = {10.1016/j.vaccine.2013.08.024},
note = {PubMed: 24001935},
url = {https://www.mecfsatlas.com/evidence/donegan-2013-bivalent-human},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-27. https://www.mecfsatlas.com/evidence/donegan-2013-bivalent-human
Contribute
Private, reviewed by a human. Not a public comment thread.