Hubby and I both had it, him in 1995,me in 1996...he took 4 weeks of 500 mgs of amoxicillan 3 times a day...poof....he had the rash....Me, gardening got poison ivy all over my body and as it resolved there were some paramecium looking like things (3 on me)doc took a look, said,"lyme"- was tired, felt some numbness and tingling on my face...the first week on amoxicillan (500 mgs 4 times a day,since I had it for awhile)-the spyrochete releases it toxing and you really feel like crap...then it progressively got better, I was on it for 2 months....got pregnant that year, they did a titre and it was well under the "diseased" state....
Almost everyone I know in northern NJ has had it or was exposed to it...NO ONE had any long term effects....only the people who had it before it was diagnosed as a disease...they had to have long term treatment and one had cardiac rhythm disturbance.
The worst case - I did home IV on her, was a young woman who remembered a wacky rash in the 80s,paid it no mind...then was diagnosed presumptively(before MRI was used) with MS.....she broke her engagement, and went back for a doctorate.....a couple years go by, she gets pneumonia....goes to hospital where they give her IV penicillan...and guess what? The symtoms pf MS diminished - RAPIDLY....docs were hip to lyme by 1995, and ran a titre- it was through the roof!!!!! So , home with what turned out to be one YEAR of weekly IV antibiotics......fast forward 13 years....a Phd.,married, kid, home, and hiking,biking and running!!!