The clinical manifestations of acute otitis media vary among individuals.
Generally, the most common manifestation is sudden ear pain, usually in one ear.
Some patients may experience headache, dizziness, fever, and ear discharge.

Additionally, they may also have symptoms of a cold, such as nasal congestion and purulent nasal discharge.
However, overall, the main symptom is local ear pain, and only some severe cases will have ear discharge.
