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. 2010 Jan-Feb;30(1):1–10. doi: 10.4103/0256-4947.59365

Table 6.

Clinical signs indicating rapid progression and need for urgent medical care.

In adults In children
- Difficult breathing or shortness of breath - Tachypnea or labored breathing
- Pain or pressure in the chest or abdomen - Skin color change, gray or blue
- Episodes of sudden dizziness - Inadequate intake of oral fluids
- Severe or continuous vomiting - Severe or continuous vomiting
- Influenza-like illness that improves but then returns with fever and cough - Influenza-like illness that improves but then returns with fever and cough
- Confusion - Irritable, or not waking up