on and off
Synonym discussion
Sense: idiom/1
All four expressions describe something that does not happen all the time, but they differ in timing and frequency. "Off and on" is a direct synonym of "on and off" with identical meaning and usage. "Intermittently" is more formal and suggests a regular stop-and-start pattern, like a train that runs intermittently every half hour. "Sporadically" implies unpredictable, scattered occurrences with long gaps — for example, a disease that appears sporadically in different regions. "Occasionally" is the least intense of the group; it simply means 'sometimes' without emphasising the stopping-and-starting nature. If a patient has back pain on and off, it stops and returns many times. If they have back pain occasionally, it simply happens from time to time with no strong sense of alternation.
Etymology
The phrase comes from the image of turning a switch on and then off repeatedly, creating a pattern where something alternates between active and inactive states. It has been used figuratively in English since the 16th century to describe any repeated, interrupted activity.
First known use
1668
1668, in the meaning defined above