Lyme Disease Symptoms

Early Lyme Disease Symptoms

People may get an illness with some of these symptoms 1 to 32 days after a tick bite. These early symptoms resemble the flu. Some people don’t get these early symptoms.

Erythema Migrans (EM) Rash: A red spot.  It may grow, may clear in the center, and may or may not develop rings like a bull’s-eye. Many people don’t get a red spot or rash.

  • EM rash, other rashes
  • Chills, with or without fever; sweating
  • Fatigue, sleepiness
  • Sore or aching muscles
  • Sore throat, cough
  • Runny nose, sinus infection
  • Swollen glands
  • Stomach and digestive problems
  • Joint pains
  • Severe headache
  • Eyes hurt in sunlight
  • Stiff neck
  • Meningitis

 Late Lyme Disease Symptoms

  • Arthritis, or joint pains that move from joint to joint, with or without swelling
  • Muscle pains that move around
  • Headache that may last for days or years
  • Chronic nausea, vomiting that lasts for months or years
  • Diarrhea, constipation
  • Skin rashes; spots that resemble bruises but may clear in center
  • Irregular heartbeat and other heart problems
  • Blurry vision, other vision problems, red eye(s)
  • Ringing in ears; hearing loss
  • Numbness, tingling, or burning sensations
  • Paralysis; tremors; dizziness; seizures
  • Post sleep paralysis: temporary paralysis of arms or body after awakening
  • Problems with thinking, concentration, and memory; confusion; brain fog; sleep problems
  • Mood swings, depression, psychiatric illnesses

The early symptoms may last about a week and then go away. If not diagnosed and treated promptly with at least 6 weeks of antibiotics, the following symptoms may develop weeks, months, or years later:


Complete Lyme Disease Symptoms List

Printable Version

The following is a list of symptoms resulting from Lyme and co-infections. An infected person may experience some or many of these symptoms, which is why diagnosis is often difficult.  Check the boxes that apply to you when you see your doctor.

NOTE: You may have symptoms related to Lyme disease that are not listed here. Lyme literate doctors are expanding the list of symptoms related to Lyme disease frequently.  Please be sure to tell your doctor about any symptoms you are experiencing that are not on this list.

__  Tick bite
__ Rash basically circular, sometimes spreading (rash occurs in less than 50% of Lyme patients, may be on body parts other than bite site)

Musculoskeletal System

 __ Joint pain or swelling
 __ Stiffness of joints, back, neck
 __ Muscle pain or cramps
 __ Creaking, cracking joints
 __ Heel pain
 __ Spinal sensitivity
 __ Movement of pain or swelling to different joints

Neurologic System

 __ Headache – persistent/severe
 __ Bell’s Palsy (facial paralysis)
 __ Burning or stabbing pains
 __ Tremors or unexplained shaking
 __ Numbness in body and/or extremities, tingling, pinpricks
 __ Weakness or partial paralysis
 __ Pressure in the head
 __ Lightheadedness, wooziness
 __ Poor balance, dizziness, difficulty walking
 __ Increased motion sickness
 __ Seizures, stroke symptoms
 __ Restless legs

Mental Capability

 __ Memory loss (short or long term)
 __ Confusion, difficulty in thinking
 __ Forgetting how to perform simple tasks
 __ Speech difficulty (slurred or slow)
 __ Stammering, stuttering speech
 __ Going to the wrong place

Psychological well-being

 __ Mood swings, irritability
 __ Unusual depression
 __ Panic-anxiety attacks
 __ Overemotional reactions, crying easily
 __ Aggression, rage
 __ Too much sleep, insomnia
 __ Difficulty falling or staying asleep
 __ Obsessive-compulsive behavior
 __ Suicidal thoughts
 __ Paranoia
 __ Disorientation (getting or feeling lost)

Head, Face, Neck

 __ Stiff or painful neck
 __ Headache, mild or severe
 __ Twitching of facial or other muscles
 __ Jaw pain or stiffness
 __ Sore throat
 __ Unexplained hair loss
 __ Scalp rash
 __ Eyes, Vision
 __ Floaters
 __ Double or blurry vision
 __ Pain in eyes, or swelling around eyes
 __ Light sensitivity
 __ Flashing lights
 __ Tearing and/or dry
 __ Vision loss/Blindness
 __ Ears/Hearing
 __ Decreased hearing in one or both ears
 __ Buzzing or ringing in ears (tinnitus)
 __ Pain in ears
 __ Sound sensitivity

Digestive and Excretory System

 __ Diarrhea
 __ Constipation
 __ Irritable bladder (trouble starting, stopping)
 __ Frequent urination
 __ Upset stomach, vomiting
 __ Bloating
 __ Gastroesophageal reflux

Respiratory/Circulatory System

 __ Shortness of breath
 __ Chest pain or rib soreness
 __ Night sweats or unexplained chills
 __ Heart palpitations or extra beats
 __ Heart block, heart attack
 __ Valve prolapse, murmurs
 __ Loss of sex drive
 __ Sexual dysfunction
 __ Unexplained menstrual pain, irregularity
 __ Unexplained breast pain, discharge
 __ Testicular or pelvic pain

General Well-being

 __ Extreme fatigue
 __ Symptoms change, come and go
 __ Pain moves to different body parts
 __ Unexplained weight gain or loss
 __ Malaise
 __ Chills
 __ All types of rashes on the body and /or scalp
 __ Swollen glands
 __ Unexplained fevers (high or low grade)
 __ Itching
 __ Continual infections (sinus, kidney, yeast, bladder, etc.)
 __ Increased sensitivity to allergens
 __ Exaggerated  response to alcohol or sweets
 __ Nodules under the skin
 __ Early on, experienced a flu-like illness, after which you have not felt well since.


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