Key points
- Tick-borne encephalitis can result in mild febrile illness or severe neurologic disease, including meningitis or encephalitis.
- If you think you or a family member might have tick-borne encephalitis, talk to your healthcare provider.

Symptoms
Many people infected with tick-borne encephalitis virus do not have symptoms. For people with symptoms, the time from tick bite to feeling sick (incubation period) is usually about 7 to 14 days but can range from about 4 to 28 days.
Initial symptoms can include:
- Fever
- Headache
- Vomiting
- Weakness
Sometimes initial symptoms last a few days and completely resolve, but then about a week later more severe symptoms develop. This is called a biphasic illness.
Severe symptoms can include:
- Confusion
- Loss of coordination
- Difficulty speaking
- Weakness of the arms or legs
- Seizures
Testing and diagnosis
If you think you or a family member might have tick-borne encephalitis, talk to your healthcare provider.
Healthcare providers diagnose tick-borne encephalitis based on:
- Signs and symptoms
- Travel history and possible exposure to ticks while traveling
- Laboratory testing
Your healthcare providers can order tests to look for tick-borne encephalitis virus or other infections that can cause similar symptoms.