Background:Neurologic manifestations can occur in many adult patients with COVID-19 but are less frequently described in the literature than the respiratory or inflammatory effects of the disease. There are even fewer reports of the neurologic manifestations of the disease in children. Case Report: A 5-year-old boy with type 1 diabetes mellitus had minimal symptoms from COVID-19 infection. Eight days later, he developed acute ataxia, double vision, tremor, and dysmetria. Cerebrospinal fluid (CSF) and imaging were unremarkable. He was treated with supportive care and discharged home after 4 days. Neurologic symptoms gradually improved and resolved at 2 month follow up. Conclusion: Providers should be aware of acute cerebellar ataxia as a possible complication in pediatric patients recovering from COVID-19.