HARRISBURG – Secretary of Health Dr. Rachel Levine reminded Pennsylvanians to take proper steps to prevent against tick bites and recognize the symptoms of Lyme disease, as some symptoms of Lyme disease are similar to those of COVID-19. Ticks can carry Lyme disease, among other dangerous diseases, that can be severe if not treated properly. Preliminary data show that more than 8,500 cases of Lyme disease were reported in Pennsylvania in 2019. You are at risk of getting a tick any time you are outside, including in wooded and bushy areas, areas with high grass and leaf litter, and even in your own yard. If you have been bitten by a tick, make sure to monitor the area for any kinds of symptoms and contact your health care provider immediately. Symptoms of Lyme disease can include a red, swollen bulls-eye shape rash; Fever; Chills; Headache; Fatigue; Muscle and joint aches; and Swollen lymph nodes. Early stage symptoms of Lyme, like the ones mentioned above, may appear in as few as two days or as long as 30 days after exposure. Later stage symptoms like arthritis, heart and neurological issues may appear months later.