Early localized (days to 1 month):
Erythema migrans
Fatigue, headache
Myalgia, arthralgia

Early disseminated (weeks to months):
Multiple erythema migrans
Unilateral/bilateral cranial nerve palsy (eg, CN VII)
Meningitis
Carditis (eg, atrioventricular block)
Migratory arthralgia

Late (months to years):
Arthritis
Encephalitis
Peripheral neuropathy