In closing I will mention just one more vaccine and that is lyme vaccine, known as LYMErix. This is a recombinant vaccine that has become available within the last couple of years. The vaccine is a three-dose schedule that has to be given over the course of a year. You really have to plan the timing of the vaccine. If you want your patients to be immune this year, now is the time to start giving it.
Some immunity is achieved after the second dose.