However it works with the plutonium tennis ball, it's not going to be the same ball with its internal clock stopping when it disappears and then continuing from that same point when it reappears, until it accumulates enough total hours of part-time existence to qualify for explosion. Quantum fluctuations are not add-ons to classical causality that have to play by its rules. They are part of how causality really works.
The exploding tennis ball is just another possible state that might appear. So is the aftermath of the explosion, and in fact there are probably a lot more aftermath states (or states that are just like them except in tiny details) than exploding or pre-exploding states, so it's probably a lot more likely to see something just like a late stage after a nuclear explosion (which is just a bit more thinly-spread warmth) than to see an explosion itself.
In any case I'm afraid it's not worth dwelling much on questions like this, because (a) it would be quite a lot of work to figure out exactly how small the chance is that quantum theory assigns to this or that wild event, but (b) it's clear that the unimaginably small chance will be far smaller than the fairly significant chance that current quantum theory is somehow wrong about extreme cases like these. Even a really good darts player doesn't bet on being able to make triple-twenty a million times in a row.
It may be worth dwelling a bit on a toned-down version of the question, where we ask whether a single hydrogen atom might appear spontaneously as a vacuum fluctuation. This is close enough to things that we do know that it's not just a wild shot in the dark, and it can highlight one of the biggest but subtlest concepts in quantum theory.
If you read something about electrons or photons popping in and out of existence, then the author has quite likely (though probably unwittingly) committed some terminological bait-and-switch, because there's an important ambiguity in terms like "electron" and "photon". Do we mean actual electrons and photons? Or do we mean non-interacting electrons or photons, which are not real particles but just concepts that we use as basic vocabulary to formulate our theory?
We don't have a clear theory for actual particles. We can write something down, but if you ask too many questions about what it means, we have to back off, and say, Okay, let's start from something simpler: what if everything was just neutral? What if there were electrons, and photons, but the electrons couldn't ever generate or absorb photons, or interact with each other in any way? Well, in that scenario, sure, here would be the right quantum field theory, and here's exactly what everything would mean, and everything that could happen (not much).
When we do this, we don't actually set out to make a theory of particles, at all. We have these quantum field operators, and after some algebra we discover, Whoa, the energy and momentum of these fields are quantised, and it would be a consistent way of labelling all the possible states of the fields to think of each state as containing some numbers of particles with various velocities. And that's all particles are. The whole notion of what particles are, and what they mean, is an afterthought, not an axiom.
Already in this wildly dumbed down, non-interacting quantum field theory, there are some surprising conclusions. Like, electrons are supposed to be these little hard points, right? In the dumbed-down world, their electric charge doesn't do anything, but they're point charges, right? Well, yes and no. There are point charges, but these are not the electrons, just like there are electric fields, but these aren't the photons. The photons and electrons are certain patterns and correlations in the charges and fields. Even if there are no electrons or photons at all, anywhere, there are point charges and fields, just in vacuum. They just aren't correlated together in the right ways to count as particles.
Once that's clear—so, in my course that starts next week, about three weeks from now, hopefully—we say, Now, what if these different quantum fields were to interact with each other infinitesimally? The interactions have to obey certain rules, like relativity, so there's stuff to work out about exactly what they can be—but they have to be weak. Then we can figure out what the theory means iteratively. For any given question about what would happen if ..., we start with the answer the non-interacting theory would give, and then patch it with corrections that take the interactions into account. Then we patch the corrections with corrections, and so on. Fortunately for us, the most important interaction in nature (electromagnetism) really is weak. Every time we crank up to the next set of corrections-to-corrections, we're looking two decimal places further to the right, quantitatively. So we can normally stop after just one or two rounds, and have an answer that's accurate enough.
You can get pretty good at doing that without even noticing the big idea, but eventually you will have to notice it, because you'll hit supposedly tiny corrections that seem to turn out to be not tiny but infinite. Like, the correction is this small number 1/237 (it really is
almost exactly that) times this integral that we just have to compute, hang on a sec, OMG, the integral is infinity! And you'll go WTF and have to sit back and think.
Then maybe, especially if you're Feynman, the big idea will hit you. Now that we have interactions, even though they are weak, we have to re-do the analysis that made us identify particles within quantum field theory. What even are the particles, now? They're still correlations of some kinds among point charges and fields, but exactly what correlations? This is a lot harder now, with the interactions involved, but you can do it. It's just more work than you might have expected, figuring out what things even are, before anything even happens.
So now somebody asks something like, "Hey, two electrons walk into a photon, what happens?" You go, "crap, you mean actual electrons? Not non-interacting electrons? Aw, crap." And you spend a bunch of time figuring out, with corrections patched onto corrections, what the question even means. And then, dammit, the person probably wants to hear the answer in terms of what actual electrons and photons are doing, not the fictitious non-interacting ones. So even once you know the answer you're going to have to spend a bunch of time figuring out what it really means, in terms of actual particles.
So you finally give your answer and wind down with something like, "And there's a 0.001% chance that the final state will include a positron." And your questioner says, "Cool! I can see a positron!" And you have to go, "Whoa! You want to know what you
see?" Because that's a whole other question. Detecting a fundamental particle is a physical process. Just because something is there doesn't mean you can just see it. What's your detector? How does it work? It's going to miss some positrons that are there, and it may sometimes give false positives. So once again you're back trying to figure out exactly what the question really means, and what its answers will mean. That's the bummer about fundamental physics. You're never off the hook for anything. You have to pin everything down.
So, to get back to the maximum-entropy end of the universe. There may be a quantum state that looks, in some ways, and as described in some books, as though there is non-zero amplitude for atoms and tennis balls and bombs and whatever to appear suddenly, anywhere. There's a pretty good chance, though, that if you frame the question carefully, and interpret the answer properly, then the answer just turns out to be, "Nothing happens. We just expressed `nothing' awkwardly."
When I say "pretty good chance" here, I don't mean the chance that is defined by quantum theory, because I haven't computed anything about this, because it would be hard. I'm only guessing that this is probably what quantum theory would say, if we worked hard on this question. Working out the chance for a single hydrogen atom to appear as a fluctuation in the standard model vacuum, in the objective sense that something could happen which could count as detecting the atom, would be a tough calculation. It might be a publishable paper, depending on how defensible your idea about "count as detecting" was. It might also be a publishable paper to come to a defensible conclusion about whether the asymptotic future of a maximum-entropy expanded universe would locally look like the standard-model vacuum, or not. I'd bet a beer that it would, but I've lost more beer bets than I've won on physics questions like this.
I was a teenager before it was cool.