Tarakji, B, Ashok, N, Alakeel, R et al. · Annals of medical and health sciences research · 2014 · DOI
This review looked at reported side effects from the Hepatitis B vaccine given to children and adults. While the vaccine is generally considered safe, researchers found reports of various health complications that occurred after vaccination, including some that affect the mouth and jaw. The authors note that most side effects go away on their own, but a few can be serious and need hospital care.
For ME/CFS patients and researchers, this review is relevant because it identifies chronic fatigue syndrome as a reported complication following Hepatitis B vaccination in published case literature. Understanding potential vaccine-associated adverse events—including post-vaccination fatigue syndromes—contributes to safety monitoring and may inform clinical assessment of symptom onset timing in ME/CFS patients.
This review does not establish causal relationships between vaccination and complications; it documents reported cases without quantifying actual incidence rates or comparing vaccinated vs. unvaccinated populations. The non-systematic methodology and reliance on case reports—the lowest level of evidence—means findings reflect reported associations rather than proven causation. No control groups or epidemiological data are presented to determine whether these events occur more frequently after vaccination than in the general population.
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
Tarakji, B, Ashok, N, Alakeel, R, Azzeghaibi, Sn, Umair, A, Darwish, S, et al. (2014). Hepatitis B vaccination and associated oral manifestations: a non-systematic review of literature and case reports.. Annals of medical and health sciences research. https://doi.org/10.4103/2141-9248.144870
BibTeX
@article{mecfsatlas-tarakji-2014-hepatitis-vaccination,
author = {Tarakji, B and Ashok, N and Alakeel, R and Azzeghaibi, Sn and Umair, A and Darwish, S and Mahmoud, Rs and Elkhatat, E},
title = {Hepatitis B vaccination and associated oral manifestations: a non-systematic review of literature and case reports.},
journal = {Annals of medical and health sciences research},
year = {2014},
doi = {10.4103/2141-9248.144870},
note = {PubMed: 25506472},
url = {https://www.mecfsatlas.com/evidence/tarakji-2014-hepatitis-vaccination},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/tarakji-2014-hepatitis-vaccination
Contribute
Private, reviewed by a human. Not a public comment thread.