CD40LG and Lyme disease: 2A. Chronic Multisystem Symptoms attributed to Lyme disease (insufficient to meet Group 1), not better explained by another diagnosis, and evidence of a positive Class 1 lab test or a highly suggestive IgG Western blot (WB) or Immunoblot (IB) (MOA: self-report with lab documentation)MOA: Class 1 lab test confirmation (excluding IgM WB)MOA: Highly suggestive IgG WB or IB (e.g., at least 4 of 10 IgG Bands)