Small caterpillars clustered on a blueberry leaf are likely immature yellow-necked caterpillars (Datana ministra). Left unchecked, they can defoliate branches.
Spray immediately with Bacillus thuringiensis (Bt)—sold as Dipel, Thuricide, or Caterpillar Attack. Bt is specific to caterpillars, safe for bees and beneficials, and very effective on young larvae.

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