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Early Symptoms Days to weeks after tick exposure Bullseye rash (erythema migrans), in about 70 to 80 percent of cases Flu-like symptoms: fever, chills, headache, muscle and joint aches Fatigue Swollen lymph nodes Disseminated Symptoms Weeks to months if untreated Severe, persistent fatigue not relieved by rest Joint pain and swelling, often in the knees Facial palsy (Bell's palsy) and other neurological symptoms Peripheral neuropathy (tingling, numbness, or burning) Heart palpitations or irregular heartbeat Light sensitivity or blurred vision Chronic and Late-Stage Months to years Brain fog, memory loss, and difficulty concentrating Chronic neuropathy Sleep disruption and mood changes including depression, anxiety, and irritability Migratory pain that moves from joint to joint Muscle cramping and stiffness Shortness of breath or chest discomfort Related Conditions We Treat Lyme often overlaps with, or is mistaken for, other complex conditions