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Volume 31, Supplement—October 2025


SUPPLEMENT ISSUE
Supplement

Nonspecific Symptoms Attributable to Lyme Disease in High-Incidence Areas, United States, 2017–2021

Courtney C. Nawrocki, Mark J. Delorey, Austin R. Earley, Sarah A. Hook, Kiersten J. Kugeler, Grace E. Marx, Paul S. Mead, and Alison F. HinckleyComments to Author 
Author affiliation: Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (C.C. Nawrocki, M.J. Delorey, A.R. Earley, S.A. Hook, K.J. Kugeler, G.E. Marx, P.S. Mead, A.F. Hinckley); Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA (A.R. Earley)

Main Article

Table 2

Risk for nonspecific symptom codes among case-patients and control-patients in the prediagnosis and postdiagnosis years in study of nonspecific symptoms attributable to Lyme disease in high-incidence areas, United States, 2017–2021

Measure Any symptom Pain Fatigue Cognitive difficulties
Risk ratio prediagnosis (95% CI)
1.05 (1.03–1.07)
1.03 (1.01–1.05)
1.35 (1.29–1.41)
0.91 (0.81–1.01)
Risk ratio postdiagnosis (95% CI)
1.12 (1.11–1.14)
1.10 (1.08–1.12)
1.67 (1.61–1.72)
1.18 (1.08–1.28)
Ratio of relative risks (95% CI)
1.07 (1.05–1.10)
1.07 (1.04–1.10)
1.24 (1.17–1.30)
1.30 (1.13–1.49)
Attributable risk postdiagnosis, % 10.9 8.7 40.2 16.1

Main Article

Page created: August 27, 2025
Page updated: November 14, 2025
Page reviewed: November 14, 2025
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