Question

add a comma, semicolon, or colon if needed. otherwise, submit the text without any additional punctuation. symptoms of lyme disease, a bacterial infection transmitted by a certain type of tick, include a skin rash around the area of the bite, fatigue, chills, fever, and muscle ache.

Explanation:

A colon is used to introduce a list. Here, "include" signals that a list of symptoms is coming, so a colon is appropriate.

Answer:

Symptoms of Lyme disease, a bacterial infection transmitted by a certain type of tick, include: a skin rash around the area of the bite, fatigue, chills, fever, and muscle ache.