Lyme Signs and Symptoms for Teens

Signs and Symptoms of Lyme Disease

Early Signs and Symptoms (3-30 Days After Tick Bite)

  • Fever
  • Chills
  • Headache
  • Fatigue
  • Muscle and joint aches
  • Swollen lymph nodes
  • Erythema migrans (EM) rash
    • Occurs in approximately 70 to 80 percent of infected persons at the site of tick bite
    • Flat, red rash that expands gradually over several days, reaching up to 12 inches (30 cm) or more across
    • May feel warm to the touch but is rarely itchy or painful
    • Sometimes clears as it enlarges, resulting in a target or bull’s-eye appearance
lyme disease bullseye rash darker skin
erythema migrans rash

Later Signs and Symptoms (days to months after tick bite)

  • Severe headaches and neck stiffness
  • Additional EM rashes on other areas of the body
  • Facial palsy (loss of muscle tone or droop on one or both sides of the face)
  • Arthritis with severe joint pain and swelling, particularly the knees and other large joints
  • Intermittent pain in tendons, muscles, joints, and bones
  • Heart palpitations or an irregular heartbeat (Lyme carditis)
  • Episodes of dizziness or shortness of breath
  • Inflammation of the brain and spinal cord
  • Nerve pain
  • Shooting pains, numbness, or tingling in the hands or feet

CDC Tick Bite Bot

Need help removing a tick or determining whether you need health care? The CDC Tick Bite Bot will ask you a series of questions to help you make the right choice!

Please click here if you are unable to access the Tick Bite Assessment.