This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced arthralgias, myalgias, rashes, memory loss, sleep problems, stiffness, neck pain, back pain, arm pain, numbness, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with LYMERIX. He also experienced decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information in the form of medical records was received on 22 September 2008. An evaluation of the subject dated 01 March 1999 indicated some tendinitis and also some evidence of some AC joint degenerative changes with some very mild AC joint impingement. In December 2000, the subject was experiencing sciatica and heel numbness. On 16 October 2003, the subject was seen for memory loss and sleep difficulties. Memory at that time had slightly improved, but not significantly. His sleep was markedly improved since starting CPAP device for sleep apnea. The subject was seen for a neuropsychological assessment on 10 January 2005. At that time, the subject was described as having progressive cognitive decline. Sometime in 2002, the subject reported sudden-onset of memory problems. The problems have persisted over time with significant impairment in short term memory. The subject had been using CPAP for sleep apnea with improvement in sleep as well as improvement in short term memory. He continued to have problems with cervical myelopathy and radiculopathy for which he underwent decompressive surgery on 10 June 2004. This resulted in some improvement of symptoms. The subject was also noted to have problems with peripheral neuropathy though it has been reportedly stable over time. Following the surgery, the subject reported improvement with some bilateral shoulder pain which he felt was due to "tight muscles." Problems with memory remained the same and he denied any new neurological symptoms. On 15 March 2006, the subject complained of urinary symptoms starting about 6 months prior. Symptoms included frequent urination with no dysuria. A side note was that the subject had pain down the leg occasionally especially when sitting. The subject had a bulging disk. Urinary symptoms persisted as of 23 June 2006. Infrequent urinary urgency was reported. An exam dated 26 April 2007 mentioned the subject's blood pressure being high on and off. Also, the subject incidentally mentioned his head throbbing on and off. An exam dated 11 July 2007 reported that the subject had been experiencing numbness in his left arm, but also his right arm when he wakes up in the morning. He denied tingling and stated that he did not think that he had been sleeping on his arms. Also his hands go numb when using the computer. On 28 November 2007, the subject was seen and discovered to be suffering bad memory. Some other problems noted included idiopathic peripheral neuropathy, prostrate hypertrophy, unspecified disorders of the back and urinary urgency. At this time, it is not known when these conditions began in relation to treatment with LYMERIX. As of 03 March 2008, symptoms continued and the subject was feeling very unwell. An evaluation dated 28 July 2008 reported that the subjects memory was better, but still not good.