Miami Dolphins quarterback Tua Tagovailoa placed in NFL concussion protocol for second time

By Kevin Dotson, CNN

Miami quarterback Tua Tagovailoa is in the NFL’s concussion protocol, Dolphins head coach Mike McDaniel said at a Monday news conference.

The announcement comes a day after Tagovailoa played the entire game as the Dolphins lost to the Green Bay Packers. It is the second time this season the 24-year-old quarterback has landed in the concussion protocol.

It also comes several months after he was in the spotlight for apparent head injuries and the league and the players’ union agreed to update the protocol — the NFL’s policies for assessing and caring for players who sustain a concussion.

McDaniel said Monday afternoon that he had only found out “a couple hours ago” that Tagovailoa displayed concussion symptoms and had been placed in the league’s protocol by medical staff. He could not pinpoint a moment in Sunday’s game where Tagovailoa might have been injured.

It is unclear if Tagovailoa will be available to play this week against the New England Patriots, the coach said.

“I care very deeply about each and every player,” McDaniel said. “I take that seriously, so I just want him to get healthy and have peace of mind in that regard. That’s first and foremost, and then whatever the circumstances are after, you deal with after. It’s about the human being and making sure he’s squared away.”

NFL’s chief doctor says player showed no concussion signs during game

Tagovailoa showed “nothing that would have triggered” the league’s concussion protocol from Sunday’s game against the Packers, NFL chief medical officer Dr. Allen Sills said in an interview that aired Tuesday on NFL Network.

“What our spotters and our unaffiliated neuro(logy) doctors are looking for is any blow that transmits force to the head or neck area, followed by that injury behavior,” Sills said. “Obviously, if we see any injury behavior, then there’s a call down made to evaluate that player.”

“Also, if a player identifies any symptoms or a teammate, coach, official, anyone else, identifies symptoms, that also initiates a protocol. So, many people can initiate the protocol and in this game on Sunday, none of those factors were present,” he said.

Sills said sometimes a player will report symptoms after the game.

“I think the focus here should be on kudos to the athlete for speaking up, for endorsing those symptoms and recognizing that there was a potential problem,” he said. “And then kudos to the team for immediately acting on that, putting the player in the concussion protocol and, again, behaving in what we would say is a very conservative manner.”

Tagovailoa couldn’t remember being taken off field in September

Tagovailoa also was diagnosed with a concussion on September 29 after being sacked in a game against the Cincinnati Bengals. Tagovailoa lay motionless on the field for several minutes before he was placed on a backboard and stretcher. He missed the team’s next two games.

That concussion came several days after Tagovailoa suffered an apparent head injury and was later allowed to continue playing in a game against the Buffalo Bills on September 25.

A concussion is a brain injury that happens after a hit to the head causes the organ to move back and forth inside the skull. But even after the brain itself stops shaking, there can be changes to the organ.

In October, Tagovailoa said he didn’t remember being taken off the field during the September 29 game.

“Getting carted off — I don’t remember that,” he said. “But I do remember the things that were going on when I was in the ambulance and then when I arrived at the hospital.”

He called the process of going through the protocol stressful.

“But all of it is done for player safety and I’m glad that I got to go through those things to understand more of the deals of concussions, and you know, the effects, long-term, short-term, things like that. I thought it was great I was able to go through that process and get cleared,” Tagovailoa said at the time.

The Dolphins occupy the seventh and final playoff spot in the AFC, one game ahead of the Patriots. The Dolphins have two weeks left in their regular season.

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CNN’s Jill Martin and Steve Almasy contributed to this report.