Lyme Disease Stages

Stage 1 (primary Lyme disease)

Erythema migrans rash in 60 - 80% of people
Fever
Headache
Muscle aches (myalgias)
Joint aches (arthralgias)
Some patients have no symptoms

Stage 2 (secondary Lyme) - days to weeks after untreated primary Lyme

Multiple erythema migrans
Facial paralysis (bell's palsy), or other facial nerve problems
Meningitis
Heart block
Heart swelling (pericarditis, myocarditis)
Testicular swelling (Orchitis)
Liver swelling (hepatitis)
Eye swelling (iritis)

Stage 3 (tertiary Lyme) - months to years after untreated primary Lyme

Recurrent joint swelling (synovitis)
Recurrent tendonitis and bursitis
Mental and behavioral problems (psychotic behavior, memory loss, dementia, depression, sleep disorders)
Carpal tunnel syndrome and other nerve problems (peripheral neuropathies)

Even more problems reportedly associated with Lyme disease (Borrelia burgdorferi) infection. Please note, not all of these have been proven to be caused by this infection and may be due to other diseases.

Skin One or more erythema migrans rash Lymphocytoma Acrodermatitis chronica atrophicans	Heart Irregular beats Heart block Myocarditis Chest pain Vasculitis	Eyes Vision changes Blindness Retinal damage Conjunctivitis Eye swelling Optic nerve atrophy
Nerves/Brain Severe Headache Nerve conduction problems Paralysis Meningitis Dizziness Fainting Double vision Deviation of eyeball Stroke Seizures Depression Other behavioral changes		Gastrointestinal Nausea Vomiting Diarrhea Anorexia Loss of appetite Liver function abnormalities Tenderness and swelling of the Spleen
Lungs Difficulty breathing Pneumonia	Pregnancy Miscarriage Premature birth Stillbirth Congenital Lyme disease	Musculoskeletal Joint pain TMJ