The Veteran's claim for service connection for Chronic Fatigue Syndrome (CFS) is denied as there is no current diagnosis of CFS and her symptom of fatigue is already compensated in the assigned rating for her service-connected PTSD. The Veteran's claim for an increased rating for PTSD prior to October 16, 2018, and TDIU prior to that date are also denied.
The deciding factor: The Board found no current diagnosis of CFS and questioned whether the Veteran had a confirmed diagnosis of CFS made by an appropriate clinician. The Veteran's symptom of fatigue is already compensated in her service-connected PTSD rating.
- Claimed conditions
- Chronic Fatigue Syndrome (CFS)
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- April 26, 2021
- Citation
- 21024821
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 21024821.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Denied
The Veteran's appeals for increased ratings for Chronic Fatigue Syndrome and Chronic Dermatitis were denied. The Board found that the Veteran's CFS did not meet the criteria for a higher rating, as his symptoms restricted routine daily activities to less than 50 percent of the pre-illness level. For Chronic Dermatitis, the Board determined that topical therapy was sufficient without requiring systemic therapy.
- Whole decision: Denied
The Veteran's claims for service connection for Chronic Fatigue Syndrome and an increased rating for PTSD have been denied. Service connection for CFS was not granted due to lack of a diagnosed condition, while the PTSD claim had its initial evaluation reduced from 30% to 50% effective April 29, 2024.
- Whole decision: Denied
The Veteran's appeal for increased ratings and service connection claims have been denied. The Board found that the evidence did not support a higher rating for PTSD, denied service connection for CFS, mast cell activation syndrome, and sleep apnea as secondary to PTSD, and remanded TDIU.
- Whole decision: Remanded (sent back)
The Board has decided to remand the claim of service connection for Chronic Fatigue Syndrome (CFS) due to inadequate examination and failure to address relevant evidence.
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