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City Sasaki / Meltzer / Boston / New York / Washington / DC / Williamstown / San Diego / New Haven / / Company Oxford University Press / TreeAge Software Inc / Donaldson / National Academy Press / McAlister HF / / Country United States / / Currency USD / / Facility National Institute of Arthritis / Women’s Hospital / Women’s Hospital pharmacy / / IndustryTerm clinical prevention services / Prevention of Lyme disease / treatment for Lyme disease / treatment for early Lyme disease / health state utilities / estimated utilities / injection site / disease utilities / Lyme disease prevention / Lyme disease treatment / treatment of Lyme disease / their Lyme disease treatment / / MedicalCondition Borrelia burgdorferi infection / Lyme borreliosis / JE / babesiosis / fibromyalgia / HBV / facial palsy / human granulocytic ehrlichiosis / Vaccination Against Lyme Disease Nancy A. Shadick / arthritis / Pneumococcal pneumonia / diphtheria / facial paralysis / hepatitis B / acute babesiosis / seasonal infection / multisystem disorder / illness / neurologic manifestations / Furman S. Lyme carditis / reversible heart block / Persistent parasitemia / chills / cranial neuritis / fever / Bell palsy / Lyme arthritis / early Lyme disease / muscle aches / erythema chronicum migrans / infection / B burgdorferi tick infection / adverse event Erythema / Dissemination* Arthritic sequelae† Cardiac sequelae† Neurologic sequelae†‡ Treatment efficacy Erythema / endemic area Diphtheria / Skin Diseases / Lyme disease fatigue syndrome / erythema migrans / season Erythema / chronic neuropathy / YME DISEASE / tetanus / ‡Includes Bell palsy / arthralgias / fatigue / atrioventricular block / No Adverse Lyme Disease / Lyme disease / large / red expanding rash / predicted Lyme disease / recombinant OspA Lyme disease / erythema migrans Probability / Weinstein A. Lyme disease / post−Lyme disease / dammini-borne babesiosis / individuals’ Lyme disease / old Hepatitis A / disease / endemic Lyme disease / heart block / pertussis / subsequent Lyme disease / disseminated disease / disseminated Lyme disease / infectious and postinfectious syndrome / pain / Lyme disease infection / dissemination Lyme disease / acellular pertussis / meningitis / syndrome / / MedicalTreatment immunizations / Vaccination / surgery / bypass / Immunization / antibiotics / intravenous therapy / hormone replacement therapy / vaccinations / / NaturalFeature Nantucket Island / / Organization Institute of Medicine36 / Multipurpose Arthritis and Musculoskeletal Diseases Center / Department of Epidemiology and Public Health / Advisory Committee on Immunization Practices / Department of Medicine / Division of General Medicine and Primary Care / the American College / National Institute of Arthritis and Musculoskeletal / Oxford University / Department of Health / Harvard Medical School / Yale University School of Medicine / Women’s Hospital / Division of Rheumatology / Immunology and Allergy / Harvard School of Public Health / Centers for Disease Control and Prevention / American Medical Association / / Person Beck JR. / Charlotte B. Phillips / Combination / Durland Fish / Van Etta / Drs Liang / Howard Carrie / Arch Intern Med / Karen M. Kuntz / Arch Neurol / Drs Shadick / Matthew H. Liang / Mss Phillips / Karin Fossel / Nancy A. Shadick / Van Hoecke / Ann Intern / / Position physician / KO8 Mentored Clinical Scientist / Schoen RT / Fisher / / Product probenecid / ceftriaxone sodium / Although / ibuprofen / amoxicillin / naproxen sodium / penicillin / amitriptyline hydrochloride / Doxycycline / ES / ceftriaxone / / ProvinceOrState Maine / Hawaii / Connecticut / Montana / California / Westchester County / Massachusetts / Arkansas / / Region midwestern United States / Midwest United States / / URL WWW.ARCHINTERNMED.COM / http / SocialTag 
ORIGINAL INVESTIGATION The Cost-effectiveness of Vaccination Against Lyme Disease Nancy A. Shadick, MD, MPH; Matthew H. Liang, MD, MPH; Charlotte B. Phillips, MPH; Karin Fossel, MA; Karen M. Kuntz, ScD