Tick-borne illness caused by Borrelia bacteria. Early infection causes erythema migrans rash, fever, fatigue, headache, joint pain. If untreated, disseminates causing neurological (facial palsy, meningitis), cardiac (heart block, myocarditis), and joint (Lyme arthritis) manifestations. Post-treatment Lyme disease syndrome causes persistent symptoms despite treatment.
Incapacitating manifestations. Severe encephalopathy, complete heart block, or other life-threatening complications (temporary rating during active severe disease)
Severe symptoms. Chronic neurological involvement (encephalopathy, peripheral neuropathy), chronic arthritis, or cardiac involvement causing severe functional impairment
Moderately severe symptoms. Recurrent arthritis, peripheral neuropathy, or cognitive dysfunction significantly limiting function
Moderate residual symptoms. Persistent arthritis, mild neuropathy, or chronic fatigue affecting daily activities
Mild residual symptoms. Occasional fatigue or joint pain not significantly limiting function
Fully recovered after treatment
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how lyme disease affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for lyme disease, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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