Post-COVID and post-vaccination: An overview for those affected
Why this article?
More and more people are reporting persistent symptoms after a COVID-19 infection or vaccination. Many feel left alone: the symptoms are real, but the explanations are often contradictory. Everyday medical care is overwhelmed, and those affected have to laboriously find their own way.
This article aims to provide guidance and an overview of what we know, what we suspect, and what remains unclear.
What is post-COVID – and what is post-vaccine?
Post-COVID (long COVID/post-COVID)
Post-COVID describes symptoms that persist for at least three months after a COVID-19 infection and cannot be explained by any other diagnosis. People of all ages are affected—even those who initially had mild symptoms.
Typical symptoms:
- Severe exhaustion and stress intolerance
- Brain fog: difficulty concentrating and finding words
- Shortness of breath, tightness in the chest
- Heart palpitations, dizziness, circulatory problems; postural tachycardia syndrome (POTS)
- Muscle and nerve pain
- Sleep problems, mood swings
- Smell and taste disorders
The symptoms can come in waves and severely restrict everyday life.
Post Vac
Post-vaccination syndrome refers to a similar set of symptoms that occur after vaccination, usually after COVID-19 vaccinations. Here, too, those affected report:
- Severe exhaustion
- Neuropathies and abnormal sensations
- Palpitations, postural tachycardia syndrome (POTS)
- Muscle pain, joint pain
- Concentration disorders
- Autoimmune reactions or worsening of existing conditions
Unlike post-COVID, there are no official guidelines yet. Many specialist outpatient clinics now treat post-vaccination syndrome using similar principles to those used for post-COVID.
What is the difference?
Post-COVID
- Occurs after SARS-CoV-2 infection
- Possible mechanisms: viral remnants, immune dysregulation, inflammation, microvascular problems
Post Vac
- Occurring after vaccination
- Possible mechanisms (hypothetical): excessive immune response, autoantibodies, reaction to adjuvants or lipid nanoparticles, reactivation of latent infections
Common pattern
The symptoms overlap significantly. In practice, treatment is therefore often symptom-oriented, regardless of whether the symptoms were caused by a virus or a vaccine reaction.
Adjuvants – what they do and where questions remain
Adjuvants are substances that enhance the immune response to a vaccine. They enable inactivated or partial vaccines to be effective in the first place.
Main types:
- Aluminum salts (used in children's vaccines for decades)
- Oil-in-water emulsions such as MF59 or AS03 (e.g., in flu vaccines)
- Lipid nanoparticles (LNPs) in mRNA vaccines – formally transport vehicles, practically with their own immune activation
Official data: large cohort studies currently see no significantly increased long-term risks from aluminum or MF59.
Critical perspective: For years, naturopaths and individual research groups have been debating whether certain people are more sensitive to adjuvants, for example, with chronic fatigue, neurological symptoms, or autoimmune processes. The data available on this topic is sparse; long-term, independent research is lacking and is not being funded.
For those affected, it is less important who is right. The complaints are real and deserve serious medical attention.
Common symptoms: what those affected report
Common main symptoms of post-COVID and post-vaccination
- Deep, non-recoverable fatigue
- Exercise intolerance (deterioration after physical/mental activity)
- Cognitive disorders
- Cardiovascular symptoms, postural tachycardia syndrome (POTS)
- Pain (muscles, joints, nerves)
- gastrointestinal complaints
- Sleep disorders
- Anxiety, overexcitement, inner turmoil
Symptoms that are particularly frequently reported after vaccination
- Neuropathies (tingling, burning)
- Suspected cases of myocarditis/pericarditis
- autoimmune reactions
- Diffuse muscle weakness
- Persistent heart rhythm problems
The transitions are fluid. Many post-vaccine sufferers could just as easily be post-COVID patients based purely on their symptoms, and vice versa.
Vaccine side effects: What do the data from the Paul Ehrlich Institute show (excluding COVID-19)?
The Paul Ehrlich Institute records suspected cases of vaccine side effects. Important: These are reports, not confirmed causalities. The numbers increase the more frequently a vaccine is used and the more closely it is monitored.
According to the German Medical Journal (PEI evaluation):
Children:
- Bexsero (meningococcal B): 306 reports
- Gardasil 9 (HPV): 281 reports
- Priorix (MMR): 254 reports
Adults:
- Shingrix (herpes zoster): approx. 52% of all suspected cases reported
Why are there so many reports about Shingrix?
The vaccine is highly adjuvanted and known for its pronounced reactogenicity—i.e., more frequent severe vaccine reactions.
These figures do not mean that these vaccines are the most dangerous. Rather, it is simply that this is where something is most frequently observed and reported.
Underreporting: Why the number of unreported cases is likely to be high
Spontaneous reporting systems suffer from massive underreporting worldwide.
Studies show that only about 1–10% of all adverse drug reactions are reported.
Reasons:
- The registration process is time-consuming.
- Therapists are not remunerated
- Uncertainty as to whether there is a connection
- Many affected individuals do not report it themselves
- Fear of conflict or bureaucratic hassle
The same applies to vaccine side effects. It is therefore realistic to assume that the actual number of side effects is significantly higher than the official reports—especially in milder, non-life-threatening cases.
How reliable are vaccine studies? – A nuanced perspective
COVID vaccines: From conditional to regular approval
The first COVID vaccines received conditional approval because data was lacking during the pandemic. BioNTech/Pfizer and Moderna now have regular, indefinite EU approvals.
Criticisms of the studies
There is documented evidence of quality deficiencies at individual study centers, e.g., at the subcontractor Ventavia (Pfizer study): sloppy documentation, protocol violations, unclear blinding.
This does not mean that all studies are falsified.
It means that trust in the database requires radical transparency and independent verification.
Pharmaceutical influence on vaccine research
Meta-studies show:
- Industry-funded reviews are methodologically weaker more often
- They disproportionately often achieve positive results.
- Negative results are published less frequently
So it is less about "major fraud" and more about structural distortions that influence the overall picture. In addition, genuine double-blind studies have been deemed unethical by the ethics committee. In the COVID studies, too, the control group was treated later. This means that a genuine comparison of side effects occurring later is no longer possible.
Naturopathic observation: Unvaccinated people often appear healthier
Many naturopathic practices report:
- Unvaccinated children have fewer infections.
- fewer diagnoses and
- fewer chronic complaints.
At the same time, large registry studiesdo not paintsuch a clear picture. They find neither a dramatic disadvantage of vaccinations nor a clear superiority of unvaccinated groups in clinical trials.
Treatment options: what really helps today
There is no medication that reliably cures post-COVID or post-vaccination symptoms. The most effective approaches are multimodal and individually tailored.
Non-pharmacological measures (basis of any therapy)
- Pacing: Understanding energy balance, avoiding overload
- respiratory therapy
- Low-intensity physical therapy
- Occupational therapy, cognitive training
- sleep regulation
- Psychosomatic support (not in the sense of "it's psychological," but rather: stabilizing the nervous system)
Medication options (symptom-oriented, often off-label)
- Beta blockers or ivabradine for POTS
- Inflammation modulators (e.g., low-dose steroids in individual cases)
- Pain medications, gabapentinoids
- Antihistamines for MCAS-like symptoms
- Antidepressants for pain and sleep disorders
- LDN (low-dose naltrexone) – some positive testimonials
- In severe individual cases: plasmapheresis, IVIG, immunosuppressants (specialized centers only)
Conventional medicine suppresses symptoms with medication. A genuine cure is hardly possible in this way.
Naturopathic approach
- Strengthening the meridian system
- Strengthening the excretory organs such as the liver, kidneys, and lymphatic system with phytotherapeutics and energetic treatments.
- Elimination of toxins, adjuvants from vaccinations, and other stressors
- Strengthening mental balance with EFT, hypnosis, and other energetic methods
In a short study at the Cardiovascular Center in Rotenburg an der Fulda, a response rate of over 90% was achieved with standard therapy and classic bioresonance using the BioKat M V W.
Frequently asked questions from those affected (FAQ)
The chronological sequence provides clues, but rarely absolute clarity.
Both syndromes are very similar, which is why treatment is usually identical in practice.
There is no single blood value that confirms post-vaccination.
The follow-up processes are more detectable: autoimmune markers, heart or nerve changes, POTS, ME/CFS-typical patterns.
Energetic methods can be used to test whether exposure is likely, but they do not serve as proof, as these methods are not scientifically recognized.
The basis is complex:
- The vaccines are now officially approved.
- At the same time, there is justified criticism of individual study centers and the structural influence of the pharmaceutical industry.
A complete, independent investigation would be necessary, but this has not yet been carried out. It is not clear today whether having had the disease would have provided better protection and reduced the pressure on the virus to mutate.
Many affected individuals improve within months to a few years.
Others develop chronic conditions—especially when severe fatigue or ME/CFS-like patterns are present. A precise prognosis is hardly possible today. In conventional medicine, those affected are often classified as having exhausted all treatment options or the disease is classified as psychosomatic. Unfortunately, this never helps those affected. Naturopathic therapies have been successful, but this has not been summarized in studies and therefore cannot be evaluated to determine how successful they really are in comparison. In addition, these methods must always be paid for privately, which makes it difficult for those affected if they are physically unable to work due to ME/CFS.
- Pacing and self-observation
- Good sleep hygiene
- Gentle handling of stress
- Strengthening the autonomic nervous system
- Nutrition that reduces inflammation
- self-hypnosis
- Strengthening the excretory organs
What you can take away from this as someone affected
- Your symptoms are real—regardless of whether they started after infection or vaccination.
- Many mechanisms are still unclear, but there are treatable patterns.
- Don't rely on snap judgments: neither "psychological" nor "there's nothing you can do about it."
- There are ways, sometimes slow, sometimes arduous, but real.
- And: You are not alone. More and more people, initiatives, and therapists are working on good solutions.














